Insulin-like growth factor receptor signaling in tumorigenesis and drug resistance: a challenge for cancer therapy

被引:158
作者
Hua, Hui [1 ]
Kong, Qingbin [2 ]
Yin, Jie [2 ]
Zhang, Jin [2 ]
Jiang, Yangfu [2 ]
机构
[1] Sichuan Univ, State Key Lab Biotherapy, Lab Stem Cell Biol, Natl Clin Res Ctr Geriatr,West China Hosp, Chengdu, Peoples R China
[2] Sichuan Univ, West China Hosp, Ctr Canc, State Key Lab Biotherapy,Lab Oncogene, Chengdu 610041, Peoples R China
基金
中国国家自然科学基金;
关键词
Insulin-like growth factor; Cancer; Receptor tyrosine kinase; Tumorigenesis; Drug resistance; FACTOR-I RECEPTOR; TARGETING IGF-IR; EPITHELIAL-MESENCHYMAL TRANSITION; TYROSINE KINASE-ACTIVITY; PATHWAY RATIONAL BASIS; RANDOMIZED PHASE-II; BREAST-CANCER; LINSITINIB OSI-906; MONOCLONAL-ANTIBODY; TUMOR-CELLS;
D O I
10.1186/s13045-020-00904-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Insulin-like growth factors (IGFs) play important roles in mammalian growth, development, aging, and diseases. Aberrant IGFs signaling may lead to malignant transformation and tumor progression, thus providing the rationale for targeting IGF axis in cancer. However, clinical trials of the type I IGF receptor (IGF-IR)-targeted agents have been largely disappointing. Accumulating evidence demonstrates that the IGF axis not only promotes tumorigenesis, but also confers resistance to standard treatments. Furthermore, there are diverse pathways leading to the resistance to IGF-IR-targeted therapy. Recent studies characterizing the complex IGFs signaling in cancer have raised hope to refine the strategies for targeting the IGF axis. This review highlights the biological activities of IGF-IR signaling in cancer and the contribution of IGF-IR to cytotoxic, endocrine, and molecular targeted therapies resistance. Moreover, we update the diverse mechanisms underlying resistance to IGF-IR-targeted agents and discuss the strategies for future development of the IGF axis-targeted agents.
引用
收藏
页数:17
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