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Am. J. Hum. Genet., 77:140-148, 2005
0002-9297/2005/7701-0015$15.00
© 2005 by The American Society of Human Genetics. All rights reserved.
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Report [/SIZE][/FONT]
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Genetic Variation in the Human Androgen Receptor Gene Is the Major Determinant of Common Early-Onset Androgenetic Alopecia [/SIZE][/FONT]
[FONT=helvetica, arial][SIZE=+1]Axel M. Hillmer,1,2 Sandra Hanneken,4 Sibylle Ritzmann,4 Tim Becker,3 Jan Freudenberg,2 Felix F. Brockschmidt,2 Antonia Flaquer,3 Yun Freudenberg-Hua,2 Rami Abou Jamra,2 Christine Metzen,4 Uwe Heyn,2 Nadine Schweiger,4 Regina C. Betz,2,5 Bettina Blaumeiser,5 Jochen Hampe,6 Stefan Schreiber,6 Thomas G. Schulze,7 Hans Christian Hennies,8 Johannes Schumacher,2 Peter Propping,2 Thomas Ruzicka,4 Sven Cichon,1,5 Thomas F. Wienker,3 Roland Kruse,4 and Markus M. Nöthen1,5
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1Department of Genomics, Life & Brain Center, and 2Institute of Human Genetics, and 3Institute for Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn; 4Department of Dermatology, University of Düsseldorf, Düsseldorf; 5Department of Medical Genetics, University of Antwerp, Antwerp; 6Institute for Clinical Molecular Biology, Christian-Albrechts-Universität zu Kiel, Kiel, Germany; 7Division of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Mannheim; and 8Department of Molecular Genetics and Gene Mapping Center, Max Delbrück Center for Molecular Medicine, Berlin[/FONT] [/SIZE][/FONT]
[FONT=helvetica, arial][SIZE=-1]Received March 21, 2005; accepted for publication April 27, 2005; electronically published May 18, 2005.[/SIZE][/FONT]
Androgenetic alopecia (AGA), or male-pattern baldness, is the most common form of hair loss. Its pathogenesis is androgen dependent, and genetic predisposition is the major requirement for the phenotype. We demonstrate that genetic variability in the androgen receptor gene (AR) is the cardinal prerequisite for the development of early-onset AGA, with an etiological fraction of 0.46. The investigation of a large number of genetic variants covering the AR locus suggests that a polyglycine-encoding GGN repeat in exon 1 is a plausible candidate for conferring the functional effect. The X-chromosomal location of AR stresses the importance of the maternal line in the inheritance of AGA.
[FONT=helvetica, arial][SIZE=-1]Address for correspondence and reprints: Dr. Markus M. Nöthen, Department of Genomics, Life & Brain Center, University of Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, Germany. E-mail:
[email protected][/SIZE][/FONT] Androgenetic alopecia (AGA [MIM
Invalid Link Removed]), or male-pattern baldness, is characterized by a defined pattern of hair loss from the scalp (Hamilton 1951). In whites, the proportion of affected males increases steadily with age, so that a male in his 50s has a 50% chance of having some degree of AGA (Hamilton
Invalid Link Removed). Association of AGA with a variety of clinical phenotypes has been suggested, including coronary heart disease (Lotufo et al. 2000), benign prostatic hyperplasia (Hawk et al. 2000), prostate cancer (Oh et al. 1998), and disorders associated with insulin resistance (Matilainen et al. 2000). Androgen dependence is an important characteristic of AGA, and genetic disposition, which is assumed to be polygenic, plays the most substantial role in the development of AGA (Küster and Happle 1984; Ellis et al. 1998; Nyholt et al. 2003). Although the only factor known to influence onset age in patients with AGA is genetic predisposition, no systematic approach has hitherto been undertaken, to our knowledge, to identify the contributing genes.
As part of a genomewide linkage study of AGA, we investigated linkage to markers covering the X chromosome. The sample consisted of 95 families in which at least two brothers had early-onset AGA (391 genotyped individuals, including 201 affected men). We obtained evidence of linkage in chromosomal region Xq12-22 (nonparametric linkage [NPL] score of 2.70 [
Invalid Link Removed]) (for X-chromosomal marker information, see
Invalid Link Removed). This region contains the
AR gene (MIM
Invalid Link Removed), which is an obvious candidate for explaining the development of AGA, and an association with this region has been suggested elsewhere (Ellis et al. 2001), on the basis of results from the investigation of three polymorphic sites. In the present study, we have systematically explored the contribution of the
AR gene to the development of early-onset AGA.
