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Category:Magical girl charactersThe insulin-like growth factor system and gynaecological cancer.
A number of cellular changes have been observed in many types of cancer, including those arising in the female reproductive system. It is possible that some of these changes result from the increased action of insulin-like growth factor (IGF) systems. The three major components of the IGF system are insulin-like growth factor-1, IGF-2 and the IGF receptor. The first two bind to the IGF receptor, which is a heterotetrameric glycoprotein comprising two alpha and two beta subunits. These subunits are structurally and functionally related to each other. In vitro, IGF-1 is mitogenic, and in vivo it inhibits apoptosis. IGF-2 is also mitogenic, although its mitogenic activity is dependent on the level of expression, and its effects on the cell are qualitatively different from those of IGF-1. IGF-1 is expressed at high concentrations in several human cancers; IGF-2 is expressed at moderate to high levels in some breast cancers and in placenta and fetal brain; and the IGF receptor, composed of a homodimer of the beta subunit, is predominantly expressed in normal tissue. Patients with endometrioid endometrial carcinomas have highly elevated serum IGF-1 concentrations and these may be a result of increased IGF-1 expression in their tumour tissue. We observed higher levels of IGF-1 in endometrioid endometrial cancers with a poorer prognosis than in those with a better prognosis and IGF-2 levels correlated with the prognostic indicators FIGO stage, histological grade and human placental growth factor. Although most studies indicate that IGF-1 and IGF-2 induce proliferation, IGF-1 also has inhibitory effects on apoptosis. These effects are mediated, at least in part, via the IGF receptor. IGF-2 has an incompletely understood effect on apoptosis, but it may also interact with the receptor independently of the IGF-1 effect. IGF systems may be important in the development and progression of gynaecological tumours. We propose that in the uterus, IGF-1 binds to the insulin
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