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. 1993 May;34(5):611–615. doi: 10.1136/gut.34.5.611

Sex differences in the incidence of colorectal cancer: an exploration of oestrogen and progesterone receptors.

S Singh 1, M C Sheppard 1, M J Langman 1
PMCID: PMC1374176  PMID: 8504960

Abstract

Sex differences exist in the site specific incidences of colorectal cancer. The increased incidence of colonic cancer in women with breast cancer and the protective effect of increasing parity suggest a role for sex hormones. To explore the molecular basis, the expression of messenger RNA for oestrogen and progesterone receptors in the large bowel has been studied. With northern and dot blot analyses mRNA coding for oestrogen receptor and progesterone receptor in large bowel cancers and corresponding normal mucosa and in adenomatous polyps has been identified. There were no significant differences in receptor mRNA concentrations between males and females or between cancers, normal mucosae, and polyps, except for rectal cancers, which had higher progesterone receptor concentrations than corresponding normal tissue. Oestrogen and progesterone receptor mRNA concentrations were strongly correlated in both cancers and normal tissues. Enzyme immunoassay for oestrogen receptor gave values of 1.2-7.4 fmol/mg total protein, an amount similar to that seen in normal breast tissue. Oestrogen receptor protein and mRNA for oestrogen receptor and progesterone receptor are present in the large bowel.

