“…Upon ligand binding of the IGF-IR, autophosphorylation of its b-subunits occurs, resulting in binding of the major IGF-IR substrates, insulin receptor substrate (IRS)-1, -2 and Shc (Pronk et al, 1993;Giorgetti et al, 1994;Myers and White, 1996). The signaling pathways mediated by Shc and IRS proteins, including the mitogen-activated protein kinase (MAPK) and phosphatidylinositol-3 kinase (PI 3-K) pathways, are implicated in the effects of IGF-I on cell survival, mitogenesis, differentiation and cytoskeletal changes (De Meyts et al, 1994;Cheatham and Kahn, 1995;Miller et al, 1997;Kim and Feldman, 1998;Kim et al, 1998a). Targeted disruption of IGF-IR signaling by antisense mRNA or dominant-negative mutants results in inhibition of tumorigenesis in vivo and in vitro by allowing apoptosis to occur (Liu et al, 1998;Reiss et al, 1998).…”