2018
DOI: 10.3389/fendo.2018.00297
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The Role of the Insulin-Like Growth Factor 1 Pathway in Immune Tumor Microenvironment and Its Clinical Ramifications in Gynecologic Malignancies

Abstract: Treatment of patients with gynecologic malignancies diagnosed at advanced stages remains a therapeutic challenge. Survival rates of these patients remain significantly low, despite surgery and chemotherapy. Advances in understanding the role of the immune system in the pathogenesis of cancer have led to the rapid evolution of immunotherapeutic approaches. Immunotherapeutic strategies, including targeting specific immune checkpoints, as well as dendritic cell (DC) immunotherapy are being investigated in several… Show more

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Cited by 22 publications
(12 citation statements)
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“…FREM1 has been authenticated as an immune-related gene which may be a potential target for immunotherapy in breast cancer and clear cell renal cell carcinoma [ 47 , 48 ]. The insulin-like growth factor 1 (IGF1) pathway has been proven to contribute to the suppression of immune tumor microenvironment (TME) in gynecologic cancers [ 49 ]. IRF4 + Tregs have been confirmed to be correlated with poor prognosis in patients with multiple cancers [ 50 ].…”
Section: Discussionmentioning
confidence: 99%
“…FREM1 has been authenticated as an immune-related gene which may be a potential target for immunotherapy in breast cancer and clear cell renal cell carcinoma [ 47 , 48 ]. The insulin-like growth factor 1 (IGF1) pathway has been proven to contribute to the suppression of immune tumor microenvironment (TME) in gynecologic cancers [ 49 ]. IRF4 + Tregs have been confirmed to be correlated with poor prognosis in patients with multiple cancers [ 50 ].…”
Section: Discussionmentioning
confidence: 99%
“…Increased expression of TGB1 has been correlated with EMT, tumor growth and metastasis in ovarian cancer ( 37 , 38 ), while overexpression of BCL2L1 is associated with anti-apoptosis effects and platinum resistance ( 39 , 40 ). In addition, STAT3 signaling in ovarian cancer has been reported to be associated with tumor cell proliferation, survival, stemness and angiogenesis ( 41 ), while the overexpression of IGF1 has been revealed to stimulate the proliferation of ovarian cancer cells, along with its immunosuppressive role in ovarian cancer ( 42 , 43 ). In a similar manner, GHRH , which is endogenously produced in ovarian cancer cells, is involved in ovarian cancer growth and tumor vascularization ( 44 , 45 ).…”
Section: Discussionmentioning
confidence: 99%
“…FREM1 has been authenticated as an immune-related gene which may be a potential target for immunotherapy in breast cancer and clear cell renal cell carcinoma [42,43]. The insulin-like growth factor 1(IGF1) pathway has been proven to contribute to the suppression of immune tumor microenvironment(TME) in gynecologic cancers [44]. IRF4 + Tregs have been con rmed to be correlated with poor prognosis in patients with multiple cancers [45].…”
Section: Discussionmentioning
confidence: 99%