title: Associations between ERalpha, ERbeta, and AR genotypes and colon and rectal cancer.
abstract: Estrogen and androgens are thought to be involved in the etiology of colorectal cancer. We evaluate genetic variants of the estrogen receptor genes (ERalpha and ERbeta) and the androgen receptor gene (AR). We use data from two large case-control studies of colon (n = 1,580 cases and 1,968 controls) and rectal (n = 797 cases and 1,016 controls) cancer. We evaluated the 351A >G XbaI polymorphism of ERalpha, the 1,082 G >A and CA repeat polymorphisms of ERbeta, and the CAG repeat of AR. Having two 25 or more CA repeats in ERbeta was associated with an increased relative risk of colon cancer in women [odds ratio (OR), 2.13; 95% confidence interval (95% CI), 1.24-3.64] but not in men (P(interaction) relative excess risk from interaction < 0.01; multiplicative = 0.03). Increasing number of AR CAG repeats was directly associated with colon cancer among men (OR, 1.28; 95% CI, 1.06-1.54), but not women (OR, 0.83; 95% CI, 0.68-1.02); the interaction P value for AR gene x sex was <0.01. Taking hormone replacement therapy (HRT) was associated with a reduced risk of colon cancer in the presence of the R allele of the ERbeta gene, whereas an R allele was associated with increased risk among postmenopausal women who did not take HRT. Postmenopausal women not using HRT who had > or =25 CA repeats of the ERbeta gene had over a 6-fold increased risk of colon cancer (OR, 6.71; 95% CI, 2.89-15.6). Our results suggest that the ERbeta gene is more important than ERalpha in the etiology of colorectal cancer.
authors.affiliation: Health Research Center, School of medicine, University of Utah, 375 Chipeta Way, Suite A, Salt Lake City, UT 84108, USA. mslattery@hrc.utah.edu
authors.forename: Martha L
authors.initials: ML
authors.lastname: Slattery
authors.forename: Carol
authors.initials: C
authors.lastname: Sweeney
authors.forename: Maureen
authors.initials: M
authors.lastname: Murtaugh
authors.forename: Khe Ni
authors.initials: KN
authors.lastname: Ma
authors.forename: Roger K
authors.initials: RK
authors.lastname: Wolff
authors.forename: John D
authors.initials: JD
authors.lastname: Potter
authors.forename: Bette J
authors.initials: BJ
authors.lastname: Caan
authors.forename: Wade
authors.initials: W
authors.lastname: Samowitz
mesh_terms: D000328:Adult; D000368:Aged; D000483:Alleles; D003110:Colonic Neoplasms / Q000235:genetics*; D047628:Estrogen Receptor alpha / Q000235:genetics*; D047629:Estrogen Receptor beta / Q000235:genetics*; D005260:Female; D014644:Genetic Variation; D005838:Genotype; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011110:Polymorphism, Genetic; D016016:Proportional Hazards Models; D011944:Receptors, Androgen / Q000235:genetics*; D012004:Rectal Neoplasms / Q000235:genetics*; D014481:United States / Q000453:epidemiology
chemical_list: D047628:Estrogen Receptor alpha; D047629:Estrogen Receptor beta; D011944:Receptors, Androgen