Related Experiment Video
Updated: May 28, 2026

Ex Vivo Culture of Circulating Tumor Cells in the Cerebral Spinal Fluid from Melanoma Patients to Study Melanoma-Associated Leptomeningeal Disease
Published on: March 29, 2024
Insulin-like growth factor receptor expression is associated with aggressive phenotypes and has therapeutic activity
Hirokazu Ohashi1, Yasushi Adachi, Hiroyuki Yamamoto
1First Department of Internal Medicine, Sapporo Medical University, Sapporo, Japan.
Abstract:
Insulin-like growth factor (IGF)-I receptor (IGF-IR) signaling is required for carcinogenicity and progression of several cancers but the function of this pathway and its utility as a therapeutic target have not been studied comprehensively in biliary tract carcinomas (BTC). We investigated the immunohistochemical expression of elements of the IGF axis, matrilysin, overexpression of p53 and the methylation status of the IGFBP-3 promoter in 80 surgically resected BTC. We also assessed the effect of IGF-IR blockade on signal transduction, proliferation and survival in three BTC cell lines using a new tyrosine kinase inhibitor, BMS-536924, and dominant negative IGF-IR (IGF-IR/dn). The effects of IGF-IR blockade was also studied in nude mouse xenograft models. IGF-I was expressed in 60% and IGF-II in 50% of tumors. High expression was associated with tumor size. IGF-IR was expressed in 69% of the cases and was associated with advanced stage and matrilysin expression. Hypermethylation of the IGFBP-3 promoter was detected in 41% of BTC and was inversely correlated with p53 expression. BMS-536924 blocked autophosphorylation of IGF-IR and both Akt and ERK activation by both IGF-I and insulin. BMS-536924 suppressed proliferation and tumorigenicity in vitro in a dose-dependent fashion. This inhibitor upregulated chemotherapy-induced apoptosis in a dose-dependent fashion. Moreover, IGF-IR blockade was effective against tumors in mice. IGF-IR might identify a subset of BTC with a particularly aggressive phenotype and is a candidate therapeutic target in this disease. BMS-536924 might have significant therapeutic utility.
Insights
Targeting the Insulin-like Growth Factor I Receptor (IGF-IR) pathway shows promise for treating biliary tract carcinomas (BTC). Blocking IGF-IR effectively reduced tumor growth and increased chemotherapy sensitivity in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Insulin-like Growth Factor I Receptor (IGF-IR) signaling is crucial for various cancer progressions.
- Its role in biliary tract carcinomas (BTC) and therapeutic potential remain underexplored.
Purpose of the Study:
- To investigate the expression of IGF axis components in BTC.
- To evaluate the efficacy of IGF-IR blockade as a therapeutic strategy in BTC models.
Main Methods:
- Immunohistochemical analysis of IGF axis elements, matrilysin, p53, and IGFBP-3 promoter methylation in 80 BTC samples.
- In vitro studies using BTC cell lines treated with IGF-IR inhibitor BMS-536924 or IGF-IR/dn.
- In vivo efficacy assessment in nude mouse xenograft models.
Main Results:
- IGF-IR expression was observed in 69% of BTC, correlating with advanced stage and matrilysin.
- BMS-536924 effectively inhibited IGF-IR signaling, suppressed proliferation, and enhanced chemotherapy-induced apoptosis in vitro.
- IGF-IR blockade demonstrated significant anti-tumor activity in vivo.
Conclusions:
- IGF-IR is a potential biomarker for aggressive BTC and a viable therapeutic target.
- The IGF-IR inhibitor BMS-536924 shows significant therapeutic promise for BTC treatment.
Related Concept Videos
Mitogens and the Cell Cycle
Insulin: The Receptor and Signaling Pathways
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
PI3K/mTOR/AKT Signaling Pathway
