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Endocrine Reviews 21 (3): 215-244
Copyright © 2000 by The Endocrine Society

The Effects of Insulin-Like Growth Factors on Tumorigenesis and Neoplastic Growth

Hasnain M. Khandwala, Ian E. McCutcheon, Allan Flyvbjerg and Keith E. Friend

Section of Endocrine Neoplasia & Hormonal Disorders (H.M.K., K.E.F.) and the Department of Neurosurgery (I.E.M.), The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030; and Medical Department M (Diabetes and Endocrinology) (A.F.), Aarhus Kommunehospital, Aarhus, DK-8000 Denmark

Several decades of basic and clinical research have demonstrated that there is an association between the insulin-like growth factors (IGFs) and neoplasia. We begin with a brief discussion of the function and regulation of expression of the IGFs, their receptors and the IGF-binding proteins (IGFBPs). A number of investigational interventional strategies targeting the GH or IGFs are then reviewed. Finally, we have assembled the available scientific knowledge about this relationship for each of the major tumor types. The tumors have been grouped together by organ system and for each of the major tumors, various key elements of the relationship between IGFs and tumor growth are discussed. Specifically these include the presence or absence of autocrine IGF-I and IGF-II production; presence or absence of IGF-I and IGF-II receptor expression; the expression and functions of the IGFBPs; in vitro and in vivo experiments involving therapeutic interventions; and available results from clinical trials evaluating the effect of GH/IGF axis down-regulation in various malignancies.




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B. Liao, M. Patel, Y. Hu, S. Charles, D. J. Herrick, and G. Brewer
Targeted Knockdown of the RNA-binding Protein CRD-BP Promotes Cell Proliferation via an Insulin-like Growth Factor II-dependent Pathway in Human K562 Leukemia Cells
J. Biol. Chem., November 19, 2004; 279(47): 48716 - 48724.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
H. Gronbaek, A. Flyvbjerg, L. Mellemkjaer, A. Tjonneland, J. Christensen, H. Toft Sorensen, and K. Overvad
Serum Insulin-Like Growth Factors, Insulin-Like Growth Factor Binding Proteins, and Breast Cancer Risk in Postmenopausal Women
Cancer Epidemiol. Biomarkers Prev., November 1, 2004; 13(11): 1759 - 1764.
[Abstract] [Full Text] [PDF]


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Arch SurgHome page
S. M. Enger, J. M. Greif, J. Polikoff, and M. Press
Body Weight Correlates With Mortality in Early-Stage Breast Cancer
Arch Surg, September 1, 2004; 139(9): 954 - 960.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. Svensson, B.-A. Bengtsson, T. Rosen, A. Oden, and G. Johannsson
Malignant Disease and Cardiovascular Morbidity in Hypopituitary Adults with or without Growth Hormone Replacement Therapy
J. Clin. Endocrinol. Metab., July 1, 2004; 89(7): 3306 - 3312.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
C. A. Heinlein and C. Chang
Androgen Receptor in Prostate Cancer
Endocr. Rev., April 1, 2004; 25(2): 276 - 308.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. F. Muller, J. J. Kopchick, A. Flyvbjerg, and A. J. van der Lely
Growth Hormone Receptor Antagonists
J. Clin. Endocrinol. Metab., April 1, 2004; 89(4): 1503 - 1511.
[Full Text] [PDF]


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J. Biol. Chem.Home page
M. Neid, K. Datta, S. Stephan, I. Khanna, S. Pal, L. Shaw, M. White, and D. Mukhopadhyay
Role of Insulin Receptor Substrates and Protein Kinase C-{zeta} in Vascular Permeability Factor/Vascular Endothelial Growth Factor Expression in Pancreatic Cancer Cells
J. Biol. Chem., February 6, 2004; 279(6): 3941 - 3948.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
A. Colao, D. Ferone, P. Marzullo, and G. Lombardi
Systemic Complications of Acromegaly: Epidemiology, Pathogenesis, and Management
Endocr. Rev., February 1, 2004; 25(1): 102 - 152.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
S. Y. Pan, K. C. Johnson, A.-M. Ugnat, S. W. Wen, and Y. Mao
Association of Obesity and Cancer Risk in Canada
Am. J. Epidemiol., February 1, 2004; 159(3): 259 - 268.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
M. S. Sandhu, J. M. Gibson, A. H. Heald, D. B. Dunger, and N. J. Wareham
Association between Insulin-Like Growth Factor-I: Insulin-Like Growth Factor-Binding Protein-1 Ratio and Metabolic and Anthropometric Factors in Men and Women
Cancer Epidemiol. Biomarkers Prev., January 1, 2004; 13(1): 166 - 170.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
C. A. Kanashiro, A. V. Schally, K. Groot, P. Armatis, A. L. F. Bernardino, and J. L. Varga
Inhibition of mutant p53 expression and growth of DMS-153 small cell lung carcinoma by antagonists of growth hormone-releasing hormone and bombesin
PNAS, December 23, 2003; 100(26): 15836 - 15841.
[Abstract] [Full Text] [PDF]


