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Insulin-like growth factor-I, insulin-like growth factor binding protein-3 and the risk of fibrocystic breast conditions among Chinese women

✍ Scribed by Chu Chen; Jennifer A. Doherty; S. Kay Lewis; Roberta M. Ray; Dao Li Gao; Helge Stalsberg; Ziding Feng; David B. Thomas


Publisher
John Wiley and Sons
Year
2006
Tongue
French
Weight
94 KB
Volume
118
Category
Article
ISSN
0020-7136

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✦ Synopsis


Abstract

We investigated whether circulating insulin‐like growth factor‐I (IGF‐I) and insulin‐like growth factor binding protein‐3 (IGFBP‐3) levels are associated with the risk of fibrocystic breast conditions (FBC), in a case‐control study nested within a randomized trial of breast self‐examination conducted in Shanghai, China. Participants were enrolled during 1989–1991 and were followed over 10 years for the development of breast diseases. Controls (n = 897) were frequency‐matched by age to cases (n = 451), who were diagnosed with FBC between 1995 and 2000. Circulating IGF‐I and IGFBP‐3 levels and their molar ratio were positively associated with risk of FBC. The odds ratios (ORs) and 95% confidence intervals (CI) for the upper fourth of the distribution compared to the lowest fourth for IGF‐I, IGFBP3 and their molar ratio were 3.02 (2.02–4.52), 1.92 (1.37–2.71) and 2.26 (1.52–3.36), respectively. The strength of the association between IGF‐I levels and FBC was attenuated after adjustment for IGFBP‐3 and that for IGFBP‐3 was largely eliminated after adjustment for IGF‐I. Increasing levels of IGF‐I were particularly associated with increasing risk of FBC with proliferative elements (ORs and 95% CIs for the 2nd, 3rd and upper fourth of the distribution of IGF‐I: 3.13 (1.50–6.53), 4.57 (2.22–9.39) and 6.30 (3.08–12.89), compared with the lowest fourth. Our results suggest that elevated levels of IGF‐I may contribute to the development of FBC. © 2005 Wiley‐Liss, Inc.


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