Estrogen metabolism as a risk factor for head and neck cancer.
OBJECTIVE
Estrogen metabolites have been associated in the pathogenesis of breast and cervical cancer; 16alpha-hydroxyestrone(16alpha-OHE1) demonstrated proliferative effects whereas 2-hydroxyestrone(2-OHE1) had antiproliferative effects. Our study's objective is to demonstrate that head and neck (H&N) cancer patients metabolize estrogen differently than healthy controls, which may constitute a risk factor for H&N cancer development.


METHODS
Urinary metabolite levels of 2-OHE1 and 16alpha-OHE1 from 50 H&N cancer patients and 50 age- and sex-matched controls were measured using enzyme-linked immunosorbent assay (ELISA). Absolute values and 2-/16alpha-OHE1 ratios were calculated. Conditional logistic regression for univariate and multivariate analysis with odds ratio (OR) and 95% confidence interval (CI) were used.


RESULTS
Thirty percent (15 of 50) from the case group had a low 2-/16alpha-OHE1 ratio compared with only 4% (2 of 50) in the control group (OR = 11.1; 1.4-91.5, 95% CI) (P < 0.05). When adjusted for tobacco, OR remained significant at 15.6 (1.1-212.5, 95% CI) (P < 0.05).


CONCLUSIONS
H&N cancer patients are more likely to express abnormal estrogen metabolism than healthy controls; 2-/16alpha-OHE1 may serve as a potential biological marker of individuals at increased risk of H&N cancer.
New York Eye and Ear Infirmary, Department of Otolaryngology-Head and Neck Surgery, New York, NY, USA.
H J
HJ
Yoo
D W
DW
Sepkovic
H L
HL
Bradlow
G P
GP
Yu
H V
HV
Sirilian
S P
SP
Schantz
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers; D002294:Carcinoma, Squamous Cell / Q000378:metabolism* / Q000473:pathology / Q000628:therapy; D003404:Creatinine / Q000652:urine; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D006894:Hydroxyestrones / Q000378:metabolism* / Q000652:urine; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D016017:Odds Ratio; D009959:Oropharyngeal Neoplasms / Q000378:metabolism* / Q000473:pathology / Q000628:therapy; D012307:Risk Factors
D015415:Biomarkers; D006894:Hydroxyestrones; D003404:Creatinine