Invalid Link Removed
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Figure 1 [SIZE=-1]Multipoint NPL analysis of chromosome X, calculated by the Allegro v1.2 software (Gudbjartsson et al. 2000). The
X-axis is the chromosome location (
top, cM;
bottom, STR marker), and the
Y-axis is the LOD score.[/SIZE][/SIZE][/FONT]
Invalid Link Removed[FONT=helvetica, arial][SIZE=-1]
Table 1[/SIZE][/FONT] [FONT=arial,helvetica][SIZE=-1]STR Markers Used for Linkage Analysis of Chromosome X[/SIZE][/FONT] We tested 39 SNPs, two STRs (a polyglutamine-encoding CAG repeat and a polyglycine-encoding GGN repeat in exon 1 of
AR), and one biallelic insertion polymorphism (
XARx8insA), in a range of 4.4 Mb at the
AR locus, for association with AGA (
Invalid Link Removed). Our analysis included the three previously studied variants (Ellis et al.
Invalid Link Removed): the CAG and GGN repeats and
StuI RFLP (
rs6152).
TaqMan assays for genotyping of SNPs, listed in
Invalid Link Removed, were designed by Applied Biosystems. PCRs were performed using 2.5 ng genomic DNA, Ampli
Taq Gold DNA polymerase (Applied Biosystems), and an annealing temperature of 60°C for 45 cycles on Biometra T1 (Biometra) or Perkin Elmer GeneAmp 9700 (Applied Biosystems) thermocyclers. Fluorescence was measured with an ABI Prism 7900HT sequence detection system (Applied Biosystems). The fragment lengths of the CAG repeat, the GGN repeat, and
XARx8insA were determined using the following fluorescence-labeled primers for PCR: CAG-F 5
Invalid Link Removed-TCCAGAATCTGTTCCAGAGCGTGC-3
Invalid Link Removed and CAG-R 5
Invalid Link Removed-GCTGTGAAGGTTGCTGTTCCTCAT-3
Invalid Link Removed (La Spada et al. 1991), GGN-F 5
Invalid Link Removed-CCTGGCACACTCTCTTCACA-3
Invalid Link Removed and GGN-R 5
Invalid Link Removed-GGATAGGGCACTCTGCTCAC-3
Invalid Link Removed, and
XARx8insA-F 5
Invalid Link Removed-CACGGGAAGTTTAGAGAGCT-3
Invalid Link Removed and
XARx8insA-R 5
Invalid Link Removed-TCACCTTCTCGTCACTATTG-3
Invalid Link Removed. Forty nanograms of genomic DNA was used in PCRs with Ampli
Taq DNA polymerase (Applied Biosystems) in 38 cycles on a PTC-200 (MJ Research). The annealing temperatures were 62°C
Invalid Link Removed60°C (touchdown PCR) for the CAG repeat, 58°C for the GGN repeat, and 63°C
Invalid Link Removed55°C (touchdown PCR) for
XARx8insA. MasterAmp PCR PreMix G (Epicentre) was used to amplify GGN fragments. Fragment lengths of the amplified products were analyzed on an ABI Prism 377 DNA sequencer (Applied Biosystems). Double-strand sequencing of genomic regions was performed with the ABI Prism BigDye Terminator Cycle Sequencing kit, version 2.0 (Applied Biosystems), and the ABI Prism 3730 DNA analyzer (Applied Biosystems).
Invalid Link Removed
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Figure 2 [SIZE=-1]Gene and LD structure of the
AR locus.
A, Distribution of known genes (
left) and typed SNPs and STRs (
right) at the
AR locus. The shown genomic region spans 4.4 Mb. Gene content information is based on Ensembl.
