IGF2

gene
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Also known as FLJ44734IGF-II

Summary

IGF2 (insulin like growth factor 2, HGNC:5466) is a protein-coding gene on chromosome 11p15.5, encoding Insulin-like growth factor 2 (P01344). The insulin-like growth factors possess growth-promoting activity. In precision oncology, IGF2 Overexpression confers sensitivity to Ganitumab + Gemcitabine in Pancreatic Adenocarcinoma (CIViC Level B); 4 further curated variant–drug associations are listed below.

This gene encodes a member of the insulin family of polypeptide growth factors, which are involved in development and growth. It is an imprinted gene, expressed only from the paternal allele, and epigenetic changes at this locus are associated with Wilms tumour, Beckwith-Wiedemann syndrome, rhabdomyosarcoma, and Silver-Russell syndrome. A read-through INS-IGF2 gene exists, whose 5’ region overlaps the INS gene and the 3’ region overlaps this gene. Alternatively spliced transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 3481 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Silver-Russell syndrome 3 (Definitive, ClinGen)
  • GWAS associations: 30
  • Clinical variants (ClinVar): 197 total — 11 pathogenic, 10 likely-pathogenic
  • Phenotypes (HPO): 125
  • Druggable target: yes
  • Precision-oncology evidence (CIViC): 5 curated variant–drug associations
  • Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity no evidence
  • MANE Select transcript: NM_000612

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:5466
Approved symbolIGF2
Nameinsulin like growth factor 2
Location11p15.5
Locus typegene with protein product
StatusApproved
AliasesFLJ44734, IGF-II
Ensembl geneENSG00000167244
Ensembl biotypeprotein_coding
OMIM147470
Entrez3481

Gene structure

Transcript identifiers

Ensembl transcripts: 10 — 9 protein_coding, 1 retained_intron

ENST00000381389, ENST00000381392, ENST00000381395, ENST00000381406, ENST00000416167, ENST00000418738, ENST00000434045, ENST00000476874, ENST00000481781, ENST00000695541

RefSeq mRNA: 5 — MANE Select: NM_000612 NM_000612, NM_001007139, NM_001127598, NM_001291861, NM_001291862

CCDS: CCDS44517, CCDS7728

Canonical transcript exons

ENST00000416167 — 4 exons

ExonStartEnd
ENSE0000164013121382292139389
ENSE0000349597521335172133665
ENSE0000358344721353672135529
ENSE0000384370421291172133223

Expression profiles

Bgee: expression breadth ubiquitous, 135 present calls, max score 99.57.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 276.5886 / max 24409.8827, expressed in 984 samples.

FANTOM5 promoters (55 alternative TSS)

Promoter IDTPM avgSamples expressed
118173167.2099810
11814350.4560843
11812216.9721560
11262415.5934515
11262311.1132463
1126209.5302437
1126287.9566408
1126185.8194376
1126275.7699347
1181464.7361570

Top tissues by expression

153 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
adrenal tissueUBERON:001830399.57gold quality
placentaUBERON:000198799.55gold quality
sural nerveUBERON:001548899.28gold quality
stromal cell of endometriumCL:000225599.09gold quality
right lobe of liverUBERON:000111497.52gold quality
liverUBERON:000210797.41gold quality
apex of heartUBERON:000209896.49gold quality
left uterine tubeUBERON:000130395.75gold quality
omental fat padUBERON:001041495.72gold quality
fallopian tubeUBERON:000388995.08gold quality
hindlimb stylopod muscleUBERON:000425294.82gold quality
right uterine tubeUBERON:000130294.69gold quality
endometriumUBERON:000129594.40gold quality
tibial nerveUBERON:000132394.36gold quality
adipose tissueUBERON:000101394.00gold quality
endocervixUBERON:000045893.98gold quality
heart left ventricleUBERON:000208493.58gold quality
right atrium auricular regionUBERON:000663193.05gold quality
heartUBERON:000094892.72gold quality
subcutaneous adipose tissueUBERON:000219092.49gold quality
islet of LangerhansUBERON:000000692.31gold quality
gall bladderUBERON:000211092.19gold quality
calcaneal tendonUBERON:000370192.03gold quality
skeletal muscle tissueUBERON:000113491.70gold quality
uterusUBERON:000099591.69gold quality
thoracic mammary glandUBERON:000520091.66gold quality
colonic epitheliumUBERON:000039791.55gold quality
uterine cervixUBERON:000000291.29gold quality
body of uterusUBERON:000985391.23gold quality
muscle of legUBERON:000138391.10gold quality

Single-cell (SCXA)

Detected in 38 experiment(s), a significant marker in 36.

ExperimentMarker?Max mean expression
E-MTAB-6678yes41184.25
E-HCAD-23yes21645.05
E-MTAB-6701yes19396.68
E-HCAD-24yes14577.08
E-MTAB-8221yes8630.56
E-CURD-98yes8302.33
E-MTAB-8205yes7695.12
E-GEOD-124263yes4507.40
E-MTAB-10485yes4505.80
E-CURD-112yes4321.69
E-CURD-79yes3900.85
E-GEOD-135922yes3684.52
E-GEOD-134144yes3529.71
E-MTAB-7407yes3465.28
E-MTAB-8559yes3299.08

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): AP1, ARID4B, ASCL1, ATF3, CEBPA, CEBPB, CRX, CTCF, CTNNB1, DDX5, E2F1, E2F3, EGR1, EGR2, FOXA2, FOXC2, FOXJ1, FOXO1, GLI1, GRHL1, GTF3A, H19, HDAC5, HIC1, HIF1A, HMGA1, HMGA2, JUN, JUNB, KHDRBS1, MBD1, MYB, MYC, NFKB, PLAG1, PLAGL1, PLAGL2, RXRA, SMAD1, SP1

miRNA regulators (miRDB)

