Associations of genetically predicted circulating insulin‐like growth factor‐1 and insulin‐like growth factor binding protein‐3 with bladder cancer risk

Insulin‐like growth factors (IGF) play important roles in carcinogenesis. The associations of circulating IGF‐1 and insulin‐like growth factor‐binding protein‐3 (IGFBP‐3) with the risks of bladder cancer remain unclear. In this large case control study of 2011 bladder cancer cases and 2369 heathy co...

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Veröffentlicht in:Molecular carcinogenesis 2021-11, Vol.60 (11), p.726-733
Hauptverfasser: Tsai, Chia‐Wen, Chang, Wen‐Shin, Xu, Yifan, Huang, Maosheng, Bau, Da‐Tian, Gu, Jian
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container_end_page 733
container_issue 11
container_start_page 726
container_title Molecular carcinogenesis
container_volume 60
creator Tsai, Chia‐Wen
Chang, Wen‐Shin
Xu, Yifan
Huang, Maosheng
Bau, Da‐Tian
Gu, Jian
description Insulin‐like growth factors (IGF) play important roles in carcinogenesis. The associations of circulating IGF‐1 and insulin‐like growth factor‐binding protein‐3 (IGFBP‐3) with the risks of bladder cancer remain unclear. In this large case control study of 2011 bladder cancer cases and 2369 heathy controls, we assessed the associations of circulating IGF‐1 and IGFBP‐3 with bladder cancer risks using a Mendelian randomization approach, which uses genetic variants as instruments to study causal relationship between risk factors and diseases. We first constructed a weighted genetic risk score (GRS) predictive of circulating IGF‐1 and IGFBP‐3 using 413 genome‐wide association study‐identified single nucleotide polymorphisms (SNPs) associated with IGF‐1 and four SNPs with IGFBP‐3, respectively. We found that higher GRS for IGF‐1 was associated with a significantly reduced bladder cancer risk (odds ratio [OR] = 0.66 per SD increase, 95% confidence interval [CI], 0.54–0.82, p 
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The associations of circulating IGF‐1 and insulin‐like growth factor‐binding protein‐3 (IGFBP‐3) with the risks of bladder cancer remain unclear. In this large case control study of 2011 bladder cancer cases and 2369 heathy controls, we assessed the associations of circulating IGF‐1 and IGFBP‐3 with bladder cancer risks using a Mendelian randomization approach, which uses genetic variants as instruments to study causal relationship between risk factors and diseases. We first constructed a weighted genetic risk score (GRS) predictive of circulating IGF‐1 and IGFBP‐3 using 413 genome‐wide association study‐identified single nucleotide polymorphisms (SNPs) associated with IGF‐1 and four SNPs with IGFBP‐3, respectively. We found that higher GRS for IGF‐1 was associated with a significantly reduced bladder cancer risk (odds ratio [OR] = 0.66 per SD increase, 95% confidence interval [CI], 0.54–0.82, p &lt; 0.001). We then used a summary statistics‐based MR method, inverse‐variance weighting (IVW), and found a similar risk estimate (OR = 0.67 per SD increase, 95% CI = 0.54–0.83, p &lt; 0.001). When we categorized individuals into high and low IGF‐1 groups using the median GRS value in the controls, the high GRS group had a 21% reduced bladder cancer risk (OR = 0.79, 95% CI = 0.70–0.89) compared to the low GRS group. Genetically predicted circulating IGFBP‐3 was not associated with bladder cancer risk. 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The associations of circulating IGF‐1 and insulin‐like growth factor‐binding protein‐3 (IGFBP‐3) with the risks of bladder cancer remain unclear. In this large case control study of 2011 bladder cancer cases and 2369 heathy controls, we assessed the associations of circulating IGF‐1 and IGFBP‐3 with bladder cancer risks using a Mendelian randomization approach, which uses genetic variants as instruments to study causal relationship between risk factors and diseases. We first constructed a weighted genetic risk score (GRS) predictive of circulating IGF‐1 and IGFBP‐3 using 413 genome‐wide association study‐identified single nucleotide polymorphisms (SNPs) associated with IGF‐1 and four SNPs with IGFBP‐3, respectively. We found that higher GRS for IGF‐1 was associated with a significantly reduced bladder cancer risk (odds ratio [OR] = 0.66 per SD increase, 95% confidence interval [CI], 0.54–0.82, p &lt; 0.001). We then used a summary statistics‐based MR method, inverse‐variance weighting (IVW), and found a similar risk estimate (OR = 0.67 per SD increase, 95% CI = 0.54–0.83, p &lt; 0.001). When we categorized individuals into high and low IGF‐1 groups using the median GRS value in the controls, the high GRS group had a 21% reduced bladder cancer risk (OR = 0.79, 95% CI = 0.70–0.89) compared to the low GRS group. Genetically predicted circulating IGFBP‐3 was not associated with bladder cancer risk. 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The associations of circulating IGF‐1 and insulin‐like growth factor‐binding protein‐3 (IGFBP‐3) with the risks of bladder cancer remain unclear. In this large case control study of 2011 bladder cancer cases and 2369 heathy controls, we assessed the associations of circulating IGF‐1 and IGFBP‐3 with bladder cancer risks using a Mendelian randomization approach, which uses genetic variants as instruments to study causal relationship between risk factors and diseases. We first constructed a weighted genetic risk score (GRS) predictive of circulating IGF‐1 and IGFBP‐3 using 413 genome‐wide association study‐identified single nucleotide polymorphisms (SNPs) associated with IGF‐1 and four SNPs with IGFBP‐3, respectively. We found that higher GRS for IGF‐1 was associated with a significantly reduced bladder cancer risk (odds ratio [OR] = 0.66 per SD increase, 95% confidence interval [CI], 0.54–0.82, p &lt; 0.001). We then used a summary statistics‐based MR method, inverse‐variance weighting (IVW), and found a similar risk estimate (OR = 0.67 per SD increase, 95% CI = 0.54–0.83, p &lt; 0.001). When we categorized individuals into high and low IGF‐1 groups using the median GRS value in the controls, the high GRS group had a 21% reduced bladder cancer risk (OR = 0.79, 95% CI = 0.70–0.89) compared to the low GRS group. Genetically predicted circulating IGFBP‐3 was not associated with bladder cancer risk. In conclusion, our data demonstrated for the first time a strong inverse relationship between circulating IGF‐1 level and bladder cancer risk.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34293213</pmid><doi>10.1002/mc.23334</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3499-0973</orcidid></addata></record>
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subjects Aged
Bladder cancer
Cancer
Carcinogenesis
Case-Control Studies
Female
Genetic Association Studies
Genetic diversity
Genetic Predisposition to Disease
genetic risk score
Genome-wide association studies
Genome-Wide Association Study
Genomes
Growth factors
Humans
IGF‐1
Insulin
Insulin-Like Growth Factor Binding Protein 3 - blood
Insulin-Like Growth Factor Binding Protein 3 - genetics
Insulin-Like Growth Factor I - genetics
Insulin-Like Growth Factor I - metabolism
Insulin-like growth factors
Male
Mendelian randomization
Mendelian Randomization Analysis - methods
Middle Aged
Polymorphism, Single Nucleotide
Risk factors
Single-nucleotide polymorphism
SNP
Urinary Bladder Neoplasms - blood
Urinary Bladder Neoplasms - genetics
title Associations of genetically predicted circulating insulin‐like growth factor‐1 and insulin‐like growth factor binding protein‐3 with bladder cancer risk
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