PMID- 18927274 OWN - NLM STAT- MEDLINE DCOM- 20081216 LR - 20220129 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 20 DP - 2008 Oct 15 TI - The type 1 insulin-like growth factor receptor pathway. PG - 6364-70 LID - 10.1158/1078-0432.CCR-07-4879 [doi] AB - Research conducted over the past two decades has shown the importance of the type 1 insulin-like growth factor receptor (IGF1R) in tumorigenesis, metastasis, and resistance to existing forms of cancer therapy. The IGF1R itself has only recently been accepted as a credible treatment target, however, perhaps reflecting the potential problems for drug design posed by normal tissue IGF1R expression, and close homology with the insulin receptor. Currently approximately 12 anti-IGF1R therapeutics are undergoing clinical evaluation, including blocking antibodies and tyrosine kinase inhibitors. This review will summarize the principal signaling pathways activated by IGF1R and the preclinical data that validated this receptor as a treatment target. We will review clinical progress in the testing of IGF1R inhibitory drug candidates, the relative benefits and potential toxicities of coinhibition of the insulin receptor, and the rationale for combining IGF1R blockade with other cancer treatments. An understanding of IGF1R signaling is important because it will guide the incorporation of appropriate molecular markers into clinical trial design. This will be key to the identification of patients most likely to benefit, and so will influence the ability of IGF1R inhibition to make the transition from experimental intervention to clinical therapy. FAU - Chitnis, Meenali M AU - Chitnis MM AD - Department of Medical Oncology, Churchill Hospital, Oxford, UK. FAU - Yuen, John S P AU - Yuen JS FAU - Protheroe, Andrew S AU - Protheroe AS FAU - Pollak, Michael AU - Pollak M FAU - Macaulay, Valentine M AU - Macaulay VM LA - eng GR - G0601061/MRC_/Medical Research Council/United Kingdom GR - CRUK_/Cancer Research UK/United Kingdom GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antineoplastic Agents) RN - EC 2.7.10.1 (Receptor, IGF Type 1) RN - EC 2.7.10.1 (Receptor, Insulin) SB - IM MH - Animals MH - Antineoplastic Agents/therapeutic use MH - Humans MH - Neoplasms/drug therapy MH - Receptor, IGF Type 1/antagonists & inhibitors/*physiology MH - Receptor, Insulin/physiology MH - Signal Transduction/drug effects RF - 71 EDAT- 2008/10/18 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/10/18 09:00 PHST- 2008/10/18 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/10/18 09:00 [entrez] AID - 14/20/6364 [pii] AID - 10.1158/1078-0432.CCR-07-4879 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Oct 15;14(20):6364-70. doi: 10.1158/1078-0432.CCR-07-4879.