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Table 4.

Studies investigating polymorphisms in the IGF-I, IGF-II, and IGFBP-3 genes in relation to measurements of serum levels of their protein products

ReferenceStudy detailsStudy populationExclusion criteriaAllele frequency*Variables matched or adjusted forArithmetic mean* (SE or 95% CI), ng/mLAnalysis
IGF-I (CA 5′ STR)        
Rosen et al. (55) Study period NA, Richmond, VA. Observational study of hormonal determinants of bone mineral density 30 men, age mean 48.0 y Conditions and medications known to affect serum IGF-I or bone density CA19: 59% for all three combined. Ethnicity Caucasian. HWE NA None for main analysis. Some analysis stratified by gender 129 (7) vs 154 (9); P = 0.03 in 59 men and 57 women combined 19/19 vs (19/− and −/−) 
 Study period NA, Maine, randomized controlled trial of calcium supplementation 37 postmenopausal women, age mean 72.3 y    158.6 (9.0) vs 188.8 (8.6); P = 0.02 in men only (n = 89) 19/19 vs (19/− and −/−) 
 Study period NA, location NA. Cardiology referrals 59 men, 20 women, age mean 58.6 y    “No difference” between 19/− and any other genotype  
Jernström et al. (58) Study period NA, Toronto, Canada. Healthy volunteers 311 women, age mean 25.4 y (range 17-35) Non-Caucasian, history of pregnancy/cancer/diabetes, hysterectomy, current estrogen non–oral contraceptive use CA19: Allele frequency or genotypes for entire group NA. From graphs, −/− (n = 26) and “one or two 19” alleles (n = 263; 309 total). Ethnicity Caucasian. HWE NA Age, estrogen dose (in oral contraceptive users) 264 vs 315; P = 0.025 in oral contraceptive users (19/19 and 19/−) vs −/− 
     Effect only given stratified by oral contraceptive use 305 vs 287 in non–oral contraceptive users (approximate figures from graphs, exact figures NA) (19/19 and 19/−) vs −/− 
     Test for interaction between genotype and oral contraceptive use P = 0.04   
Jernström et al. (56) Study period NA, Toronto, Canada. Healthy volunteers 507 women, age mean NA (range, 17-35 y) Mixed ethnicity, history of pregnancy/cancer/diabetes, hysterectomy, current estrogen non–oral contraceptive use CA19: White§ 70.2%, Black 37.8%, Asian 40.8%, Indian/Pakistani 56.0%. Ethnicity 329 White, 78 Black, 71 Asian, 25 Indian/Pakistani. HWE NA Age, estrogen dose (in oral contraceptive users), not ethnicity 266 vs 338; P = 0.00007 in oral contraceptive users (19/19 and 19/−) vs −/− 
     Effect only given stratified by oral contraceptive use 305 vs 312 in non–oral contraceptive users (approximate figures from graphs, exact figures NA) (19/19 and 19/−) vs −/− 
     Test for interaction between genotype and oral contraceptive use P = 0.002   
Vaessen et al. (59) 1990-1993, Rotterdam, the Netherlands. Population-based cohort (myocardial infarction cases) 55 men, 95 women. 50 each of 19/19, 19/−, and −/−, age mean 60.7 y Age <55 or >75 y, medication for non-insulin-dependent diabetes mellitus/hormone conditions CA19: 67.6%. Ethnicity Caucasian. HWE P = 0.76 Age 157.7 vs 128.5 (geometric means) 19/19 vs −/− 
      29.2 (−46.2 to −10.0; P = 0.003) Mean difference 
Allen et al. (62) 1994-1997, Oxford, United Kingdom. European Prospective Investigation into Cancer and Nutrition 660 men, age mean 47 y (range 20-78) Cancer history, certain medications, estimated energy intake <3.1 or >18.4 mJ/d CA19: 64.2%. Ethnicity Caucasian. HWE P = 0.95 Age, body mass index dietary group, smoking, days between blood collection and processing 151.5 (148.5-156.9) vs 150.8 (146.2-155.4) vs 150.0 (140.8-158.5; Plinear trend = 0.66) 19/19 vs 19/− vs −/− 
       Also tested 19/19 and 19/− vs −/− (NS) and repeat length vs serum levels 
Frayling et al. (64) 1997-1999, Barry and Caerphilly, Wales. Adult offspring of mothers in randomized controlled trial of milk token supplementation 342 men, 298 women, age 25 y (all) Insulin-dependent diabetes mellitus CA19: 62.9%. Ethnicity Caucasian. HWE P = 0.99 Age, gender 133.2 (127.2-139.5) vs 143.5 (137.6-149.6) vs 142.8 (133.4-152.5; Plinear trend = 0.01) 19/19 vs 19/− vs −/− 
