Obesity and high C-peptide levels predict worse outcome in men with prostate cancer

2009 ◽  
Vol 6 (2) ◽  
pp. 61-61
Keyword(s):  

2018 ◽  
Vol 27 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Grace Y. Kiyabu ◽  
Norie Sawada ◽  
Motoki Iwasaki ◽  
Taiki Yamaji ◽  
Taichi Shimazu ◽  
...  


2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 153-153 ◽  
Author(s):  
J. P. Dean ◽  
R. B. Montgomery ◽  
J. Wan ◽  
P. Cohen ◽  
K. Haugk ◽  
...  

153 Background: IMC-A12 (cixutumumab) is a fully human monoclonal antibody which targets the insulin-like growth factor receptor 1. Preclinical data suggests that the combination of androgen deprivation and IMC-A12 is much more effective than either treatment alone. This clinical trial tests the effectiveness of the combined treatment in a neoadjuvant fashion before radical prostatectomy. We have assayed serum samples from the first 18 patients to identify signs of on-target activity in this setting. Methods: Eligible men with high risk localized prostate cancer are defined by one of the following: Gleason score ≥ 8, PSA ≥ 20, Clinical Stage T2c-T3, or a risk for relapse exceeding 50% as defined by the Kattan nomogram. Men are treated for 3 months with goserelin, bicalutamide, and biweekly IMC-A12 infusions (10 mg/kg). The primary objective of the trial is to determine the rate of pathological complete response with an accrual goal of 28 men. Using samples from the first 18 patients on study, serum protein markers were assayed by ELISA and serum PSA and glucose levels were determined by clinical laboratory analysis. Results: Significant increases in c-peptide (1.7-fold, p<0.01), IGF-I (4.1-fold, p<0.01), IGF-II (1.32-fold, p<0.001), IGFBP-3 (1.9-fold, p<0.01), growth hormone (8-fold, p<0.01) were noted after initiation of ADT+IMC-A12, compared to pre-treatment levels. Non-significant increases of insulin (1.9-fold), IGFBP-1 (2-fold), and glucose (1.24-fold) levels were seen. Stratification of patients by nadir PSA levels correlated with residual tumor volume, likelihood of positive surgical margins and likelihood of lymph node metastases. Interestingly, patients with lower nadir PSA levels had smaller increases in c-peptide (50%, p<0.01), insulin (66%, p<0.02) and blood sugar (21%, P<0.01) compared to the patients with higher nadir PSA levels. Conclusions: Combined with ADT in the neoadjuvant setting, IMC-A12 effectively targets the IGF-1R axis in prostate cancer patients. Metabolic differences between patients may alter the efficacy of IMC-A12 in this setting. [Table: see text]



2007 ◽  
Vol 16 (10) ◽  
pp. 2164-2165 ◽  
Author(s):  
Marilyn J. Borugian ◽  
John J. Spinelli ◽  
Zheng Sun ◽  
Laurence N. Kolonel ◽  
Ingrid Oakley-Girvan ◽  
...  
Keyword(s):  






2014 ◽  
Vol 25 (5) ◽  
pp. 625-632 ◽  
Author(s):  
Gabriel Y. Lai ◽  
Edward L. Giovannucci ◽  
Michael N. Pollak ◽  
Sarah B. Peskoe ◽  
Meir J. Stampfer ◽  
...  


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e17561-e17561
Author(s):  
Desmond Aroke ◽  
Edmund Folefac ◽  
Qi Jin ◽  
Ni Shi ◽  
Steven K. Clinton ◽  
...  

e17561 Background: Prostate cancer (PCa) is common in countries with affluent dietary patterns and represents a heterogeneous collection of subtypes with varying behavior. Reductionist strategies focusing on individual nutrients or foods have not clearly defined risk factors. We have developed mechanisms-based dietary patterns focusing upon inflammation and chronic insulin hypersecretion, processes that are hypothesized to impact prostate carcinogenesis. Methods: First, we examined associations of the empirical dietary index for hyperinsulinemia (EDIH) and empirical dietary inflammatory pattern (EDIP) scores with circulating concentrations of relevant biomarkers, to assess the validity of these two dietary patterns. Secondly, we investigated associations of the EDIH and EDIP with risk of PCa (total, low-grade, high-grade, advanced and lethal). EDIH and EDIP dietary scores calculated from food frequency questionnaire data for 3,517 men and women who provided a blood sample at enrollment, were used to validate dietary patterns against known relevant biomarkers. A separate sample of 49,317 men was used to evaluate the associations of EDIH and EDIP with prostate cancer risk. We used multivariable-adjusted linear regression to compute the percent change and 95% confidence intervals (95%CI) in biomarker concentrations, and Cox regression to estimate hazard ratios (HR) and 95%CI for PCa risk; in dietary score quintiles, using the lowest quintile as reference. Results: Compared to the lowest quintile, participants in the highest EDIH quintile (most hyperinsulinemic diets) had significantly higher concentrations of C-peptide, insulin, CRP, and TNF-R2 and lower adiponectin. Those consuming the most pro-inflammatory diets (EDIP) had significantly higher concentrations of IL-6, TNF-R2, C-peptide and insulin with lower adiponectin. Men classified in EDIH quintile 5 compared to 1, were also at higher total PCa risk: HR, 1.11; 95%CI, 1.01, 1.23; P-trend = 0.03, especially high-grade cancer: HR, 1.18; 95%CI, 1.02, 1.37; P-trend = 0.06; whereas the EDIP was not associated with risk. Conclusions: EDIH and EDIP predicted concentrations of biomarkers relevant to the insulinemic and inflammatory potential of diet in PLCO. EDIH predicted future PCa risk and may suggest a dietary pattern for PCa prevention.



Medicine ◽  
2018 ◽  
Vol 97 (31) ◽  
pp. e11771
Author(s):  
Zhen-Lang Guo ◽  
Xiang-Tao Weng ◽  
Franky-Leung Chan ◽  
Lei-Liang Gong ◽  
Song-Tao Xiang ◽  
...  


2010 ◽  
Vol 3 (10) ◽  
pp. 1334-1341 ◽  
Author(s):  
Gabriel Y. Lai ◽  
Kathy J. Helzlsouer ◽  
Sandra L. Clipp ◽  
Nader Rifai ◽  
Elizabeth A. Platz


Sign in / Sign up

Export Citation Format

Share Document