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Figure 3 4.4 Extracellular matrix and blood vessels Plasmodium infection ability to boost immunity, inhibit tumor progression, and prolong survival in murine Lewis lung carcinoma, triple negative breast cancer, and hepatocellular carcinoma models was reported ( Plasmodium -derived hemozoin that accumulated in TAMs abrogated IGF-1R signaling partly by silencing its downstream targets PI3K and MAPK, causing decreased expression of tumor angiogenesis facilitator matrix metalloprotease 9 (MMP-9) in TAMs, and in turn leading to decreased tumor angiogenesis and TAM infiltration ( In addition, the small leucine-rich repeat proteoglycan of bone extracellular matrix tissue biglycan, which is correlated with an aggressive phenotype of osteosarcoma, supported tumor growth and induced resistance to chemotherapy drug doxorubicin by forming a complex with IGF-1R leading to activation of the IGF-1R signaling pathway in human osteosarcoma cell line MG63 ( 5 Therapeutic potential of IGF-1-R targeting in cancer 5.1 IGF-1R silencing can abrogate cancer drug resistance in vitro It appears from the data presented above that IGF-1-R signaling targeting could be an excellent therapeutic strategy in cancer, particularly in chemotherapy resistant cases ( Figure 4 )