Cited by 2,059Growth Hormone and Insulin-like Growth FactorsMetabolism, Diabetes, and CancerCancer, Lipids, and Metabolism

Insulin and insulin-like growth factor signalling in neoplasia

Pollak, Michael·2008·Nature Reviews Cancer

Abstract

Insulin and insulin-like growth factors (IGFs) are well known as key regulators of energy metabolism and growth. There is now considerable evidence that these hormones and the signal transduction networks they regulate have important roles in neoplasia. Epidermiological, clinical and laboratory research methods are being used to investigate novel cancer prevention and treatment strategies related to insulin and IGF signalling. Pharmacological strategies under study include the use of novel receptor-specific antibodies, receptor kinase inhibitors and AMP-activated protein kinase activators such as metformin. There is evidence that insulin and IGF signalling may also be relevant to dietary and lifestyle factors that influence cancer risk and cancer prognosis. Recent results are encouraging and have justified the expansion of many translational research programmes.

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Crossref · 10.1038/nrc2536

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199 of 199 references verified0 citation errors · 0 not checkable

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  • Neoplastic cells may express the receptors for some rejuvenating agents, which could promote tumor growth.

    “neoplastic cells might also express receptors resulting in tumor growth (115).”

    From Causes, consequences, and reversal of immune system aging (2013) · cites this paper as [115]

  • Some proposed anti-cancer mechanisms of metformin may be through inhibition of cell growth, IGF-1 signaling, mTOR pathway, reduction of HER-2 expression, inhibition of angiogenesis and inflammation, induction of apoptosis and p53 activation, cell cycle arrest, and enhancement of CD8 T cell memory.

    “Some of these mechanisms may be through inhibition of cell growth [148], IGF-1 signaling [149], inhibition of the mTOR pathway [150], reduction of human epidermal growth factor receptor type 2 (HER-2) expression (a major driver of proliferation in breast cancer) [151], inhibition of angiogenesis and inflammation [152], induction of apoptosis and protein 53 (p53) activation [153], cell cycle arrest”
  • Insulin and IGF receptors form a complex network of cell surface receptors; homodimers and heterodimers have been described, and all function to mediate insulin and IGF responses.

    “Insulin and insulin-like growth factor (IGF) receptors form a complex network of cell surface receptors; homodimers and heterodimers have been described, and all function to mediate insulin and IGF responses (49).”

    From Diabetes and Cancer (2010) · cites this paper as [49]

  • Human tumors commonly over-express insulin, IGF-I, and hybrid receptors.

    “Human tumors commonly over-express these receptors, and many cancer cell lines have been shown to be responsive to the mitogenic action of physiological concentrations of IGF-I.”

    From Diabetes and Cancer (2010) · cites this paper as [49]

  • IGF-I could act as a growth stimulus in preneoplastic and neoplastic cells that express insulin, IGF-I, and hybrid receptors.

    “IGF-I has more potent mitogenic and anti-apoptotic activities than insulin (58) and could act as a growth stimulus in preneoplastic and neoplastic cells that express insulin, IGF-I, and hybrid receptors (49).”

    From Diabetes and Cancer (2010) · cites this paper as [49]

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Authors
Pollak, M.
Venue
Nature Reviews Cancer
Published
2008-12
Volume
8
Issue
12
Pages
915-928
ISSN
  • 1474-175X (ISSN-L)
  • 1474-1768
OpenAlex
W2089171551
Cited by
2,059
References
199
Citations by year
2026: 70 · 2025: 68 · 2024: 64 · 2023: 103 · 2022: 76 · 2021: 105 · 2020: 98 · 2019: 102 · 2018: 84 · 2017: 110 · 2016: 101 · 2015: 153 · 2014: 153 · 2013: 152 · 2012: 176
FWCI
20.47
Type
journal article
Language
en
Update notices
erratum (2009-01-30)
Open access
closed
Locations
  • Nature reviews. Cancer (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
Keywords
insulin signaling, insulin-like growth factor, cancer, cancer prevention, cancer therapy, metformin, AMPK, energy metabolism, lifestyle factors, cancer risk, cancer prognosis, signal transduction
MeSH terms
Cell Division, Cell Physiological Phenomena, Diabetes Mellitus, Glucose, Humans, Insulin, Insulin-Like Growth Factor I, Insulin-Like Growth Factor II, Neoplasms, Receptor, Insulin, Somatomedins, Signal Transduction, Receptor, IGF Type 1, Insulin-Like Growth Factor Binding Proteins

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