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Insulin-Like Growth Factor Binding Protein-7 (IGFBP7) is a member of the IGFBP family, which plays a crucial role in modulating the activity of insulin-like growth factors (IGFs). IGFBP7 is a secreted protein that binds IGF-1, insulin, vascular endothelial growth factor A (VEGFA), and activin A . It is involved in various physiological and pathological processes, including cell proliferation, apoptosis, migration, and tumor progression .
IGFBP7 is expressed in various tissues and has been linked to different physiological and pathological conditions. For instance, its expression is associated with poor prognosis in multiple myeloma but may protect against bone disease . The expression of IGFBP7 is regulated by methylation, and high levels of IGFBP7 are associated with adverse survival outcomes in multiple myeloma patients .
IGFBP7 has multifaceted roles in both normal physiology and disease states:
The regulatory effects of IGFBP7 are mediated through various mechanistic pathways. It antagonizes bone morphogenetic proteins and is involved in the tumor propagation of both solid and hematological malignancies . Additionally, IGFBP7 overcomes activin A-induced osteoblast suppression and promotes osteogenesis .
The clinical significance of IGFBP7 is evident in its role as a prognostic marker and potential therapeutic target. High expression of IGFBP7 is associated with adverse chromosomal aberrations and higher myeloma cell proliferation . Conversely, higher IGFBP7 expression is linked to a lower probability of myeloma bone disease .