Prostate cancer has a prominent variation in incidence among different racial/ethnic groups. Previous studies have demonstrated that nutritional factors, especially fat intake, may contribute to the development and progression of prostate cancer. In fact, animal studies have shown that lower fat intake inhibits prostate cancer growth. 1,2 Giovannucci et al. 3 have demonstrated a marked increase in the likelihood of prostate cancer in men with a high fat intake from red meat and a significant association between the total intake of essential fatty acids such as ␣-linolenic acid and the development of aggressive prostate cancer. On the other hand, the significance of genetic factors in the development and progression of prostate cancer has been well documented. While the incidence of prostate cancer in the native Japanese population is 5 times lower than that in Caucasians, Japanese Americans have an approximately 40 -50% higher rate of prostate cancer than Japanese men, but the rate of prostate cancer in Japanese American men does not appear to approach that of Caucasians. 4,5 These reports further support the concept that genetic factors in combination with dietary factors may have a significant impact on susceptibility to prostate cancer. In exploring genetic susceptibility factors for prostate cancer, a population whose nutritional or environmental factors are small may be an ideal cohort, in which individual differences in such factors and gene-environment interactions are minimized. It has been reported that the calorie intake and the proportion of fat to total calories consumed are quite low in Japan compared to those in Western countries. 6 Therefore, the Japanese might be an ideal population to investigate the association between polymorphisms and prostate cancer risk because the nutritional factors may be minimized.Lipoprotein lipase (LPL) plays a crucial role in fat metabolism. LPL hydrolyses triglycerides in both chylomicrons and very-lowdensity lipoproteins (VLDLs) and liberates free fatty acids. The human LPL gene is localized to chromosome 8p22. The gene contains 10 exons and has several DNA variants designated as Ser447stop, HindIII and PvuII polymorphisms. These polymorphisms have been shown to underlie changes in plasma lipoprotein levels and to be one of the important risk factors for cardiovascular diseases. 7-9 However, no information is available on the relationship between these LPL polymorphisms and prostate cancer risk.In this study, with the hypothesis that the LPL polymorphisms may be associated with the onset and/or progression of prostate cancer, we analyzed the LPL genotype of patients with prostate cancer or benign prostatic hyperplasia (BPH) as compared with male controls in a native Japanese population.
MATERIAL AND METHODS
SubjectsA total of 708 subjects consisting of 273 prostate cancer patients, 205 BPH patients and 230 male controls who visited Akita University Medical Center, its related community hospitals and Kyoto University Hospital were enrolled in this study. Because thi...