Will targeting insulin growth factor help us or hurt us?: An oncologist's perspective
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Updated: Jun 18, 2026

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Mitchell Kamrava1, David Gius, Giovanna Casagrande
1Molecular Radiation Oncology Section, Radiation Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, United States.
Abstract:
The insulin/insulin growth factor (IGF) pathway is a critical mediator of longevity and aging. Efforts to extend longevity by altering the insulin/IGF pathway may have varying effects on other physiological processes. Reduced insulin/IGF levels may decrease the incidence of certain cancers as well as the risk of developing metastatic disease. However, it may also increase the risk of developing cardiovascular disease as well as cardiovascular related mortality. Pursuing the right insulin/IGF pathway targets will require striking a balance between inhibiting cancer cell development and progression and avoiding damage to tissues under normal insulin/IGF-mediated control. This review will discuss the roles of the insulin/IGF pathway in aging and longevity and the development of cancer cell metastasis and considerations in taking insulin/IGF directed targets to the oncology clinic.
Insights
Altering the insulin/insulin growth factor (IGF) pathway impacts aging and cancer. Balancing IGF pathway targets is crucial to inhibit cancer metastasis while avoiding cardiovascular risks.
Area of Science:
- Endocrinology
- Gerontology
- Oncology
Background:
- The insulin/insulin growth factor (IGF) pathway significantly influences aging and longevity.
- Modulating this pathway has complex physiological effects.
- Understanding these effects is key for therapeutic interventions.
Purpose of the Study:
- To review the role of the insulin/IGF pathway in aging and longevity.
- To examine the pathway's involvement in cancer development and metastasis.
- To discuss considerations for targeting the insulin/IGF pathway in cancer treatment.
Main Methods:
- Literature review of studies on the insulin/IGF pathway.
- Analysis of the pathway's dual role in aging and cancer.
- Discussion of clinical implications for cancer therapy.
Main Results:
- Reduced insulin/IGF signaling may decrease cancer incidence and metastasis.
- Lowered insulin/IGF levels might increase cardiovascular disease risk and mortality.
- Targeting the insulin/IGF pathway requires balancing anti-cancer effects with potential side effects.
Conclusions:
- The insulin/IGF pathway presents a complex target for longevity and cancer treatment.
- Therapeutic strategies must carefully weigh benefits against risks, particularly cardiovascular health.
- Future research should focus on precise targeting to optimize outcomes in the oncology clinic.
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