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Thus, the inability to account for inhibition of IGF-2 binding to the IGF-1R is an important limitation in this study, which should be considered when assessing outcomes from human trials using IGF-1R mAbs

6 Insulin-like growth factor I exerts growth hormone- and insulin-like actions on human muscle protein metabolism. Physiology.org

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Both have similar biological effects that are caused by binding to the IGF-1 receptor (IGF-1R), whereas the IGF-2R is specific for IGF-2 and thought to have no physiological role except serving to degrade IGF-2 28 (Figure 1)

Glutathione in the Brain Sechi G., et al