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Title: Gene-wide association study between the aromatase gene (CYP19A1) and female pattern hair loss.
Epworth Authors: Sinclair, Rodney
Yip, Leona
Other Authors: Zaloumis, Sophie
Irwin, D.
Severi, Gianluca
Hopper, John
Giles, Graham
Harrap, Stephen
Ellis, J.
Keywords: Alopecia
Female Pattern Hair Loss
Aromatase Gene
Sinclair Scale
Chair of Dermatology, Epworth HealthCare
Head & Neck Clinical Institute, Epworth HealthCare
Issue Date: Aug-2009
Publisher: Wiley
Citation: Br J Dermatol. 2009 Aug;161(2):289-94.
Abstract: BACKGROUND: Female pattern hair loss (FPHL) is a common trait in which androgens and oestrogens may have a pathogenic role. The aromatase enzyme converts androgens to oestrogens in scalp hair follicles and is differentially expressed in balding and nonbalding scalps of women. Sequence variation in the gene encoding aromatase, CYP19A1, might influence the risk of developing FPHL. OBJECTIVES: To examine the role of CYP19A1 genetic variation in the heritability of FPHL. METHODS: We investigated associations between FPHL and 61 tag single nucleotide polymorphisms (SNPs) representing variation in and around CYP19A1 in 484 caucasian women with grades 3-5 FPHL on the Sinclair scale, and 471 caucasian women with no evidence of hair loss. RESULTS: For the tag SNP rs4646 (overall genotype frequencies: CC, 53.6%; AC, 39.3%; AA, 7.1%), the genotype CC was more frequent in women with FPHL (58.1%) than controls (48.9%) (P = 0.006). Although this result did not achieve experiment-wide significance (P < 0.001 by permutation testing), subanalyses according to sources of recruitment and ages at presentation revealed consistent patterns of association. In particular, young cases (< 40 years) had the highest frequency of the CC genotype (68.2%) among all subgroups. CONCLUSIONS: These findings suggest that the common rs4646 C allele, which has been associated previously with higher circulating oestrogen levels, might be associated with predisposition to FPHL.
DOI: 10.1111/j.1365-2133.2009.09186.x
PubMed URL:
ISSN: 1365-2133
Journal Title: British Journal of Dermatology
Type: Journal Article
Affiliated Organisations: Department of Dermatology, The University of Melbourne, Fitzroy, Vic., Australia
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Head & Neck

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