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First published online on August 24, 2006
Endocrine Reviews, doi:10.1210/er.2006-0001
Endocrine Reviews, doi:10.1210/er.2006-0001
Endocrine Reviews 0 (2006): 200600011-
Copyright © 2006 by The Endocrine Society
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The role of the IGF system in cancer growth and metastasis: overview and recent insights

Amir Abbas Samani, Shoshana Yakar, Derek LeRoith, and Pnina Brodt*

Department of Medicine, Surgery and Oncology, McGill University Health Centre, Royal Victoria Hospital and the Division of Endocrinology, Mount Sinai School of Medicine, New-York, NY

* To whom correspondence should be addressed. E-mail: pnina.brodt{at}muhc.mcgill.ca.

IGF-I receptor signaling and functions are mediated through the activities of a complex molecular network of positive (e.g. the type of insulin like growth factor, IGF-I) and negative (e.g. the type II insulin like growth factor receptor, IGF-IIR) effectors. Under normal physiological conditions, the balance between the expression and activities of these molecules is tightly controlled. Changes in this delicate balance (e.g. overexpression of one effector) may trigger a cascade of molecular events that can ultimately lead to malignancy. In recent years, evidence has been mounting that the IGF axis may be involved in human cancer progression and can be targeted for therapeutic intervention. Here we review old and more recent evidence on the role the IGF system in malignancy and highlight experimental and clinical studies that provide novel insights into the complex mechanisms that contribute to its oncogenic potential. Controversies arising from conflicting evidence on the relevance of IGF-IR and its ligands to human cancer are discussed. Our review highlights the importance of viewing the IGF axis as a complex multi-factorial system and shows that changes in the expression levels of any one component of the axis, in a given malignancy, should be interpreted with caution and viewed in a wider context that takes into account the expression levels, state of activation, accessibility and functionality of other interacting components. As IGF targeting for anti-cancer therapy is rapidly becoming a clinical reality, an understanding of this complexity is timely because it is likely to have an impact on the design, mode of action, and clinical outcomes of newly developed drugs.


Key words: IGF • IGF-IR • Signaling • Cancer • Metastasis • Animal models




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