PMID- 24276851 OWN - NLM STAT- MEDLINE DCOM- 20140818 LR - 20211021 IS - 1420-9071 (Electronic) IS - 1420-682X (Print) IS - 1420-682X (Linking) VI - 71 IP - 13 DP - 2014 Jul TI - Something old, something new and something borrowed: emerging paradigm of insulin-like growth factor type 1 receptor (IGF-1R) signaling regulation. PG - 2403-27 LID - 10.1007/s00018-013-1514-y [doi] AB - The insulin-like growth factor type 1 receptor (IGF-1R) plays a key role in the development and progression of cancer; however, therapeutics targeting it have had disappointing results in the clinic. As a receptor tyrosine kinase (RTK), IGF-1R is traditionally described as an ON/OFF system, with ligand stabilizing the ON state and exclusive kinase-dependent signaling activation. Newly added to the traditional model, ubiquitin-mediated receptor downregulation and degradation was originally described as a response to ligand/receptor interaction and thus inseparable from kinase signaling activation. Yet, the classical model has proven over-simplified and insufficient to explain experimental evidence accumulated over the last decade, including kinase-independent signaling, unbalanced signaling, or dissociation between signaling and receptor downregulation. Based on the recent findings that IGF-1R "borrows" components of G-protein coupled receptor (GPCR) signaling, including beta-arrestins and G-protein-related kinases, we discuss the emerging paradigm for the IGF-1R as a functional RTK/GPCR hybrid, which integrates the kinase signaling with the IGF-1R canonical GPCR characteristics. The contradictions to the classical IGF-1R signaling concept as well as the design of anti-IGF-1R therapeutics treatment are considered in the light of this paradigm shift and we advocate recognition of IGF-1R as a valid target for cancer treatment. FAU - Girnita, Leonard AU - Girnita L AD - Department of Oncology and Pathology, Cancer Center Karolinska, CCK R8:04, Karolinska Institute, Karolinska University Hospital, 171 76, Stockholm, Sweden, leonard.girnita@ki.se. FAU - Worrall, Claire AU - Worrall C FAU - Takahashi, Shin-Ichiro AU - Takahashi S FAU - Seregard, Stefan AU - Seregard S FAU - Girnita, Ada AU - Girnita A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20131126 PL - Switzerland TA - Cell Mol Life Sci JT - Cellular and molecular life sciences : CMLS JID - 9705402 RN - 0 (Arrestins) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Ubiquitin) RN - 0 (beta-Arrestins) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.10.1 (Receptor, IGF Type 1) SB - IM MH - Arrestins/genetics/metabolism MH - Humans MH - *Molecular Targeted Therapy MH - Neoplasms/*genetics/pathology/therapy MH - Phosphatidylinositol 3-Kinases/genetics/metabolism MH - Phosphorylation MH - Receptor, IGF Type 1/*genetics/metabolism MH - Receptors, G-Protein-Coupled/*genetics/metabolism MH - Signal Transduction MH - Ubiquitin/genetics MH - beta-Arrestins PMC - PMC4055838 EDAT- 2013/11/28 06:00 MHDA- 2014/08/19 06:00 PMCR- 2013/11/26 CRDT- 2013/11/27 06:00 PHST- 2013/05/11 00:00 [received] PHST- 2013/11/07 00:00 [accepted] PHST- 2013/10/17 00:00 [revised] PHST- 2013/11/27 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2014/08/19 06:00 [medline] PHST- 2013/11/26 00:00 [pmc-release] AID - 1514 [pii] AID - 10.1007/s00018-013-1514-y [doi] PST - ppublish SO - Cell Mol Life Sci. 2014 Jul;71(13):2403-27. doi: 10.1007/s00018-013-1514-y. Epub 2013 Nov 26.