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Tumor Risk: The Dark Side of Growth Promoting Effects Cell proliferation and anti apoptotic effects IGF-1 LR3 activates the IGF-1R/PI3K/Akt pathway, inhibits the expression of key apoptotic proteins such as Caspase-3 and Bax, and promotes the synthesis of cell cycle proteins such as Cyclin D1, thereby accelerating cell proliferation

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We also summarize the progress in understanding the role of genetic alleles and age-related gene expression as it pertains to the phenotypic variability between patients