IGF as a Cause of Breast Cancer:
Insulin like growth factor
GOT IGF-I? Milk is
loaded with a hormone that's been identified as the
key factor in breast cancer's growth.
Insulin like growth factors are mitogens for breast and
prostate epithelial cells,
therefore the inevitable question must be what is the
relationship between cancer of
these organs and the level of IGF-1 in the blood? Does the
stimulation of growth
hormone production induce malignancy? The answer to these
questions are not
known.What is reported in the literature is the following. A
controlled prospective study
of 152 patients with prostatic cancer and controls from the
Physicians Health Study showed that the patients had higher IGF-1 levels tha
the controls (Chan JM et al
Plasma insulin like growth factor 1 and prostate cancer
risk: a prospective study.
Science 1998; 279:563-6). An earlier study of patients from
Athens showed that
increased values of IGF-1 were associated with an increased
risk or prostate cancer,
with some associated evidence of interaction with high
levels of testosterone.
(Mantozoros C.S. et al Insulin like growth factor-1 in
relation to prostate cancer and
benign prostatic hypertrophy Br J Cancer 1997, 76:1115-8).
So far breast cancer studies have yield conflicting data,
other than showing indeed
that invitro IGF-1 is a powerful stimulator, and is indeed
expressed in high levels by
cancer cells. A report from Sweden showed that in
premenopausal women high levels
of IGF-1 in the foliicular phase were significantly
correlated to breast cancer (Olsson,
& Borg A, Reduced testosterone, 17 beta estradiol, sex
hormone binding proteins,
and increased IGF-1 concentration in healthy first degree
relatives to breast cancer
patients, Eur J Cancer Prev. 1997;6:330-40). There is no
doudt that estrogen
theraphy in conjunction with growth hormone stimulation must
be performed with
caution and carefully monitored, with IGF-1, estradiol,
estrone, and estrone
measurements and perhaps mammography.