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Genetic variants in IGF-I, IGF-II, IGFBP-3, and adiponectin genes and colon cancer risk in African Americans and Whites

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Abstract

Purpose

Evaluating genetic susceptibility may clarify effects of known environmental factors and also identify individuals at high risk. We evaluated the association of four insulin-related pathway gene polymorphisms in insulin-like growth factor-1 (IGF-I) (CA) n repeat, insulin-like growth factor-2 (IGF-II) (rs680), insulin-like growth factor–binding protein-3 (IGFBP-3) (rs2854744), and adiponectin (APM1 rs1501299) with colon cancer risk, as well as relationships with circulating IGF-I, IGF-II, IGFBP-3, and C-peptide in a population-based study.

Methods

Participants were African Americans (231 cases and 306 controls) and Whites (297 cases, 530 controls). Consenting subjects provided blood specimens and lifestyle/diet information. Genotyping for all genes except IGF-I was performed by the 5′-exonuclease (Taqman) assay. The IGF-I (CA) n repeat was assayed by PCR and fragment analysis. Circulating proteins were measured by enzyme immunoassays. Odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated by logistic regression.

Results

The IGF-I (CA) 19 repeat was higher in White controls (50 %) than African American controls (31 %). Whites homozygous for the IGF-I (CA)19 repeat had a nearly twofold increase in risk of colon cancer (OR = 1.77; 95 % CI = 1.15–2.73), but not African Americans (OR = 0.73, 95 % CI 0.50–1.51). We observed an inverse association between the IGF-II Apa1 A-variant and colon cancer risk (OR = 0.49, 95 % CI 0.28–0.88) in Whites only. Carrying the IGFBP-3 variant alleles was associated with lower IGFBP-3 protein levels, a difference most pronounced in Whites (p-trend <0.05).

Conclusions

These results support an association between insulin pathway-related genes and elevated colon cancer risk in Whites but not in African Americans.

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Acknowledgments

This project was supported in part by grants from the National Institutes of Health K01 CA93654, P30 DK 034987 and R01 CA 66635, P50 CA 106991 and the Howard Hughes Medical Institute (HHMI) support for the UNC Program in Minority access to Biomedical Science (PMABs).

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Correspondence to Temitope O. Keku.

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Keku, T.O., Vidal, A., Oliver, S. et al. Genetic variants in IGF-I, IGF-II, IGFBP-3, and adiponectin genes and colon cancer risk in African Americans and Whites. Cancer Causes Control 23, 1127–1138 (2012). https://doi.org/10.1007/s10552-012-9981-2

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