Abstract
Objective: Androgen receptor (AR) was detected in leiomyoma. AR gene has a polymorphic microsatellite encoding cytosine, adenine, and guanine (CAG) repeats. We aimed to investigate the association between the AR gene CAG repeats and leiomyoma.
Methods: Women were divided into two groups: (1) leiomyoma (n=159); (2) non- leiomyoma groups (n=129). Their CAG repeats were detected by polymerase chain reaction. The CAG repeats ranged in length from 168 bp (9 CAG repeats, genotype A) to 234 bp (31 CAG repeats, genotype W). Distributions of CAG repeats in both groups were compared.
Results: Genotype proportions of different CAG repeats for AR gene in both groups were significantly different. The genotype S (27 CAG repeats) is associated with higher susceptibility of leiomyoma. Distribution of CAG repeats in both groups appeared mono-peak distributions. Percentages of genotypes K-S (19–27 CAG repeats) in leiomyoma and non-leiomyoma groups were: (1) 5, 11, 19.5, 10.4, 12.9, 8.8, 7.5, 5.7, 4.4%; (2) 5.4, 14.3, 16.7, 12.8, 12.4, 5.8, 9.3, 7, 1.2%.
Conclusions: AR trinucleotide polymorphism is associated with leiomyoma susceptibility. The 27 CAG repeats is related with higher risk of leiomyoma.
Similar content being viewed by others
References
Cramer DW: Epidemiology of myomas. Semin Reprod Endo- crinol 1992;10:320–324
Townsend DE, Sparkes RS, Baluda MC, McClelland G: Unicellular histogenesis of uterine leiomyomas as determined by electrophoresis by glucose-6-phosphate dehydrogenase. Am J Obstet Gynecol 1970;107:1168–1173
Reeve AE, Eccles MR, Wilkins RJ, Bell GI, Millow LJ: Expression of insulin-like growth factor-II transcripts in Wilms’ tumour. Nature 1985;317:258–260
El-Badry OM, Helman LJ, Chatten J, Steinberg SM, Evans AE, Israel MA: Insulin-like growth factor II-mediated proliferation of human neuroblastoma. J Clin Invest 1991;87:648–657
Mitsumori K, Terai A, Oka H, Segawa T, Ogura K, Yoshida O, Ogawa O: Androgen receptor CAG repeat length polymorphism in benign prostatic hyperplasia (BPH): correlation with adenoma growth. Prostate 1999;41:253–257
Westberg L, Baghaei F, Rosmond R, Hellstrand M, Landen M, Jansson M, Holm G, Bjorntorp P, Eriksson E: Polymorphisms of the androgen receptor gene and the estrogen receptor beta gene are associated with androgen levels in women. J Clin Endocrinol Metab 2001;86:2562–2568
Hsieh YY, Chang CC, Tsai FJ, Wu JY, Tsai CC, Tsai HD: Androgen receptor trinucleotide polymorphism in endometriosis. Fertil Steril. 2001;76:412–413
Chen WC, Wu HC, Lin WC, Wu MC, Hsu CD, Tsai FJ: The association of androgen- and oestrogen-receptor gene polymorphisms with urolithiasis in men. BJU Int 2001;88:432–436
Mashal RD, Fejzo ML, Friedman AJ, Mitchner N, Nowak RA, Rein MS, Morton CC, Sklar J: Analysis of androgen receptor DNA reveals the independent clonal origins of uterine leiomyomata and the secondary nature of cytogenetic aberrations in the development of leiomyomata. Genes Chromosomes Cancer 1994;11:1–6
Soules MR, McCarty KS: Leiomyomas steroid receptor content. Am J Obstet Gynecol 1982;143:6–11
Wang PH, Lee WL, Chao HT, Shu LP, Kao HL, Wu CW, Yuan CC: Relationship between hormone receptor concentration and tumor shrinkage in uterine myoma after treatment with a GnRHa. Chung Hua I Hsueh Tsa Chih (Taipei) 1999;62:294–299
Friedman AJ, Rein MS, Pandian MR, Barbieri RL: Fasting serum growth hormone and insulin-like growth factor-I and -II concentrations in women with leiomyomata uteri treated with leuprolide acetate or placebo. Fertil Steril 1990;53:250–253
Chrapusta S, Konopka B, Paszko Z, Sieinski W, Szamborski J: Immunoreactive and estrogen-binding estrogen receptors, and progestin receptor levels in uterine leiomyomata and their parental myometrium. Eur J Gynaecol Oncol 1990;11:275–281
Horie K, Takakura K, Imai K, Liao S, Mori T: Immunohistochemical localization of androgen receptor in the human endometrium, decidua, placenta and pathological conditions of the endometrium. Hum Reprod 1992;7:1461–1466
Sano M, Inoue S, Hosoi T, Ouchi Y, Emi M, Shiraki M, et al.: Association of estrogen receptor dinucleotide repeat polymorphism with osteeoporosis. Biochem Biophys Res Commun 1995;217:378–383
Andersen TI, Heimdal KR, Skrede M, Tveit K, Berg K, Borresen AL: Oestrogen receptor (ESR) polymorphisms and breast cancer susceptibility. Hum Genet 1994;94:665–670
Lehrer SP, Schmutzler TK, Rabin JM, Schachter BS: An estrogen receptor genetic polymorphism and a history of spontaneous abortions. Correlation in women with estrogen receptor positive breast cancer but not in women with estrogen receptor negative breast cancer or in women without cancer. Breast Cancer Res Treat 1993;26:175–180
