RT Journal Article T1 Pre-diagnostic circulating insulin-like growth factor-I and bladder cancer risk in the European Prospective Investigation into Cancer and Nutrition. A1 Lin, Crystal A1 Travis, Ruth C A1 Appleby, Paul N A1 Tipper, Sarah A1 Weiderpass, Elisabete A1 Chang-Claude, Jenny A1 Gram, Inger T A1 Kaaks, Rudolf A1 Kiemeney, Lambertus A A1 Ljungberg, Börje A1 Tumino, Rosario A1 Tjønneland, Anne A1 Roswall, Nina A1 Overvad, Kim A1 Boutron-Ruault, Marie-Christine A1 Manciniveri, Francesca Romana A1 Severi, Gianluca A1 Trichopoulou, Antonia A1 Masala, Giovanna A1 Sacerdote, Carlotta A1 Agnoli, Claudia A1 Panico, Salvatore A1 Bueno-de-Mesquita, Bas A1 Peeters, Petra H A1 Salamanca-Fernández, Elena A1 Chirlaque, Maria-Dolores A1 Ardanaz, Eva A1 Dorronsoro, Miren A1 Menéndez, Virginia A1 Luján-Barroso, Leila A1 Liedberg, Fredrik A1 Freisling, Heinz A1 Gunter, Marc A1 Aune, Dagfinn A1 Cross, Amanda J A1 Riboli, Elio A1 Key, Timothy J A1 Perez-Cornago, Aurora K1 EPIC cohort K1 IGF-I K1 bladder cancer K1 prospective K1 urothelial cell carcinoma AB Previous in vitro and case-control studies have found an association between the insulin-like growth factor (IGF)-axis and bladder cancer risk. Circulating concentrations of IGF-I have also been found to be associated with an increased risk of several cancer types; however, the relationship between pre-diagnostic circulating IGF-I concentrations and bladder cancer has never been studied prospectively. We investigated the association of pre-diagnostic plasma concentrations of IGF-I with risk of overall bladder cancer and urothelial cell carcinoma (UCC) in a case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. A total of 843 men and women diagnosed with bladder cancer between 1992 and 2005 were matched with 843 controls by recruitment centre, sex, age at recruitment, date of blood collection, duration of follow-up, time of day and fasting status at blood collection using an incidence density sampling protocol. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using conditional logistic regression with adjustment for smoking status. No association was found between pre-diagnostic circulating IGF-I concentration and overall bladder cancer risk (adjusted OR for highest versus lowest fourth: 0.91, 95% CI: 0.66-1.24, ptrend = 0.40) or UCC (n of cases = 776; 0.91, 0.65-1.26, ptrend = 0.40). There was no significant evidence of heterogeneity in the association of IGF-I with bladder cancer risk by tumour aggressiveness, sex, smoking status, or by time between blood collection and diagnosis (pheterogeneity > 0.05 for all). This first prospective study indicates no evidence of an association between plasma IGF-I concentrations and bladder cancer risk. YR 2018 FD 2018-09-11 LK http://hdl.handle.net/10668/12673 UL http://hdl.handle.net/10668/12673 LA en DS RISalud RD Apr 7, 2025