B, LD in 198 individuals with AGA (
upper right diagonal) and in 157 individuals without AGA (
lower left diagonal) was measured with
Invalid Link Removed2 and was visualized using the GOLD program (Abecasis and Cookson 2000).[/SIZE][/SIZE][/FONT]
Invalid Link Removed[FONT=helvetica, arial][SIZE=-1]
Table 2[/SIZE][/FONT] [FONT=arial,helvetica][SIZE=-1]Oligonucleotides for
TaqMan Assays[/SIZE][/FONT] For case-control analysis, we compared allele frequencies in 198 males with early-onset AGA (including 95 unrelated and randomly chosen affected individuals from the linkage-analysis families), 188 control individuals, and 157 unaffected individuals. For family-based association analysis, we studied 179 families containing at least one affected male in the youngest generation. The family-based association sample included the 95 families from the linkage analysis and overlapped with the case sample, for 179 individuals. All affected males were aged <40 years (mean [± SD] 32.0 ± 5.2) and had AGA that was representative of the most severely affected 10% of the distribution for the respective age class, on the basis of the classification of Hamilton (
Invalid Link Removed) (modified by Norwood [1975]). AGA classification, age, and ethnicity were the exclusive criteria used to select individuals for inclusion in the case sample. Unaffected males were aged >60 years (mean 67.9 ± 6.2) and without AGA, representing the least-affected 20% of the distribution for this age class. Families and unrelated individuals both with and without AGA were recruited through various sources, including press reports and advertisements in magazines, newspapers, and placards. Control individuals were male blood donors from the blood transfusion center of the University Hospital Bonn, from whom information was available only on sex, age in years (mean 29.4 ± 8.6), and ethnicity. EDTA anticoagulated venous blood samples were collected from all individuals, and lymphocyte DNA was isolated by salting out with saturated NaCl solution (Miller et al. 1988). All participants were of German descent. The study was approved by the ethics committee of the University of Bonn, and informed consent was obtained from all participants.
Association analysis was conducted using a modification of the FAMHAP software (Becker and Knapp 2004
a, 2004
b) for X-chromosomal data. Case-control SNP single-marker analysis was performed using the
Invalid Link Removed2 distribution of the 2 × 2 contingency table, and multiallelic markers were evaluated with the permutational version of the
Invalid Link Removed2 test. For case-control haplotype analysis,
P values were calculated from the
Invalid Link Removed2 distribution with
n-1 df of the respective likelihood-ratio test (
n = number of different haplotypes). The family data were analyzed with the permutation-based association test for nuclear families (Zhao et al. 2000; Knapp and Becker 2003). For each marker (single-locus analysis) and each marker combination (haplotype analysis), we used 1010 permutation replicates.
Pairwise distances between haplotypes were calculated as allele mismatches. By resampling markers randomly with replacement, 100 bootstrapped data sets were generated as input for the program neighbor contained in the PHYLIP package.
A region of 1 Mb showed strong association with the lowest
P value of 2.1 × 10-12 for
rs10521339 in the case-control analysis of affected and unaffected individuals (
Invalid Link Removed). As expected, the association is stronger for comparisons between individuals with AGA and individuals without AGA than between individuals with AGA and an unselected control sample (
Invalid Link Removed). We also performed a separate analysis of the 103 cases that were not included in the linkage analysis and found that the association was also present in this sample (data not shown). The association is further supported by family-based analysis, for which SNP
rs938059 shows the lowest
P value (4.03 × 10-6) (
Invalid Link Removed).
AR is the only known gene in the strongly associated 1-Mb
Invalid Link Removedspanning region (
Invalid Link Removed and
Invalid Link Removed). The X-linked ectodysplasin-A2 receptor (
XEDAR), which is located 900 kb 5
Invalid Link Removed of
AR, is outside this region (
Invalid Link Removed and
Invalid Link Removed). The significance of the association decreases within the 3
Invalid Link Removed part of the 180-kb
Invalid Link Removedspanning
AR gene, and oligophrenin 1 (
OPHN1), which is located 320 kb 3
Invalid Link Removed of
AR, is not within the block of strongest association (
Invalid Link Removed and
Invalid Link Removed).
rs6152 (
P = 6.66 × 10-10 [
Invalid Link Removed]) in exon 1 of
AR corresponds to the
StuI RFLP, for which an association has been described by Ellis et al. (
Invalid Link Removed).
