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A.AwangK.et al (2019)

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4.1 Tumor-associated macrophages Various reports support that TAMs promote tumorigenesis through IGF-dependent mechanisms ( in vitro , as revealed by transwell and sphere formation assays, through the activation of the PI3K/AKT/mTOR pathway ( 4.2 Adipose tissue Early studies strongly support that periprostatic adipose tissue, particularly under metabolic syndrome-associated inflammation, is a key player in the development of prostate cancer, through the IGF-1 axis, adipokines, and sex hormones ( in vitro study using human prostate cancer cell lines DU145 and PC3, periprostatic adipose tissue promoted prostate cancer resistance to the chemotherapy drug docetaxel through a mechanism involving paracrine IGF-1 upregulation of the β-tubulin isoform of tubulin Beta 2B Class IIb (TUBB2B) gene ( 4.3 Fibroblasts and stellate cells Fibroblasts and pancreatic stellate cells also use IGF-1R signaling to support tumorigenesis and cancer drug resistance

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