“…Is IGF-IR signaling in CML cells independent of BCR/ABL-induced signaling? How does IGF signaling, together with other extrinsic and intrinsic pathways (IL-6, Wnt, Hedgehog, BMPs, selectin, TGF-β, Alox5, CD25, among others) [ 9 , 28 - 33 ], regulate the fates of CML cells including self-renewal, differentiation, apoptosis, and migration? Given extensive aberrant signaling in CML cells, we expect that the combined use of TKIs and inhibition of a limited number of key extrinsic pathways, including IGF-IR signaling, will lead to the development of novel strategies for treating CML.…”