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JNCI Journal of the National Cancer Institute 2000 92(23):1910-1917; doi:10.1093/jnci/92.23.1910
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Journal of the National Cancer Institute, Vol. 92, No. 23, 1910-1917, December 6, 2000
© 2000 Oxford University Press

Plasma Insulin-Like Growth Factor-I, Insulin-Like Growth Factor-Binding Proteins, and Prostate Cancer Risk: a Prospective Study

Pär Stattin, Annika Bylund, Sabina Rinaldi, Carine Biessy, Henri Déchaud, Ulf-Håkan Stenman, Lars Egevad, Elio Riboli, Göran Hallmans, Rudolf Kaaks

Affiliations of authors: P. Stattin (Department of Urology and Andrology), A. Bylund (Department of Geriatrics), G. Hallmans (Department of Public Health and Clinical Medicine), Umeå University Hospital, Sweden; S. Rinaldi, C. Biessy, E. Riboli, R. Kaaks, International Agency for Research on Cancer, Lyon, France; H. Déchaud, Central Laboratory for Biochemistry, Hôpital de l'Antiquaille, Lyon; U.-H. Stenman, Department of Clinical Chemistry, Helsinki University Central Hospital, Finland; L. Egevad, Department of Pathology, Karolinska Hospital, Stockholm, Sweden.

Correspondence to: Pär Stattin, M.D., Ph.D., Department of Urology and Andrology, Umeå University Hospital, 901 85 Umeå, Sweden (e-mail: par. stattin{at}urologi.umu.se).

Background: Recent studies have suggested that men with elevated plasma levels of insulin-like growth factor-I (IGF-I) may have an increased risk of prostate cancer. Furthermore, IGF-binding proteins (IGFBPs) and insulin can modulate the activity of IGF-I. In this study, we sought to determine the role of IGF-I as well as IGFBPs-1, -2, and -3 and insulin as possible etiologic factors for prostate cancer. Methods: We conducted a nested case–control study within the Northern Sweden Health and Disease Cohort Study. We measured levels of IGF-I, IGFBP-1, IGFBP-2, IGFBP-3, and insulin in plasma samples from 149 men who had a diagnosis of prostate cancer between 1 month and 10 years after blood collection and among 298 control men. All statistical tests are two-sided. Results: Case subjects had statistically significantly higher mean levels of IGF-I than control subjects (229 ng/mL; 95% confidence interval [CI] = 218–240 ng/mL] versus 214 ng/mL [95% CI = 208–221 ng/mL]; P = .02) and IGFBP-3 (2611 ng/mL [95% CI = 2518–2704 ng/mL] versus 2498 ng/mL [95% CI = 2437–2560 ng/mL]; P = .04). Conditional logistic regression analyses showed increases in prostate cancer risk with rising levels of IGF-I (Pfor trend = .02) and IGFBP-3 (Pfor trend = .03). In case subjects younger than 59 years at the time of blood collection, the risk associated with increased IGF-I was higher (Pfor trend = .01), whereas the risk associated with increased IGFBP-3 was lower (Pfor trend = .44) than the corresponding risks in the full cohort. Prostate cancer risk was not associated with levels of IGFBP-1, IGFBP-2, or insulin. Conclusions: Prostate cancer risk is increased in men with elevated plasma IGF-I. This association was particularly strong in younger men in this study, suggesting that circulating IGF-I may be specifically involved in the early pathogenesis of prostate cancer.



