The mammalian insulin-like growth factor 1 (IGF1), which is a member of a major growth-promoting signaling system, is produced by many tissues and functions throughout embryonic and postnatal development in an autocrine/paracrine fashion. In addition to this local action, IGF1 secreted by the liver and circulating in the plasma presumably acts systemically as a classical hormone. However, an endocrine role of IGF1 in growth control was disputed on the basis of the results of a conditional, liver-specific Igf1 gene knockout in mice, which reduced significantly the level of serum IGF1, but did not affect average body weight. Because alternate interpretations of these negative data were tenable, we addressed genetically the question of hormonal IGF1 action by using a positive experimental strategy based on the features of the cre/ loxP recombination system. Thus, we generated bitransgenic mice carrying in an Igf1 null background a dormant Igf1 cDNA placed downstream of a transcriptional ''stop'' DNA sequence flanked by loxP sites (floxed) and also a cre transgene driven by a liver-specific promoter. The Igf1 cDNA, which was inserted by knock-in into the mutated and inactive Igf1 locus itself to ensure proper transcriptional regulation, was conditionally expressed from cognate promoters exclusively in the liver after Cre-mediated excision of the floxed block. Our genetic study demonstrated that the endocrine IGF1 plays a very significant role in mouse growth, as its action contributes approximately30% of the adult body size and sustains postnatal development, including the reproductive functions of both mouse sexes.gene targeting ͉ T he insulin-like growth factor (IGF) signaling system is the major determinant of mammalian organismal growth, as it provides the main common downstream conduit for the action of most growth-promoting gene products controlling body size (1, 2). IGF1 is one of the ligands of this family of effectors that is produced by many tissues and acts in an autocrine/paracrine fashion. In addition, it circulates in the plasma associated with binding proteins (IGFBPs). Classically, it was thought that the circulating IGF1, which postnatally is produced in the liver under growth hormone (GH) control, acts systemically as a hormone. In 1999, however, two groups using the same conditional Igf1 gene mutation in mice challenged the view of endocrine IGF1 effects (3, 4). Specifically, the apparent lack of effects on average body weight and length after liver-specific ablation of floxed Igf1 exon 4 using either an albumincre or an Mx1-cre transgene, which led to a markedly reduced level of circulating factor, was interpreted as demonstrating that liverderived IGF1 is not required for postnatal growth. The albumin-cre mediated DNA excision appeared to be nearly complete in adult liver IGF1-deficient (LID) mice, but residual IGF1 (reportedly 25% of the normal level) thought to be produced by an unknown extrahepatic source was detected in serum.In our view, however, the question about an endocrine IGF1 functio...