CAG REPEAT NUMBER IN THE ANDROGEN RECEPTOR GENE AND PROSTATE CANCER
Madjunkova S, Eftimov A, Georgiev V, Petrovski D, Dimovski AJ, Plaseska- Karanfi lska D,
*Corresponding Author: Professor Dr. Dijana Plaseska-Karanfi lska, Macedonian Academy of Sciences and Arts, Research Center for Genetic Engineering and Biotechnology “Georgi D. Efremov”, Av. Krste Misirkov 2, POB 428, 1000 Skopje, Republic of Macedonia; Tel.: +389-2-3235-410; Fax: +389-2-3115- 434; E-mail: dijana@manu.edu.mk
page: 31

INTRODUCTION

Prostate cancer (PC) is the second leading cause of cancer deaths in men and is the most common male-specifi c cancer in most Western countries [1-5]. An expanding body of epidemiological data suggests several risk factors that predispose to PC development (for example, advanced age, positive family history, African ancestry and potentially ethnicity) [6], but the etiology of PC remains poorly understood. However, involvement of genetic and environmental factors, may also contribute to the ethnic differences in incidence rates [7-9]. The development and progression of prostate tumors are infl uenced by androgens [10]. The effects of androgens on prostatic tissue are mediated by the androgen receptor (AR) through the AR-androgen complex, stimulating transcription and expression of a cascade of androgen-responsive genes and genes involved in the cell cycle control [11]. The AR is a ligand-activated nuclear transcription factor encoded by the AR gene, which spans more than 90 kb of the genomic DNA on the X chromosome (Xq11-12). The gene consists of eight exons that encode four functional domains of AR for DNA binding, ligand binding and transcriptional regulation [12]. Exon 1 encodes the N-terminal (transactivation) domain that controls its transcriptional activity. The 5’ end of this exon 1 includes a CAG polymorphic trinucleotide repeat that codes for a polyglutamine tract in the N-terminal domain [13]. The triplet repeat numbers between 8 and 36 in the normal population [14]. The length of the CAG repeats is inversely related to the transactivation function of the AR gene so that shorter CAG repeats increase the transactivation activity [15]. Many studies have focused on establishing an association of CAG repeat with increased risk of developing PC. In these, shorter repeat lengths have been associated with increased risk of PC [14,16-18], but this fi nding has not been consistent [19-21]. The ethnic variation in the CAG repeat variation in the AR gene suggests that this may have a role in the substantial racial difference in PC risk [22-25]. In this study, we have examined the possible effect of short CAG repeats in the AR gene on PC risk in Macedonian males.



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