Review Article

Targeting Insulin and Insulin-Like Growth Factor Pathways in Epithelial Ovarian Cancer

Table 1

Normal physiological role of insulin/IGF family members.

OriginGene regulationSerum levelsAffinity for insulin/IGF family membersFunction

InsulinBeta cells of the pancreasGlucose uptake, protein synthesis11–14  𝜇 U/mLIR >IGF-IR> IGF-IIR–Regulates carbohydrate, fat, and protein metabolism.
–Mitogenic effect.

IGF-ILiver, bone, and several other tissues.Hormones, growth factors, cytokines, nutrition, smoking, exercise.100–200 ng/mLIGF-IR> IGF-IIR > IR–Regulates embryonic growth and specific differentiation in adult tissues.
–Involved in cell proliferation, transformation, and antiapoptotic activity.

IGF-IILiver, kidney, bone, and several other tissues.Tumor suppressor proteins WT1 and p53, HIF-1, genomic imprinting.400–700 ng/mLIGF-IIR> IGF-IR>IR–Functional during embryonic and fetal growth.

IGFBPsIGFBP-1: liver, decidua.BP-1: insulin, steroids.BP-1, BP-2: vary during the day and meals.BP-1, BP-3, BP-5: IGF-I> IGF-II–Regulate transport and half-life of IGFs between different body compartments.
IGFBP-2: CNS.BP-2: insulin, metabolic process.
IGFBP-3: several tissues.BP-3: GH, PTH, cytokines, p53, estradiol, steroids.
IGFBP-4: bone, CNS, prostate.BP-4: vitamin D, parathyroid hormone.BP-3: vary in relation to age and sex 1500–5580 ng/mL.BP-2, BP-6: IGF-II>IGF-I–Regulate IGF independent effect on cell proliferation and apoptosis.
IGFBP-5: kidney, bone, mammary gland.BP-5: GH, prolactin, vitamin D.
IGFBP-6: ovary, prostate.BP-6: GH, FSH.