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Updated: Nov 2, 2025

Study of Protein-protein Interactions in Autophagy Research
Published on: September 9, 2017
Autophagy induction by IGF1R inhibition with picropodophyllin and linsitinib
Qi Wu1,2,3, Ai-Ling Tian2,3,4, Guido Kroemer2,3,5,6,7
1Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Abstract:
Induction of macroautophagy (hereafter termed autophagy) is a strategy to improve the outcome of antineoplastic therapies by facilitating the induction of immunogenic cancer cell death and the consequent immune recognition of malignant cells. We analyzed 65,000 distinct compounds by means of a phenotypic discovery platform for autophagy induction and identified the IGF1R (insulin like growth factor 1 receptor) inhibitor picropodophyllin (PPP) as a potent inducer of autophagic flux. We found that PPP acts on-target, as an inhibitor of the tyrosine kinase activity of IGF1R and enhances the release of adenosine triphosphate, ATP, from stressed and dying cancer cells in vitro, thereby improving the therapeutic efficacy of chemoimmunotherapy in cancer-bearing mice. This PPP effect was phenocopied by another IGF1R inhibitor, linsitinib. Moreover, in human triple-negative breast cancer, phosphorylation of IGF1R correlates with reduced autophagy, an unfavorable local immune profile and poor prognosis. In summary, IGF1R inhibition may constitute a novel strategy for the treatment of cancer in the context of chemoimmunotherapy.
Insights
Insulin-like growth factor 1 receptor (IGF1R) inhibition with picropodophyllin (PPP) enhances cancer cell death and immune response. This strategy improves chemoimmunotherapy efficacy, offering a novel approach for cancer treatment.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Autophagy induction is a strategy to enhance antineoplastic therapies.
- Autophagy facilitates immunogenic cancer cell death and immune recognition.
- Current strategies aim to improve cancer treatment outcomes via immune modulation.
Purpose of the Study:
- To identify novel autophagy inducers for cancer therapy.
- To investigate the role of IGF1R inhibition in autophagy and cancer treatment.
- To evaluate the therapeutic potential of IGF1R inhibitors in chemoimmunotherapy.
Main Methods:
- Phenotypic screening of 65,000 compounds for autophagy induction.
- In vitro and in vivo experiments using IGF1R inhibitors (picropodophyllin and linsitinib).
- Analysis of adenosine triphosphate (ATP) release from cancer cells.
- Correlation analysis of IGF1R phosphorylation with autophagy, immune profile, and prognosis in triple-negative breast cancer.
Main Results:
- Picropodophyllin (PPP) was identified as a potent inducer of autophagic flux.
- PPP inhibits IGF1R tyrosine kinase activity, enhancing ATP release from stressed cancer cells.
- IGF1R inhibition improved chemoimmunotherapy efficacy in preclinical cancer models.
- Linsitinib, another IGF1R inhibitor, phenocopied PPP's effects.
- In human triple-negative breast cancer, high IGF1R phosphorylation correlated with reduced autophagy and poor prognosis.
Conclusions:
- IGF1R inhibition is a potent strategy to induce autophagy and enhance immunogenic cancer cell death.
- IGF1R inhibitors can improve the efficacy of chemoimmunotherapy.
- IGF1R inhibition represents a promising novel therapeutic strategy for cancer treatment.
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