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Molecular Pathology 2001;54:138-144; doi:10.1136/mp.54.3.138
Copyright © 2001 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
J Clin Pathol: Mol Pathol 2001; 54:138-144
© 2001 Journal of Clinical Pathology

Review

The IGF axis and hepatocarcinogenesis

J-G Scharf1, F Dombrowski2 and G Ramadori1

1 Department of Medicine, Division of Gastroenterology and Endocrinology, Georg- August-Universität, D-37075 Göttingen, Germany
2 Institute of Pathology, Rheinische Friedrich- Wilhelms-Universität, D-53127 Bonn, Germany

Correspondence to:
Dr Scharf, Department of Medicine, Division of Gastroenterology and Endocrinology, Robert-Koch-Str. 40, D-37075 Göttingen, Germany jscharf{at}med.uni-goettingen.de

Deregulation of the insulin-like growth factor (IGF) axis, including the autocrine production of IGFs, IGF binding proteins (IGFBPs), IGFBP proteases, and the expression of the IGF receptors, has been identified in the development of hepatocellular carcinoma (HCC). Characteristic alterations detected in HCC and hepatoma cell lines comprise the increased expression of IGF-II and the IGF-I receptor (IGF-IR), which have emerged as crucial events in malignant transformation and the growth of tumours. Alterations of IGFBP production and the proteolytic degradation of IGFBPs resulting in an excess of bioactive IGFs, as well as the defective function of the IGF degrading IGF-II/mannose 6-phosphate receptor (IGF-II/M6PR), may further potentiate the mitogenic effects of IGFs in the development of HCC.

Key Words: insulin-like growth factors • insulin-like growth factor binding proteins • insulin-like growth factor I receptor • insulin-like growth factor II/mannose 6-phosphate receptor • hepatocarcinogenesis • hepatocellular carcinoma


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