Invalid Link Removed[FONT=helvetica, arial][SIZE=-1]
Table 3[/SIZE][/FONT] [FONT=arial,helvetica][SIZE=-1]Association of AGA with Markers at the
AR Locus[/SIZE][/FONT] The long range of the associated SNPs implies the presence of a large haplotype block, visible in
Invalid Link Removed. In principle, this is not unexpected in a location close to the centromere, where recombination events occur at a relatively low frequency (Nagaraja et al. 1997). To test whether the size of the haplotype block stands out even in comparison with X-chromosomal loci with similar low recombination frequencies, we analyzed average pairwise linkage disequilibrium (LD) (measured by |D
Invalid Link Removed|) between SNPs retrieved from the HapMap Project database in 1-cM
Invalid Link Removedsized windows. Average pairwise LD was found to be inversely correlated with recombination rate (Spearman's
Invalid Link Removed = -0.598;
P < .001). An average LD higher than that at the
AR locus was displayed by only the six windows covering the centromere; these windows showed distinctively smaller recombination rates (
Invalid Link Removed). This result might suggest that the predominant
AR haplotypes are evolutionarily more recent, perhaps indicating positive selective pressure acting at this locus (Bamshad and Wooding 2003). Since androgens mediate a wide range of developmental and physiological responses through the androgen receptor (AR) and are especially important in the male reproductive system (Lee and Chang 2003), it is conceivable that variability in
AR can have an impact on selection. In accordance with this hypothesis, the haplotype with the highest frequency (0.45 [
Invalid Link Removed]) (which also confers risk of AGA) in the German population seems to be evolutionarily recent, as indicated by the low sequence identity with the ancestral haplotype (
Invalid Link Removed).
Invalid Link Removed
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Figure 3 [SIZE=-1]The
AR locus: LD relative to the X-chromosome and haplotype structure.
A, Average pairwise LD (measured by |D
Invalid Link Removed|) between SNPs retrieved from the
Invalid Link Removed Project database, plotted over X-chromosomal recombination rates in 1-cM
Invalid Link Removedsized windows. An average LD higher than that at the
AR locus was displayed by only the six windows covering the centromere and showed distinctively smaller recombination rates.
B, Neighbor-joining tree of frequent haplotype sequences (>5% in the samples from the individuals with AGA, controls, and individuals without AGA) within the most strongly associated haplotype block (genetic markers
rs1385695Invalid Link RemovedXARx8insA). The CAG repeat,
XARx7_01, and
XARx8insA were omitted from tree construction, because the corresponding
Pan troglodytes allele could not be retrieved from the chimpanzee genomic sequence. The AGA haplotype is shown in red, and the chimpanzee haplotype is shown in orange. The AGA haplotype shows low sequence identity to the ancestral (chimpanzee) haplotype. Haplotype frequencies of the respective samples are indicated in parentheses (affected/control/unaffected [in %]). GGN-23 is indicated as "23"; GGN-24 is indicated as "24."[/SIZE][/SIZE][/FONT]
Sequencing of the transcribed region and of 3.4 kb of conserved sequences in the 5
Invalid Link Removed region and intron 1 of
AR in 12 individuals revealed only two additional variants of the associated haplotype (
XARx7_01 and
XARx8insA [
Invalid Link Removed]). The additional variants were noncoding and did not show a stronger association than other tested markers. Of the two repeat polymorphisms in the coding region, the CAG repeat was not associated with AGA (affected/unaffected global
P value of .1), whereas the GGN repeat was highly associated (affected/unaffected global
P value of .0001). The study by Ellis et al. (
Invalid Link Removed) also showed a larger effect for the GGN repeat than the CAG repeat. However, the pooling of alleles in their study renders an exact comparison of results difficult. The GGN allele of 23 repeats showed a difference of affected versus unaffected allele frequencies of 0.23, which was in the range of the strongest-associated SNPs (
rs1385695Invalid Link RemovedXARx8insA [
Invalid Link Removed]) but with a lower frequency in controls. This suggests that GGN-23 either is closer to the AGA mutation or is itself the AGA-susceptibility allele. Previously obtained functional data, in which shorter repeat alleles of the GGN repeat were associated with higher protein levels and thereby higher
AR activity (Ding et al. 2005), support the possibility of a causal role for the repeat, and this would be compatible with current understanding of the involvement of androgens in AGA. Several studies have also suggested an effect of CAG repeat lengths on AR transactivating activity (Mhatre et al. 1993; Chamberlain et al. 1994; Kazemi-Esfarjani et al. 1995; Choong et al. 1996; Nakajima et al. 1996; Beilin et al. 2000; Ding et al. 2004). Since both repeats modulate AR activity and since we observe an association only between the GGN repeat and AGA, it may be that cells of the hair follicle lack cofactors that interact with the CAG-encoded domain.
