Effects of protein restriction on insulin-like growth factor (IGF)-1 in men with prostate cancer: results from a

Maria L Cagigas1, Giovanni Fiorito2,3, Beatrice Bertozzi4

  • 1Faculty of Medicine and Health, Charles Perkins Center, University of Sydney, Camperdown, Australia.

Biomarker Research
|July 22, 2024
PubMed
Abstract

Insights

An isocaloric protein-restricted diet did not lower insulin-like growth factor-1 (IGF-1) or increase IGF binding proteins in men with prostate cancer. Further research is needed for effective dietary interventions.

Area of Science:

  • Oncology
  • Endocrinology
  • Nutritional Science

Background:

  • Insulin-like growth factor-1 (IGF-1) and its binding proteins are implicated in prostate cancer progression.
  • Observational studies suggest protein restriction may lower IGF-1 levels.
  • The effect of isocaloric protein restriction on IGF-1 and IGFBPs in prostate cancer patients remains unclear.

Discussion:

  • This randomized trial investigated the impact of a 4-6 week isocaloric protein-restricted diet on serum IGF-1 and IGF binding proteins (IGFBP-1, IGFBP-3) in men with localized prostate cancer.
  • The study randomized 38 overweight men to either a protein-restricted diet or their usual diet, measuring biomarkers longitudinally.
  • Contrary to the hypothesis, the protein-restricted diet did not significantly reduce IGF-1 or increase IGFBP-1/IGFBP-3.

Key Insights:

  • Isocaloric protein restriction, without calorie restriction, does not significantly alter serum IGF-1 levels in men with localized prostate cancer.
  • The intervention did not lead to an increase in serum IGFBP-1 or IGFBP-3 concentrations.
  • These findings challenge the direct efficacy of this specific dietary approach for modulating IGF-1 in this patient population.

Outlook:

  • Further research is necessary to explore alternative dietary strategies for reducing IGF-1 in prostate cancer patients.
  • Investigating the role of calorie restriction in conjunction with protein restriction may yield different results.
  • Identifying safe and effective dietary interventions remains a critical goal for managing prostate cancer biology.

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