Giovannucci et al. (65) 1989-Jun 1994, Nurses' Healthy Study cohort (colorectal adenoma cases) 202 cases, 202 controls, age mean NA Family history of colorectal cancer, history of cancer or adenoma CA19: 61.8%. Ethnicity NA. HWE NA Age, month of/fasting status at blood draw, year of (and indications for) endoscopy 168.6 vs 167.7 (P = 0.88), cases and controls combined 19/19 vs (19/− and −/−) 
      168.6 vs 166.4 (P = 0.76) cases and controls combined 19/19 vs 19/20 
      (figures for controls only NA)  
Kim et al. (63) Study period NA, Seoul, Korea. Attending menopause clinic for bone mineral density measurement 229 postmenopausal women, age mean NA (range 45-75 y) Premenopausal, bilateral oophorectomy, hepatic/renal disease, medications affecting bone metabolism CA19: 14.3%. Ethnicity Korean. HWE NA Age, body mass index, years since menopause 140 vs 150 vs 160 (P > 0.05; approximate figures from graphs, exact figures NA) 19/19 vs 19/− vs −/− 
      Higher levels in women with 20/20 genotype (P < 0.005) 20/20 vs 20/− vs −/− 
Missmer et al. (61) 1989-Jun 1994, Nurses' Health Study cohort 418 control women, age mean NA Cancer history CA19: 63.3% (n = 622). Ethnicity all but eight women (cases + controls) Caucasian. HWE NA Age, HRT use, menopausal status, time of/fasting status at blood draw 173 vs 146 (P = 0.005) all women combined 19/19 vs 19/− vs −/− 
     Stratified by fasting status, time of blood draw, HRT use 183 vs 175 vs 155 (P = 0.10) premenopausal women 19/19 vs −/− 
      Values NA (P = 0.78) premenopausal women 19/19 vs 19/− 
DeLellis et al. (66) 1993-1996, Hawaii and Los Angeles, Multiethnic cohort 230 postmenopausal women, age mean NA (range 45-75 y) Cancer history, HRT use in previous 2 wk CA19: African American 40.8%, Japanese American 39.0%, non-Latino White 69.1%, Latino White 64.0%. Genotypes 19/19 vs 19/− vs −/− differed “significantly” between ethnic groups. Ethnicity 65 African American, 50 Japanese American, 47 non-Latino White, 68 Latino White. HWE no evidence for departure (P = NA) Crude and age-adjusted estimates presented African American 150 (106-194) vs 166 (142-190) vs 150 (121-180; P ≥ 0.05) 19/19 vs 19/− vs −/− 
      Japanese American 146 (101-190) vs 148 (130-167) vs 144 (119-169; P > 0.05) 19/19 vs 19/− vs −/− 
      Non-Latino White 146 (125-167) vs 142 (121-162) vs 160 (104-216; P > 0.05) 19/19 vs 19/− vs −/− 
      Latino White 118 (93-142) vs 126 (101-151) vs 149 (107-192; P > 0.05) 19/19 vs 19/− vs −/− 
Kato et al. (57) 1998-1999, Louisiana, Prostate screening program, breast clinic attendees, hospital employees 60 men, age mean NA (range 48-86). 53 women, age mean NA (range 22-73) Diabetes, cancer history, “any other serious condition” CA19: Caucasians 30.4%, African Americans 18.4%. Frequency of 19 allele higher in Caucasian (P = 0.04). Ethnicity 56 Caucasian, 57 African American. HWE tested in all ethnic groups combined (P = 0.219) Age, ethnicity matching to prostate/breast cancer cases: (a) hormone use, age, smoking, log height (African American women); (b) hormone use and age <40 (Caucasian women), (c) log-height, log body mass index (African American men) NA (Caucasian men) African American women 110.8 vs 95.5 (P = 0.35) 19/− vs −/− 
      Caucasian women 88.2 vs 92.3 (P = 0.79) 19/− vs −/− 
      African American men 106.9 vs 94.9 (P = 0.43) 19/− vs −/− 
      Caucasian men 94.8 vs 118.7 (P = 0.091) 19/− vs −/− 
Rietveld et al. (60) 1990-1993, Rotterdam, the Netherlands. Population-based cohort (myocardial infarction cases) 80 men, 88 women, age mean 67.4 y Age <55 or >75 y CA19: 63.7% for random sample. Ethnicity Caucasian. HWE NA Age group to myocardial infarction cases, gender, body mass index 143.8 (134.8-152.8) vs 126.9 (117.9-135.9; P = 0.01). Combined figures for random sample (n = 168) and for those selected on genotype (n = 150) 19/19 vs −/− 
  150 selected on IGF-I genotype (59), age NA
 
