PMID- 11950809 OWN - NLM STAT- MEDLINE DCOM- 20020603 LR - 20190501 IS - 0017-5749 (Print) IS - 1458-3288 (Electronic) IS - 0017-5749 (Linking) VI - 50 IP - 5 DP - 2002 May TI - Plasma insulin-like growth factor 1, insulin-like growth factor binding protein 3, and risk of colorectal cancer: a prospective study in northern Sweden. PG - 642-6 AB - BACKGROUND: Insulin-like growth factor 1 (IGF-1) has antiapoptotic and mitogenic effects on various cell types, and raised IGF-1 levels are increasingly being implicated as potential risk factors for cancer. AIMS: To examine the relationship between IGF-1 and its major plasma binding protein, IGF binding protein 3 (IGFBP-3), and the risk of colorectal cancer. METHODS: We conducted a case-control study nested within the Northern Sweden Health and Disease Cohort. IGF-1 and IGFBP-3 were measured in prediagnostic plasma samples from 168 men and women who developed cancers of the colon (n=110) or rectum (n=58), and from 336 matched controls. RESULTS: Conditional logistic regression analyses showed an increase in colon cancer risk with increasing levels of IGF-1 (odds ratios (ORs) 1.00, 1.89, 2.30, 2.66; p(trend)=0.03) and IGFBP-3 (ORs 1.00, 0.91, 1.80, 1.93; p(trend)=0.02). Rectal cancer risk was inversely related to levels of IGF-1 (ORs 1.00, 0.45, 0.33, 0.33; p(trend)=0.09) and IGFBP-3 (ORs 1.00, 0.75, 0.66, 0.49; p(trend)=0.21). Mutual adjustments between IGF-1 and IGFBP-3 did not materially alter these relationships. CONCLUSIONS: These results support earlier findings of increased risk of colon cancer in subjects with elevated plasma IGF-1. Our results however do not support the hypothesis that the risk of rectal cancer could also be directly related to IGF-1 levels. FAU - Palmqvist, R AU - Palmqvist R AD - Department of Medical Biosciences, Pathology, Umea University, SE-901 87 Umea, Sweden. FAU - Hallmans, G AU - Hallmans G FAU - Rinaldi, S AU - Rinaldi S FAU - Biessy, C AU - Biessy C FAU - Stenling, R AU - Stenling R FAU - Riboli, E AU - Riboli E FAU - Kaaks, R AU - Kaaks R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Gut JT - Gut JID - 2985108R RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 0 (Neoplasm Proteins) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adult MH - Anthropometry MH - Case-Control Studies MH - Colonic Neoplasms/*blood MH - Female MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/*blood MH - Insulin-Like Growth Factor I/*analysis MH - Logistic Models MH - Male MH - Middle Aged MH - Neoplasm Proteins/*blood MH - Odds Ratio MH - Prospective Studies MH - Rectal Neoplasms/*blood MH - Risk Factors PMC - PMC1773192 EDAT- 2002/04/16 10:00 MHDA- 2002/06/04 10:01 PMCR- 2005/05/01 CRDT- 2002/04/16 10:00 PHST- 2002/04/16 10:00 [pubmed] PHST- 2002/06/04 10:01 [medline] PHST- 2002/04/16 10:00 [entrez] PHST- 2005/05/01 00:00 [pmc-release] AID - 0500642 [pii] AID - 10.1136/gut.50.5.642 [doi] PST - ppublish SO - Gut. 2002 May;50(5):642-6. doi: 10.1136/gut.50.5.642.