“…Previous studies have identified a minimum of seven insulin-like IGFBPs that have the capability to bind to insulin-like growth factor I (IGF-I) and IGF-II, thereby regulating their activity and signaling functionality ( Izutsu et al, 2022 ; Alterki et al, 2021 ; Hjortebjerg et al, 2021 ; Agerholm et al, 2020 ). IGFBPs and IGF play pivotal roles in the IGF signaling pathway, exerting significant impacts on tumor initiation, progression, metastasis, and chemoresistance ( Han & Kim, 2021 ; Lee, Tocheny & Shaw, 2022 ; Lee et al, 2022 ; Du et al, 2017 ; Martinez Baez et al, 2023 ) that lead to antitumor effects ( Cai, Dozmorov & Oh, 2020 ). For example, Kuhn et al (2023) discovered that IGFBP3 inhibited lung cancer cell invasion and proliferation and was linked to the patients’ enhanced survival.…”