Age <55 or >75 y, diabetes, HRT
 
    
IGF-I (intronic STR)        
Arends et al. (70)
 
Study period NA, location NA. Family-based association study comparing transmission of alleles
 
124 children born small for gestational age and their parents, age mean NA Neonatal complications, endocrine and metabolic disorders (children)
 
NA (not population-based). Ethnicity 113 Caucasians, 1 Asian, 1 Indo-Mediterranean, 4 mixed
 
 Showed preferential transmission of 191-bp allele (P = 0.02) and lower IGF-I levels in children with this allele. −1.1 vs −0.5 SD scores (P = 0.03)  
IGF-II (A/G ApaI RFLP in 3′ untranslated region)        
O'Dell et al. (73)
 
Study period NA, Northwick Park, United Kingdom. Northwick Park Heart cohort
 
92 men (48 common, 44 rare homozygotes), age mean NA (range 45-65 y)
 
NA
 
A 0.28, G 0.72. Ethnicity Caucasian. HWE “applied”
 
 614.0 ± 124.0 vs 683.3 ± 146.9 (P = 0.01)
 
GG vs AA
 
IGFBP-3 (A/C single nucleotide polymorphism at nucleotide −202)        
Deal et al. (75) 1982-1995, Physicians' Health Study (colorectal cancer cases) 478 men (cases and controls), age mean NA (range 40-84 y) History of cancer, myocardial infarction, stroke, transient ischemic attack, current liver/renal disease, peptic ulcer, gout, vitamin A use, β-carotene supplement at start of study A 0.46, C 0.54. Ethnicity NA. HWE tested in cases and controls combined R2 for polymorphism was 0.077 3,274 vs 2,753 (SD NA) for controls only AA vs CC 
      3180 vs 3000 vs 2760 in cases and controls combined (approximate figures from graphs, exact figures NA) AA vs AC vs CC 
Jernström et al. (56) Study period NA, Toronto, Canada. Healthy volunteers 311 women, age 25.4 y (range 17-35) Non-Caucasian, ever pregnant, cancer, diabetes, hysterectomy, estrogen non–oral contraceptive use A 0.47, C 0.53. Ethnicity Caucasian. HWE NA  4,390 vs 4,130 vs 3,840 AA vs AC vs CC 
Schernhammer et al. (80) 1989-Jun 1996, Nurses' Health Study cohort (breast cancer cases) 943 women (cases and controls), age mean NA Cancer history A 0.46, C 0.54 in cases and controls combined. Ethnicity NA. HWE tested in cases and controls combined (P > 0.90) Age, menopausal status, HRT use, blood draw details. R2 for polymorphism was 0.06 4,426 (4,291-4,561) vs 4,060 (3,970-4,150) vs 3,697 (3,581-3,813) in cases and controls combined (Plinear trend < 0.001) AA vs AC vs CC 
ReferenceStudy detailsStudy populationExclusion criteriaAllele frequency*Variables matched or adjusted forArithmetic mean* (SE or 95% CI), ng/mLAnalysis
IGF-I (CA 5′ STR)        
Rosen et al. (55) Study period NA, Richmond, VA. Observational study of hormonal determinants of bone mineral density 30 men, age mean 48.0 y Conditions and medications known to affect serum IGF-I or bone density CA19: 59% for all three combined. Ethnicity Caucasian. HWE NA None for main analysis. Some analysis stratified by gender 129 (7) vs 154 (9); P = 0.03 in 59 men and 57 women combined 19/19 vs (19/− and −/−) 
 Study period NA, Maine, randomized controlled trial of calcium supplementation 37 postmenopausal women, age mean 72.3 y    158.6 (9.0) vs 188.8 (8.6); P = 0.02 in men only (n = 89) 19/19 vs (19/− and −/−) 
 Study period NA, location NA. Cardiology referrals 59 men, 20 women, age mean 58.6 y    “No difference” between 19/− and any other genotype  