153 targeting IGF2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-6867-5P100.0082.213464
HSA-MIR-3134100.0066.43777
HSA-MIR-6798-5P100.0065.77699
HSA-MIR-4283100.0066.422097
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-12118100.0065.881270
HSA-MIR-6748-5P100.0065.811057
HSA-MIR-453499.9966.581907
HSA-MIR-23B-5P99.9866.07587
HSA-MIR-4650-5P99.9864.69999
HSA-MIR-6891-5P99.9866.531372
HSA-MIR-3173-3P99.9866.491217
HSA-MIR-3692-3P99.9870.272139
HSA-MIR-3688-3P99.9772.022834
HSA-MIR-6825-5P99.9669.813431
HSA-MIR-9-3P99.9670.882068
HSA-MIR-570-3P99.9672.414910
HSA-MIR-493-5P99.9672.472382
HSA-MIR-808299.9567.271170
HSA-MIR-23A-5P99.9465.39468
HSA-MIR-141-3P99.9472.792421
HSA-MIR-200A-3P99.9472.682420
HSA-MIR-6721-5P99.9368.922981
HSA-MIR-380-3P99.8970.181978
HSA-MIR-6857-5P99.8765.32985
HSA-MIR-612499.8769.783551
HSA-MIR-10395-5P99.8667.35676
HSA-MIR-3151-5P99.8663.831069
HSA-MIR-579-3P99.8671.663628
HSA-MIR-444799.8567.812900

Functional genomics

ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • Insulin-like growth factor 2 (IGF2 ) gene variant is associated with overfeeding-induced metabolic changes. Insulin sensitivity decreased . (PMID:11793026)
  • Contribution of residues A54 and L55 of the human insulin-like growth factor-II (IGF-II) A domain to Type 2 IGF receptor binding specificity (PMID:11811790)
  • These data indicate that the translational machinery encounters major parts of IGF II-leader 1. (PMID:11849996)
  • Association of H19 promoter methylation with the expression of IGF-II gene in adrenocortical tumors. (PMID:11889182)
  • Human insulin-like growth factor II leader 2 mediates internal initiation of translation (PMID:11903044)
  • Loss of genomic imprinting of IGF2 is strongly associated with cellular proliferation in normal hematopoietic cells. (PMID:11937266)
  • altered IGF-II and IGFBP-1 expression at the fetomaternal interface may be important in the pathophysiology of pre-eclampsia (PMID:11969341)
  • cDNA probes were used to analyze the gene expression of IGF-II 6 in luteinized granulosa cells from different-sized follicles after ovarian hyperstimulation. (PMID:12005306)
  • determination of blood levels in adult patients with severe liver disease before and after orthotopic liver transplantation (PMID:12006706)
  • igf2 expression regulates hemangioma growth and involution (PMID:12032304)
  • Caucasians with the IGF2 A/A genotype exhibit higher fat mass than G/G individuals (PMID:12075589)
  • Brain tumor invasiveness in degrees from respect of the arachnoid membrane progressing to frank brain invasion correlated with increases in IGF-II and IGFBP-6 expression. (PMID:12125963)
  • Autocrine production of IGF-I and IGF-II may via IGF-IR play a significant role in the growth and megakaryocytic differentiation of K562 cells. (PMID:12127559)
  • Data suggest a causal relation between telomere shortening and reduced expression of KGF and IGF-II in human fibroblasts. (PMID:12243757)
  • The dependence of the methylation of a region of this gene depends on the primary methylation imprint about 90 kilobases away. (PMID:12270940)
  • Glucose transporter gene expression in the jejunum in response to insulin-like growth factors in rat pups (PMID:12388463)
  • data demonstrate for the first time that serum levels of IGFs (including free fractions) and IGFBPs are not increased in euthyroid Graves’ patients with active thyroid eye disease (PMID:12519841)
  • IGF-II was expressed in human hepatoma cell lines. (PMID:12532445)
  • effect of relaxin on cellular proliferation in WISH cells is likely through the transcriptional up-regulation of IGF-II (PMID:12548223)
  • mitogenic effects on Malassez cells in the normal periodontal ligament (PMID:12558805)
  • Overexpression of IGF2 was found to play an important role in carcinogenesis of colorectal cancer. (PMID:12579496)
  • Alterations in the IFGII imprinted region occur in juvenile nasopharyngeal angiofibroma. (PMID:12605037)
  • investigated the utility of loss of IGF2 imprinting as a marker of colorectal cancer risk (PMID:12637750)
  • IGF2 is maternally imprinted thus is expressed only through the paternal allele, also IGF2 is over expressed in ovarian tumors. (PMID:12700030)
  • Human insulin-like growth factor II gene (IGF2) is overexpressed, and its imprinting is disrupted in many tumors, including Wilms’ tumor. (PMID:12702581)
  • Data suggest that insulin-like growth factor-II (IGF-II) is complexed in vivo with intact insulin-like growth factor binding proteins (IGFBP-2) and with processed IGFBP-2 fragments, which do not impair the activity of IGF-II on cell survival. (PMID:12727212)
  • circulating IGF-II levels may play a role in body weight regulation and development of obesity in men and women with normal glucose tolerance (PMID:12765950)
  • p53mt249 stimulates IGF-II dependent IGF-IR signaling by upregulating the expression of both ligand (IGF-II) and receptor (IGF-IR) through an autocrine and/or paracrine loop (PMID:12782403)
  • PTEN modulates IGF2-mediated signaling. The phosphoprotein phosphatase activity of PTEN downregulates IGF-2 expression in hepatoma cells. (PMID:12804776)
  • 214 transcripts were similarly regulated by insulin and IGF-II through Insulin Receptor A, whereas 45 genes were differentially transcribed (PMID:12881524)
  • IGF2, a potent growth factor, may play a role in the development or progression of clear cell sarcoma of the kidney. (PMID:13679437)
  • AT-rich DNA sequences located in the vicinity of previously characterized differentially methylated regions (DMRs) of the imprinted Igf2 gene are conserved between mouse and human. (PMID:14645508)
  • PLAG1 regulates promoter P3-dependent transcription of IGF2 in hepatoblastomas. (PMID:14695992)
  • Serum IGF-I shows positive correlations with myoblast retrieval in control patients that is lost in malignancy. (PMID:14710345)
  • Both first- and second-phase insulin secretion were not significantly different between the various IGF-I or IGF-II genotypes. (PMID:14749262)
  • In human fetuses, IGF-I and IGF-II levels increase longitudinally throughout pregnancy. (PMID:14764950)
  • Our findings support the hypothesis that LOI of IGF-II is an epigenetic trait polymorphic in the population and suggest that LOI of IGF-II may play a role in colorectal cancer. (PMID:14996863)
  • Fibroblast proliferation, differentiation into myofibroblasts, & increased collagen synthesis are regulated via a CTGF-dependent pathway in concert with either EGF or IGF-2. (PMID:15003992)
  • IGF-II:VN and IGF-I:IGFBP-5:VN complexes may be useful in situations where enhanced keratinocyte cell migration and proliferation is required, such as in wound healing and skin regeneration. (PMID:15140223)
  • IGF-II gene APA I polymorphism can not serve as a candidate gene marker for screening rheumatoid arthritis patients in Taiwan. (PMID:15163116)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_rerioigf2aENSDARG00000018643
danio_rerioigf2bENSDARG00000033307
mus_musculusIgf2ENSMUSG00000048583
rattus_norvegicusIgf2ENSRNOG00000020369

