“…In the case of IGF-mediated signal transduction, highly specific RTK inhibitors are necessary to discriminate between IGF-1R and INSR (Pautsch et al, 2001) to prevent diabetogenic effects. Several highly selective inhibitors such as tyrphostins (Ohmichi et al, 1993;Parrizas et al, 1997;Blum et al, 2000Blum et al, , 2003, NVP-AEW541 (GarciaEcheverria et al, 2004;Scotlandi et al, 2005), NVP-ADW742 (Mitsiades et al, 2004;Warshamana-Greene et al, 2004 and cyclolignans Vasilcanu et al, 2004;Menu et al, 2005) reduce the activation of IGF-1R and downstream effectors such as AKT/PKB. In vitro as well as in vivo, these substances efficiently reduce tumor cell growth, often in combination with chemotherapeutic agents (Mitsiades et al, 2004;Scotlandi et al, 2005).…”