TY - JOUR TI - IGF-1, IGFBP-3 and breast cancer risk in women: The European Prospective Investigation into Cancer and Nutrition (EPIC) AU - Rinaldi, S. AU - Peeters, P. H. M. AU - Berrino, F. AU - Dossus, L. and AU - Biessy, C. AU - Olsen, A. AU - Tjonneland, A. AU - Overvad, K. and AU - Clavel-Chapelon, F. AU - Boutron-Ruault, M. C. AU - Tehard, B. AU - Nagel, AU - G. AU - Linseisen, J. AU - Boeing, H. AU - Lahmann, P. H. AU - Trichopoulou, AU - A. AU - Trichopoulos, D. AU - Koliva, M. AU - Palli, D. AU - Panico, S. and AU - Tumino, R. AU - Sacerdote, C. AU - van Gils, C. H. AU - van Noord, P. and AU - Grobbee, D. E. AU - Bueno-de-Mesquita, H. B. AU - Gonzalez, C. A. and AU - Agudo, A. AU - Chirlaque, M. D. AU - Barricarte, A. AU - Larranaga, N. and AU - Quiros, J. R. AU - Bingham, S. AU - Khaw, K. T. AU - Key, T. AU - Allen, N. AU - E. AU - Lukanova, A. AU - Slimani, N. AU - Saracci, R. AU - Riboli, E. and AU - Kaaks, R. JO - Endocrine-Related Cancer PY - 2006 VL - 13 TODO - 2 SP - 593-605 PB - BioScientifica Ltd SN - 1351-0088, 1479-6821 TODO - 10.1677/erc.1.01150 TODO - null TODO - Blood concentrations of insulin-like growth factor-I (IGF-I) and insulin-like growth factor binding protein-3 (IGFBP-3) have recently been associated with breast cancer risk, notably in women who developed breast cancer at a young age. Prospective studies published so far, however, were relatively small and odds ratio (OR) estimates imprecise. We present the results of a large prospective case-control study nested within the European Prospective Investigation into Cancer and Nutrition on total IGIF-I, IGFBP-3 and breast cancer risk including 1081 incident cases of invasive breast cancer and 2098 matched control subjects. Increasing IGF-I and IGFBP-3 concentrations were associated with a significant increase in breast cancer risk in women who developed breast cancer after 50 years of age (highest vs lowest quintile OR 1.38 (95% confidence interval (CI) 1.02-1.86), P = 0.01, and 1.44 (95% CI 1.04-1.98), P = 0.01, respectively), but no relationship was observed in younger women (OR = 1.03 (95% CI 0.60-1.77), P = 0.81 for IGF-I, and OR = 0.92 (95% CI 0.50-1.70), P = 0.69 for IGFBP-3). There was, however, significant heterogeneity in the relationship of breast cancer with serum IGF-I and IGFBP-3 levels depending on the time interval between blood donation and tumor diagnosis. A reduction in breast cancer risk with increasing IGF-I concentrations was observed in cases with a diagnosis of cancer less than 2 years after blood donation, (OR = 0.76 (95% CI 0.57-1.03)), while an increase in risk was observed for women with a later diagnosis (above or equal to two years after blood collection, OR = 1.51 (95% CI 1.19-1.91)). A similar pattern was observed for IGFBP-3. This study confirms previous findings for an association of serum IGF-I and IGFBP-3 concentrations with breast cancer risk, particularly for women with a later diagnosis of cancer, but it does not support the hypothesis of an involvement of IGF-I in younger women. ER -