Paralogs (2): IGF1 (ENSG00000017427), INS (ENSG00000254647)

Protein

Protein identifiers

Insulin-like growth factor 2P01344 (reviewed: P01344)

Alternative names: Insulin-like growth factor II, Somatomedin-A, T3M-11-derived growth factor

All UniProt accessions (1): P01344

UniProt curated annotations — full annotation on UniProt →

Function. The insulin-like growth factors possess growth-promoting activity. Major fetal growth hormone in mammals. Plays a key role in regulating fetoplacental development. IGF2 is influenced by placental lactogen. Also involved in tissue differentiation. In adults, involved in glucose metabolism in adipose tissue, skeletal muscle and liver. Acts as a ligand for integrin which is required for IGF2 signaling. Positively regulates myogenic transcription factor MYOD1 function by facilitating the recruitment of transcriptional coactivators, thereby controlling muscle terminal differentiation. Inhibits myoblast differentiation and modulates metabolism via increasing the mitochondrial respiration rate. Preptin undergoes glucose-mediated co-secretion with insulin, and acts as a physiological amplifier of glucose-mediated insulin secretion. Exhibits osteogenic properties by increasing osteoblast mitogenic activity through phosphoactivation of MAPK1 and MAPK3.

Subunit / interactions. Interacts with MYORG; this interaction is required for IGF2 secretion. Interacts with integrins ITGAV:ITGB3 and ITGA6:ITGB4; integrin-binding is required for IGF2 signaling. Interacts with IGFBP2.

Subcellular location. Secreted.

Tissue specificity. Expressed in heart, placenta, lung, liver, muscle, kidney, tongue, limb, eye and pancreas.

Post-translational modifications. O-glycosylated with core 1 or possibly core 8 glycans. Thr-96 is a minor glycosylation site compared to Thr-99. Proteolytically processed by PCSK4, proIGF2 is cleaved at Arg-128 and Arg-92 to generate big-IGF2 and mature IGF2.

Disease relevance. Silver-Russell syndrome 1 (SRS1) [MIM:180860] A form of Silver-Russell syndrome, a clinically heterogeneous condition characterized by severe intrauterine growth retardation, poor postnatal growth, craniofacial features such as a triangular shaped face and a broad forehead, body asymmetry, and a variety of minor malformations. The phenotypic expression changes during childhood and adolescence, with the facial features and asymmetry usually becoming more subtle with age. SRS1 is caused by epigenetic changes of DNA hypomethylation at the telomeric imprinting control region (ICR1) on chromosome 11p15, involving the H19 and IGF2 genes. The gene represented in this entry is involved in disease pathogenesis. Silver-Russell syndrome 3 (SRS3) [MIM:616489] A form of Silver-Russell syndrome, a clinically heterogeneous condition characterized by severe intrauterine growth retardation, poor postnatal growth, craniofacial features such as a triangular shaped face and a broad forehead, body asymmetry, and a variety of minor malformations. The phenotypic expression changes during childhood and adolescence, with the facial features and asymmetry usually becoming more subtle with age. SRS3 inheritance is autosomal dominant. The disease is caused by variants affecting the gene represented in this entry.

Polymorphism. Genetic variations in IGF2 are associated with body mass index (BMI). The BMI is a statistical measurement which compares a person’s weight and height.

Miscellaneous. The IGF2 locus is imprinted. Paternal inherited gene is expressed, while the maternal inherited gene is imprinted, hence silenced. Transcripts from 5 promoters P0, P1, P2, P3 and P4 code for the same protein but are differentially regulated in a developmental stage and tissue specificity. Product of 5 different transcripts regulated by 5 different promoters, denominated P0, P1, P2, P3 and P4.

Similarity. Belongs to the insulin family.

Isoforms (3)

UniProt IDNamesCanonical?
P01344-11yes
P01344-22
P01344-33

RefSeq proteins (5): NP_000603, NP_001007140, NP_001121070, NP_001278790, NP_001278791 (=MANE)

Domains & families (InterPro)

IDNameType
IPR013576IGF2_CDomain
IPR016179Insulin-likeDomain
IPR022334IGF2Family
IPR022350IGF-1/2Family
IPR022352Ins/IGF/rlxFamily
IPR022353Insulin_CSConserved_site
IPR036438Insulin-like_sfHomologous_superfamily

Pfam: PF00049, PF08365

UniProt features (44 total): mutagenesis site 8, region of interest 5, site 4, sequence variant 4, helix 4, glycosylation site 3, disulfide bond 3, sequence conflict 3, chain 2, splice variant 2, strand 2, signal peptide 1, propeptide 1, turn 1, peptide 1

Structure

Experimental structures (PDB)

16 structures.