Interestingly, shorter alleles for the GGN repeat have also been associated with prostate cancer (Hsing et al. 2000; Chang et al. 2002), whereas longer alleles have been associated with endometrial cancer (Sasaki et al. 2005), which would be in accordance with the differing effects of androgens on the endometrium and the prostate (androgens exert an inhibitory effect on endometrial cell proliferation, whereas they have a mitogenic effect in the prostate). However, the association findings with prostate cancer remain controversial, and no effect was shown in a large meta-analysis (Zeegers et al. 2004). The association with endometrial cancer has yet to be confirmed.
It remains possible that an as-yet-undetected variant in either a regulatory region affecting the expression level or an intronic variant affecting the splicing pattern of
AR might be responsible for AGA susceptibility. The latter seems unlikely since we did not detect alternatively spliced transcripts of
AR in human hair follicles of seven individuals representing different haplotypes. Previous studies have identified
AR regulatory elements up to position -737 of the
AR transcription start site (Faber et al. 1991, 1993; Supakar et al. 1993), as well as exonic enhancers in exon 1 (Faber et al.
Invalid Link Removed) and exons 4 and 5 (Grad et al. 2001). Our sequencing analysis of 12 individuals with the associated haplotype revealed no variability in these regulatory elements of
AR. However, there may be additional regions with regulatory effect that have not yet been fully characterized (Lower et al. 2004). Haplotypes carrying the GGN-24 allele show clearly higher frequencies in individuals without AGA than in those with AGA (
Invalid Link Removed). Since this effect is strikingly weaker in the ACAAAAAGCATTTAAG-24-ATA haplotype than in the other GGN-24
Invalid Link Removedcarrying haplotypes (
Invalid Link Removed), it is likely that further functionally relevant variability exists that modifies the protective effect of GGN-24
Invalid Link Removedbearing haplotypes.
It is interesting to note that genetic variation in
AR, which is located on the X chromosome, cannot explain the resemblance of fathers and sons with respect to the development of AGA (Küster and Happle
Invalid Link Removed; Ellis et al.
Invalid Link Removed), since sons always inherit the X chromosome from their mothers. The fact that family studies of AGA have typically stressed the resemblance of fathers and sons is understandable, given the differences in patterns of hair loss between males and females. Our genetic data, however, stress the relative importance of the maternal line in the inheritance of AGA, since we estimate an etiological fraction of 0.46 that can be attributed to having
Invalid Link Removed23 GGN repeats within
AR. This suggests that the average phenotypic resemblance should be greater between affected males and their maternal grandfathers than between affected males and their fathers. It is likely that the remaining etiological fraction is due to genetic variation at autosomal loci, which could explain the similarity of the AGA pattern of fathers and sons. Some autosomal candidate genes have been investigated in the past, including the insulin gene (Ellis et al. 1999), the 5
Invalid Link Removed-reductase genes (Ellis et al.
Invalid Link Removed), and the
hairless gene (Hillmer et al. 2001, 2002), but none of these has been associated with AGA. A systematic linkage-based approach should enable the identification of additional loci.
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Acknowledgments[/SIZE][/FONT]
We thank all participants for consenting to the study and for providing blood samples. This study was supported by grants from the Deutsche Forschungsgemeinschaft (DFG) (Forschergruppen "Keratinozyten
Invalid Link RemovedProliferation und differenzierte Leistung in der Epidermis" and "Genetische Epidemiologie und Medizinische Genetik komplexer Erkrankungen"), the Bundesministerium für Bildung und Forschung (German Human Genome Project, "Pharmacogenomics"), and the Alfried Krupp von Bohlen und Halbach-Stiftung. R.C.B. is a recipient of a DFG Emmy Noether fellowship. We thank Faten Dahdouh and Carola Müller, for assistance in STR genotyping, and Dr. Christine Schmäl, for help in preparing the manuscript.
