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Insulin-like growth factors (IGFs) are peptides that regulate the growth, metabolism, survival, and differentiation of cells and are regulated by growth hormone. Both IGF-I and IGF-II consist of small peptides that share about 50% homology with proinsulin and are produced chiefly by the liver. IGF-I is an important cell growth regulator, but the role of IGF-II is less clear. IGF-II acts mainly via IGF-I receptors; IGF-II receptors do exist, but their role is believed simply to mop up IGF-II, rather than act as signalling receptors.
In contrast with other peptide growth factors, there is considerable evidence indicating that the IGFs play a critical role in determining …