PDBMethodResolution (Å)
3KR3X-RAY DIFFRACTION2.2
3E4ZX-RAY DIFFRACTION2.28
6VWGELECTRON MICROSCOPY3.21
8YSZELECTRON MICROSCOPY3.38
8U4CELECTRON MICROSCOPY3.6
8VJBELECTRON MICROSCOPY3.6
6VWIELECTRON MICROSCOPY3.7
8VJCELECTRON MICROSCOPY3.8
2V5PX-RAY DIFFRACTION4.1
8U4EELECTRON MICROSCOPY4.2
6UM2ELECTRON MICROSCOPY4.32
1IGLSOLUTION NMR
2L29SOLUTION NMR
5L3LSOLUTION NMR
5L3MSOLUTION NMR
5L3NSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P01344-F158.950.00

Antibody-complex structures (SAbDab): 13KR3

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (4): 48 (important for interaction with integrin); 58 (important for interaction with integrin); 61 (important for interaction with integrin); 62 (important for interaction with integrin)

Disulfide bonds (3): 33–71, 45–84, 70–75

Glycosylation sites (3): 96, 99, 163

Mutagenesis-validated functional residues (8):

PositionPhenotype
48does not affect integrin binding. defective integrin binding and igf2 signaling; when associated with e-58; e-61 and e-6
58does not affect integrin binding. defective integrin binding and igf2 signaling; when associated with e-48; e-61 and e-6
61does not affect integrin binding. defective integrin binding and igf2 signaling; when associated with e-48; e-58 and e-6
62does not affect integrin binding. defective integrin binding and igf2 signaling; when associated with e-48; e-58 and e-6
64slight but significant increase in integrin binding.
92decreases mature igf2 levels.
112no effect in proteolytical processing.
128abolishes proteolytical processing.

Function

Pathways and Gene Ontology

Reactome pathways

6 pathways

IDPathway
R-HSA-114608Platelet degranulation
R-HSA-2404192Signaling by Type 1 Insulin-like Growth Factor 1 Receptor (IGF1R)
R-HSA-2428928IRS-related events triggered by IGF1R
R-HSA-2428933SHC-related events triggered by IGF1R
R-HSA-381426Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
R-HSA-9943962CHD6, CHD7, CHD8, CHD9 subfamily

MSigDB gene sets: 724 (showing top): GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_POSITIVE_REGULATION_OF_MITOTIC_NUCLEAR_DIVISION, MODULE_52, SHEPARD_BMYB_MORPHOLINO_UP, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_REGULATION_OF_LEUKOCYTE_PROLIFERATION, GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, GOBP_REGULATION_OF_SKELETAL_MUSCLE_TISSUE_DEVELOPMENT, GOBP_MUSCLE_TISSUE_DEVELOPMENT, GOBP_POLYSACCHARIDE_BIOSYNTHETIC_PROCESS, YAGI_AML_WITH_INV_16_TRANSLOCATION, HARRIS_HYPOXIA, GOBP_REGULATION_OF_NUCLEAR_DIVISION, GOBP_NEGATIVE_REGULATION_OF_MUSCLE_CELL_DIFFERENTIATION, GOCC_SECRETORY_GRANULE

GO Biological Process (29): negative regulation of transcription by RNA polymerase II (GO:0000122), osteoblast differentiation (GO:0001649), in utero embryonic development (GO:0001701), embryonic placenta development (GO:0001892), glucose metabolic process (GO:0006006), regulation of DNA-templated transcription (GO:0006355), positive regulation of cell population proliferation (GO:0008284), insulin receptor signaling pathway (GO:0008286), animal organ morphogenesis (GO:0009887), exocrine pancreas development (GO:0031017), positive regulation of multicellular organism growth (GO:0040018), positive regulation of activated T cell proliferation (GO:0042104), positive regulation of MAPK cascade (GO:0043410), positive regulation of glycogen biosynthetic process (GO:0045725), positive regulation of mitotic nuclear division (GO:0045840), positive regulation of transcription by RNA polymerase II (GO:0045944), positive regulation of organ growth (GO:0046622), positive regulation of insulin receptor signaling pathway (GO:0046628), insulin-like growth factor receptor signaling pathway (GO:0048009), positive regulation of skeletal muscle tissue growth (GO:0048633), striated muscle cell differentiation (GO:0051146), regulation of muscle cell differentiation (GO:0051147), negative regulation of muscle cell differentiation (GO:0051148), positive regulation of cell division (GO:0051781), positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction (GO:0051897), embryonic placenta morphogenesis (GO:0060669), genomic imprinting (GO:0071514), positive regulation of vascular endothelial cell proliferation (GO:1905564), ossification (GO:0001503)

GO Molecular Function (9): insulin receptor binding (GO:0005158), insulin-like growth factor receptor binding (GO:0005159), integrin binding (GO:0005178), hormone activity (GO:0005179), growth factor activity (GO:0008083), transmembrane receptor protein tyrosine kinase activator activity (GO:0030297), protein serine/threonine kinase activator activity (GO:0043539), receptor ligand activity (GO:0048018), protein binding (GO:0005515)

GO Cellular Component (3): extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), platelet alpha granule lumen (GO:0031093)

Reactome top-level categories

Rollup of top-5 pathways:

