PMID- 21898383 OWN - NLM STAT- MEDLINE DCOM- 20120730 LR - 20211020 IS - 1097-0215 (Electronic) IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 131 IP - 2 DP - 2012 Jul 15 TI - Increase in circulating levels of IGF-1 and IGF-1/IGFBP-3 molar ratio over a decade is associated with colorectal adenomatous polyps. PG - 512-7 LID - 10.1002/ijc.26393 [doi] AB - High levels of circulating insulin-like growth factor-1 (IGF-1) have been associated with increased risk of several cancers. Regarding colorectal cancer, these associations are generally weak. We hypothesized that an increase in IGF-1 over time would be a stronger risk factor for cancer-related outcomes than the actual levels. In this analysis we utilized existing data from the Insulin Resistance and Atherosclerosis Study (IRAS). Circulating IGF-1 levels and molar ratios of IGF-1 to IGF binding protein 3 (IGFBP-3) were measured at three time points, within a 10-year follow-up period. We examined the associations of increase of the two variables with the presence of colorectal adenoma at the end of follow-up among participants with normal glucose tolerance at baseline. This included 143 individuals, from which 24 were diagnosed with adenomatous polyps. Although the mean levels of IGF-1 and IGF-1/IGFBP-3 decline with age, ~ 30% of the participants showed an increase of at least fifteen percent ("ever increase") in one or both of these variables, compared to baseline. We found a positive association between "ever increase" in IGF-1 or IGF-1/IGFBP-3 and the presence of colorectal adenoma: ORs were 3.81 (95% CI: 1.30-10.8) and 2.83 (95% CI: 1.00-8.22), respectively. No association was found when analyzing the actual levels of both variables at any time point. Our data suggest that an increase in circulating IGF-1 or IGF-1/IGFBP-3 may represent a disturbed GH/IGF1 homeostasis, which could favor the development of precancerous lesions such as colorectal adenoma. CI - Copyright (c) 2011 UICC. FAU - Soubry, Adelheid AU - Soubry A AD - Duke Cancer Institute, Duke University, Durham, NC 27710, USA. FAU - Il'yasova, Dora AU - Il'yasova D FAU - Sedjo, Rebecca AU - Sedjo R FAU - Wang, Frances AU - Wang F FAU - Byers, Tim AU - Byers T FAU - Rosen, Clifford AU - Rosen C FAU - Yashin, Anatoli AU - Yashin A FAU - Ukraintseva, Svetlana AU - Ukraintseva S FAU - Haffner, Steven AU - Haffner S FAU - D'Agostino, Ralph Jr AU - D'Agostino R Jr LA - eng GR - 1R01CA88007/CA/NCI NIH HHS/United States GR - R25 CA126938/CA/NCI NIH HHS/United States GR - 5R25-CA126938-02/CA/NCI NIH HHS/United States GR - R01 CA088007/CA/NCI NIH HHS/United States GR - R01 AG027019/AG/NIA NIH HHS/United States GR - R01 DK081028-02/DK/NIDDK NIH HHS/United States GR - R01 DK081028/DK/NIDDK NIH HHS/United States GR - R01AG027019/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110914 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 - Adenomatous Polyps/*blood/pathology MH - Adult MH - Aged MH - Colonic Polyps/*blood/pathology MH - Colonoscopy MH - Colorectal Neoplasms/*blood/pathology MH - Female MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/biosynthesis/*blood MH - Insulin-Like Growth Factor I/*analysis MH - Male MH - Middle Aged MH - Risk Factors PMC - PMC3314119 MID - NIHMS341520 EDAT- 2011/09/08 06:00 MHDA- 2012/07/31 06:00 PMCR- 2013/07/15 CRDT- 2011/09/08 06:00 PHST- 2011/06/10 00:00 [received] PHST- 2011/08/04 00:00 [accepted] PHST- 2011/09/08 06:00 [entrez] PHST- 2011/09/08 06:00 [pubmed] PHST- 2012/07/31 06:00 [medline] PHST- 2013/07/15 00:00 [pmc-release] AID - 10.1002/ijc.26393 [doi] PST - ppublish SO - Int J Cancer. 2012 Jul 15;131(2):512-7. doi: 10.1002/ijc.26393. Epub 2011 Sep 14.