Altered expression of 3 alpha-hydroxy steroid dehydrogenases in human glaucomatous optic nerve head astrocytes
NEUROBIOLOGY OF DISEASE
Authors: Agapova, OA; Yang, P; Wang, WH; Lane, DA; Clark, AF; Weinstein, BI; Hernandez, MR
Abstract
3alpha-Hydroxysteroid dehydrogenase (3alpha-HSD) isoforms (AKR1C1-AKR1C4) are aldo-keto reductases that metabolize steroids and other substances in many tissues including the CNS. Here we demonstrated that in glaucomatous human optic nerve heads, increased expression of 3alpha-HSD was localized to reactive astrocytes in the lamina cribrosa. Similar, optic nerve head astrocytes exhibited increased expression of 3a-HSD in response to elevated intraocular pressure in a monkey model of experimental glaucoma, but not in monkeys with unilateral optic nerve transection. In vitro, glaucomatous optic nerve head astrocytes expressed higher levels of AKR1C1, AKR1C2, and AKR1C3 mRNA, than normal astrocytes, with significant differential increase of AKR1C2 expression, and exhibited higher enzymatic activity forming 3alpha-androstanediol a well-recognized neurosteroid. Normal astrocytes exposed to elevated hydrostatic pressure selectively increased AKR1C2 expression. Our findings of increased expression of 3alpha-HSDs in glaucomatous optic nerve head astrocytes offer new insights into possible roles for neurosteroids in the pathophysiology of glaucoma. (C) 2003 Elsevier Inc. All rights reserved.
A comprehensive evaluation of interaction between genetic variants and use of menopausal hormone therapy on mammographic density
BREAST CANCER RESEARCH
Authors: Rudolph, Anja; Fasching, Peter A.; Behrens, Sabine; Eilber, Ursula; Bolla, Manjeet K.; Wang, Qin; Thompson, Deborah; Czene, Kamila; Brand, Judith S.; Li, Jingmei; Scott, Christopher; Pankratz, V. Shane; Brandt, Kathleen; Hallberg, Emily; Olson, Janet E.; Lee, Adam; Beckmann, Matthias W.; Ekici, Arif B.; Haeberle, Lothar; Maskarinec, Gertraud; Le Marchand, Loic; Schumacher, Fredrick; Milne, Roger L.; Knight, Julia A.; Apicella, Carmel; Southey, Melissa C.; Kapuscinski, Miroslav K.; Hopper, John L.; Andrulis, Irene L.; Giles, Graham G.; Haiman, Christopher A.; Khaw, Kay-Tee; Luben, Robert; Hall, Per; Pharoah, Paul D. P.; Couch, Fergus J.; Easton, Douglas F.; dos-Santos-Silva, Isabel; Vachon, Celine; Chang-Claude, Jenny
Abstract
Introduction: Mammographic density is an established breast cancer risk factor with a strong genetic component and can be increased in women using menopausal hormone therapy (MHT). Here, we aimed to identify genetic variants that may modify the association between MHT use and mammographic density. Methods: The study comprised 6,298 postmenopausal women from the Mayo Mammography Health Study and nine studies included in the Breast Cancer Association Consortium. We selected for evaluation 1327 single nucleotide polymorphisms (SNPs) showing the lowest P-values for interaction (P-int) in a meta-analysis of genome-wide gene-environment interaction studies with MHT use on risk of breast cancer, 2541 SNPs in candidate genes (AKR1C4, CYP1A1-CYP1A2, CYP1B1, ESR2, PPARG, PRL, SULT1A1-SULT1A2 and TNF) and ten SNPs (AREG-rs10034692, PRDM6-rs186749, ESR1-rs12665607, ZNF365-rs10995190, 8p11.23-rs7816345, LSP1-rs3817198, IGF1-rs703556, 12q24-rs1265507, TMEM184B-rs7289126, and SGSM3-rs17001868) associated with mammographic density in genome-wide studies. We used multiple linear regression models adjusted for potential confounders to evaluate interactions between SNPs and current use of MHT on mammographic density. Results: No significant interactions were identified after adjustment for multiple testing. The strongest SNP-MHT interaction (unadjusted P-int < 0.0004) was observed with rs9358531 6.5kb 5' of PRL. Furthermore, three SNPs in PLCG2 that had previously been shown to modify the association of MHT use with breast cancer risk were found to modify also the association of MHT use with mammographic density (unadjusted P-int < 0.002), but solely among cases (unadjusted P-int SNPxMHTxcase-status < 0.02). Conclusions: The study identified potential interactions on mammographic density between current use of MHT and SNPs near PRL and in PLCG2, which require confirmation. Given the moderate size of the interactions observed, larger studies are needed to identify genetic modifiers of the association of MHT use with mammographic density.