You have accessJournal of UrologyProstate Cancer: Markers I1 Apr 20102061 GENETIC POLYMORPHISM INFLUENCES INDIVIDUAL VARIATIONS IN SERUM TESTOSTERONE LEVELS IN PROSTATE CANCER PATIENTS TREATED WITH ANDROGEN DEPRIVATION THERAPY Shintaro Narita, Kazuyuki Numakura, Takashi Obara, Hiroshi Tsuruta, Mitsuru Saito, Yohei Horikawa, Norihiko Tsuchiya, and Tomonori Habuchi Shintaro NaritaShintaro Narita More articles by this author , Kazuyuki NumakuraKazuyuki Numakura More articles by this author , Takashi ObaraTakashi Obara More articles by this author , Hiroshi TsurutaHiroshi Tsuruta More articles by this author , Mitsuru SaitoMitsuru Saito More articles by this author , Yohei HorikawaYohei Horikawa More articles by this author , Norihiko TsuchiyaNorihiko Tsuchiya More articles by this author , and Tomonori HabuchiTomonori Habuchi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2108AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Individual variations in serum testosterone levels after androgen deprivation therapy (ADT) have been reported. The objectives of this study were to assess changes in serum testosterone levels after administration and cessation of luteinizing hormone-releasing hormone agonist (LHRHa) and to investigate prognostic factors for testosterone recovery including genetic variations in sex steroid-related genes in prostate cancer (PCa) patients treated with ADT. METHODS A total of 26 localized PCa patients treated with ADT and external beam radiotherapy were enrolled. A neoadjuvant maximal androgen blockade was given for 2 months, and LHRHa was continued for 1 year after radiation therapy. Serum testosterone levels were measured every 3 months. Castrate testosterone levels were defined as 50 ng/dL or less. Testosterone recoveries to supracastrate levels and to the normal range were estimated using the Kaplan-Meier method. Prognostic factors for testosterone recovery, including clinical parameters and six single nucleotide polymorphisms in five genes (VDR, SRD5A2, CYP17, CYP19, and GnRHR), were examined. RESULTS At 9 months after LHRHa cessation, serum testosterone levels returned to supracastrate levels in 14 (53.8%) and to the normal range in 10 (38.5%) of the 26 patients. The median duration of serum testosterone recoveries to supracastrate levels was 10.6 months. The duration of testosterone recoveries to supracastrate levels in patients aged≥72 years was significantly longer than that in patients aged <72 years (14.5±2.7 vs. 9.4±0.8 months,p=0.027). Pretreatment serum testosterone levels and LHRHa type were not associated with testosterone recovery. Patients carrying the bb genotype of the BsmI polymorphism in VDR had a significantly longer testosterone recovery time than that taken by those carrying the Bb genotype (12.0±2.0 vs. 8.2±0.7 months, p=0.045). CONCLUSIONS Variations in the testosterone recovery after LHRHa cessation were found in PCa patients treated with LHRHa followed by external beam radiotherapy. Older age and the bb genotype of the BsmI polymorphism in VDR influenced the slow testosterone recovery in patients with PCa. Akita, Japan© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e801 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shintaro Narita More articles by this author Kazuyuki Numakura More articles by this author Takashi Obara More articles by this author Hiroshi Tsuruta More articles by this author Mitsuru Saito More articles by this author Yohei Horikawa More articles by this author Norihiko Tsuchiya More articles by this author Tomonori Habuchi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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