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Defining the pathway to insulin-like growth factor system targeting in cancer
Steven A Rosenzweig1, Hanudatta S Atreya
1Department of Cell and Molecular Pharmacology & Experimental Therapeutics and Hollings Cancer Center, Medical University of South Carolina, 173 Ashley Avenue, PO Box 250505, Charleston, SC 29425-5050, USA. rosenzsa@musc.edu
Abstract:
The insulin-like growth factors (IGFs; IGF-1 and IGF-2) play central roles in cell growth, differentiation, survival, transformation and metastasis. The biologic effects of the IGFs are mediated by the IGF-1 receptor (IGF-1R), a receptor tyrosine kinase with homology to the insulin receptor (IR). Dysregulation of the IGF system is well recognized as a key contributor to the progression of multiple cancers, with IGF-1R activation increasing the tumorigenic potential of breast, prostate, lung, colon and head and neck squamous cell carcinoma (HNSCC). Despite this relationship, targeting the IGF-1R has only recently undergone development as a molecular cancer therapeutic. As it has taken hold, we are witnessing a robust increase and interest in targeting the inhibition of IGF-1R signaling. This is accentuated by the list of over 30 drugs, including monoclonal antibodies (mAbs) and tyrosine kinase inhibitors (TKIs) that are under evaluation as single agents or in combination therapies. The IGF-binding proteins (IGFBPs) represent the third component of the IGF system consisting of a class of six soluble secretory proteins. They represent a unique class of naturally occurring IGF-antagonists that bind to and sequester IGF-1 and IGF-2, inhibiting their access to the IGF-1R. Due to their dual targeting of the IGFs without affecting insulin action, the IGFBPs are an untapped "third" class of IGF-1R inhibitors. In this commentary, we highlight some of the significant aspects of and prospects for targeting the IGF-1R and describe what the future may hold.
Insights
Targeting the insulin-like growth factor-1 receptor (IGF-1R) is a promising cancer therapy. IGF-binding proteins (IGFBPs) offer a novel approach to inhibit IGF-1R signaling, distinct from current drug development.
Area of Science:
- Molecular oncology and cancer therapeutics
- Endocrinology and growth factor signaling
Background:
- Insulin-like growth factors (IGFs), including IGF-1 and IGF-2, are crucial for cell growth, differentiation, survival, and metastasis.
- The IGF-1 receptor (IGF-1R) mediates the biological effects of IGFs and its dysregulation is implicated in various cancers.
- IGF-1R activation enhances tumorigenic potential in breast, prostate, lung, colon, and head and neck squamous cell carcinoma (HNSCC).
Purpose of the Study:
- To review the current landscape and future prospects of targeting the IGF-1 receptor (IGF-1R) as a cancer therapeutic.
- To highlight IGF-binding proteins (IGFBPs) as a novel class of IGF-1R inhibitors.
Main Methods:
- Review of existing literature and ongoing clinical trials evaluating IGF-1R inhibitors.
- Analysis of the role of IGF-binding proteins (IGFBPs) as natural antagonists of IGF signaling.
Main Results:
- Over 30 drugs, including monoclonal antibodies (mAbs) and tyrosine kinase inhibitors (TKIs), are under investigation for targeting IGF-1R.
- IGF-binding proteins (IGFBPs) act as natural inhibitors by sequestering IGFs, thereby blocking IGF-1R activation.
- IGFBPs offer a unique therapeutic strategy by targeting IGFs without affecting insulin signaling.
Conclusions:
- Targeting IGF-1R signaling is an emerging and increasingly important strategy in cancer therapy.
- IGF-binding proteins (IGFBPs) represent an underexplored class of IGF-1R inhibitors with potential therapeutic applications.
- Further research into IGFBPs may unlock new avenues for cancer treatment.
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