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Web Resources[/SIZE][/FONT]
The URLs for data presented herein are as follows:
- Ensembl, Invalid Link Removed (for AR locus information) Invalid Link Removed
- HapMap, Invalid Link Removed (for pairwise LD on the X chromosome [genotypes queried in November 2004]) Invalid Link Removed
- Online Mendelian Inheritance in Man (OMIM), Invalid Link Removed (for AGA and AR)
- University of CaliforniaInvalid Link RemovedSanta Cruz (UCSC) Genome Bioinformatics, Invalid Link Removed (for X-chromosomal recombination rates and definition of the reference strand for SNP allele calling) Invalid Link Removed
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References[/SIZE][/FONT]
- Abecasis GR, Cookson WO (2000) GOLDInvalid Link Removedgraphical overview of linkage disequilibrium. Bioinformatics 16:182Invalid Link Removed183 Invalid Link Removed | Invalid Link Removed
- Bamshad M, Wooding SP (2003) Signatures of natural selection in the human genome. Nat Rev Genet 4:99Invalid Link Removed111 Invalid Link Removed | Invalid Link Removed
- Becker T, Knapp M (2004a) A powerful strategy to account for multiple testing in the context of haplotype analysis. Am J Hum Genet 75:561Invalid Link Removed570 Invalid Link Removed | Invalid Link Removed | Invalid Link Removed
- Invalid Link RemovedInvalid Link RemovedInvalid Link Removed (2004b) Maximum-likelihood estimation of haplotype frequencies in nuclear families. Genet Epidemiol 27:21Invalid Link Removed32 Invalid Link Removed | Invalid Link Removed
- Beilin J, Ball EM, Favaloro JM, Zajac JD (2000) Effect of the androgen receptor CAG repeat polymorphism on transcriptional activity: specificity in prostate and non-prostate cell lines. J Mol Endocrinol 25:85Invalid Link Removed96 Invalid Link Removed | Invalid Link Removed
- Chamberlain NL, Driver ED, Miesfeld RL (1994) The length and location of CAG trinucleotide repeats in the androgen receptor N-terminal domain affect transactivation function. Nucleic Acids Res 22:3181Invalid Link Removed3186 Invalid Link Removed | Invalid Link Removed
- Chang BL, Zheng SL, Hawkins GA, Isaacs SD, Wiley KE, Turner A, Carpten JD, Bleecker ER, Walsh PC, Trent JM, Meyers DA, Isaacs WB, Xu J (2002) Polymorphic GGC repeats in the androgen receptor gene are associated with hereditary and sporadic prostate cancer risk. Hum Genet 110:122Invalid Link Removed129 Invalid Link Removed | Invalid Link Removed
- Choong CS, Kemppainen JA, Zhou ZX, Wilson EM (1996) Reduced androgen receptor gene expression with first exon CAG repeat expansion. Mol Endocrinol 10:1527Invalid Link Removed1535 Invalid Link Removed | Invalid Link Removed
- Ding D, Xu L, Menon M, Reddy GP, Barrack ER (2004) Effect of a short CAG (glutamine) repeat on human androgen receptor function. Prostate 58:23Invalid Link Removed32 Invalid Link Removed | Invalid Link Removed
- Invalid Link RemovedInvalid Link RemovedInvalid Link Removed (2005) Effect of GGC (glycine) repeat length polymorphism in the human androgen receptor on androgen action. Prostate 62:133Invalid Link Removed139 Invalid Link Removed | Invalid Link Removed
- Ellis JA, Stebbing M, Harrap SB (1998) Genetic analysis of male pattern baldness and the 5Invalid Link Removed-reductase genes. J Invest Dermatol 110:849Invalid Link Removed853 Invalid Link Removed | Invalid Link Removed
- Invalid Link RemovedInvalid Link RemovedInvalid Link Removed (1999) Insulin gene polymorphism and premature male pattern baldness in the general population. Clin Sci (Lond) 96:659Invalid Link Removed662 Invalid Link Removed | Invalid Link Removed
