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Agreement between circulating IGF-I, IGFBP-1 and IGFBP-3 levels measured by current assays versus unavailable assays previously used in epidemiological studies.

TitleAgreement between circulating IGF-I, IGFBP-1 and IGFBP-3 levels measured by current assays versus unavailable assays previously used in epidemiological studies.
Publication TypeJournal Article
Year of Publication2016
AuthorsAneke-Nash, CS, Dominguez-Islas, C, Bůzková, P, Qi, Q, Xue, XN, Pollak, M, Strickler, HD, Kaplan, RC
JournalGrowth Horm IGF Res
Volume26
Pagination11-6
Date Published2016 Feb
ISSN1532-2238
Abstract<p><b>OBJECTIVE: </b>Levels of insulin-like growth factor (IGF) proteins are associated with the risk of cancer and mortality. IGF assays produced by Diagnostic Systems Laboratories (DSL) were widely used in epidemiological studies, were not calibrated against recommended standards and are no longer commercially available.</p><p><b>DESIGN: </b>In a split sample study among 1471 adults participating in the Cardiovascular Health Study, we compared values obtained using DSL assays with alternative assays for serum IGF-I (Immunodiagnostic Systems, IDS), IGFBP-1 (American Laboratory Products Company, ALPCO) and IGFBP-3 (IDS).</p><p><b>RESULTS: </b>Results were compared using kernel density estimation plots, quartile analysis with weighted kappa statistics and linear regression models to assess the concordance of data from the different assays. Participants had a mean age of 77years. Results between alternative assays were strongly correlated (IGF-I, r=0.93 for DSL versus IDS; log-IGFBP-1, r=0.90 for DSL versus ALPCO; IGFBP-3, r=0.92 for DSL versus IDS). Cross tabulations showed that participants were usually in the same quartile categories regardless of the assay used (overall agreement, 74% for IGF-I, 64% for IGFBP-1, 71% for IGFBP-3). Weighted kappa also showed substantial agreement between assays (kw, 0.78 for IGF-I, 0.69 for IGFBP-1, 0.76 for IGFBP-3). Regressions of levels obtained with DSL assays (denoted X) to alternative assays were, IGF-I: 0.52X+15.2ng/ml, log-IGFBP-1: 1.01X-1.73ng/ml IGFBP-3: 0.87X+791.1ng/ml. Serum values of IGF-I, IGFBP-1 and IGFBP-3 measured using alternative assays are moderately correlated.</p><p><b>CONCLUSIONS: </b>Care is needed in the interpretation of data sets involving IGF analytes if assay methodologies are not uniform.</p>
DOI10.1016/j.ghir.2015.12.007
Alternate JournalGrowth Horm. IGF Res.
PubMed ID26774400
PubMed Central IDPMC4724357
Grant ListAG023629 / AG / NIA NIH HHS / United States
HHSN268201200036C / / PHS HHS / United States
HL080295 / HL / NHLBI NIH HHS / United States
K01 HL129892 / HL / NHLBI NIH HHS / United States
KL2TR000088 / TR / NCATS NIH HHS / United States
N01 HC55222 / HC / NHLBI NIH HHS / United States
N01HC85079 / HC / NHLBI NIH HHS / United States
N01HC85080 / HC / NHLBI NIH HHS / United States
N01HC85081 / HC / NHLBI NIH HHS / United States
N01HC85082 / HC / NHLBI NIH HHS / United States
N01HC85083 / HC / NHLBI NIH HHS / United States
N01HC85086 / HC / NHLBI NIH HHS / United States
N01HC85239 / HC / NHLBI NIH HHS / United States
P30 CA013330 / CA / NCI NIH HHS / United States
P30 DK041296 / DK / NIDDK NIH HHS / United States
R01 AG031890 / AG / NIA NIH HHS / United States
T32 GM007288 / GM / NIGMS NIH HHS / United States
T32-GM007288 / GM / NIGMS NIH HHS / United States
TL1 TR001072 / TR / NCATS NIH HHS / United States
TL1RR000087 / RR / NCRR NIH HHS / United States
UL1TR000086 / TR / NCATS NIH HHS / United States