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Selected References

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  1. Agrez M. V., Spencer R. J. Estrogen receptor protein in adenomas of the large bowel. Dis Colon Rectum. 1982 May-Jun;25(4):348–350. doi: 10.1007/BF02553613. [DOI] [PubMed] [Google Scholar]
  2. Alford T. C., Do H. M., Geelhoed G. W., Tsangaris N. T., Lippman M. E. Steroid hormone receptors in human colon cancers. Cancer. 1979 Mar;43(3):980–984. doi: 10.1002/1097-0142(197903)43:3<980::aid-cncr2820430329>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  3. Barrett-Lee P. J., Travers M. T., McClelland R. A., Luqmani Y., Coombes R. C. Characterization of estrogen receptor messenger RNA in human breast cancer. Cancer Res. 1987 Dec 15;47(24 Pt 1):6653–6659. [PubMed] [Google Scholar]
  4. Bates S. E., Davidson N. E., Valverius E. M., Freter C. E., Dickson R. B., Tam J. P., Kudlow J. E., Lippman M. E., Salomon D. S. Expression of transforming growth factor alpha and its messenger ribonucleic acid in human breast cancer: its regulation by estrogen and its possible functional significance. Mol Endocrinol. 1988 Jun;2(6):543–555. doi: 10.1210/mend-2-6-543. [DOI] [PubMed] [Google Scholar]
  5. Berkenstam A., Glaumann H., Martin M., Gustafsson J. A., Norstedt G. Hormonal regulation of estrogen receptor messenger ribonucleic acid in T47Dco and MCF-7 breast cancer cells. Mol Endocrinol. 1989 Jan;3(1):22–28. doi: 10.1210/mend-3-1-22. [DOI] [PubMed] [Google Scholar]
  6. Bradford M. M. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976 May 7;72:248–254. doi: 10.1006/abio.1976.9999. [DOI] [PubMed] [Google Scholar]
  7. Chan Y. L., Gutell R., Noller H. F., Wool I. G. The nucleotide sequence of a rat 18 S ribosomal ribonucleic acid gene and a proposal for the secondary structure of 18 S ribosomal ribonucleic acid. J Biol Chem. 1984 Jan 10;259(1):224–230. [PubMed] [Google Scholar]
  8. Chomczynski P., Sacchi N. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal Biochem. 1987 Apr;162(1):156–159. doi: 10.1006/abio.1987.9999. [DOI] [PubMed] [Google Scholar]
  9. Davidson M., Yoshizawa C. N., Kolonel L. N. Do sex hormones affect colorectal cancer? Br Med J (Clin Res Ed) 1985 Jun 22;290(6485):1868–1868. doi: 10.1136/bmj.290.6485.1868. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dawson P. M., Shousha S., Blair S. D., Carter G. D., Jones J., Alaghband-Zadeh J., Theodorou N. A. Oestrogen receptors in colorectal carcinoma. J Clin Pathol. 1990 Feb;43(2):149–151. doi: 10.1136/jcp.43.2.149. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Feinberg A. P., Vogelstein B. A technique for radiolabeling DNA restriction endonuclease fragments to high specific activity. Anal Biochem. 1983 Jul 1;132(1):6–13. doi: 10.1016/0003-2697(83)90418-9. [DOI] [PubMed] [Google Scholar]
  12. Fraumeni J. F., Jr, Lloyd J. W., Smith E. M., Wagoner J. K. Cancer mortality among nuns: role of marital status in etiology of neoplastic disease in women. J Natl Cancer Inst. 1969 Mar;42(3):455–468. [PubMed] [Google Scholar]
  13. Galand P., Rodesch F., Leroy F., Chretien J. Altered duration of DNA synthesis and cell cycle in non-target tissues of mice treated with oestrogen. Nature. 1967 Dec 23;216(5121):1211–1212. doi: 10.1038/2161211a0. [DOI] [PubMed] [Google Scholar]
  14. Green S., Walter P., Greene G., Krust A., Goffin C., Jensen E., Scrace G., Waterfield M., Chambon P. Cloning of the human oestrogen receptor cDNA. J Steroid Biochem. 1986 Jan;24(1):77–83. doi: 10.1016/0022-4731(86)90035-x. [DOI] [PubMed] [Google Scholar]
  15. Harrison J. D., Watson S., Morris D. L. The effect of sex hormones and tamoxifen on the growth of human gastric and colorectal cancer cell lines. Cancer. 1989 Jun 1;63(11):2148–2151. doi: 10.1002/1097-0142(19890601)63:11<2148::aid-cncr2820631113>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
  16. Hoff M. B., Chang W. W., Mak K. M. Effect of estrogen on cell proliferation in colonic mucosa of the mouse. Virchows Arch B Cell Pathol Incl Mol Pathol. 1981;35(3):263–273. doi: 10.1007/BF02889166. [DOI] [PubMed] [Google Scholar]
  17. Langman M. J. Current trends in the epidemiology of cancer of the colon and rectum. Proc R Soc Med. 1967 Mar;60(3):210–212. [PMC free article] [PubMed] [Google Scholar]