- Invalid Link RemovedInvalid Link RemovedInvalid Link Removed (2001) Polymorphism of the androgen receptor gene is associated with male pattern baldness. J Invest Dermatol 116:452Invalid Link Removed455 Invalid Link Removed | Invalid Link Removed
- Faber PW, van Rooij HC, Schipper HJ, Brinkmann AO, Trapman J (1993) Two different, overlapping pathways of transcription initiation are active on the TATA-less human androgen receptor promoter: the role of Sp1. J Biol Chem 268:9296Invalid Link Removed9301 Invalid Link Removed | Invalid Link Removed
- Faber PW, van Rooij HC, van der Korput HA, Baarends WM, Brinkmann AO, Grootegoed JA, Trapman J (1991) Characterization of the human androgen receptor transcription unit. J Biol Chem 266:10743Invalid Link Removed10749 Invalid Link Removed | Invalid Link Removed
- Grad JM, Lyons LS, Robins DM, Burnstein KL (2001) The androgen receptor (AR) amino-terminus imposes androgen-specific regulation of AR gene expression via an exonic enhancer. Endocrinology 142:1107Invalid Link Removed1116 Invalid Link Removed | Invalid Link Removed
- Gudbjartsson DF, Jonasson K, Frigge M, Kong A (2000) Allegro, a new computer program for multipoint linkage analysis. Nat Genet 25:12Invalid Link Removed13 Invalid Link Removed | Invalid Link Removed
- Hamilton JB (1951) Patterned loss of hair in man: types and incidence. Ann N Y Acad Sci 53:708Invalid Link Removed728 Invalid Link Removed | Invalid Link Removed
- Hawk E, Breslow RA, Graubard BI (2000) Male pattern baldness and clinical prostate cancer in the epidemiologic follow-up of the first National Health and Nutrition Examination Survey. Cancer Epidemiol Biomarkers Prev 9:523Invalid Link Removed527 Invalid Link Removed | Invalid Link Removed
- Hillmer AM, Kruse R, Betz RC, Schumacher J, Heyn U, Propping P, Nöthen MM, Cichon S (2001) Variant 1859GInvalid Link RemovedA (Arg620Gln) of the hairless gene: absence of association with papular atrichia or androgenetic alopecia. Am J Hum Genet 69:235Invalid Link Removed237 Invalid Link Removed | Invalid Link Removed | Invalid Link Removed
- Hillmer AM, Kruse R, Macciardi F, Heyn U, Betz RC, Ruzicka T, Propping P, Nöthen MM, Cichon S (2002) The hairless gene in androgenetic alopecia: results of a systematic mutation screening and family-based association approach. Br J Dermatol 146:601Invalid Link Removed608 Invalid Link Removed | Invalid Link Removed
- Hsing AW, Gao YT, Wu G, Wang X, Deng J, Chen YL, Sesterhenn IA, Mostofi FK, Benichou J, Chang C (2000) Polymorphic CAG and GGN repeat lengths in the androgen receptor gene and prostate cancer risk: a population-based case-control study in China. Cancer Res 60:5111Invalid Link Removed5116 Invalid Link Removed | Invalid Link Removed
- Kazemi-Esfarjani P, Trifiro MA, Pinsky L (1995) Evidence for a repressive function of the long polyglutamine tract in the human androgen receptor: possible pathogenetic relevance for the (CAG)n-expanded neuronopathies. Hum Mol Genet 4:523Invalid Link Removed527 Invalid Link Removed | Invalid Link Removed
- Knapp M, Becker T (2003) Family-based association analysis with tightly linked markers. Hum Hered 56:2Invalid Link Removed9 Invalid Link Removed | Invalid Link Removed
- Küster W, Happle R (1984) The inheritance of common baldness: two B or not two B? J Am Acad Dermatol 11:921Invalid Link Removed926 Invalid Link Removed | Invalid Link Removed
- La Spada AR, Wilson EM, Lubahn DB, Harding AE, Fischbeck KH (1991) Androgen receptor gene mutations in X-linked spinal and bulbar muscular atrophy. Nature 352:77Invalid Link Removed79 Invalid Link Removed | Invalid Link Removed
- Lee HJ, Chang C (2003) Recent advances in androgen receptor action. Cell Mol Life Sci 60:1613Invalid Link Removed1622 Invalid Link Removed | Invalid Link Removed
