First Published Online January 6, 2009 The Oncologist, Vol. 14, No. 1, 83-91, January 2009; doi:10.1634/theoncologist.2008-0189 © 2009 AlphaMed Press
The Role of IGF-1R in Pediatric MalignanciesaPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA; bLombardi Comprehensive Cancer Center, Georgetown University School of Medicine, Washington, DC, USA Key Words. IGF-1R • Pediatric malignancy • Molecular targeting • Therapeutic antibody Correspondence: Su Young Kim, M.D., Ph.D., Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, 10 Center Drive, Building 10, CRC 1w-3750, Bethesda, Maryland 20892, USA. Telephone: 301-451-7018; Fax: 301-451-7010; e-mail: kimsuyou{at}mail.nih.gov Received August 22, 2008; accepted for publication December 1, 2008; first published online in THE ONCOLOGIST Express on January 6, 2009.
Disclosures
The insulin-like growth factor (IGF) family consists of ligands (IGF-I, IGF-II, insulin), several receptors (including IGF-1R), and six binding proteins (IGFBP-1 through IGFBP-6). Members of this family regulate key cellular activities and they also play an important role in the development and progression of both adult and childhood cancers. Binding of a ligand to the receptor leads to its activation, followed by signal transduction along several pathways. In some childhood malignancies, IGF-1R can be activated by endocrine, autocrine, or paracrine mechanisms. Although mutations in IGF-1R have not been identified, this signaling pathway is upregulated in many childhood cancers. These findings have led to the development of a host of IGF-1R signaling modulators that are currently being tested in clinical trials. This review explores the role of IGF-1R in a range of childhood malignancies.
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