  18. Markopoulos C., Berger U., Wilson P., Gazet J. C., Coombes R. C. Oestrogen receptor content of normal breast cells and breast carcinomas throughout the menstrual cycle. Br Med J (Clin Res Ed) 1988 May 14;296(6633):1349–1351. doi: 10.1136/bmj.296.6633.1349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. May F. E., Johnson M. D., Wiseman L. R., Wakeling A. E., Kastner P., Westley B. R. Regulation of progesterone receptor mRNA by oestradiol and antioestrogens in breast cancer cell lines. J Steroid Biochem. 1989 Dec;33(6):1035–1041. doi: 10.1016/0022-4731(89)90406-8. [DOI] [PubMed] [Google Scholar]
  20. Meggouh F., Lointier P., Saez S. Sex steroid and 1,25-dihydroxyvitamin D3 receptors in human colorectal adenocarcinoma and normal mucosa. Cancer Res. 1991 Feb 15;51(4):1227–1233. [PubMed] [Google Scholar]
  21. Misrahi M., Atger M., d'Auriol L., Loosfelt H., Meriel C., Fridlansky F., Guiochon-Mantel A., Galibert F., Milgrom E. Complete amino acid sequence of the human progesterone receptor deduced from cloned cDNA. Biochem Biophys Res Commun. 1987 Mar 13;143(2):740–748. doi: 10.1016/0006-291x(87)91416-1. [DOI] [PubMed] [Google Scholar]
  22. Moll G. W., Jr, Rosenfield R. L., Helke J. H. Estradiol-testosterone binding interactions and free plasma estradiol under physiological conditions. J Clin Endocrinol Metab. 1981 May;52(5):868–874. doi: 10.1210/jcem-52-5-868. [DOI] [PubMed] [Google Scholar]
  23. Murphy D., Brickell P. M., Latchman D. S., Willison K., Rigby P. W. Transcripts regulated during normal embryonic development and oncogenic transformation share a repetitive element. Cell. 1983 Dec;35(3 Pt 2):865–871. doi: 10.1016/0092-8674(83)90119-8. [DOI] [PubMed] [Google Scholar]
  24. Parl F. F., Schonbaum C. P., Cox D. L., Cavener D. R. Detection of estrogen receptor mRNA in human uterus. Mol Cell Endocrinol. 1987 Aug;52(3):235–242. doi: 10.1016/0303-7207(87)90049-9. [DOI] [PubMed] [Google Scholar]
  25. Piantelli M., Ricci R., Larocca L. M., Rinelli A., Capelli A., Rizzo S., Scambia G., Ranelletti F. O. Type II oestrogen binding sites in human colorectal carcinoma. J Clin Pathol. 1990 Dec;43(12):1004–1006. doi: 10.1136/jcp.43.12.1004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Santos G. F., Scott G. K., Lee W. M., Liu E., Benz C. Estrogen-induced post-transcriptional modulation of c-myc proto-oncogene expression in human breast cancer cells. J Biol Chem. 1988 Jul 15;263(20):9565–9568. [PubMed] [Google Scholar]
  27. Schoenberg B. S., Greenberg R. A., Eisenberg H. Occurrence of certain multiple primary cancers in females. J Natl Cancer Inst. 1969 Jul;43(1):15–32. doi: 10.1093/jnci/43.1.15. [DOI] [PubMed] [Google Scholar]
  28. Schottenfeld D., Berg J. W., Vitsky B. Incidence of multiple primary cancers. II. Index cancers arising in the stomach and lower digestive system. J Natl Cancer Inst. 1969 Jul;43(1):77–86. [PubMed] [Google Scholar]
  29. Silva J. S., Georgiade G. S., Dilley W. G., McCarty K. S., Sr, Wells S. A., Jr, McCarty K. S., Jr Menstrual cycle-dependent variations of breast cyst fluid proteins and sex steroid receptors in the normal human breast. Cancer. 1983 Apr 1;51(7):1297–1302. doi: 10.1002/1097-0142(19830401)51:7<1297::aid-cncr2820510720>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
  30. Weiss N. S., Daling J. R., Chow W. H. Incidence of cancer of the large bowel in women in relation to reproductive and hormonal factors. J Natl Cancer Inst. 1981 Jul;67(1):57–60. [PubMed] [Google Scholar]
  31. Winkelman J., Wybenga D. R. Automatic calculation of densitometer scans of electrophoretic strips. Clin Chem. 1969 Aug;15(8):708–711. [PubMed] [Google Scholar]
  32. Wobbes T., Beex L. V., Koenders A. M. Estrogen and progestin receptors in colonic cancer? Dis Colon Rectum. 1984 Sep;27(9):591–592. doi: 10.1007/BF02553846. [DOI] [PubMed] [Google Scholar]
  33. Wynder E. L., Shigematsu T. Environmental factors of cancer of the colon and rectum. Cancer. 1967 Sep;20(9):1520–1561. doi: 10.1002/1097-0142(196709)20:9<1520::aid-cncr2820200920>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  34. d'Istria M., Fasano S., Catuogno F., Gaeta F., Bucci L., Benassai G., Mazzeo F., Delrio G. Androgen and progesterone receptors in colonic and rectal cancers. Dis Colon Rectum. 1986 Apr;29(4):263–265. doi: 10.1007/BF02553034. [DOI] [PubMed] [Google Scholar]
  35. de Jong U. W., Day N. E., Muir C. S., Barclay T. H., Bras G., Foster F. H., Jussawalla D. J., Ringertz N., Shanmugaratnam T. The distribution of cancer within the large bowel. Int J Cancer. 1972 Nov;10(3):463–477. doi: 10.1002/ijc.2910100305. [DOI] [PubMed] [Google Scholar]

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