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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Androgen Receptor Gene Polymorphism and Breast Cancer Susceptibility in the Philippines

Alexander Liede, William Zhang, Maria Lourdes De Leon Matsuda, Alex Tan and Steven A. Narod
Alexander Liede
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William Zhang
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Maria Lourdes De Leon Matsuda
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Alex Tan
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Steven A. Narod
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DOI:  Published September 2003
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    Fig. 1.

    Three-dimensional modeling of breast cancer risk estimates according to CAG repeat polymorphism of AR. “Short” and “long” allele are expressed in absolute number of CAG repeats, and estimated ORs have been calculated relative to women who have a median number of CAGn on each of their alleles (22 and 24, respectively).

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  • Table 1

    Characteristics of breast cancer cases and controls from breast clinic of PGH, Manila, Philippines

    No. (%) of
    CasesControls
    Total (n)299229
    Ethnicity
     Malay220 (74.0)163 (71.1)
     Malay-Other (e.g. Malay-Chinese)61 (20.4)43 (18.8)
     Spanish5 (1.7)3 (1.3)
     Chinese4 (1.3)3 (1.3)
     Spanish-Chinese2 (.7)1 (.4)
     Unknown7 (2.3)16 (7.0)
    Age distribution (yrs)
     20–3433 (11.0)72 (31.4)
     35–44127 (42.5)86 (37.6)
     45–54118 (39.5)63 (27.5)
     55–7021 (7.0)8 (3.5)
    Tumor histology
     Infiltrating ductal257 (86.0)—
     Infiltrating lobular2 (.7)
     Papillary7 (2.3)
     Medullary2 (.7)
     Other17 (5.7)
     Unknown14 (4.7)
    Stage
     I8 (2.7)—
     II94 (31.4)
     III153 (51.2)
     IV30 (10.0)
     Unknown14 (4.7)
    Estrogen receptora
     Negative52 (40.3)—
     Positive77 (59.7)
    • a Percentages were calculated from cases for whom this information was available.

  • Table 2

    AR exon 1 CAGn allele categories and breast cancer risk among 299 cases and 229 controls

    CAG repeat cut-offNo. of casesNo. of controlsORs95% CIP
    AR long allele
     ≤211662.10.81–5.450.13
     ≤2249351.090.68–1.740.81
     ≤2394940.660.46–0.940.028
     ≤241391310.650.46–0.920.018
     ≤251831690.560.38–0.820.003
     ≤262181810.710.48–1.070.12
     ≤272542060.630.37–1.080.12
    AR short allele
     ≤1946400.860.54–1.370.55
     ≤2069540.900.65–1.460.92
     ≤21110811.060.74–1.520.78
     ≤221781520.740.52–1.070.12
     ≤232391940.720.46–1.140.17
     ≤242672150.600.28–1.040.09
     ≤252842230.510.19–1.330.18
    AR mean of alleles
     ≤2028220.970.54–1.751
     ≤2154401.00.66–1.640.91
     ≤2291750.900.62–1.300.57
     ≤231391290.670.48–0.950.028
     ≤242001760.610.41–0.900.015
     ≤252422060.470.28–0.800.005
     ≤262752200.470.21–1.030.07
     ≤272882250.460.15–1.480.7
    • The odds ratios presented are those for breast cancer risk for women falling in the category below the cutoff value, compared to women above the cutoff point.

  • Table 3

    Association of AR exon 1 CAGn polymorphism with breast cancer

    Mean of alleles cut-offLong allele cut-off
    No. ≤25No. >25Crude ORs (95% CI)Adjusteda ORs (95% CI)No. ≤25No. >25Crude ORs (95% CI)Adjusteda ORs (95% CI)
    All women
     Cases242570.47 (0.28–0.8)0.47 (0.24–0.94)1831160.56 (0.39–0.81)0.43 (0.26–0.71)
     Controls2062316960
    Age group
     <50
      Cases197420.56 (0.32–0.98)0.58 (0.27–1.23)146930.59 (0.40–0.89)0.45 (0.26–0.76)
      Controls1762114354
     50+
      Cases45150.2 (0.04–0.94)0.2 (0.03–1.15)37230.37 (0.13–1.04)0.35 (0.08–1.39)
      Controls302266
    Menopause
     Premenopausal
      Cases181400.44 (0.23–0.82)0.39 (0.17–0.91)135860.6 (0.39–0.92)0.38 (0.21–0.68)
      Controls1561512447
     Postmenopausal
      Cases56160.36 (0.11–1.16)0.39 (0.08–1.75)45270.44 (0.18–1.06)0.43 (0.12–1.56)
      Controls394349
    Family historyb
     Yes
      Cases324——25110.67 (0.2–2.27)0.67 (0.14–3.08)
      Controls220175
     No
      Cases192490.38 (0.2–0.7)0.42 (0.2–0.89)146950.52 (0.34–0.8)0.38 (0.22–0.66)
      Controls1561512843
    • a Adjusted for age at menarche, age at first birth, age at last birth, oral contraceptive use, and smoking.

    • b Family history of breast or ovarian cancer, includes only subjects for whom this information was available.

  • Table 4

    Results of multivariate analyses of AR exon 1 CAGn polymorphism and breast cancer

    ORsa (95% CI)Adjustedb ORs (95% CI)
    Total (n)
    AR long allele
     ≤230.61 (0.42–0.9)0.47 (0.28–0.77)
     ≤240.62 (0.42–0.9)0.47 (0.29–0.76)
     ≤250.50 (0.33–0.76)0.39 (0.23–0.67)
    AR mean of alleles
     ≤230.64 (0.44–0.93)0.57 (0.35–0.91)
     ≤240.54 (0.35–0.83)0.48 (0.28–0.84)
     ≤250.32 (0.17–0.61)0.34 (0.16–0.74)
    • a Adjusted for age group, family history, acne, and menopausal status.

    • b Adjusted for age group, family history, acne, menopausal status, age at menarche, parity, age at first birth, age at last birth, oral contraceptive use, and smoking.

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Cancer Epidemiology Biomarkers & Prevention: 12 (9)
September 2003
Volume 12, Issue 9
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Androgen Receptor Gene Polymorphism and Breast Cancer Susceptibility in the Philippines
Alexander Liede, William Zhang, Maria Lourdes De Leon Matsuda, Alex Tan and Steven A. Narod
Cancer Epidemiol Biomarkers Prev September 1 2003 (12) (9) 848-852;

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Androgen Receptor Gene Polymorphism and Breast Cancer Susceptibility in the Philippines
Alexander Liede, William Zhang, Maria Lourdes De Leon Matsuda, Alex Tan and Steven A. Narod
Cancer Epidemiol Biomarkers Prev September 1 2003 (12) (9) 848-852;
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