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Familial factors affecting prostatic cancer risk and plasma sex-steroid levels
Abstract
Whether familial factors affect the frequency of prostatic cancer and the plasma content of sex‐steroids was investigated. Brothers (n = 257) of probands (n = 150) diagnosed with prostatic cancer before age 62 years had a fourfold higher risk for developing the disease than men in the general population in the State of Utah and their brothers‐in‐law (n = 202). Familial factors markedly affected the plasma content of sex steroids (testosterone, dihydro‐testosterone, the ratio of testosterone to DHT, sex‐hormone binding globulin, and the free fraction of testosterone) in nonendocrinologically treated probands and their brothers and sons and in normal men in the general populations. Index cases and their brothers and sons had a significantly lower mean plasma testosterone content than controls of comparable age. Preliminary data suggest that the metabolic clearance rate of testosterone and the conversion ratio of testosterone to estradiol are relatively high in probands. The observations indicate that familial factors are potent risk factors for the development of prostatic cancer. They also suggest that plasma androgen values in families with prostatic cancer cluster in the lower range of normal and that plasma sex‐steroid content is more similar in each brothers with or without prostatic cancer than among nonbrothers.
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“Results demonstrated a transient mean 10% decline in T during the acute phase of the illness, with reductions of up to 30% in a select cohort of patients.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [81]
In the citing paper
“Both acute and chronic disease states are associated with decreasing T levels.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [81]
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4 The genetics of prostate cancer
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Metadata
- Authors
- Wayne Meikle, A., Smith, J. A., & West, D. W.
- Affiliations
- University of Utah (US)
- Venue
- The Prostate
- Publisher
- Wiley
- Published
- 1985-01
- Volume
- 6
- Issue
- 2
- Pages
- 121-128
- ISSN
- 0270-4137 (ISSN-L)
- 1097-0045
- OpenAlex
- W1976692247
- Cited by
- 110
- References
- 49
- Citations by year
- 2019: 1 · 2018: 2 · 2016: 2 · 2015: 1 · 2012: 2
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Prostate (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (CA-25031)
- National Center for Research Resources (RR-64)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Prostate Cancer Treatment and Research
- Health Sciences › Medicine › Urology › Prostate Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- prostate cancer, familial risk, plasma sex steroids, testosterone, dihydrotestosterone, sex hormone-binding globulin, free testosterone, androgen metabolism, Utah
- MeSH terms
- Adult, Aged, Humans, Male, Metabolic Clearance Rate, Middle Aged, Prostatic Neoplasms, Risk, Gonadal Steroid Hormones, Dihydrotestosterone, Testosterone
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