CategoryPathways
IGF1R signaling cascade2
Response to elevated platelet cytosolic Ca2+1
Signaling by Receptor Tyrosine Kinases1
Metabolism of proteins1
CHD chromatin remodelers1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
signaling receptor binding4
positive regulation of developmental growth3
regulation of transcription by RNA polymerase II2
transcription by RNA polymerase II2
cell surface receptor protein tyrosine kinase signaling pathway2
positive regulation of multicellular organismal process2
receptor ligand activity2
signaling receptor activator activity2
negative regulation of DNA-templated transcription1
ossification1
cell differentiation1
chordate embryonic development1
in utero embryonic development1
placenta development1
embryonic organ development1
hexose metabolic process1
DNA-templated transcription1
regulation of gene expression1
regulation of RNA biosynthetic process1
cell population proliferation1
regulation of cell population proliferation1
positive regulation of cellular process1
cellular response to insulin stimulus1
anatomical structure morphogenesis1
animal organ development1
pancreas development1
exocrine system development1
gland development1
digestive system development1
multicellular organism growth1
regulation of multicellular organism growth1
positive regulation of T cell proliferation1
regulation of activated T cell proliferation1
activated T cell proliferation1
MAPK cascade1
regulation of MAPK cascade1
positive regulation of intracellular signal transduction1
glycogen biosynthetic process1
regulation of glycogen biosynthetic process1
positive regulation of macromolecule biosynthetic process1

Protein interactions and networks

STRING

4200 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
IGF2IGFBP2P18065999
IGF2IGF2RP11717999
IGF2IGFBP3P17936999
IGF2IGF1RP08069999
IGF2IGFBP1P08833998
IGF2IGFBP6P24592997
IGF2IGFBP5P24593996
IGF2IGF2BP2Q9Y6M1994
IGF2IGF2BP1Q9NZI8992
IGF2IGF2BP3O00425989
IGF2IGFBP7Q16270986
IGF2IGF1P01343985
IGF2HSPB3Q12988984
IGF2INSP01308982
IGF2INSRP06213972

IntAct

45 interactions, top by confidence:

ABTypeScore
IGF2RBPMSpsi-mi:“MI:0915”(physical association)0.560
RBPMSIGF2psi-mi:“MI:0915”(physical association)0.560
IGF2IGF2Rpsi-mi:“MI:0407”(direct interaction)0.560
IGF2RIGF2psi-mi:“MI:0407”(direct interaction)0.560
IGFBP4MYCBP2psi-mi:“MI:0914”(association)0.530
IGFBP1SUSD5psi-mi:“MI:0914”(association)0.530
IGFBP6TCAF2psi-mi:“MI:0914”(association)0.530
IGFBP4IGF2psi-mi:“MI:2364”(proximity)0.480
DCNIGF2psi-mi:“MI:0407”(direct interaction)0.440
IGF2CRELD2psi-mi:“MI:0915”(physical association)0.370
FAF1IGF2psi-mi:“MI:0915”(physical association)0.370
IGF2NMRK2psi-mi:“MI:0915”(physical association)0.370
IGF1RHAX1psi-mi:“MI:0914”(association)0.350

BioGRID (49): RBPMS (Two-hybrid), IGF2 (Affinity Capture-MS), IGF2 (Affinity Capture-RNA), IGF2 (Two-hybrid), GPR152 (Two-hybrid), IGF2 (Reconstituted Complex), IGF2 (Reconstituted Complex), IGFBP1 (Reconstituted Complex), IGF2 (Reconstituted Complex), TF (Reconstituted Complex), IGFBP3 (Reconstituted Complex), IGF2 (Reconstituted Complex), IGF2 (Reconstituted Complex), IGF2 (Two-hybrid), IGF2 (Two-hybrid)

ESM2 similar proteins: A0PJX4, A6QNZ8, B5DEK8, O60320, O73612, P01134, P01344, P01346, P07456, P10764, P48030, P51459, P52796, P52799, P52800, P98172, Q0V9A8, Q0VBP7, Q3SXP7, Q3SZ48, Q3UPR0, Q5E943, Q5HZN7, Q5JRV8, Q5PQS5, Q5R8M2, Q5RDG5, Q5RDV6, Q5VX71, Q5XGS4, Q5ZIS9, Q68FW3, Q6A044, Q7TMP6, Q8BGZ2, Q8BH32, Q8BHW5, Q8CA71, Q8N114, Q8R092

Diamond homologs: C0HJI1, C0HJI2, C0HJI3, C0HJI4, C0HJI5, C0HJI6, C0HJI7, C0HJI8, C0HJT9, C0HJU0, O73727, P01308, P01310, P01311, P01313, P01314, P01315, P01316, P01317, P01318, P01319, P01320, P01321, P01322, P01323, P01324, P01325, P01326, P01327, P01328, P01333, P01334, P01335, P01336, P01337, P01338, P01339, P01340, P01342, P01344

SIGNOR signaling

6 interactions.

AEffectBMechanism
IGF2up-regulatesIGF2Rbinding
PLAG1“up-regulates quantity by expression”IGF2“transcriptional regulation”
IGF2“up-regulates activity”IGF1Rbinding
PAX3-FOXO1“up-regulates quantity by expression”IGF2“transcriptional regulation”
LIN28A“up-regulates quantity by expression”IGF2“translation regulation”
IGF2up-regulatesINSRbinding

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 26 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)524.0×5e-04

GO biological processes:

GO termPartnersFoldFDR
positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction619.6×1e-04

Disease & clinical

Cancer significance

Clinical variants and AI predictions

ClinVar

197 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic11
Likely pathogenic10
Uncertain significance107
Likely benign50
Benign8

Top pathogenic / likely-pathogenic (21)

