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Drugging IGF-1R in cancer: New insights and emerging opportunities
Panpan Wang1, Victor Cy Mak1, Lydia Wt Cheung1
1School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Abstract:
The insulin-like growth factor (IGF) axis plays important roles in cancer development and metastasis. The type 1 IGF receptor (IGF-1R) is a key member in the IGF axis and has long been recognized for its oncogenic role in multiple cancer lineages. Here we review the occurrence of IGF-1R aberrations and activation mechanisms in cancers, which justify the development of anti-IGF-1R therapies. We describe the therapeutic agents available for IGF-1R inhibition, with focuses on the recent or ongoing pre-clinical and clinical studies. These include antisense oligonucleotide, tyrosine kinase inhibitors and monoclonal antibodies which may be conjugated with cytotoxic drug. Remarkably, simultaneous targeting of IGF-1R and several other oncogenic vulnerabilities has shown early promise, highlighting the potential benefits of combination therapy. Further, we discuss the challenges in targeting IGF-1R so far and new concepts to improve therapeutic efficacy such as blockage of the nuclear translocation of IGF-1R.
Insights
The insulin-like growth factor type 1 receptor (IGF-1R) drives cancer growth and spread. Therapies targeting IGF-1R, including combination treatments, show promise for improving cancer treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The insulin-like growth factor (IGF) axis is implicated in cancer development and metastasis.
- The type 1 IGF receptor (IGF-1R) is a critical oncogenic driver across numerous cancer types.
Purpose of the Study:
- To review IGF-1R aberrations and activation in cancer.
- To discuss the development and efficacy of anti-IGF-1R therapies.
- To explore novel strategies for enhancing IGF-1R targeted therapy.
Main Methods:
- Literature review of pre-clinical and clinical studies on IGF-1R.
- Analysis of therapeutic agents targeting IGF-1R.
- Discussion of combination therapy and novel targeting concepts.
Main Results:
- IGF-1R aberrations and activation mechanisms are common in cancers, supporting therapeutic development.
- Various agents like antisense oligonucleotides, TKIs, and antibody-drug conjugates are being investigated.
- Combination therapies targeting IGF-1R and other vulnerabilities show early promise.
Conclusions:
- Targeting IGF-1R is a validated strategy in oncology.
- Combination therapies and novel approaches like blocking nuclear translocation may improve efficacy.
- Further research is needed to overcome challenges and optimize IGF-1R-directed cancer treatments.
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