Jernström et al. (58) Study period NA, Toronto, Canada. Healthy volunteers 311 women, age mean 25.4 y (range 17-35) Non-Caucasian, history of pregnancy/cancer/diabetes, hysterectomy, current estrogen non–oral contraceptive use CA19: Allele frequency or genotypes for entire group NA. From graphs, −/− (n = 26) and “one or two 19” alleles (n = 263; 309 total). Ethnicity Caucasian. HWE NA Age, estrogen dose (in oral contraceptive users) 264 vs 315; P = 0.025 in oral contraceptive users (19/19 and 19/−) vs −/− 
     Effect only given stratified by oral contraceptive use 305 vs 287 in non–oral contraceptive users (approximate figures from graphs, exact figures NA) (19/19 and 19/−) vs −/− 
     Test for interaction between genotype and oral contraceptive use P = 0.04   
Jernström et al. (56) Study period NA, Toronto, Canada. Healthy volunteers 507 women, age mean NA (range, 17-35 y) Mixed ethnicity, history of pregnancy/cancer/diabetes, hysterectomy, current estrogen non–oral contraceptive use CA19: White§ 70.2%, Black 37.8%, Asian 40.8%, Indian/Pakistani 56.0%. Ethnicity 329 White, 78 Black, 71 Asian, 25 Indian/Pakistani. HWE NA Age, estrogen dose (in oral contraceptive users), not ethnicity 266 vs 338; P = 0.00007 in oral contraceptive users (19/19 and 19/−) vs −/− 
     Effect only given stratified by oral contraceptive use 305 vs 312 in non–oral contraceptive users (approximate figures from graphs, exact figures NA) (19/19 and 19/−) vs −/− 
     Test for interaction between genotype and oral contraceptive use P = 0.002   
Vaessen et al. (59) 1990-1993, Rotterdam, the Netherlands. Population-based cohort (myocardial infarction cases) 55 men, 95 women. 50 each of 19/19, 19/−, and −/−, age mean 60.7 y Age <55 or >75 y, medication for non-insulin-dependent diabetes mellitus/hormone conditions CA19: 67.6%. Ethnicity Caucasian. HWE P = 0.76 Age 157.7 vs 128.5 (geometric means) 19/19 vs −/− 
      29.2 (−46.2 to −10.0; P = 0.003) Mean difference 
Allen et al. (62) 1994-1997, Oxford, United Kingdom. European Prospective Investigation into Cancer and Nutrition 660 men, age mean 47 y (range 20-78) Cancer history, certain medications, estimated energy intake <3.1 or >18.4 mJ/d CA19: 64.2%. Ethnicity Caucasian. HWE P = 0.95 Age, body mass index dietary group, smoking, days between blood collection and processing 151.5 (148.5-156.9) vs 150.8 (146.2-155.4) vs 150.0 (140.8-158.5; Plinear trend = 0.66) 19/19 vs 19/− vs −/− 
       Also tested 19/19 and 19/− vs −/− (NS) and repeat length vs serum levels 
Frayling et al. (64) 1997-1999, Barry and Caerphilly, Wales. Adult offspring of mothers in randomized controlled trial of milk token supplementation 342 men, 298 women, age 25 y (all) Insulin-dependent diabetes mellitus CA19: 62.9%. Ethnicity Caucasian. HWE P = 0.99 Age, gender 133.2 (127.2-139.5) vs 143.5 (137.6-149.6) vs 142.8 (133.4-152.5; Plinear trend = 0.01) 19/19 vs 19/− vs −/− 
Giovannucci et al. (65) 1989-Jun 1994, Nurses' Healthy Study cohort (colorectal adenoma cases) 202 cases, 202 controls, age mean NA Family history of colorectal cancer, history of cancer or adenoma CA19: 61.8%. Ethnicity NA. HWE NA Age, month of/fasting status at blood draw, year of (and indications for) endoscopy 168.6 vs 167.7 (P = 0.88), cases and controls combined 19/19 vs (19/− and −/−) 
      168.6 vs 166.4 (P = 0.76) cases and controls combined 19/19 vs 19/20 
      (figures for controls only NA)  
