Fig. 8From: Insulin-like growth factor receptor signaling in breast tumor epithelium protects cells from endoplasmic reticulum stress and regulates the tumor microenvironmentModel for insulin-like growth factortype 1 receptor (IGF-1R) regulation of primary tumor cellular stress and enhancement of an aggressive tumor microenvironment. Reduced or inhibited IGF-1R function results in increased reactive oxygen species (ROS) accumulation and primary tumor epithelial endoplasmic reticulum (EnR) stress leading to increased production of IL-6 and C-C motif chemokine ligand 2 (CCL2) by the primary tumor epithelium. Secretion of IL-6 and CCL2 signals for monocyte infiltration and differentiation to tumor-associated macrophages (TAM). This differentiation increases MMP expression and secretion resulting in active tumor basement membrane breakdown allowing for increased collagen deposition to provide an environment for tumor cell extravasationBack to article page