Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer

Over the last two decades, many studies have demonstrated that the insulin-like growth factor-1 (IGF-1) is involved in a number of patho-physiological processes, as well as in the development of different types of solid tumors, including breast cancer (BC). Preclinical and clinical data showed that...

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Main Authors: Anna Ianza, Marianna Sirico, Ottavia Bernocchi, Daniele Generali
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2021.641449/full
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author Anna Ianza
Marianna Sirico
Marianna Sirico
Ottavia Bernocchi
Daniele Generali
Daniele Generali
Daniele Generali
author_facet Anna Ianza
Marianna Sirico
Marianna Sirico
Ottavia Bernocchi
Daniele Generali
Daniele Generali
Daniele Generali
author_sort Anna Ianza
collection DOAJ
description Over the last two decades, many studies have demonstrated that the insulin-like growth factor-1 (IGF-1) is involved in a number of patho-physiological processes, as well as in the development of different types of solid tumors, including breast cancer (BC). Preclinical and clinical data showed that IGF-1 receptor (R) is overexpressed and hyper-phosphorylated in several subtypes of BCs. The central implications of this pathway in tumor cell proliferation and metastasis make it an important therapeutic target. Moreover, the IGF-1 axis has shown strong interconnection with estrogen regulation and endocrine therapy, suggesting a possible solution to anti-estrogen resistance. IGF-1R might also interfere with other pivotal therapeutic strategies, such as anti HER2 treatments and mTOR inhibitors; several clinical trials are ongoing evaluating the role of IGF-1R inhibition in modulating resistance mechanisms to target therapies. Our aim is to offer an overview of the most recent and significant field of application of IGF-1 inhibitors and relevant therapeutic strategies, weighing their possible future impact on clinical practice.
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spelling doaj.art-e99748a7357c44b285802c60b16681ef2022-12-21T23:02:15ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2021-03-01910.3389/fcell.2021.641449641449Role of the IGF-1 Axis in Overcoming Resistance in Breast CancerAnna Ianza0Marianna Sirico1Marianna Sirico2Ottavia Bernocchi3Daniele Generali4Daniele Generali5Daniele Generali6Department of Medical, Surgery and Health Sciences, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, ItalyDepartment of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United KingdomBreast Cancer Unit and Translational Research Unit, ASST Cremona, Cremona, ItalyDepartment of Medical, Surgery and Health Sciences, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, ItalyDepartment of Medical, Surgery and Health Sciences, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, ItalyBreast Cancer Unit and Translational Research Unit, ASST Cremona, Cremona, ItalyDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, ItalyOver the last two decades, many studies have demonstrated that the insulin-like growth factor-1 (IGF-1) is involved in a number of patho-physiological processes, as well as in the development of different types of solid tumors, including breast cancer (BC). Preclinical and clinical data showed that IGF-1 receptor (R) is overexpressed and hyper-phosphorylated in several subtypes of BCs. The central implications of this pathway in tumor cell proliferation and metastasis make it an important therapeutic target. Moreover, the IGF-1 axis has shown strong interconnection with estrogen regulation and endocrine therapy, suggesting a possible solution to anti-estrogen resistance. IGF-1R might also interfere with other pivotal therapeutic strategies, such as anti HER2 treatments and mTOR inhibitors; several clinical trials are ongoing evaluating the role of IGF-1R inhibition in modulating resistance mechanisms to target therapies. Our aim is to offer an overview of the most recent and significant field of application of IGF-1 inhibitors and relevant therapeutic strategies, weighing their possible future impact on clinical practice.https://www.frontiersin.org/articles/10.3389/fcell.2021.641449/fullIGF1IGF-1Rclinical trialtherapy resistancebreast cancer
spellingShingle Anna Ianza
Marianna Sirico
Marianna Sirico
Ottavia Bernocchi
Daniele Generali
Daniele Generali
Daniele Generali
Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
Frontiers in Cell and Developmental Biology
IGF1
IGF-1R
clinical trial
therapy resistance
breast cancer
title Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
title_full Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
title_fullStr Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
title_full_unstemmed Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
title_short Role of the IGF-1 Axis in Overcoming Resistance in Breast Cancer
title_sort role of the igf 1 axis in overcoming resistance in breast cancer
topic IGF1
IGF-1R
clinical trial
therapy resistance
breast cancer
url https://www.frontiersin.org/articles/10.3389/fcell.2021.641449/full
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AT danielegenerali roleoftheigf1axisinovercomingresistanceinbreastcancer
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