Kim et al. (63) Study period NA, Seoul, Korea. Attending menopause clinic for bone mineral density measurement 229 postmenopausal women, age mean NA (range 45-75 y) Premenopausal, bilateral oophorectomy, hepatic/renal disease, medications affecting bone metabolism CA19: 14.3%. Ethnicity Korean. HWE NA Age, body mass index, years since menopause 140 vs 150 vs 160 (P > 0.05; approximate figures from graphs, exact figures NA) 19/19 vs 19/− vs −/− 
      Higher levels in women with 20/20 genotype (P < 0.005) 20/20 vs 20/− vs −/− 
Missmer et al. (61) 1989-Jun 1994, Nurses' Health Study cohort 418 control women, age mean NA Cancer history CA19: 63.3% (n = 622). Ethnicity all but eight women (cases + controls) Caucasian. HWE NA Age, HRT use, menopausal status, time of/fasting status at blood draw 173 vs 146 (P = 0.005) all women combined 19/19 vs 19/− vs −/− 
     Stratified by fasting status, time of blood draw, HRT use 183 vs 175 vs 155 (P = 0.10) premenopausal women 19/19 vs −/− 
      Values NA (P = 0.78) premenopausal women 19/19 vs 19/− 
DeLellis et al. (66) 1993-1996, Hawaii and Los Angeles, Multiethnic cohort 230 postmenopausal women, age mean NA (range 45-75 y) Cancer history, HRT use in previous 2 wk CA19: African American 40.8%, Japanese American 39.0%, non-Latino White 69.1%, Latino White 64.0%. Genotypes 19/19 vs 19/− vs −/− differed “significantly” between ethnic groups. Ethnicity 65 African American, 50 Japanese American, 47 non-Latino White, 68 Latino White. HWE no evidence for departure (P = NA) Crude and age-adjusted estimates presented African American 150 (106-194) vs 166 (142-190) vs 150 (121-180; P ≥ 0.05) 19/19 vs 19/− vs −/− 
      Japanese American 146 (101-190) vs 148 (130-167) vs 144 (119-169; P > 0.05) 19/19 vs 19/− vs −/− 
      Non-Latino White 146 (125-167) vs 142 (121-162) vs 160 (104-216; P > 0.05) 19/19 vs 19/− vs −/− 
      Latino White 118 (93-142) vs 126 (101-151) vs 149 (107-192; P > 0.05) 19/19 vs 19/− vs −/− 
Kato et al. (57) 1998-1999, Louisiana, Prostate screening program, breast clinic attendees, hospital employees 60 men, age mean NA (range 48-86). 53 women, age mean NA (range 22-73) Diabetes, cancer history, “any other serious condition” CA19: Caucasians 30.4%, African Americans 18.4%. Frequency of 19 allele higher in Caucasian (P = 0.04). Ethnicity 56 Caucasian, 57 African American. HWE tested in all ethnic groups combined (P = 0.219) Age, ethnicity matching to prostate/breast cancer cases: (a) hormone use, age, smoking, log height (African American women); (b) hormone use and age <40 (Caucasian women), (c) log-height, log body mass index (African American men) NA (Caucasian men) African American women 110.8 vs 95.5 (P = 0.35) 19/− vs −/− 
      Caucasian women 88.2 vs 92.3 (P = 0.79) 19/− vs −/− 
      African American men 106.9 vs 94.9 (P = 0.43) 19/− vs −/− 
      Caucasian men 94.8 vs 118.7 (P = 0.091) 19/− vs −/− 
Rietveld et al. (60) 1990-1993, Rotterdam, the Netherlands. Population-based cohort (myocardial infarction cases) 80 men, 88 women, age mean 67.4 y Age <55 or >75 y CA19: 63.7% for random sample. Ethnicity Caucasian. HWE NA Age group to myocardial infarction cases, gender, body mass index 143.8 (134.8-152.8) vs 126.9 (117.9-135.9; P = 0.01). Combined figures for random sample (n = 168) and for those selected on genotype (n = 150) 19/19 vs −/− 
  150 selected on IGF-I genotype (59), age NA
 
