Serum insulin-like growth factor (IGF)-I and IGF-binding protein-3 concentrations and prostate cancer risk:: Results from the European prospective investigation into cancer and nutrition

被引:80
作者
Allen, Naomi E. [1 ]
Key, Timothy J.
Appleby, Paul N.
Travis, Ruth C.
Roddam, Andrew W.
Rinaldi, Sabina
Egevad, Lars
Rohrmann, Sabine
Linseisen, Jakob
Pischon, Tobias
Boeing, Heiner
Johnsen, Nina Fons
Tjonneland, Anne
Gronbaek, Henning
Overvad, Kim
Kiemeney, Lambartus
Bueno-de-Mesquita, H. Bas
Bingham, Sheila
Khaw, Kay Tee
Tumino, Rosario
Berrino, Franco
Mattiello, Amalia
Sacerdote, Carlotta
Palli, Domenico
Quiros, Jos Ramon
Ardanaz, Eva
Navarro, Carmen
Larranaga, Nerea
Gonzalez, Carlos
Sanchez, Maria-Jose
Trichopoulou, Antonia
Travezea, Cryssoula
Trichopoulos, Dimitrios
Jenab, Mazda
Ferrari, Pietro
Riboli, Elio
Kaaks, Rudolf
机构
[1] Univ Oxford, Canc Res UK Epidemiol, Oxford OX3 7LF, England
[2] IARC, Lyon, France
[3] Deutsch Krebsforschungszentrum, Div Canc Epidemiol, D-6900 Heidelberg, Germany
[4] German Inst Human Nutr Potsdam Rehbrucke, Dept Epidemiol, Nuthetal, Germany
[5] Danish Canc Soc, Inst Canc Epidemiol, Copenhagen, Denmark
[6] Aarhus Univ Hosp, Med Dept 5, DK-8000 Aarhus, Denmark
[7] Aarhus Univ Hosp, Aalborg Hosp, Dept Clin Epidemiol, Aalborg, Denmark
[8] Univ Nijmegen, Med Ctr, Dept Epidemiol, Nijmegen, Netherlands
[9] Univ Nijmegen, Med Ctr, Dept Urol, Nijmegen, Netherlands
[10] Natl Inst Publ Hlth & Environm, Ctr Nutr & Hlth, NL-3720 BA Bilthoven, Netherlands
[11] Univ Cambridge, MRC, Dunn Human Nutr Unit, Dept Publ Hlth & Primary Care, Cambridge, England
[12] Univ Cambridge, MRC, Ctr Nutr Epidemiol Canc Prevent & Survival, Dept Publ Hlth & Primary Care, Cambridge, England
[13] Univ Cambridge, Sch Clin Med, Addenbrookes Hosp, Clin Gerontol Unit, Cambridge, England
[14] Azienda Osped Civile MP Arezzo, Canc Registry, Ragusa, Italy
[15] Ist Nazl Tumori, Epidemiol Unit, I-20133 Milan, Italy
[16] Univ Naples Federico II, Dipartimento Med Clin & Sperimentale, Naples, Italy
[17] Ctr Canc Prevent Piemonte, Dept Biomed Sci & Human Oncol, Turin, Italy
[18] Sci Inst Tuscany, Ctr Study & Prevent Canc, Mol & Nutr Epidemiol Unit, Florence, Italy
[19] Publ Hlth & Hlth Planning Directorate, Asturias, Spain
[20] Publ Hlth Inst Navarra, Pamplona, Spain
[21] Murcia Hlth Council, Dept Epidemiol, Murcia, Spain
[22] Basque Govt, Publ Hlth Dept Gipuzkoa, San Sebastian, Spain
[23] Catalan Inst Oncol, Dept Epidemiol, Barcelona, Spain
[24] Escuela Andaluza Salud Publ, Granada, Spain
[25] Univ Athens, Sch Med, Dept Hyg & Epidemiol, GR-10679 Athens, Greece
[26] Hellenic Hlth Fdn, Athens, Greece
[27] Univ London Imperial Coll Sci Technol & Med, Dept Epidemiol & Publ Hlth, London, England
基金
英国医学研究理事会; 英国惠康基金;
关键词
D O I
10.1158/1055-9965.EPI-06-1062
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Some studies suggest that elevated serum insulin-like growth factor (IGF)-I concentrations are associated with an increased risk of prostate cancer and, in particular, with an increased risk of advanced-stage prostate cancer. Methods: We analyzed the association between prediagnostic serum concentrations of IGF-I and IGF-binding protein-3 (IGFBP-3) and prostate cancer risk in a case-control study nested in the European Prospective Investigation into Cancer and Nutrition. This study includes 630 incident prostate cancer cases and 630 matched control subjects. Odds ratios and their 95% confidence intervals (95% CI) were calculated for prostate cancer risk associated with increasing IGF-I and IGFBP-3 concentrations using conditional logistic regression. Results: The risk of total prostate cancer in the highest versus the lowest third of serum peptide concentration was 1.35 (95% CI, 0.99-1.82; P-trend = 0.08) for IGF-I, 1.39 (95% CI, 1.02-1.89; P-trend = 0.12) for the IGF-I residuals after adjusting for IGFBP-3, 1.22 (95% CI, 0.92-1.64; P-trend = 0.38) for IGFBP-3, and 1.01 (95% CI, 0.74-1.37; P-trend = 0.75) for the IGFBP-3 residuals after adjusting for IGF-I. There was no significant difference in the association of peptide hormones and prostate cancer by stage of disease, although the association of serum IGF-l concentration with risk was slightly stronger for advanced-stage disease; the odds ratio for the highest versus the lowest third was 1.65 (95% CI, 0.88-3.08; P-trend = 0.21) for IGF-I and 1.76 (95% CI, 0.92-3.40; P-trend = 0.11) for IGF-I adjusted for IGFBP-3. Conclusions: In this large nested case-control study, serum IGF-I concentration is not strongly associated with prostate cancer risk, although the results are compatible with a small increase in risk, particularly for advanced-stage disease; no association for IGFBP-3 was observed.
引用
收藏
页码:1121 / 1127
页数:7
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