Related Experiment Video
Updated: May 25, 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
Targeting the insulin-like growth factor 1 receptor (IGF1R) signaling pathway for cancer therapy
Cristina E Tognon1, Poul H B Sorensen
1British Columbia Cancer Research Centre , Department of Molecular Oncology, Vancouver, British Columbia, Canada.
Introduction:
The IGF system controls growth, differentiation, and development at the cellular, organ and organismal levels. IGF1 receptor (IGF1R) signaling is dysregulated in many cancers. Numerous clinical trials are currently assessing therapies that inhibit either growth factor binding or IGF1R itself. Therapeutic benefit, often in the form of stable disease, has been reported for many different cancer types.
Areas Covered:
Canonical IGF signaling and non-canonical pathways involved in carcinogenesis. Three recent insights into IGF1R signaling, namely hybrid receptor formation with insulin receptor (INSR), insulin receptor substrate 1 nuclear translocation, and evidence for IGF1R/INSR as dependence receptors. Different approaches to targeting IGF1R and mechanisms of acquired resistance. Possible mechanisms by which IGF1R signaling supports carcinogenesis and specific examples in different human tumors.
Expert Opinion:
Pre-clinical data justifies IGF1R as a target and early clinical trials have shown modest efficacy in selected tumor types. Future work will focus upon assessing the usefulness or disadvantages of simultaneously targeting the IGF1R and INSR, biomarker development to identify potentially responsive patients, and the use of IGF1R inhibitors in combination therapies or as an adjunct to conventional chemotherapy.
Insights
Targeting the Insulin-like Growth Factor 1 Receptor (IGF1R) shows promise in cancer therapy. Early trials indicate modest efficacy, with ongoing research exploring combination therapies and patient selection for improved outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- The Insulin-like Growth Factor (IGF) system regulates growth and development.
- Dysregulated IGF1 receptor (IGF1R) signaling is implicated in numerous cancers.
- IGF1R inhibition is a focus of current cancer therapy trials.
Purpose of the Study:
- To review canonical and non-canonical IGF1R signaling pathways in carcinogenesis.
- To discuss novel insights into IGF1R signaling, including hybrid receptor formation and nuclear translocation.
- To explore strategies for targeting IGF1R and overcoming resistance.
Main Methods:
- Review of IGF signaling pathways in cancer.
- Analysis of recent findings on IGF1R and Insulin Receptor (INSR) interactions.
- Examination of therapeutic approaches and resistance mechanisms.
Main Results:
- Pre-clinical studies support IGF1R as a viable cancer target.
- Early clinical trials demonstrate modest therapeutic benefits in specific cancer types.
- IGF1R signaling contributes to carcinogenesis through various mechanisms.
Conclusions:
- Further research is needed on dual IGF1R/INSR targeting.
- Biomarker development is crucial for identifying responsive patients.
- Combination therapies involving IGF1R inhibitors show potential.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Mitogens and the Cell Cycle
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Insulin: The Receptor and Signaling Pathways
PI3K/mTOR/AKT Signaling Pathway