Prospective Study of Sex Hormone Levels and Risk of Prostate Cancer
Abstract
Background Sex steroids, particularly androgens, have been implicated in the pathogenesis of prostate cancer. Data from previous studies comparing circulating hormone levels in men with and without prostate cancer are difficult to interpret, since the studies were limited in size, hormone levels were analyzed in blood drawn after the diagnosis of cancer, nonrepresentative control subjects were used, and hormone and hormone-binding protein levels were not simultaneously adjusted. Purpose We conducted a prospective, nested case-control study to investigate whether plasma hormone and sex hormone-binding globulin (SHBG) levels in healthy men were related to the subsequent development of prostate cancer. Methods Among participants in the Physicians' Health Study who provided plasma samples in 1982, we identified 222 men who developed prostate cancer by March 1992. Three hundred ninety control subjects, matched to the case patients on the bases of age, smoking status, and length of follow-up, were also identified. Immunoassays were used to measure the levels of total testosterone, dihydrotestosterone (DHT), 3 alpha-androstanediol glucuronide (AAG), estradiol, SHBG, and prolactin in the stored (at -82 degrees C) plasma samples. Correlations between individual hormone levels and between hormone levels and SHBG in the plasma of control subjects were assessed by use of Spearman correlation coefficients (r). Odds ratios (ORs) and 95% confidence intervals (CIs) specifying the prostate ca…
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- Authors
- Gann, P. H., Hennekens, C. H., Ma, J., Longcope, C., & Stampfer, M. J.
- Affiliations
- Northwestern University (US)
- Brigham and Women's Hospital (US)
- University of Massachusetts Chan Medical School (US)
- Harvard University (US)
- Corresponding author
- Gann, P. H.
- Venue
- JNCI Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-08-21
- Volume
- 88
- Issue
- 16
- Pages
- 1118-1126
- ISSN
- 0027-8874 (ISSN-L)
- 1460-2105
- OpenAlex
- W2116544030
- Cited by
- 782
- References
- 0
- Citations by year
- 2026: 1 · 2025: 12 · 2024: 9 · 2023: 15 · 2022: 15 · 2021: 9 · 2020: 12 · 2019: 14 · 2018: 12 · 2017: 19 · 2016: 25 · 2015: 20 · 2014: 26 · 2013: 34 · 2012: 39
- FWCI
- 24.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JNCI Journal of the National Cancer Institute (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL-34595, HL 26490, R01HL034595)
- National Cancer Institute (CA 34944)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- prostate cancer, sex hormones, testosterone, sex hormone-binding globulin, dihydrotestosterone, estradiol, prolactin, androgens, hormone levels, cancer risk, Physicians' Health Study, hormone binding proteins, hormone crosstalk, healthy men, hormone replacement therapy
- MeSH terms
- Adult, Aged, Aged, 80 and over, Estradiol, Humans, Male, Middle Aged, Prolactin, Prospective Studies, Prostatic Neoplasms, Risk, Sex Hormone-Binding Globulin, Gonadal Steroid Hormones, Dihydrotestosterone, Testosterone, Androstane-3,17-diol, Odds Ratio, Case-Control Studies
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