Variant IDHGVSClassification
1709875NM_000612.6(IGF2):c.-6-2A>TPathogenic
204491NM_000612.6(IGF2):c.23C>A (p.Ser8Ter)Pathogenic
2134425NM_000612.6(IGF2):c.89_98del (p.Glu30fs)Pathogenic
2228753NM_000612.6(IGF2):c.100G>C (p.Gly34Arg)Pathogenic
253036NM_000612.6(IGF2):c.78C>G (p.Tyr26Ter)Pathogenic
253298NM_000612.6(IGF2):c.157+1_157+2insGCPathogenic
2637040NM_000612.6(IGF2):c.157+5G>APathogenic
2682156NM_000612.6(IGF2):c.-6-2A>GPathogenic
917500NM_000612.6(IGF2):c.110_117delinsAGGTAA (p.Leu37fs)Pathogenic
917501NM_000612.6(IGF2):c.101G>A (p.Gly34Asp)Pathogenic
998143NM_000612.6(IGF2):c.520_521insC (p.Glu174fs)Pathogenic
1196226NM_000612.6(IGF2):c.490C>T (p.Gln164Ter)Likely pathogenic
1275788NM_000612.6(IGF2):c.227del (p.Asp76fs)Likely pathogenic
1679294NM_000612.6(IGF2):c.59C>A (p.Ser20Ter)Likely pathogenic
2442125NM_000612.6(IGF2):c.106del (p.Glu36fs)Likely pathogenic
2502356NM_000612.6(IGF2):c.357G>A (p.Trp119Ter)Likely pathogenic
3236772NM_000612.6(IGF2):c.252T>G (p.Cys84Trp)Likely pathogenic
372980NM_000612.6(IGF2):c.97T>C (p.Cys33Arg)Likely pathogenic
4081460NM_000612.6(IGF2):c.184_200del (p.Arg61_Arg62insTer)Likely pathogenic
917503NM_000612.6(IGF2):c.195del (p.Ile66fs)Likely pathogenic
976061NM_000612.6(IGF2):c.100G>T (p.Gly34Cys)Likely pathogenic

SpliceAI

1266 predictions. Top by Δscore:

VariantEffectΔscore
11:2133546:C:Adonor_gain1.0000
11:2133662:CTGC:Cacceptor_gain1.0000
11:2133663:TGC:Tacceptor_gain1.0000
11:2133664:GCCT:Gacceptor_loss1.0000
11:2133665:CCTG:Cacceptor_loss1.0000
11:2133666:C:CCacceptor_gain1.0000
11:2133676:C:CTacceptor_gain1.0000
11:2133676:C:Tacceptor_gain1.0000
11:2133679:A:Tacceptor_gain1.0000
11:2135364:TA:Tdonor_loss1.0000
11:2135365:A:ACdonor_gain1.0000
11:2135365:ACTGA:Adonor_loss1.0000
11:2135366:C:CAdonor_gain1.0000
11:2135366:CT:Cdonor_gain1.0000
11:2135366:CTG:Cdonor_gain1.0000
11:2135366:CTGA:Cdonor_gain1.0000
11:2135366:CTGAA:Cdonor_gain1.0000
11:2135525:GGTGT:Gacceptor_gain1.0000
11:2135526:GTGT:Gacceptor_gain1.0000
11:2135527:TGT:Tacceptor_gain1.0000
11:2135527:TGTCT:Tacceptor_loss1.0000
11:2135528:GT:Gacceptor_gain1.0000
11:2135529:TCTGG:Tacceptor_loss1.0000
11:2135530:C:CCacceptor_gain1.0000
11:2135531:T:Aacceptor_loss1.0000
11:2137191:CAG:Cdonor_gain1.0000
11:2147804:GCCC:Gacceptor_gain1.0000
11:2147805:CCC:Cacceptor_gain1.0000
11:2147805:CCCC:Cacceptor_gain1.0000
11:2147806:CC:Cacceptor_gain1.0000

AlphaMissense

0 scored. Top likely-pathogenic:

dbSNP variants (sampled 300 via entrez): RS1000103191 (11:2137354 C>T), RS1000312512 (11:2144347 G>A,T), RS1000356393 (11:2132227 C>T), RS1000693997 (11:2145571 C>T), RS1000798667 (11:2138616 C>A,G,T), RS1001024405 (11:2148499 C>A,T), RS1001044707 (11:2145342 G>A,T), RS1001171826 (11:2144606 A>G,T), RS1001253493 (11:2139871 G>A), RS1001286016 (11:2143152 C>G,T), RS1001308758 (11:2132836 C>T), RS1001362385 (11:2149460 T>C), RS1001721104 (11:2138678 CG>C), RS1001761388 (11:2143437 T>A,C), RS1001775755 (11:2149271 C>G,T)

Disease associations

OMIM: gene MIM:147470 | disease phenotypes: MIM:616489, MIM:130650, MIM:194070, MIM:180860, MIM:114500

GenCC curated gene-disease

DiseaseClassificationInheritance
Silver-Russell syndrome 3DefinitiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
Silver-Russell syndrome 3DefinitiveAD

Mondo (5): Silver-Russell syndrome 3 (MONDO:0014663), Beckwith-Wiedemann syndrome (MONDO:0007534), Wilms tumor 1 (MONDO:0008679), Silver-Russell syndrome 1 (MONDO:0020796), colorectal cancer (MONDO:0005575)

Orphanet (4): Beckwith-Wiedemann syndrome (Orphanet:116), Nephroblastoma (Orphanet:654), Silver-Russell syndrome (Orphanet:813), NON RARE IN EUROPE: Colorectal cancer (Orphanet:466667)

HPO phenotypes

125 total (30 of 125 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000023Inguinal hernia
HP:0000028Cryptorchidism
HP:0000045Abnormal scrotum morphology
HP:0000047Hypospadias
HP:0000048Bifid scrotum
HP:0000062Ambiguous genitalia
HP:0000069Abnormality of the ureter
HP:0000076Vesicoureteral reflux
HP:0000105Enlarged kidney
HP:0000121Nephrocalcinosis
HP:0000150Gonadoblastoma
HP:0000158Macroglossia
HP:0000164Abnormality of the dentition
HP:0000175Cleft palate
HP:0000218High palate
HP:0000239Large fontanelles
HP:0000269Prominent occiput
HP:0000270Delayed cranial suture closure
HP:0000278Retrognathia
HP:0000280Coarse facial features
HP:0000324Facial asymmetry
HP:0000325Triangular face
HP:0000331Short chin
HP:0000347Micrognathia
HP:0000369Low-set ears
HP:0000411Protruding ear
HP:0000520Proptosis
HP:0000592Blue sclerae
HP:0000678Dental crowding

GWAS associations

30 associations (top):

