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JNCI Journal of the National Cancer Institute 2004 96(12):936-945; doi:10.1093/jnci/djh167
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© 2004 Oxford University Press

ARTICLE

Polymorphisms Associated With Circulating Sex Hormone Levels in Postmenopausal Women

Alison M. Dunning, Mitch Dowsett, Catherine S. Healey, Louise Tee, Robert N. Luben, Elizabeth Folkerd, Karen L. Novik, Livia Kelemen, Saeko Ogata, Paul D. P. Pharoah, Douglas F. Easton, N. E. Day, Bruce A. J. Ponder

Affiliations of authors: Cancer Research UK, Department of Oncology (AMD, CSH, LT, KLN, SO, PDPP, BAJP), European Prospective Investigation of Cancer (RNL, NED), and Cancer Research UK, Genetic Epidemiology Group (DFE), University of Cambridge, Strangeways Research Laboratory, Cambridge, U.K.; Academic Department of Biochemistry, Royal Marsden Hospital, London, U.K. (MD, EF); Queensland Institute for Medical Research, Brisbane, Australia (LK)

Correspondence to: Alison M. Dunning, PhD, Cancer Research UK, Department of Oncology, Strangeways Research Laboratory, Worts Causeway, Cambridge CB1 8RN U.K. (e-mail: alisond{at}srl.cam.ac.uk)

Background: Reports suggest a relationship between circulating sex hormone levels and breast cancer risk, but genetic association studies have been inconclusive. We investigated the association between levels of sex hormones and single nucleotide polymorphisms (SNPs) in genes coding for the enzymes that regulate them. Methods: We assayed circulating levels of estradiol, testosterone, estrone, androstenedione, 17{alpha}-hydroxyprogesterone, and sex hormone–binding globulin (SHBG) in 1975 normal postmenopausal women. Fifteen SNPs in the CYP17, CYP19, EDH17B2, SHBG, COMT, and CYP1B1 genes were genotyped in these postmenopausal women and in a breast cancer case–control study. Associations of genotypes with breast cancer risk were evaluated in the case–control study and with hormone levels in the postmenopausal women using multiple linear regression with assay batch, body mass index, parity, peri- or postmenopausal status, and age band as covariates. Results: CYP19 SNPs (rs10046 and [TCT]+/–) were associated with differences in estradiol level (P = .0006 and P = .0003, respectively) and the estradiol : testosterone ratio (P = .000001 and P = .002). SNP rs10046 explained 1.6% of the variance (r2) in the estradiol : testosterone ratio. SHBG SNPs (5' untranslated region [5'UTR] g-a and D356N) were associated with both SHBG levels (P<10–6 and P = .005) and the estradiol : SHBG ratio (P = .000008 and P = .01). These SNPs explained 2.4% and 0.6% of the variance in SHBG levels, respectively. SNPs in the other genes were not associated with differences in any hormone levels, and none were statistically significantly associated with breast cancer risk. Conclusion: Genetic variation in CYP19 and SHBG contributes to variance in circulating hormone levels between postmenopausal women, but low r2 values may explain why these genes have given inconclusive results in breast cancer case–control studies.



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Correspondence about this Article

Re: Polymorphisms Associated With Circulating Sex Hormone Levels in Postmenopausal Women
Francisco De Castro, Francisco J. Moron, Luis Montoro, Jose J. Galan, Luis M. Real, and Agustin Ruiz
J Natl Cancer Inst 2005 97: 152-153. [Extract] [Full Text] [PDF]

RESPONSE: Re: Polymorphisms Associated With Circulating Sex Hormone Levels in Postmenopausal Women
Alison M. Dunning, Mitch Dowsett, Catherine S. Healey, Robert N. Luben, Elizabeth Folkerd, Paul D. P. Pharoah, Douglas F. Easton, N. E. Day Bruce, and A. J. Ponder
J Natl Cancer Inst 2005 97: 153-154. [Extract] [Full Text] [PDF]



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J. Clin. Endocrinol. Metab., April 1, 2005; 90(4): 2198 - 2204.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
W. Wen, Q. Cai, X.-O. Shu, J.-R. Cheng, F. Parl, L. Pierce, Y.-T. Gao, and W. Zheng
Cytochrome P450 1B1 and Catechol-O-Methyltransferase Genetic Polymorphisms and Breast Cancer Risk in Chinese Women: Results from the Shanghai Breast Cancer Study and a Meta-analysis
Cancer Epidemiol. Biomarkers Prev., February 1, 2005; 14(2): 329 - 335.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
A. M. Dunning, M. Dowsett, C. S. Healey, R. N. Luben, E. Folkerd, P. D. P. Pharoah, D. F. Easton, N. E. D. Bruce, and A. J. Ponder
RESPONSE: Re: Polymorphisms Associated With Circulating Sex Hormone Levels in Postmenopausal Women
J Natl Cancer Inst, January 19, 2005; 97(2): 153 - 154.
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JNCI J Natl Cancer InstHome page
F. De Castro, F. J. Moron, L. Montoro, J. J. Galan, L. M. Real, and A. Ruiz
Re: Polymorphisms Associated With Circulating Sex Hormone Levels in Postmenopausal Women
J Natl Cancer Inst, January 19, 2005; 97(2): 152 - 153.
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Cold Spring Harb Symp Quant BiolHome page
B.A.J. PONDER, A. ANTONIOU, A. DUNNING, D.F. EASTON, and P.D.P. PHAROAH
Polygenic Inherited Predisposition to Breast Cancer
Cold Spring Harb Symp Quant Biol, January 1, 2005; 70(0): 35 - 41.
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Cancer Epidemiol. Biomarkers Prev.Home page
Y.-L. Low, J. I. Taylor, P. B. Grace, M. Dowsett, S. Scollen, A. M. Dunning, A. A. Mulligan, A. A. Welch, R. N. Luben, K.-T. Khaw, et al.
Phytoestrogen Exposure Correlation with Plasma Estradiol in Postmenopausal Women in European Prospective Investigation of Cancer and Nutrition-Norfolk May Involve Diet-Gene Interactions
Cancer Epidemiol. Biomarkers Prev., January 1, 2005; 14(1): 213 - 220.
[Abstract] [Full Text] [PDF]



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