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Elevated IGF-1 Linked to Risk of Ovarian Cancer in Younger Women

NEW YORK (Reuters Health) Oct 29 - Results of a study published in the October 20th issue of the International Journal of Cancer suggest an association between elevated circulatory insulin-like growth factor (IGF)-1 levels and an increased risk of developing ovarian cancer before age 55.

"IGF-1, a mitogenic and anti-apoptotic peptide, has been implicated in the development of several cancers," Dr. Rudolf Kaaks, of the International Agency for Research on Cancer, Lyon, France, and colleagues note. In a case-control study nested within three prospective cohorts, the team examined the association between IGF-1 concentrations and the risk of ovarian cancer.

Case subjects included 132 women who were diagnosed with primary invasive epithelial ovarian cancer at least 1 year after blood donation. "For each case, two control subjects were selected, matching the case subject on cohort, menopausal status, age, and date of recruitment (n = 263)," the investigators explain.

IGF-1 concentrations were not associated with the risk of ovarian cancer in the study group as a whole. However, among women younger than 55 years, circulating IGF-1 was strongly associated with ovarian cancer risk, with an odds ratio of 4.97 for the top versus the bottom IGF-1 tertile after adjusting for confounders.

"IGF-1 levels are intricately related to nutritional status and energy balance, and might provide a link between nutritional life-style factors such as energy- and protein-dense diets and lack of physical activity and cancer development," Dr. Kaaks and colleagues suggest.

Int J Cancer 2002;101:549-554.

 
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