The insulin-like growth factor (IGF)3 signaling system plays a key role in growth and development of many normal tissues and regulates overall growth of organisms (1). Type I insulin-like growth factor (IGF-1) has been identified as a regulator of cellular transformation and controls the acquisition of the tumorigenic phenotype by regulating multiple cellular functions that impact on the invasive/metastatic potential of cancer cells. These include cell survival, motility, invasion, growth potential in secondary organ sites, and the induction of angiogenesis (2). There are also several lines of evidence that dysregulation of the IGF-1 system is involved in resistance to certain anticancer therapies, including cytotoxic chemotherapy, hormonal agents, biological therapies, and radiation (3). The link between cancer and IGF signaling is also consistent with recent epidemiological studies showing an increased relative risk for the development of colon, prostate, breast, lung, and bladder cancers in individuals with circulating IGF-1 levels in the upper tertile of the normal range (4). These findings were confirmed in animal models, where reduced circulating IGF-1 levels result in significant reductions in cancer development, growth, and metastases, whereas increased circulating IGF-1 levels are associated with enhanced tumor growth (5).