2015
DOI: 10.3389/fonc.2015.00230
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The Insulin/IGF System in Colorectal Cancer Development and Resistance to Therapy

Abstract: The insulin/insulin-like growth factor (IGF) system is a major determinant in the pathogenesis and progression of colorectal cancer (CRC). Indeed, several components of this signaling network, including insulin, IGF-1, IGF-2, the IGF-binding proteins, the insulin receptor (IR), the IGF-1 receptor (IGF-1R), and IR substrate proteins 1 and 2 contribute to the transformation of normal colon epithelial cells. Moreover, the insulin/IGF system is also implicated in the development of resistance to both chemotherapeu… Show more

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Cited by 150 publications
(136 citation statements)
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“…This is important to recognize because hybrid receptors form as a result of heterodimerization (IGF and INSR) and homodimerization (INSRA and INSRB) resulting in six different receptor subtypes that insulin might interact with (Singh, Ale, & Bast, ). Normal and immortalized cell lines have been shown to express hybrid receptors that are frequently the predominant receptor present (Belfiore et al, ; Frasca, Pandini, Vigneri, & Goldfine, ; Pandini et al, ; Vigneri et al, ). Moreover, hybrid receptor signaling may occur through non‐kinase pathways, being different from IGF1 and/or insulin receptor signaling (Belfiore et al, ; Crudden, Girnita, & Girnita, ).…”
Section: Discussionmentioning
confidence: 99%
“…This is important to recognize because hybrid receptors form as a result of heterodimerization (IGF and INSR) and homodimerization (INSRA and INSRB) resulting in six different receptor subtypes that insulin might interact with (Singh, Ale, & Bast, ). Normal and immortalized cell lines have been shown to express hybrid receptors that are frequently the predominant receptor present (Belfiore et al, ; Frasca, Pandini, Vigneri, & Goldfine, ; Pandini et al, ; Vigneri et al, ). Moreover, hybrid receptor signaling may occur through non‐kinase pathways, being different from IGF1 and/or insulin receptor signaling (Belfiore et al, ; Crudden, Girnita, & Girnita, ).…”
Section: Discussionmentioning
confidence: 99%
“…IGF1R over expression is associated with an increased risk of recurrence of non-small cell lung cancer (NSCLC) (8). Additionally, high levels of circulating IGF1 is linked to an increased risk of development of breast, prostate, and colorectal cancers (5,9). However, several pharmacological agents, monoclonal antibodies and small molecule inhibitors targeting this axis have failed to show significant benefit on overall survival (10).…”
Section: Introductionmentioning
confidence: 99%
“…exhibited toxicity at higher concentrations due to drug interactions with healthy, EGFR-expressing cells. By adding a specificity for a co-expressing TAA, such as IGFR, 61 and carefully calibrating the affinities of the anti-TAA paratopes to maximize tumor-cell selectivity, one could reduce such adverse effects. With a fourth paratope, such a molecule could also target a preservative protein, such as human serum albumin (HSA), to lengthen serum half-life and reduce the frequency of drug administration.…”
Section: Discussionmentioning
confidence: 99%