“…Thus, an imbalance between the p42/ 44 mapk and Akt signaling pathways could lead to preferential mitogenic or metabolic phenotypes, respectively ( Figure 3). Up to now, two isoforms of the insulin receptor have been described, that is, IR-A and B (IR-B) [7,27,33,35,[75][76][77][78]87,89]. Both isoforms are expressed in insulin-sensitive tissues (liver, muscle, and adipose tissue) [57,59], but IR-A is predominantly expressed in the fetus and placenta, where it plays a role in embryonic development [33] (Figure 3).…”