Review Article

The Insulin and IGF-I Pathway in Endocrine Glands Carcinogenesis

Table 1

Main molecular alterations involving the IGF system components in thyroid, adrenal, and ovarian cancer.

Molecular alterationThyroid cancerAdrenal cancerOvarian cancer

IGF-IR overexpression+++
IR overexpression+
(IR-A)
?+
(IR-A)
HRs overexpression+??
IGFs overexpression+
(IGF-I and IGF-II)
+
(IGF-II > IGF-I)
+
(IGF-II > IGF-I)
IGFs autocrine production+
(IGF-I and IGF-II)
+
(IGF-II > IGF-I)
+
(IGF-I and IGF-II)
IGF-II/IR-A loop activation+?+
IGFBPs overexpression++
(IGFBP-2, IGFBP-3, IGFBP-6)
+
(IGFBP-2 > IGFBP-3 > IGFBP-4)
Relationship with elevated levels of insulin+++