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Cancer Epidemiol. Biomarkers Prev.Home page
A. E. Paradis, P. W. Kantoff, E. Giovannucci, M. J. Stampfer, and J. Ma
Association between the Met326Ile Polymorphism of the p85{alpha} Regulatory Subunit of Phosphatidylinositol 3-Kinase and Prostate Cancer Risk: A Prospective Study
Cancer Epidemiol. Biomarkers Prev., February 1, 2003; 12(2): 172 - 173.
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Mol Cancer ResHome page
K. D. Burroughs, J. Oh, J. C. Barrett, and R. P. DiAugustine
Phosphatidylinositol 3-Kinase and Mek1/2 Are Necessary for Insulin-Like Growth Factor-I-Induced Vascular Endothelial Growth Factor Synthesis in Prostate Epithelial Cells: A Role for Hypoxia-Inducible Factor-1?
Mol. Cancer Res., February 1, 2003; 1(4): 312 - 322.
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Cancer Epidemiol. Biomarkers Prev.Home page
R. A. Krajcik, N. D. Borofsky, S. Massardo, and N. Orentreich
Insulin-like Growth Factor I (IGF-I), IGF-binding Proteins, and Breast Cancer
Cancer Epidemiol. Biomarkers Prev., December 1, 2002; 11(12): 1566 - 1573.
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Cancer Epidemiol. Biomarkers Prev.Home page
H. Yu, F. Jin, X.-O. Shu, B. D. L. Li, Q. Dai, J.-R. Cheng, H. J. Berkel, and W. Zheng
Insulin-like Growth Factors and Breast Cancer Risk in Chinese Women
Cancer Epidemiol. Biomarkers Prev., August 1, 2002; 11(8): 705 - 712.
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Cancer Epidemiol. Biomarkers Prev.Home page
A. R. Kristal, J. H. Cohen, P. Qu, and J. L. Stanford
Associations of Energy, Fat, Calcium, and Vitamin D with Prostate Cancer Risk
Cancer Epidemiol. Biomarkers Prev., August 1, 2002; 11(8): 719 - 725.
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Cancer Epidemiol. Biomarkers Prev.Home page
S. Chang, X. Wu, H. Yu, and M. R. Spitz
Plasma Concentrations of Insulin-like Growth Factors among Healthy Adult Men and Postmenopausal Women: Associations with Body Composition, Lifestyle, and Reproductive Factors
Cancer Epidemiol. Biomarkers Prev., August 1, 2002; 11(8): 758 - 766.
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JNCI J Natl Cancer InstHome page
J. M. Chan, M. J. Stampfer, J. Ma, P. Gann, J. M. Gaziano, M. Pollak, and E. Giovannucci
Insulin-Like Growth Factor-I (IGF-I) and IGF Binding Protein-3 as Predictors of Advanced-Stage Prostate Cancer
J Natl Cancer Inst, July 17, 2002; 94(14): 1099 - 1106.
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Cancer Epidemiol. Biomarkers Prev.Home page
R. E. Schoen, J. Schragin, J. L. Weissfeld, F. L. Thaete, R. W. Evans, C. J. Rosen, and L. H. Kuller
Lack of Association between Adipose Tissue Distribution and IGF-1 and IGFBP-3 in Men and Women
Cancer Epidemiol. Biomarkers Prev., June 1, 2002; 11(6): 581 - 586.
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GutHome page
R Palmqvist, G Hallmans, S Rinaldi, C Biessy, R Stenling, E Riboli, and R Kaaks
Plasma insulin-like growth factor 1, insulin-like growth factor binding protein 3, and risk of colorectal cancer: a prospective study in northern Sweden
Gut, May 1, 2002; 50(5): 642 - 646.
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JCOHome page
S. F. Shariat, D. J. Lamb, M. W. Kattan, C. Nguyen, J. Kim, J. Beck, T. M. Wheeler, and K. M. Slawin
Association of Preoperative Plasma Levels of Insulin-Like Growth Factor I and Insulin-Like Growth Factor Binding Proteins-2 and -3 With Prostate Cancer Invasion, Progression, and Metastasis
J. Clin. Oncol., February 1, 2002; 20(3): 833 - 841.
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CarcinogenesisHome page
R. D. Klein and S. M. Fischer
Black tea polyphenols inhibit IGF-I-induced signaling through Akt in normal prostate epithelial cells and Du145 prostate carcinoma cells
Carcinogenesis, January 1, 2002; 23(1): 217 - 221.
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JNCI J Natl Cancer InstHome page
L. Chen, M. Stacewicz-Sapuntzakis, C. Duncan, R. Sharifi, L. Ghosh, R. v. Breemen, D. Ashton, and P. E. Bowen
Oxidative DNA Damage in Prostate Cancer Patients Consuming Tomato Sauce-Based Entrees as a Whole-Food Intervention
J Natl Cancer Inst, December 19, 2001; 93(24): 1872 - 1879.
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J. Clin. Endocrinol. Metab.Home page
P. Stattin, U.-H. Stenman, E. Riboli, G. Hallmans, and R. Kaaks
Ratios of IGF-I, IGF Binding Protein-3, and Prostate-Specific Antigen in Prostate Cancer Detection
J. Clin. Endocrinol. Metab., December 1, 2001; 86(12): 5745 - 5748.
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Cancer Res.Home page
A. Hoeflich, R. Reisinger, H. Lahm, W. Kiess, W. F. Blum, H. J. Kolb, M. M. Weber, and E. Wolf
Insulin-like Growth Factor-binding Protein 2 in Tumorigenesis: Protector or Promoter?
Cancer Res., December 1, 2001; 61(24): 8601 - 8610.
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Cancer Epidemiol. Biomarkers Prev.Home page
R. Kaaks, S. Rinaldi, A. Lukanova, A. Akhmedkhanov, A. Zeleniuch-Jacquotte, and P. Toniolo
Correspondence re: Giovannucci et al., A Prospective Study of Plasma Insulin-like Growth Factor-1 and Binding Protein-3 and Risk of Colorectal Neoplasia in Women. Cancer Epidemiol. Biomark. Prev., 9: 345-349, 2000
Cancer Epidemiol. Biomarkers Prev., October 1, 2001; 10(10): 1103 - 1104.
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Mol. Pathol.Home page
W Zumkeller
IGFs and IGFBPs: surrogate markers for diagnosis and surveillance of tumour growth?
Mol. Pathol., October 1, 2001; 54(5): 285 - 288.
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Proc. Natl. Acad. Sci. USAHome page
S. Gupta, K. Hastak, N. Ahmad, J. S. Lewin, and H. Mukhtar
Inhibition of prostate carcinogenesis in TRAMP mice by oral infusion of green tea polyphenols
PNAS, August 10, 2001; (2001) 171326098.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. Nickerson, F. Chang, D. Lorimer, S. P. Smeekens, C. L. Sawyers, and M. Pollak
In Vivo Progression of LAPC-9 and LNCaP Prostate Cancer Models to Androgen Independence Is Associated with Increased Expression of Insulin-like Growth Factor I (IGF-I) and IGF-I Receptor (IGF-IR)
Cancer Res., August 1, 2001; 61(16): 6276 - 6280.
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JNCI J Natl Cancer InstHome page
N. E. Allen and T. J. Key
Re: Plasma Insulin-Like Growth Factor-I, Insulin-Like Growth Factor-Binding Proteins, and Prostate Cancer Risk: a Prospective Study
J Natl Cancer Inst, April 18, 2001; 93(8): 649 - 650.
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Proc. Natl. Acad. Sci. USAHome page
S. Gupta, K. Hastak, N. Ahmad, J. S. Lewin, and H. Mukhtar
Inhibition of prostate carcinogenesis in TRAMP mice by oral infusion of green tea polyphenols
PNAS, August 28, 2001; 98(18): 10350 - 10355.
[Abstract] [Full Text] [PDF]



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