Age <55 or >75 y, diabetes, HRT
 
    
IGF-I (intronic STR)        
Arends et al. (70)
 
Study period NA, location NA. Family-based association study comparing transmission of alleles
 
124 children born small for gestational age and their parents, age mean NA Neonatal complications, endocrine and metabolic disorders (children)
 
NA (not population-based). Ethnicity 113 Caucasians, 1 Asian, 1 Indo-Mediterranean, 4 mixed
 
 Showed preferential transmission of 191-bp allele (P = 0.02) and lower IGF-I levels in children with this allele. −1.1 vs −0.5 SD scores (P = 0.03)  
IGF-II (A/G ApaI RFLP in 3′ untranslated region)        
O'Dell et al. (73)
 
Study period NA, Northwick Park, United Kingdom. Northwick Park Heart cohort
 
92 men (48 common, 44 rare homozygotes), age mean NA (range 45-65 y)
 
NA
 
A 0.28, G 0.72. Ethnicity Caucasian. HWE “applied”
 
 614.0 ± 124.0 vs 683.3 ± 146.9 (P = 0.01)
 
GG vs AA
 
IGFBP-3 (A/C single nucleotide polymorphism at nucleotide −202)        
Deal et al. (75) 1982-1995, Physicians' Health Study (colorectal cancer cases) 478 men (cases and controls), age mean NA (range 40-84 y) History of cancer, myocardial infarction, stroke, transient ischemic attack, current liver/renal disease, peptic ulcer, gout, vitamin A use, β-carotene supplement at start of study A 0.46, C 0.54. Ethnicity NA. HWE tested in cases and controls combined R2 for polymorphism was 0.077 3,274 vs 2,753 (SD NA) for controls only AA vs CC 
      3180 vs 3000 vs 2760 in cases and controls combined (approximate figures from graphs, exact figures NA) AA vs AC vs CC 
Jernström et al. (56) Study period NA, Toronto, Canada. Healthy volunteers 311 women, age 25.4 y (range 17-35) Non-Caucasian, ever pregnant, cancer, diabetes, hysterectomy, estrogen non–oral contraceptive use A 0.47, C 0.53. Ethnicity Caucasian. HWE NA  4,390 vs 4,130 vs 3,840 AA vs AC vs CC 
Schernhammer et al. (80) 1989-Jun 1996, Nurses' Health Study cohort (breast cancer cases) 943 women (cases and controls), age mean NA Cancer history A 0.46, C 0.54 in cases and controls combined. Ethnicity NA. HWE tested in cases and controls combined (P > 0.90) Age, menopausal status, HRT use, blood draw details. R2 for polymorphism was 0.06 4,426 (4,291-4,561) vs 4,060 (3,970-4,150) vs 3,697 (3,581-3,813) in cases and controls combined (Plinear trend < 0.001) AA vs AC vs CC 

NOTE: 19/19, homozygous for 19 allele; 19/−, heterozygous for 19 allele; −/−, no copies of 19 allele.

*

Where data are from case-control studies and where possible HWE Ps, allele frequencies and serum measurements for controls only are given unless stated otherwise.

Where serum levels were quoted as nmol/L, we converted to ng/mL by dividing by 0.13 (IGF-I) or 0.035 (IGFBP-3) (DSL product information, DSL-10-5600 and DSL-10-6600).

Crude effect estimates unless stated otherwise.

§

329 White women genotyped, but Table 2 of original article shows results for only 655 alleles.

Kim et al. (63) discuss a discrepancy between the IGF-I nucleotide sequence observed in their Korean women (absence of GA immediately 3′ to the CA microsatellite) compared with the IGF-I sequence in the National Center for Biotechnology Information database Genbank M12659 (presence of GA immediately 3′ to the CA microsatellite). These two (GA) nucleotides are not present in the IGF-I sequence on the human chromosome 12 contig or in the IGF-I nucleotide sequence of two Caucasian subjects (N. Johnson, personal communication.) and possibly reflect an error in the original M12659 sequence.

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