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Published on: October 27, 2020
IGF-1 and breast cancer
Per Eystein Lønning1, Svein Inge Helle
1Section of Oncology, Institute of Medicine, Haukeland University Hospital, N-5021, Bergen, Norway.
Abstract:
While there have been significant improvements in breast cancer therapy over the last few decades, the fact that metastatic breast cancer remains incurable as well as the finding that adjuvant therapy reduces the breast cancer death hazard ratio by about 30% only underlines the need for novel therapeutic strategies. Currently, there is much interest in 'targeting therapy' for different malignancies. The majority of breast cancers harbour the insulin-like growth factor (IGF)-1 receptor, and IGF-1 has been found to be one of the most potent mitogens to breast cancer cells in vitro. Recent findings that the level of IGF-1 predicts subsequent risk of breast cancer in premenopausal patients further underlines the potential biological importance of this growth factor to the disease. While endocrine treatment with anti-oestrogens as well as progestins have been found to interact with the IGF system in vivo, the extent of these effects on antitumour action remains poorly understood. This paper discusses current strategies and results aiming at targeting IGF-1 as therapy for breast cancer.
Insights
Targeting insulin-like growth factor-1 (IGF-1) offers a promising new strategy for breast cancer therapy. Research explores IGF-1
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Metastatic breast cancer remains incurable despite therapeutic advances.
- Adjuvant therapy offers a 30% reduction in breast cancer mortality, highlighting the need for novel treatments.
- Targeted therapies are gaining prominence in cancer treatment.
Purpose of the Study:
- To discuss current strategies and findings for targeting the insulin-like growth factor (IGF)-1 pathway in breast cancer therapy.
- To evaluate the role of IGF-1 as a potent mitogen and predictor of breast cancer risk.
- To understand the interaction between endocrine treatments and the IGF system in breast cancer.
Main Methods:
- Review of current research on IGF-1 receptor targeting in breast cancer.
- Analysis of in vitro studies on IGF-1's mitogenic effects on breast cancer cells.
- Examination of in vivo studies investigating endocrine treatments and IGF system interactions.
Main Results:
- The insulin-like growth factor (IGF)-1 receptor is present in most breast cancers.
- IGF-1 is a potent mitogen for breast cancer cells in vitro.
- IGF-1 levels predict breast cancer risk in premenopausal patients.
Conclusions:
- Targeting the IGF-1 pathway represents a potential therapeutic strategy for breast cancer.
- Further research is needed to fully understand the impact of endocrine therapies on the IGF system and anti-tumorigenic effects.
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