Anti-Mullerian hormone and endometrial cancer: a multi-cohort study

<p><b>Background:</b> The Mullerian ducts are the embryological precursors of the female reproductive tract, including the uterus; anti-Mullerian hormone (AMH) has a key role in the regulation of foetal sexual differentiation. Anti-Mullerian hormone inhibits endometrial tumour gr...

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Main Authors: Fortner, RT, Schock, H, Jung, S, Allen, NE, Arslan, AA, Brinton, LA, Egleston, BL, Falk, RT, Gunter, MJ, Helzlsouer, KJ, Idahl, A, Johnson, TS, Kaaks, R, Krogh, V, Lundin, E, Merritt, MA, Navarro, C, Onland-Moret, NC, Palli, D, Shu, XO, Sluss, PM, Staats, PN, Trichopoulou, A, Weiderpass, E, Zeleniuch-Jacquotte, A, Zheng, W, Dorgan, JF
Format: Journal article
Language:English
Published: Cancer Research UK 2017
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author Fortner, RT
Schock, H
Jung, S
Allen, NE
Arslan, AA
Brinton, LA
Egleston, BL
Falk, RT
Gunter, MJ
Helzlsouer, KJ
Idahl, A
Johnson, TS
Kaaks, R
Krogh, V
Lundin, E
Merritt, MA
Navarro, C
Onland-Moret, NC
Palli, D
Shu, XO
Sluss, PM
Staats, PN
Trichopoulou, A
Weiderpass, E
Zeleniuch-Jacquotte, A
Zheng, W
Dorgan, JF
author_facet Fortner, RT
Schock, H
Jung, S
Allen, NE
Arslan, AA
Brinton, LA
Egleston, BL
Falk, RT
Gunter, MJ
Helzlsouer, KJ
Idahl, A
Johnson, TS
Kaaks, R
Krogh, V
Lundin, E
Merritt, MA
Navarro, C
Onland-Moret, NC
Palli, D
Shu, XO
Sluss, PM
Staats, PN
Trichopoulou, A
Weiderpass, E
Zeleniuch-Jacquotte, A
Zheng, W
Dorgan, JF
author_sort Fortner, RT
collection OXFORD
description <p><b>Background:</b> The Mullerian ducts are the embryological precursors of the female reproductive tract, including the uterus; anti-Mullerian hormone (AMH) has a key role in the regulation of foetal sexual differentiation. Anti-Mullerian hormone inhibits endometrial tumour growth in experimental models by stimulating apoptosis and cell cycle arrest. To date, there are no prospective epidemiologic data on circulating AMH and endometrial cancer risk. </p><p><b>Methods:</b> We investigated this association among women premenopausal at blood collection in a multicohort study including participants from eight studies located in the United States, Europe, and China. We identified 329 endometrial cancer cases and 339 matched controls. Anti-Mullerian hormone concentrations in blood were quantified using an enzyme-linked immunosorbent assay. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI) across tertiles and for a doubling of AMH concentrations (OR<sub>log2</sub>). Subgroup analyses were performed by ages at blood donation and diagnosis, oral contraceptive use, and tumour characteristics. </p><p><b>Results:</b> Anti-Mullerian hormone was not associated with the risk of endometrial cancer overall (OR<sub>log2</sub>: 1.07 (0.99–1.17)), or with any of the examined subgroups. </p><p><b>Conclusions:</b> Although experimental models implicate AMH in endometrial cancer growth inhibition, our findings do not support a role for circulating AMH in the aetiology of endometrial cancer.</p>
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spelling oxford-uuid:60d42b62-9d21-4a5a-8237-8c073b3abd0e2022-03-26T17:55:49ZAnti-Mullerian hormone and endometrial cancer: a multi-cohort studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:60d42b62-9d21-4a5a-8237-8c073b3abd0eEnglishSymplectic Elements at OxfordCancer Research UK2017Fortner, RTSchock, HJung, SAllen, NEArslan, AABrinton, LAEgleston, BLFalk, RTGunter, MJHelzlsouer, KJIdahl, AJohnson, TSKaaks, RKrogh, VLundin, EMerritt, MANavarro, COnland-Moret, NCPalli, DShu, XOSluss, PMStaats, PNTrichopoulou, AWeiderpass, EZeleniuch-Jacquotte, AZheng, WDorgan, JF <p><b>Background:</b> The Mullerian ducts are the embryological precursors of the female reproductive tract, including the uterus; anti-Mullerian hormone (AMH) has a key role in the regulation of foetal sexual differentiation. Anti-Mullerian hormone inhibits endometrial tumour growth in experimental models by stimulating apoptosis and cell cycle arrest. To date, there are no prospective epidemiologic data on circulating AMH and endometrial cancer risk. </p><p><b>Methods:</b> We investigated this association among women premenopausal at blood collection in a multicohort study including participants from eight studies located in the United States, Europe, and China. We identified 329 endometrial cancer cases and 339 matched controls. Anti-Mullerian hormone concentrations in blood were quantified using an enzyme-linked immunosorbent assay. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI) across tertiles and for a doubling of AMH concentrations (OR<sub>log2</sub>). Subgroup analyses were performed by ages at blood donation and diagnosis, oral contraceptive use, and tumour characteristics. </p><p><b>Results:</b> Anti-Mullerian hormone was not associated with the risk of endometrial cancer overall (OR<sub>log2</sub>: 1.07 (0.99–1.17)), or with any of the examined subgroups. </p><p><b>Conclusions:</b> Although experimental models implicate AMH in endometrial cancer growth inhibition, our findings do not support a role for circulating AMH in the aetiology of endometrial cancer.</p>
spellingShingle Fortner, RT
Schock, H
Jung, S
Allen, NE
Arslan, AA
Brinton, LA
Egleston, BL
Falk, RT
Gunter, MJ
Helzlsouer, KJ
Idahl, A
Johnson, TS
Kaaks, R
Krogh, V
Lundin, E
Merritt, MA
Navarro, C
Onland-Moret, NC
Palli, D
Shu, XO
Sluss, PM
Staats, PN
Trichopoulou, A
Weiderpass, E
Zeleniuch-Jacquotte, A
Zheng, W
Dorgan, JF
Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title_full Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title_fullStr Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title_full_unstemmed Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title_short Anti-Mullerian hormone and endometrial cancer: a multi-cohort study
title_sort anti mullerian hormone and endometrial cancer a multi cohort study
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