StudyTraitp-value
GCST000488_11Prostate cancer3.000000e-33
GCST001950_3Femoral neck bone geometry and menarche (age at onset)6.000000e-06
GCST001950_4Femoral neck bone geometry and menarche (age at onset)3.000000e-06
GCST002058_1DNA methylation (variation)5.000000e-07
GCST002112_1Celiac disease7.000000e-06
GCST005024_85Pursuit maintenance gain2.000000e-06
GCST005146_23Birth weight7.000000e-10
GCST005984_52Glomerular filtration rate5.000000e-08
GCST005985_31Creatinine levels1.000000e-09
GCST006958_5Length of menstrual cycle5.000000e-08
GCST007344_121Estimated glomerular filtration rate2.000000e-09
GCST007344_41Estimated glomerular filtration rate2.000000e-10
GCST007847_40Type 2 diabetes3.000000e-13
GCST007876_134Estimated glomerular filtration rate3.000000e-12
GCST008971_143Urate levels2.000000e-08
GCST008972_213Urate levels1.000000e-08
GCST009379_367Type 2 diabetes2.000000e-06
GCST009379_368Type 2 diabetes2.000000e-08
GCST009379_369Type 2 diabetes4.000000e-08
GCST009379_370Type 2 diabetes1.000000e-06
GCST009379_371Type 2 diabetes4.000000e-26
GCST010118_120Type 2 diabetes1.000000e-16
GCST010726_45Periventricular white matter hyperintensities3.000000e-06
GCST012227_625Hip circumference adjusted for BMI5.000000e-11
GCST012227_626Hip circumference adjusted for BMI2.000000e-11
GCST012227_627Hip circumference adjusted for BMI7.000000e-10
GCST90020028_785Hip circumference adjusted for BMI2.000000e-09
GCST90020028_786Hip circumference adjusted for BMI1.000000e-08
GCST90020028_787Hip circumference adjusted for BMI6.000000e-14
GCST90020028_788Hip circumference adjusted for BMI4.000000e-09

EFO canonical traits (7, from GWAS)

EFO IDTrait name
EFO:0004704age at menopause
EFO:0022599DNA methylation
EFO:0008433pursuit maintenance gain measurement
EFO:0004344birth weight
EFO:0004531urate measurement
EFO:0005665white matter hyperintensity measurement
EFO:0008039BMI-adjusted hip circumference

MeSH disease descriptors (1)

DescriptorNameTree numbers
D001506Beckwith-Wiedemann SyndromeC16.131.077.133; C16.131.260.080; C16.320.180.080; C16.320.447.375

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL3712957 (SINGLE PROTEIN)

Clinical evidence (CIViC)

Drug × variant × indication: 5 predictive associations from 5 curated evidence items.

VariantTherapyIndicationEffectLevelCIViC
IGF2 OverexpressionGanitumab + GemcitabinePancreatic AdenocarcinomaSensitivity/ResponseCIViC BEID7000
IGF2 OverexpressionCabazitaxel + LinsitinibProstate CancerSensitivity/ResponseCIViC DEID12428
IGF2 OverexpressionLinsitinibProstate CancerSensitivity/ResponseCIViC DEID412
IGF2 OverexpressionDocetaxel + Cabazitaxel + LinsitinibProstate CancerSensitivity/ResponseCIViC DEID414
IGF2 OverexpressionGanitumabOvarian CancerSensitivity/ResponseCIViC DEID6972

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs4244809IGF2, IGF2-AS, INS-IGF20.000

CTD chemical–gene interactions

120 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
bisphenol Aincreases abundance, increases expression, affects expression, affects cotreatment, increases methylation (+3 more)6
Estradioldecreases expression, increases reaction, increases secretion, increases chemical synthesis, affects cotreatment (+3 more)5
Benzo(a)pyreneaffects cotreatment, affects expression, decreases expression, increases expression, affects methylation4
sodium arseniteaffects cotreatment, decreases expression, increases abundance, increases expression3
Resveratroldecreases secretion, increases reaction, affects expression, decreases reaction, increases secretion (+2 more)3
Cadmiumincreases expression, decreases expression, increases abundance, affects binding, increases reaction3
Tetrachlorodibenzodioxinaffects methylation, increases abundance, affects cotreatment, decreases expression, increases expression3
Tobacco Smoke Pollutiondecreases expression, increases expression, affects expression3
Tretinoinincreases expression, affects binding, increases reaction, increases secretion, decreases activity (+1 more)3
Valproic Acidincreases expression3
trichostatin Aincreases expression2
manganese chloridedecreases expression, increases abundance, decreases methylation, affects cotreatment2
Arsenic Trioxideaffects cotreatment, increases expression2
Fulvestrantaffects cotreatment, increases methylation, affects localization, decreases reaction, increases expression2
Cisplatinaffects cotreatment, increases expression, decreases response to substance2
Curcuminaffects cotreatment, increases expression, decreases expression2
Aflatoxin B1decreases methylation, increases expression2
Cadmium Chloridedecreases expression, increases abundance, increases expression2
6,7-dimethoxy-2-(pyrrolidin-1-yl)-N-(5-(pyrrolidin-1-yl)pentyl)quinazolin-4-aminedecreases expression1
(6,7-dimethoxyquinolin-4-yl)(5-methoxy-2,2-dimethyl-2H-chromen-6-yl)methyl acetatedecreases expression1
ammonium 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)-propanoatedecreases expression1
ginger extractdecreases expression, decreases reaction, increases abundance1
dicrotophosincreases expression1
4-oxoretinoic aciddecreases expression1
propionaldehydeincreases expression1
benzo(b)fluorantheneaffects cotreatment, affects expression1
deoxynivalenoldecreases expression1
lead acetatedecreases expression, decreases methylation1
ethyl-p-hydroxybenzoateincreases expression1
terbufosincreases methylation1

