Wednesday, June 30, 2010

Insulin-like growth factors and risk of kidney cancer in men

British Journal of Cancer 103, 132-135 (29 June 2010) | doi:10.1038/sj.bjc.6605722

Background:
Insulin-like growth factor-I (IGF-I) has been shown to increase kidney growth, glomerular filtration rate, and renal function.
Methods:
In the prospective Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) study of 29133 Finnish male smokers aged 50–69 years, serum concentrations of IGF were measured in samples collected in 1985–1988. A total of 100 men with kidney cancer diagnosed greater than or 
equal to5 years after blood collection through 1997 were compared with a subcohort of 400 men; logistic regression models were used to estimate the risk of developing kidney cancer.
Results:
Men with IGF-I levels >113ngml−1 were 59% less likely to develop kidney cancer than men with levels less than or 
equal to113ngml−1 (odds ratio=0.41; 95% confidence interval=0.23–0.75). The IGF binding protein-3 (IGFBP-3) levels did not alter the association. No association was observed between IGFBP-3, or molar ratio of IGF-I/IGFBP-3, and kidney cancer.
Conclusions:
Low serum IGF-I levels in this cohort of older middle-aged male smokers are associated with increased kidney cancer risk, independent of IGFBP-3.

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