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CAG repeat within the androgen receptor gene and incidence of surgery for benign prostatic hyperplasia in U.S. physicians

✍ Scribed by Giovannucci, Edward; Stampfer, Meir J.; Chan, Andrew; Krithivas, Krishna; Gann, Peter H.; Hennekens, Charles H.; Kantoff, Philip W.


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
118 KB
Volume
39
Category
Article
ISSN
0270-4137

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✦ Synopsis


BACKGROUND. CAG repeat length in exon 1 of the androgen receptor (AR) gene correlates inversely with transcriptional transactivation activity of the AR. Men with shorter AR CAG repeat lengths are at higher risk of prostate cancer. Because benign prostatic hyperplasia (BPH) is an androgen-dependent condition, we examined the hypothesis that a shorter AR gene CAG repeat length increases the risk of developing of BPH. METHODS. Among 14,916 men of the Physicians' Health Study who had provided a blood sample in 1982, we measured AR gene CAG repeat lengths for 310 men who had surgery for BPH up to 7.5 years of follow-up and 1,041 controls. RESULTS. Risk of surgery for BPH increased linearly with decreasing AR CAG repeat length (P (trend) = 0.03). Relative to men with a CAG repeat length ജ25, men with a repeat length ഛ19 had an odds ratio of BPH surgery of 1.76 (95% confidence interval, 1.16-2.65).