PMID- 16115604 OWN - NLM STAT- MEDLINE DCOM- 20050920 LR - 20200928 IS - 1550-8579 (Print) IS - 1550-8579 (Linking) VI - 2 IP - 2 DP - 2005 Jun TI - Association of cytosine-adenine repeat polymorphism of the estrogen receptor-beta gene with menopausal symptoms. PG - 96-105 AB - BACKGROUND: The nature and severity of menopausal symptoms are highly variable among women. Polymorphisms of the estrogen receptor-beta (ERbeta) gene, such as cytosine-adenine (CA) dinucleotide repeats in intron 5, have been implicated in various diseases. OBJECTIVE: We investigated the possible role of a CA dinucleotide repeat polymorphism in intron 5 of the ERbeta gene in the occurrence of menopausal and premenstrual symptoms. METHODS: Fifty-one postmenopausal Japanese women were interviewed about premenstrual symptoms, menopausal symptoms, and use of hormone replacement therapy. Menopausal symptoms were divided into vasomotor, psychological, and musculoskeletal symptoms, and summary scores were created on the basis of severity. CA repeat polymorphism of the ERbeta gene was examined using denaturing high-performance liquid chromatography with the WAVE DNA Fragment Analysis System (Transgenomic Inc., Omaha, Nebraska). RESULTS: The number of CA repeats of the ERP gene ranged from 14 to 25, and subjects could be divided into 3 groups: those with < or =17 repeats, or extremely short (E); 18 to 21 repeats, or short (S); and > or =22 repeats, or long (L). Four genotypes of CA repeats (EL, SS, SL, and LL) were found among the subjects, with SL being the most common. Relative to subjects with the SL genotype, women with SS had a 7.0-fold increased risk of vasomotor symptoms (odds ratio [OR] = 7.0; 95% CI, 1.25-39.15; P < 0.05), a 13.0-fold higher risk of psychological symptoms (OR = 13.0; 95% CI, 1.44-117.2; P < 0.01), and a 7.6-fold increased risk of premenstrual symptoms (OR = 7.6; 95% CI, 1.61-35.9; P = 0.01). The EL genotype was associated with an increased risk of vasomotor symptoms (P < 0.05), depression (P < 0.01), and premenstrual symptoms (P < 0.01). CONCLUSIONS: CA repeat polymorphism of the ERbeta gene may be associated with menopausal and premenstrual symptoms. Premenstrual symptom scores were significantly related to menopausal symptom scores. FAU - Takeo, Chikari AU - Takeo C AD - Department of General Medicine, Chiba Pre fectural Togane Hospital, Chiba, Japan. chikari@prefhosp.togane.chiba.jp FAU - Negishi, Etsuko AU - Negishi E FAU - Nakajima, Aya AU - Nakajima A FAU - Ueno, Koichi AU - Ueno K FAU - Tatsuno, Ichiro AU - Tatsuno I FAU - Saito, Yasushi AU - Saito Y FAU - Amano, Keiko AU - Amano K FAU - Hirai, Aizan AU - Hirai A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Gend Med JT - Gender medicine JID - 101225178 RN - 0 (Estrogen Receptor beta) RN - 8J337D1HZY (Cytosine) RN - JAC85A2161 (Adenine) SB - IM EIN - Gend Med. 2005 Sep;2(3):183 MH - Adenine/metabolism MH - Cytosine/metabolism MH - Depression/epidemiology/genetics MH - Dinucleotide Repeats MH - Estrogen Receptor beta/*genetics MH - Female MH - Headache/epidemiology/genetics MH - Hot Flashes/epidemiology/genetics MH - Humans MH - Japan/epidemiology MH - Menopause/*genetics MH - Middle Aged MH - Multivariate Analysis MH - *Polymorphism, Genetic MH - Premenstrual Syndrome/*epidemiology/*genetics MH - Regression Analysis EDAT- 2005/08/24 09:00 MHDA- 2005/09/21 09:00 CRDT- 2005/08/24 09:00 PHST- 2005/02/16 00:00 [accepted] PHST- 2005/08/24 09:00 [pubmed] PHST- 2005/09/21 09:00 [medline] PHST- 2005/08/24 09:00 [entrez] AID - S1550-8579(05)80016-6 [pii] AID - 10.1016/s1550-8579(05)80016-6 [doi] PST - ppublish SO - Gend Med. 2005 Jun;2(2):96-105. doi: 10.1016/s1550-8579(05)80016-6.