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Insulin-like growth factor 1 receptor and Insulin receptor (IGF-1R and IR)

Target
IGF-1R and IR
Molecular classification
Receptor, Tyrosine kinase, Transmembrane protein
01

Overview

The insulin-like growth factor 1 receptor (IGF-1R) and the insulin receptor (IR) are closely related, large, transmembrane tyrosine kinase receptors that regulate diverse cellular processes, including growth, proliferation, differentiation, survival, and metabolism[1][3][6]. Both receptors are tetrameric, consisting of two extracellular α-subunits for ligand binding and two transmembrane β-subunits containing the catalytic kinase domains[1][6][9]. IGF-1R is primarily activated by insulin-like growth factors (IGF-1 and IGF-2), whereas IR primarily binds insulin, but both can interact with each other’s ligands to a limited degree—and can form hybrid receptors with distinct biological properties[5][3]. IGF-1R signaling fosters cell proliferation and inhibits apoptosis, thus playing a major role in fetal and postnatal growth and tissue homeostasis. Overexpression or upregulation of IGF-1R is frequently observed in tumors and is associated with cancer cell survival, while IR dysregulation is central to disorders like diabetes and metabolic syndrome[6][7][8][9]. As pharmacological targets, therapies blocking either receptor can impair growth signaling in cancer or modulate glucose homeostasis, but therapeutic targeting is complicated by essential roles in normal tissue growth and metabolism[7][9].

Other names
IGF1 receptor (IGF1R)Insulin receptor (INSR)Type 1 insulin-like growth factor receptorType 2 insulin receptor (for certain isoforms/hybrids)
02

Mechanism of action

Inhibition of IGF-1R or IR tyrosine kinase activity. Blockade of ligand binding (antibody mechanism). Downregulation of receptor expression. Modulation of downstream PI3K/AKT/mTOR and Ras/MAPK pathways.

03

Biological functions

Signal transductionCell proliferationCell growthCell survivalCell differentiationCell metabolismApoptosis (inhibition)
04

Disease associations

CancerDiabetesGrowth disordersNeurodegenerative diseasesCardiovascular disease
05

Safety considerations

Hyperglycemia and insulin resistanceRisk of hypoglycemia (especially with IR targeting)Off-target effects on normal tissue growth and metabolismPotential for promoting tumorigenesis with pathway overactivationAdverse vascular or ocular events (noted in some antibody therapies)
06

Interacting drugs

Linsitinib (IGF-1R inhibitor)

4 more in the full profile.

07

Biomarkers

IGF-1R expression (tumor tissue or blood)Circulating IGF-1 levelsPhosphorylated AKT or ERK (downstream signaling)Insulin levels (for IR function)

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