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Physiol. GenomicsHome page
J. M. Harper, A. T. Galecki, D. T. Burke, S. L. Pinkosky, and R. A. Miller
Quantitative trait loci for insulin-like growth factor I, leptin, thyroxine, and corticosterone in genetically heterogeneous mice
Physiol Genomics, September 29, 2003; 15(1): 44 - 51.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
Y. Mao, S. Pan, S. W. Wen, and K. C. Johnson
Physical Activity and the Risk of Lung Cancer in Canada
Am. J. Epidemiol., September 15, 2003; 158(6): 564 - 575.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
A. M. Y. Nomura, G. N. Stemmermann, J. Lee, and M. N. Pollak
Serum Insulin-like Growth Factor I and Subsequent Risk of Colorectal Cancer among Japanese-American Men
Am. J. Epidemiol., September 1, 2003; 158(5): 424 - 431.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
E. K. Maloney, J. L. McLaughlin, N. E. Dagdigian, L. M. Garrett, K. M. Connors, X.-M. Zhou, W. A. Blattler, T. Chittenden, and R. Singh
An Anti-Insulin-like Growth Factor I Receptor Antibody That Is a Potent Inhibitor of Cancer Cell Proliferation
Cancer Res., August 15, 2003; 63(16): 5073 - 5083.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
L. Richiardi, J. Askling, F. Granath, and O. Akre
Body Size at Birth and Adulthood and the Risk for Germ-cell Testicular Cancer
Cancer Epidemiol. Biomarkers Prev., July 1, 2003; 12(7): 669 - 673.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
J.-W. Chen, T. Ledet, H. Orskov, N. Jessen, S. Lund, J. Whittaker, P. De Meyts, M. B. Larsen, J. S. Christiansen, and J. Frystyk
A highly sensitive and specific assay for determination of IGF-I bioactivity in human serum
Am J Physiol Endocrinol Metab, June 1, 2003; 284(6): E1149 - E1155.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
B.-e. Wang, J. Shou, S. Ross, H. Koeppen, F. J. de Sauvage, and W.-Q. Gao
Inhibition of Epithelial Ductal Branching in the Prostate by Sonic Hedgehog Is Indirectly Mediated by Stromal Cells
J. Biol. Chem., May 9, 2003; 278(20): 18506 - 18513.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
T.-T. Phan, I. J. Lim, B. H. Bay, R. Qi, M. T. Longaker, S.-T. Lee, and H. Huynh
Role of IGF system of mitogens in the induction of fibroblast proliferation by keloid-derived keratinocytes in vitro
Am J Physiol Cell Physiol, April 1, 2003; 284(4): C860 - C869.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
S. Yakar and C. J. Rosen
From Mouse to Man: Redefining the Role of Insulin-Like Growth Factor-I in the Acquisition of Bone Mass
Experimental Biology and Medicine, March 1, 2003; 228(3): 245 - 252.
[Abstract] [Full Text] [PDF]


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Mol Cancer ResHome page
K. D. Burroughs, J. Oh, J. C. Barrett, and R. P. DiAugustine
Phosphatidylinositol 3-Kinase and Mek1/2 Are Necessary for Insulin-Like Growth Factor-I-Induced Vascular Endothelial Growth Factor Synthesis in Prostate Epithelial Cells: A Role for Hypoxia-Inducible Factor-1?
Mol. Cancer Res., February 1, 2003; 1(4): 312 - 322.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
R. A. Krajcik, N. D. Borofsky, S. Massardo, and N. Orentreich
Insulin-like Growth Factor I (IGF-I), IGF-binding Proteins, and Breast Cancer
Cancer Epidemiol. Biomarkers Prev., December 1, 2002; 11(12): 1566 - 1573.
[Abstract] [Full Text] [PDF]


