4.4 Article

No association between a polymorphic variant of the IRS-1 gene and prostate cancer risk

Journal

PROSTATE
Volume 68, Issue 13, Pages 1416-1420

Publisher

WILEY-LISS
DOI: 10.1002/pros.20797

Keywords

prostate cancer; IRS-1 genotype; IFG-1 pathway

Funding

  1. National Cancer Institute [5R01CA058684-13, CA 097193, CA 42182, CA 90598, CA 34944, CA 40360]
  2. National Heart, Lung and Blood Institute Bethesda MD [HL-26490, HL-34595]
  3. US DOD
  4. National Research Service Award Training Program in Cancer Epidemiology [T32 CA009001-32]

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OBJECTIVE. Insulin receptor substrate-1 (IRS-1) acts as a docking protein between the insulin-like growth factor-1 (IGF-1) receptor and intracellular signaling molecules in the IGF-1 signaling pathway. Accumulating data support a role of IGF-1 in prostate carcinogenesis. We assessed the influence of the most common IRS-1 gene polymorphism (Gly972Arg) on prostate cancer risk, alone and in combination with IGF-1 and other components in the IGF-1 signaling pathway. MATERIALS AND METHODS. In a nested case-control study within the Physicians' Health Study, the IRS-1 polymorphism was assayed from prospectively collected samples from 564 incident prostate cancer cases and 758 controls matched on age and smoking. We calculated relative risks (RR) and 95% confidence intervals (CI) using conditional logistic regression. RESULTS. Among the controls, 0.8% were homozygous (AA) and 12% were heterozygous (GA) for the polymorphic allele. There was no association between carriage of the A allele and total prostate cancer risk (RR 1.195% CI = 0.8-1.5), advanced disease (stage C or D or lethal prostate cancer, RR = 1.3 95% CI = 0.8-2.3), or plasma IGF-1 levels. We explored possible interactions with body mass index and components in the IGF-1 pathway including IGFBP3, PI3k, and PTEN but none of these factors influenced the relation between IRS-1 genotype and prostate cancer risk. CONCLUSIONS. Our data do not support an association between carriage of the variant IRS-1 gene and prostate cancer risk.

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