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Updated: Feb 7, 2026

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Published on: November 12, 2019
Targeting the type 1 insulin-like growth factor receptor as anti-cancer treatment
Erin A Bohula1, Martin P Playford, Valentine M Macaulay
1Cancer Research UK Laboratories, Weatherall Institute of Molecular Medicine, Oxford, UK.
Abstract:
The type 1 insulin-like growth factor receptor (IGF1R) is overexpressed by many tumors, and mediates growth, motility and protection from apoptosis. Inhibition of IGF1R expression or function has been shown to block tumor growth and metastasis, and enhance sensitivity to cytotoxic drugs and irradiation. Thus the IGF1R is a highly promising anti-cancer treatment target. This review describes approaches to target the IGF1R using antibodies, small molecule inhibitors of the IGF1R tyrosine kinase, and molecular agents such as antisense and small interfering RNAs. Problems for the clinical introduction of this approach may include toxicity due to normal tissue IGF1R expression and cross-reactivity with the insulin receptor. The next few years will see clinical trials of IGF1R targeting, which offers genuine potential to inhibit tumor growth and chemoresistance in patients with cancer.
Insights
Targeting the type 1 insulin-like growth factor receptor (IGF1R) shows promise for cancer treatment by blocking tumor growth and enhancing drug sensitivity. Clinical trials are expected soon, offering potential against chemoresistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Type 1 insulin-like growth factor receptor (IGF1R) is overexpressed in many tumors.
- IGF1R signaling drives tumor growth, motility, and apoptosis resistance.
- Inhibiting IGF1R can block tumor progression and metastasis.
Purpose of the Study:
- To review current strategies for targeting IGF1R in cancer therapy.
- To discuss the therapeutic potential of IGF1R inhibition.
- To highlight challenges and future directions for IGF1R-targeted treatments.
Main Methods:
- Review of scientific literature on IGF1R targeting strategies.
- Description of therapeutic agents including antibodies, small molecule inhibitors, antisense, and siRNA.
- Discussion of potential clinical challenges and future clinical trials.
Main Results:
- IGF1R inhibition effectively blocks tumor growth and metastasis.
- Targeting IGF1R enhances sensitivity to chemotherapy and radiation.
- Various molecular and antibody-based approaches are available for IGF1R targeting.
Conclusions:
- IGF1R is a promising therapeutic target for various cancers.
- Clinical trials are anticipated to evaluate IGF1R-targeting agents.
- Potential challenges include normal tissue toxicity and cross-reactivity with the insulin receptor.
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