The etiology of prostate cancer is unknown, but there is compelling
evidence that androgen, acting via the androgen receptor (AR), is required
for the development of prostate cancer. AR gene mutations occur in only a
subset of early stage prostate cancers. Therefore, if androgen is involved
in prostate cancer etiology, it must primarily involve the normal, wild-
type AR. The N-terminal transactivation domain of the AR contains a
polymorphic glutamine repeat and a polymorphic glycine repeat; hence there
are multiple normal AR alleles (variants). Our hypothesis is that
polymorphic variants of the AR differ in activity and thereby differ in
their ability to mediate the role of androgen in the development,
progression, or growth of prostate cancer. We will use two approaches to
test this hypothesis. One approach (Aim 1) will be to analyze AR alleles
(glutamine and glycine repeat length in the AR gene) in men with and
without prostate cancer to determine whether allele frequencies differ
according to the presence or phenotype (classified according to race,
stage, grade, and aggressiveness) of prostate cancer. The second approach
(Aims 2 and 3) will be to determine how AR variants may affect androgen
action. We will determine whether polymorphic AR variants differ in
transcriptional activity and whether this is due to an effect of glutamine
and/or glycine repeat length on intrinsic activity or on the affinity for
proteins that interact with the AR and are required to transduce the
androgenic signal. In Aim 2, the effect of glutamine and glycine repeat
length on AR function will be tested by constructing AR expression vectors
that contain glutamine and glycine repeat lengths that correspond to those
that occur with the highest and lowest frequencies in men with prostate
cancer; androgen binding and transcriptional activity of these AR variants
will be measured by transfecting AR negative prostate cancer cells. Aim
3 is to determine the effect of glutamine and glycine repeat length on the
interaction of the AR with its target proteins. We will identify proteins
that interact with the glutamine and glycine repeat of the AR, and
determine whether glutamine and/or glycine repeat length affect the
strength of the interaction between the AR and this protein(s). The
identification of AR-interacting targets should provide new insight into
the mechanism by which androgen plays a critical role in prostate cancer
etiology, and the mechanism by which AR polymorphisms may modify this role
and thereby affect risk.
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