“…Increased IGFBP-5 expression is associated with poor outcome during mammary metastasis (Huynh, 1998, McGuire et al, 1994, Mita et al, 2007, Pekonen et al, 1992. IGFBP-5 also stimulates lung, dermal and hepatic fibroblasts, inducing fibrotic responses similar to those of TGFb1 (Pilewski et al, 2005, Yasuoka et al, 2009a, Yasuoka et al, 2006a, Yasuoka et al, 2009b, Yasuoka et al, 2006b). This was somewhat surprising given that, at high concentrations, IGFBP-5 is apoptotic in mammary epithelial cells in vitro and in vivo (Marshman et al, 2003, Tonner et al, 2002 and is the IGFBP which increases dramatically during involution of the mammary gland (Clarkson andWatson, 2003, Stein et al, 2004) Consistent with an apoptotic function, two recent studies have shown that decreased expression of IGFBP-5 is associated with increased tumourigenesis in osteosarcoma (Su et al, 2011) and in breast cancer induced by foetal alcohol exposure (Polanco et al, 2010).…”