title: Type I insulin-like growth factor receptor function in breast cancer.
abstract: Experimental evidence suggests an important role of the type I IGF receptor (IGF-IR) in breast cancer development. Breast tumors and breast cancer cell lines express the IGF-IR. IGF-IR levels are higher in cancer cells than in normal breast tissue or in benign mammary tumors. The ligands of the IGF-IR are potent mitogens promoting monolayer and anchorage-independent growth of breast cancer cells. Interference with IGF-IR activation, expression, or signaling inhibits growth and induces apoptosis in breast cancer cells. In addition, recent studies established the involvement of the IGF-IR in the regulation of breast cancer cell motility and adhesion. We have demonstrated that in MCF-7 cells, overexpression of the IGF-IR promotes E-cadherin-dependent cell aggregation, which is associated with enhanced cell proliferation and prolonged survival in three-dimensional culture. The expression or function of the IGF-IR in breast cancer cells is modulated by different humoral factors, such as estrogen, progesterone, IGF-II, and interleukin-1. The IGF-IR and the estrogen receptor (ER) are usually co-expressed and the two signaling systems are engaged in a complex functional cross-talk controlling cell proliferation. Despite the convincing experimental evidence, the role of the IGF-IR in breast cancer etiology, especially in metastatic progression, is still not clear. The view emerging from cellular and animal studies is that abnormally high levels of IGF-IRs may contribute to the increase of tumor mass and/or aid tumor recurrence, by promoting proliferation, cell survival, and cell-cell interactions. However, in breast cancer, except for the well established correlation with ER status, the associations of the IGF-IR with other prognostic parameters are still insufficiently documented.
authors.affiliation: Kimmel Cancer Institute, Thomas Jefferson University, Philadelphia, PA 19107, USA. surmacz1@jeflin.tju.edu
authors.forename: E
authors.initials: E
authors.lastname: Surmacz
authors.forename: M A
authors.initials: MA
authors.lastname: Guvakova
authors.forename: M K
authors.initials: MK
authors.lastname: Nolan
authors.forename: R F
authors.initials: RF
authors.lastname: Nicosia
authors.forename: L
authors.initials: L
authors.lastname: Sciacca
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000648:ultrastructure*; D006801:Humans; D017526:Receptor, IGF Type 1 / Q000502:physiology*; D014407:Tumor Cells, Cultured
chemical_list: D017526:Receptor, IGF Type 1