“…The intracellular signal pathway(s) involved in the transduction of IGF-I-induced cardiomyocyte hypertrophy was systematically investigated by Foncea and coworkers (11). The authors concluded that, in primary rat cultured cardiomyocytes, IGF-I activates multiple signal transduction pathways that involve IGF-IR b-1 subunit autophosphorylation, tyrosine phosphorylation of insulin receptor substrate (IRS)-1, phosphatidylinositol (PI) 3-kinase, phospholipase C (PLC)-g1, activation of the mitogen-activated protein kinase (MAPK)-extracellular signal-regulated kinase (ERK) cascade, and p90 S6 kinase (RSK), which were associated with an increased protein synthesis, as assessed by […”