2003
DOI: 10.1016/s0090-4295(02)02252-5
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Serum androgen levels in men: impact of health status and age

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Cited by 61 publications
(49 citation statements)
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“…28,36,40 Nevertheless, there is evidence that men with low testosterone levels have higher Gleason grades and worse outcomes than the prostate cancers that develop in men with normal testosterone. [56][57][58][59] Unfortunately, we do not have clinical data for our cases, but it seems reasonable to assume that as they were predominantly detected by clinical symptoms, they had more advanced forms of CaP. Longer AR CAG repeats reduce the transactivation ability of the AR, and the leucine variant of SRD5A2 V89L decreases the amount of DHT available to bind to the AR (see Figure 1), suggesting that there could be a common mechanism for early onset CaP predisposition involving reduced transcription of genes that are regulated by the AR.…”
Section: Discussionmentioning
confidence: 99%
“…28,36,40 Nevertheless, there is evidence that men with low testosterone levels have higher Gleason grades and worse outcomes than the prostate cancers that develop in men with normal testosterone. [56][57][58][59] Unfortunately, we do not have clinical data for our cases, but it seems reasonable to assume that as they were predominantly detected by clinical symptoms, they had more advanced forms of CaP. Longer AR CAG repeats reduce the transactivation ability of the AR, and the leucine variant of SRD5A2 V89L decreases the amount of DHT available to bind to the AR (see Figure 1), suggesting that there could be a common mechanism for early onset CaP predisposition involving reduced transcription of genes that are regulated by the AR.…”
Section: Discussionmentioning
confidence: 99%
“…As early as 50-60 years ago it was realized that aging is accompanied by significant reduction in testosterone levels [97,98]. Although some follow-up studies failed to detect age-related decline in plasma testosterone levels in older men [99][100][101][102][103][104], subsequent population-based cross-sectional and longitudinal studies have confirmed progressive loss of testosterone with aging in healthy men [96,[105][106][107][108][109][110][111][112][113][114][115][116][117][118][119][120][121][122]. Mirroring this decline in plasma testosterone concentration is an age associated increase in sex-hormonebinding globulin (SHBG) level [117], a major plasma carrier of testosterone, resulting in even more dramatic decreases in unbound free testosterone [110,[123][124][125], and weakly bound bioavailable testosterone [126,127].…”
Section: Humansmentioning
confidence: 99%
“…However, there is no consensus on possible effects of testosterone on LUTS. Schatzl et al (2003) found that hypogonadism was seen approximately one-fifth of elderly men with LUTS, but it had no impact on symptom status. Litman et al (2007) found an inverse correlation between symptoms of LUTS and plasma total and bioavailable testosterone but this relationship disappeared after statistical adjustment for age.…”
Section: Testosterone Deficiency Linked To Lutsmentioning
confidence: 95%