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Insulin Associated With Pancreatic Cancer
Reported December 14, 2005
(Ivanhoe Newswire) -- A new study reveals higher
insulin concentrations and insulin resistance is associated with an
increased risk of pancreatic cancer in men.
Type 2 diabetes and glucose intolerance are considered risk factors for
pancreatic cancer, although it has not been determined why. Researchers
believe type 2 diabetes may be linked to pancreatic cancer through the
growth-regulatory effects of insulin.
Experimental studies show insulin has growth-promoting effects on pancreatic
cancer cells. Patients with type 2 diabetes are known to exhibit
hyperinsulinemia, a condition in which insulin levels in the blood are
higher than normal, during early stages of their disease. Researchers
believe the condition increases their risk for pancreatic cancer.
A new study lead by Rachael Z. Stolzenberg-Solomon, Ph.D., of the National
Cancer Institute, Department of Health and Human Services in Rockville, Md.,
examines whether fasting serum insulin and glucose concentrations are
associated with risk for incident pancreatic cancer.
The study consisted of nearly 30,000 male smokers between ages 50 and 69,
400 randomly sampeled control participiants, and 169 incident pancreatic
cancer cases. Researchers followed participants for nearly 17 years. They
found after adjustment for age, years smoked, and body mass index, higher
concentrations of glucose, insulin, and insulin resistance tended to show
positive dose-response associations with pancreatic cancer.
The results support the hypothesis that higher insulin concentrations and
insulin resistance may be a mechanism that explains the associations between
diabetes , higher glucose concentration, and pancreatic cancer observed in
previous studies.
Researchers say, although based solely on male smokers, the findings for
glucose and biochemical-defined diabetes are consistent with previous
studies conducted in diverse populations that have included women and
nonsmokers.
Researchers hope this study will have important implications for nutrition
and treatment-related cancer preventive strategies that modify or interfere
with the insulin resistance pathway to help decrease the burden of
pancreatic cancer.
SOURCE: The Journal of American Medical Association, 2005:294;2872-2878
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