- Lotufo PA, Chae CU, Ajani UA, Hennekens CH, Manson JE (2000) Male pattern baldness and coronary heart disease: the Physicians' Health Study. Arch Intern Med 160:165Invalid Link Removed171 Invalid Link Removed | Invalid Link Removed
- Lower KM, Kumar R, Woollatt E, Villard L, Gecz J, Sutherland GR, Callen DF (2004) Partial androgen insensitivity syndrome and t(X;5): are there upstream regulatory elements of the androgen receptor gene? Horm Res 62:208Invalid Link Removed214 Invalid Link Removed | Invalid Link Removed
- Matilainen V, Koskela P, Keinanen-Kiukaanniemi S (2000) Early androgenetic alopecia as a marker of insulin resistance. Lancet 356:1165Invalid Link Removed1166 Invalid Link Removed | Invalid Link Removed
- Mhatre AN, Trifiro MA, Kaufman M, Kazemi-Esfarjani P, Figlewicz D, Rouleau G, Pinsky L (1993) Reduced transcriptional regulatory competence of the androgen receptor in X-linked spinal and bulbar muscular atrophy. Nat Genet 5:184Invalid Link Removed188 Invalid Link Removed | Invalid Link Removed
- Miller SA, Dykes DD, Polesky HF (1988) A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 16:1215 Invalid Link Removed | Invalid Link Removed
- Nagaraja R, MacMillan S, Kere J, Jones C, Griffin S, Schmatz M, Terrell J, Shomaker M, Jermak C, Hott C, Masisi M, Mumm S, Srivastava A, Pilia G, Featherstone T, Mazzarella R, Kesterson S, McCauley B, Railey B, Burough F, Nowotny V, D'Urso M, States D, Brownstein B, Schlessinger D (1997) X chromosome map at 75-kb STS resolution, revealing extremes of recombination and GC content. Genome Res 7:210Invalid Link Removed222 Invalid Link Removed | Invalid Link Removed
- Nakajima H, Kimura F, Nakagawa T, Furutama D, Shinoda K, Shimizu A, Ohsawa N (1996) Transcriptional activation by the androgen receptor in X-linked spinal and bulbar muscular atrophy. J Neurol Sci 142:12Invalid Link Removed16 Invalid Link Removed | Invalid Link Removed
- Norwood OT (1975) Male pattern baldness: classification and incidence. South Med J 68:1359Invalid Link Removed1365 Invalid Link Removed | Invalid Link Removed
- Nyholt DR, Gillespie NA, Heath AC, Martin NG (2003) Genetic basis of male pattern baldness. J Invest Dermatol 121:1561Invalid Link Removed1564 Invalid Link Removed | Invalid Link Removed
- Oh BR, Kim SJ, Moon JD, Kim HN, Kwon DD, Won YH, Ryu SB, Park YI (1998) Association of benign prostatic hyperplasia with male pattern baldness. Urology 51:744Invalid Link Removed748 Invalid Link Removed | Invalid Link Removed
- Sasaki M, Karube A, Karube Y, Watari M, Sakuragi N, Fujimoto S, Dahiya R (2005) GGC and StuI polymorphism on the androgen receptor gene in endometrial cancer patients. Biochem Biophys Res Commun 329:100Invalid Link Removed104 Invalid Link Removed | Invalid Link Removed
- Supakar PC, Song CS, Jung MH, Slomczynska MA, Kim JM, Vellanoweth RL, Chatterjee B, Roy AK (1993) A novel regulatory element associated with age-dependent expression of the rat androgen receptor gene. J Biol Chem 268:26400Invalid Link Removed26408 Invalid Link Removed | Invalid Link Removed
- Zeegers MP, Kiemeney LA, Nieder AM, Ostrer H (2004) How strong is the association between CAG and GGN repeat length polymorphisms in the androgen receptor gene and prostate cancer risk? Cancer Epidemiol Biomarkers Prev 13:1765Invalid Link Removed1771 Invalid Link Removed | Invalid Link Removed
- Zhao H, Zhang S, Merikangas KR, Trixler M, Wildenauer DB, Sun F, Kidd KK (2000) Transmission/disequilibrium tests using multiple tightly linked markers. Am J Hum Genet 67:936Invalid Link Removed946 Invalid Link Removed | Invalid Link Removed | Invalid Link Removed
When you say they didn't work as much as you had hoped, they still worked a little, right?
