“…The bioavailability of IGF-I and IGF-II is controlled by six insulin-like growth factor-binding proteins ( Baxter, 2014 ), and IGF-II is sequestered by the membrane-anchored type 2 insulin-like growth factor receptor (IGF-2R) that can also influence signaling via G-protein interaction ( El-Shewy and Luttrell, 2009 ). The affinity of IGF-II for IGF-1R is reported to be up to an order of magnitude lower than that of IGF-I ( Pandini et al., 2002 , Surinya et al., 2008 , Henderson et al., 2015 , Macháčková et al., 2019 ), with the lower affinity appearing to arise at least in part from differences in the length and amino acid composition of the C domains of the respective growth factors ( Denley et al., 2004 , Henderson et al., 2015 , Hexnerová et al., 2016 ) ( Figure 1 B). IGF-1R itself is closely related in structure to its homolog, the human insulin receptor (IR; Figure 1 A).…”