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00114829PHASE4UNKNOWNPreoperative Assessment of Colon Tumor
NCT00114842PHASE4COMPLETEDMagnetic Resonance (MR) Colonography With Fecal Tagging
NCT00114946PHASE4TERMINATEDA Study to Compare Two Avastin-Based Treatment Regimens for the Treatment of Metastatic Colorectal Cancer
NCT00122720PHASE4COMPLETEDThe Effect of Darbepoetin Upon Rehabilitation for Colorectal Cancer Surgery
NCT00129870PHASE4TERMINATEDCONCEPT: Comparison of Oxaliplatin vs Conventional Methods With Calcium/Magnesium in First-Line Metastatic Colorectal Cancer
NCT00138060PHASE4COMPLETEDToxicity/Benefit Ratio Optimization of Chemotherapy in Colorectal Cancer (CRC) Patients by Determination of Individual Genotypic Determinants
NCT00216424PHASE4TERMINATEDCapecitabine (Xeloda) and Radiation for Patients With Rectosigmoid Carcinoma
NCT00327093PHASE4TERMINATEDElaboration of a Model for Predicting Efficacy of Monoclonal Antibodies (Cetuximab and Bevacizumab) in Patients With Colorectal Cancer and Liver Metastases
NCT00332943PHASE4COMPLETEDMR Colonography With Fecal Tagging. Barium vs. BariumFerumoxsil
NCT00441311PHASE4COMPLETEDDissemination of Colorectal Cancer Screening to Primary Care Physicians
NCT00460837PHASE4WITHDRAWNComparison of Bowel Preparation in Virtual Colonoscopy (VC) - Patient Experience
NCT00473980PHASE4COMPLETEDPreoperative Non-steroidal Anti-inflammatory Drugs(NSAID) to Colorectal Cancer Patients
NCT00488904PHASE4COMPLETEDOmega-3 Fatty Acids and Postoperative Complications After Colorectal Surgery
NCT00496678PHASE4COMPLETEDTrial of Patient Navigation-Activation
NCT00502671PHASE4COMPLETEDA Study of Xeloda (Capecitabine) as Adjuvant Monotherapy in Patients With Colon Cancer.
NCT00559676PHASE4COMPLETEDStudy of Biomarkers in Patients Undergoing Chemotherapy for Metastatic Colorectal Cancer
NCT00577031PHASE4COMPLETEDOBELIX Study: A Study of Avastin (Bevacizumab) in Combination With XELOX in Patients With Metastatic Cancer of the Colon or Rectum.
NCT00626054PHASE4COMPLETEDComparison of Two Methods of Administration of a PEG Solution
NCT00812864PHASE4COMPLETEDPharmacokinetic Study of Capecitabine in Elderly Cancer Patient (≥ 75 Years)
NCT00868569PHASE4UNKNOWNTranshepatic Arterial Chemotherapy (TAC) Versus Transcatheter Arterial Chemoembolization (TACE) Plus Folfox4 as the Treatment of Unresectable Liver Metastasis of Colorectal Cancer
NCT00868816PHASE4COMPLETEDOxaliplatine Based Adjuvant Chemotherapy for Stage II/III Colorectal Cancer: 8 Cycles Versus 12 Cycles
NCT00874406PHASE4UNKNOWNPreoperative Transhepatic Arterial Chemotherapy (TAC) in the Treatment of Liver Metastasis of Resectable Colorectal Cancer
NCT00928928PHASE4COMPLETEDOxidative Stress Markers in Open and Laparoscopic Colectomy for Cancer
NCT00942461PHASE4COMPLETEDInflammatory Response in Laparoscopic and Open Colectomy
NCT01023633PHASE4UNKNOWNOPTIMOX1 in Chinese mCRC Patients
NCT01271582PHASE4UNKNOWNInvestigation of Association Between UGT1A1 Polymorphisms and Irinotecan Toxicity in Korean Patients
NCT01315990PHASE4UNKNOWNFOLFIRI in Combination With Cetuximab in the First-line Treatment of Metastatic Colorectal Cancer Including a Regular Dermal Prophylaxis to Prevent Acneiforme Follicular Exanthema
NCT01493713PHASE4COMPLETEDCorrelation Between RECIST, Morphologic Response by CT- Histopathologic Response in Hepatic Metastasis Secondary to Colorectal Cancer
NCT01609660PHASE4COMPLETEDImpact of Probiotics on the Intestinal Microbiota
NCT01641458PHASE4COMPLETEDPharmacology-driven Dosing of Fluoropyrimidines in Cancer Patients
NCT01689792PHASE4COMPLETEDA Multi-centre Study Comparing the Polyp Detection Rate of Two Different Types of Bowel Preparation: a 2-litre Solution (MOVIPREP®) Versus a Hyperosmotic and Stimulant Combined Low Volume Bowel Preparation (Sodium Picosulfate and Magnesium Citrate)
NCT01695772PHASE4COMPLETEDA Study of Bevacizumab Plus 5-Flurouracil (5-FU) Based Doublet Chemotherapy as Neoadjuvant Therapy for Participants With Previously Untreated Unresectable Liver-Only Metastases From Colorectal Cancer
NCT01695863PHASE4COMPLETEDEfficacy and Patient Satisfaction of Miralax and Gatorade Versus Movi Prep
NCT01706822PHASE4TERMINATEDRadial Reload Laparoscopic LAR Case Series
NCT01740947PHASE4TERMINATEDDoes Administration of Antibiotics in Patients Undergoing Surgery for Colorectal Cancer Result in Less Complications and Better Prognosis?
NCT01831310PHASE4COMPLETEDNutrition for Colorectal Cancer Patients and Neutrophil Functions
NCT01841294PHASE4UNKNOWNNK Activity Modulation Induced by Intravenous Lidocaine During Colorectal Laparoscopic Surgery
NCT01959061PHASE4UNKNOWNEfficacy and Safety of Raltitrexed-based Transarterial Chemoembolisation(TACE)for Colorectal Cancer Liver Metastases
NCT02032953PHASE4UNKNOWNEnhancing the Anabolic Effect of Perioperative Nutrition With Insulin While Maintaining Normoglycemia
NCT02567331PHASE4COMPLETEDA Study of Capecitabine (Xeloda) in Patients With Metastatic Colorectal Cancer