Epidemiological studies suggest that men with type 2 diabetes are less likely than non-diabetic men to develop prostate cancer.
The cause of this association is not known. Recent genetic studies have highlighted a potential genetic link between the two
diseases. Two studies have identified a version (allele) of a variant in the
HNF1B (also known as
TCF2) gene that predisposes to type 2 diabetes, and one of them showed that the same allele protects men from prostate cancer.
Other, separate, studies have identified different variants in the
JAZF1 gene, one associated with type 2 diabetes, another associated with prostate cancer. These findings are unlikely to completely
explain the epidemiological association between the two diseases but they provide new insight into a possible direct causal
link, rather than one that is confounded or biased in some way.
Keywords Epidemiology - Genes - Genome-wide association study - Pleiotropy - Prostate cancer - Transcription factors - Type 2 diabetes