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IOVSHome page
E. Chaum and H. Yang
Transgenic Expression of IGF-1 Modifies the Proliferative Potential of Human Retinal Pigment Epithelial Cells
Invest. Ophthalmol. Vis. Sci., December 1, 2002; 43(12): 3758 - 3764.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
S. Garrone, G. Radetti, M. Sidoti, M. Bozzola, F. Minuto, and A. Barreca
Increased Insulin-Like Growth Factor (IGF)-II and IGF/IGF-Binding Protein Ratio in Prepubertal Constitutionally Tall Children
J. Clin. Endocrinol. Metab., December 1, 2002; 87(12): 5455 - 5460.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
K. J. Hunt, P. Toniolo, A. Akhmedkhanov, A. Lukanova, H. Dechaud, S. Rinaldi, A. Zeleniuch-Jacquotte, R. E. Shore, E. Riboli, and R. Kaaks
Insulin-like Growth Factor II and Colorectal Cancer Risk in Women
Cancer Epidemiol. Biomarkers Prev., September 1, 2002; 11(9): 901 - 905.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
H. Yu, F. Jin, X.-O. Shu, B. D. L. Li, Q. Dai, J.-R. Cheng, H. J. Berkel, and W. Zheng
Insulin-like Growth Factors and Breast Cancer Risk in Chinese Women
Cancer Epidemiol. Biomarkers Prev., August 1, 2002; 11(8): 705 - 712.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
M. S. Sandhu, D. B. Dunger, and E. L. Giovannucci
Insulin, Insulin-Like Growth Factor-I (IGF-I), IGF Binding Proteins, Their Biologic Interactions, and Colorectal Cancer
J Natl Cancer Inst, July 3, 2002; 94(13): 972 - 980.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
C. A. Sklar, A. C. Mertens, P. Mitby, G. Occhiogrosso, J. Qin, G. Heller, Y. Yasui, and L. L. Robison
Risk of Disease Recurrence and Second Neoplasms in Survivors of Childhood Cancer Treated with Growth Hormone: A Report from the Childhood Cancer Survivor Study
J. Clin. Endocrinol. Metab., July 1, 2002; 87(7): 3136 - 3141.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
G. O. Hellawell, G. D. H. Turner, D. R. Davies, R. Poulsom, S. F. Brewster, and V. M. Macaulay
Expression of the Type 1 Insulin-like Growth Factor Receptor Is Up-Regulated in Primary Prostate Cancer and Commonly Persists in Metastatic Disease
Cancer Res., May 1, 2002; 62(10): 2942 - 2950.
[Abstract] [Full Text] [PDF]


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Cell Growth Differ.Home page
H. Huynh, P. K. H. Chow, L. L. P. Ooi, and K.-C. Soo
A Possible Role for Insulin-like Growth Factor-binding Protein-3 Autocrine/Paracrine Loops in Controlling Hepatocellular Carcinoma Cell Proliferation
Cell Growth Differ., March 1, 2002; 13(3): 115 - 122.
[Abstract] [Full Text] [PDF]


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ASH Education BookHome page
D. Hoelzer, N. Gokbuget, O. Ottmann, C.-H. Pui, M. V. Relling, F. R. Appelbaum, J. J.M. van Dongen, and T. Szczepanski
Acute Lymphoblastic Leukemia
Hematology, January 1, 2002; 2002(1): 162 - 192.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
Y. Lu, X. Zi, Y. Zhao, D. Mascarenhas, and M. Pollak
Insulin-Like Growth Factor-I Receptor Signaling and Resistance to Trastuzumab (Herceptin)
J Natl Cancer Inst, December 19, 2001; 93(24): 1852 - 1857.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J. Whittaker, A. V. Groth, D. C. Mynarcik, L. Pluzek, V. L. Gadsboll, and L. J. Whittaker
Alanine Scanning Mutagenesis of a Type 1 Insulin-like Growth Factor Receptor Ligand Binding Site
J. Biol. Chem., November 16, 2001; 276(47): 43980 - 43986.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
K. Szepeshazi, A. V. Schally, P. Armatis, K. Groot, F. Hebert, A. Feil, J. L. Varga, and G. Halmos
Antagonists of GHRH Decrease Production of GH and IGF-I in MXT Mouse Mammary Cancers and Inhibit Tumor Growth
Endocrinology, October 1, 2001; 142(10): 4371 - 4378.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
S. L. Leng, K. S. Leeding, P. R. Gibson, and L. A. Bach
Insulin-like growth factor-II renders LIM 2405 human colon cancer cells resistant to butyrate-induced apoptosis: a potential mechanism for colon cancer cell survival in vivo
Carcinogenesis, October 1, 2001; 22(10): 1625 - 1631.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
R. D. Kineman, L. T. Teixeira, G. V. Amargo, K. T. Coschigano, J. J. Kopchick, and L. A. Frohman
The Effect of GHRH on Somatotrope Hyperplasia and Tumor Formation in the Presence and Absence of GH Signaling
Endocrinology, September 1, 2001; 142(9): 3764 - 3773.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. Gicquel, X. Bertagna, V. Gaston, J. Coste, A. Louvel, E. Baudin, J. Bertherat, Y. Chapuis, J.-M. Duclos, M. Schlumberger, et al.
Molecular Markers and Long-Term Recurrences in a Large Cohort of Patients with Sporadic Adrenocortical Tumors
Cancer Res., September 1, 2001; 61(18): 6762 - 6767.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
T. W. Chan, M. Pollak, and H. Huynh
Inhibition of Insulin-like Growth Factor Signaling Pathways in Mammary Gland by Pure Antiestrogen ICI 182,780
Clin. Cancer Res., August 1, 2001; 7(8): 2545 - 2554.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
K. Reiss, X. Tu, G. Romano, F. Peruzzi, J. Y. Wang, and R. Baserga
Intracellular Association of a Mutant Insulin-like Growth Factor Receptor with Endogenous Receptors
Clin. Cancer Res., July 1, 2001; 7(7): 2134 - 2144.
[Abstract] [Full Text] [PDF]




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