Fujimoto J, Hirose R, Sakaguchi H, Tamaya T: Expression of size-polymorphic androgen receptor gene in uterine leiomyoma according to the number of cytosine, adenine, and guanine repeats in androgen receptor alleles. Tumour Biol 2000;21:33–37
Kitawaki J, Obayashi H, Ishihara H, Koshiba H, Kusuki I, Kado N, Tsukamoto K, Hasegawa G, Nakamura N, Honjo H: Oestrogen receptor-alpha gene polymorphism is associated with endometriosis, adenomyosis and leiomyomata. Hum Reprod 2001;16:51–55
Hashimoto K, Azuma C, Kamiura S, Koyama M, Nobunaga T, Tokugawa Y, Kimura T, Kubota Y, Sawai K, Saji F: Maintenance of imprinting of the insulin-like growth factor II gene (IGF2) and the small nuclear ribonucleoprotein polypeptide N gene (SNRPN) in the human uterus and leiomyoma. Gynecol Obstet Invest 1996;41:50–54
Stanford JL, Just JJ, Gibbs M, Wicklund KG, Neal CL, Blumenstein BA, Ostrander EA: Polymorphic repeats in the androgen receptor gene: Molecular markers of prostate cancer risk. Cancer Res 1997;57:194–198
Sasaki M, Dahiya R, Fujimoto S, Ishikawa M, Oshimura M: The expansion of the CAG repeat in exon 1 of the human androgen receptor gene is associated with uterine endometrial carcinoma. Mol Carcinog 2000;27:237–244
Chadha S, Pache TD, Huikeshoven JM, Brinkmann AO, van der Kwast TH: Androgen receptor expression in human ovarian and uterine tissue of long-term androgen-treated transsexual women. Hum Pathol 1994;25:1198–1204
Yu H, Bharaj B, Vassilikos EJ, Giai M, Diamandis EP: Shorter CAG repeat length in the androgen receptor gene is associated with more aggressive forms of breast cancer. Breast Cancer Res Treat 2000;59:153–161
Biancalana V, Serville F, Pommier J, Julien J, Hanauer A, Mandel JL: Moderate instability of the trinucleotide repeat in spino bulbar muscular atrophy. Hum Mol Genet 1992;1:255–258
Calvo RM, Asuncion M, Sancho J, San Millan JL, Escobar-Morreale HF: The role of the CAG repeat polymorphism in the androgen receptor gene and of skewed X-chromosome inactivation, in the pathogenesis of hirsutism. J Clin Endocrinol Metab 2000;85:1735–1740
Komori S, Kasumi H, Kanazawa R, Sakata K, Nakata Y, Kato H, Koyama K: CAG repeat length in the androgen receptor gene of infertile Japanese males with oligozoospermia. Mol Hum Reprod 1999;5:14–16
Belsham DD, Yee WC, Greenberg CR, Wrogemann K: Analysis of the CAG repeat region of the androgen receptor gene in a kindred with X-linked spinal and bulbar muscular atrophy. J Neurol Sci 1992;112:133–138
Mori K, Ushiyama T, Inoue K, Hukuda S: Polymorphic CAG repeats of the androgen receptor gene in Japanese male patients with ankylosing spondylitis. Rheumatology (Oxford) 2000;39:530–532
Garofalo O, Figlewicz DA, Leigh PN, Powell JF, Meininger V, Dib M, Rouleau GA: Androgen receptor gene polymorphisms in amyotrophic lateral sclerosis. Neuromuscul Disord 1993;3:195–199
Alonso ME, Yescas P, Cisneros B, Martinez C, Silva G, Ochoa A, Montanez C: Analysis of the (CAG)n repeat causing Huntington’s disease in a Mexican population. Clin Genet 1997;51:225–230
Levine DA, Boyd J: The androgen receptor and genetic susceptibility to ovarian cancer: results from a case series. Cancer Res 2001;61:908–911
Mifsud A, Sim CK, Boettger-Tong H, Moreira S, Lamb DJ, Lipshultz LI, Yong EL: Trinucleotide (CAG) repeat polymorphisms in the androgen receptor gene: molecular markers of risk for male infertility. Fertil Steril 2001;75:275–281
Menin C, Banna GL, de Salvo G, Lazzarotto V, de Nicolo A, Agata S, Montagna M, Sordi G, Nicoletto O, Chieco-Bianchi L, D’Andrea E: Lack of association between androgen receptor CAG polymorphism and familial breast/ovarian cancer. Cancer Lett 2001;168:31–36
Miller EA, Stanford JL, Hsu L, Noonan E, Ostrander EA: Polymorphic repeats in the androgen receptor gene in high-risk sibships. Prostate 2001;48:200–205
Wiener JS, Marcelli M, Gonzales ET Jr, Roth DR, Lamb DJ: Androgen receptor gene alterations are not associated with isolated cryptorchidism. J Urol 1998;160:863–865
Suzuki Y, Sasagawa I, Tateno T, Ashida J, Nakada T, Muroya K, Ogata T: Mutation screening and CAG repeat length analysis of the androgen receptor gene in Klinefelter’s syndrome patients with and without spermatogenesis. Hum Reprod 2001;16:1653–1656
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hsieh, YY., Chang, CC., Tsai, FJ. et al. Androgen Receptor Trinucleotide Polymorphism in Leiomyoma. J Assist Reprod Genet 21, 453–457 (2004). https://doi.org/10.1007/s10815-004-8762-6
Issue Date:
DOI: https://doi.org/10.1007/s10815-004-8762-6