PMID- 20473871 OWN - NLM STAT- MEDLINE DCOM- 20110114 LR - 20211020 IS - 1097-0215 (Electronic) IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 128 IP - 3 DP - 2011 Feb 1 TI - Plasma insulin-like growth factor 1 is positively associated with low-grade prostate cancer in the Health Professionals Follow-up Study 1993-2004. PG - 660-7 LID - 10.1002/ijc.25381 [doi] AB - The insulin-like growth factor (IGF) axis plays a role in growth and progression of prostate cancer. High circulating IGF-1 levels have been associated with an increased risk of prostate cancer. Results for IGF binding protein 3 (IGFBP-3) are inconclusive. Some studies have indicated that the positive association with IGF-1 is observed only for low-grade prostate cancer (Gleason sum < 7). We previously reported in the Health Professionals Follow-up Study (HPFS) a direct positive association between ELISA-measured plasma IGF-1 and IGFBP-3 and risk of prostate cancer (462 cases diagnosed after providing a blood specimen (between 1993 and 1995), but before February 1998). With additional follow-up through January 31st 2004, and 1,331 case-control pairs in total, we were now able to investigate low-grade (Gleason sum < 7, n = 635) and high-grade (Gleason sum >/= 7, n = 515) prostate cancer separately. Matched odds ratios (OR) and 95% confidence intervals (CI) were estimated using conditional logistic regression. ORs of total prostate cancer comparing top to bottom quartiles were 1.41 (95% CI 1.12-1.78, p-trend = 0.001) for IGF-1 and 1.58 (95% CI 1.24-2.01, p-trend = 0.003) for IGFBP-3. IGF-1 was more strongly associated with low-grade (OR = 1.61 top versus bottom quartile, 95% CI 1.16-2.25, p-trend = 0.01), than with high-grade (OR = 1.29, 95% CI 0.89-1.88, p-trend = 0.12) prostate cancer (p-heterogeneity = 0.08). We hypothesize that these findings reflect that high-grade prostate cancers are more autonomous, and, thus, less sensitive to the action of IGF-1 than low-grade cancers. FAU - Nimptsch, Katharina AU - Nimptsch K AD - Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA. knimptsc@hsph.harvard.edu FAU - Platz, Elizabeth A AU - Platz EA FAU - Pollak, Michael N AU - Pollak MN FAU - Kenfield, Stacey A AU - Kenfield SA FAU - Stampfer, Meir J AU - Stampfer MJ FAU - Willett, Walter C AU - Willett WC FAU - Giovannucci, Edward AU - Giovannucci E LA - eng GR - P01 CA055075/CA/NCI NIH HHS/United States GR - P30 DK040561-15/DK/NIDDK NIH HHS/United States GR - CA55075/CA/NCI NIH HHS/United States GR - P01 CA055075-14/CA/NCI NIH HHS/United States GR - R01 CA133891/CA/NCI NIH HHS/United States GR - P30 DK040561/DK/NIDDK NIH HHS/United States GR - CA133891/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Enzyme-Linked Immunosorbent Assay MH - Follow-Up Studies MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/*blood MH - Insulin-Like Growth Factor I/*analysis MH - Male MH - Neoplasm Staging MH - Prostatectomy MH - Prostatic Neoplasms/*blood/pathology/surgery MH - Reference Values PMC - PMC2948057 MID - NIHMS203796 EDAT- 2010/05/18 06:00 MHDA- 2011/01/15 06:00 PMCR- 2012/02/01 CRDT- 2010/05/18 06:00 PHST- 2010/05/18 06:00 [entrez] PHST- 2010/05/18 06:00 [pubmed] PHST- 2011/01/15 06:00 [medline] PHST- 2012/02/01 00:00 [pmc-release] AID - 10.1002/ijc.25381 [doi] PST - ppublish SO - Int J Cancer. 2011 Feb 1;128(3):660-7. doi: 10.1002/ijc.25381.