“…Although the physiological function of lowlevel IGF-II expression in adult liver has largely remained obscure, there is a large body of evidence for multiple protumorigenic functions during hepatocarcinogenesis such as antiapoptosis, stimulation of proliferation and activation of angiogenesis. IGF-II is overexpressed in 16-40% of human HCCs (Table 1), and possibly even in some premalignant lesions (Cariani et al, 1988;Ng et al, 1998;Aihara et al, 1996;Sohda et al, 1996;Breuhahn et al, 2004), in HCC cell lines (Li et al, 1997;Breuhahn et al, 2004;Lund et al, 2004) and in several HCC animal models (Schirmacher et al, 1991(Schirmacher et al, , 1992Harris et al, 1998). Elevated expression in HCC cells results from transcriptional activation such as loss of promoter-specific imprinting or re-activation of the fetal promoter (P2-P4) pattern (Li et al, 1997;Vernucci et al, 2000).…”