The growth of eukaryotic cells is modulated by various influences, of which growth factors are amongst the most important for many cell types. A wide range of polypeptide growth factors have been identified (Figure 1) and more undoubtedly remain to be characterized. Factors that inhibit cell growth also exist, e.g. interferons (IFNs) and tumour necrosis factor (TNF) inhibit proliferation of various cell types.\u00a0Some growth factors may be classified as cytokines, e.g. ILs, transforming growth factor-\u03b2 (TGF-\u03b2) and colony stimulating factors<\/a> (CSFs). Others, e.g. insulin-like growth factors (IGFs) are not members of this family. Each growth factor has a mitogenic (promotes cell division) effect on a characteristic range of cells. While some such factors affect only a few cell types, most stimulate the growth of a wide range of cells.<\/p>\n Figure 1: Overview of some polypeptide growth factors<\/p>\n GROWTH FACTORS AND WOUND HEALING<\/p>\n The wound-healing process is complex and as yet not fully understood. The area of tissue damage becomes the focus of various events, often beginning with immunological and inflammatory reactions. The various cells involved in such processes, as well as additional cells at the site of the wound, also secrete various growth factors. These mitogens stimulate the growth and activation of various cell types, including fibroblasts (which produce collagen and elastin precursors, and ground substance), epithelial cells (e.g. skin cells) and vascular endothelial cells. Such cells advance healing by promoting processes such as granulation (growth of connective tissue and small blood vessels at the healing surface) and subsequent epithelialization. The growth factors that appear most significant to this process include fibroblast growth factor<\/a>s (FGFs), transforming growth factors (TGFs), platelet-derived growth factor (PDGF), insulin-like growth factor<\/a> 1 (IGF-1) and epidermal growth factor (EGF).<\/p>\n INSULIN-LIKE GROWTH FACTORS (IGFs)<\/p>\n The insulin-like growth factors (also termed \u2018somatomedins\u2019), constitute a family of two closely related (small) polypeptides: insulin-like growth factor 1 (IGF-1) and insulin-like growth factor 2 (IGF-2). As the names suggest, these growth factors bear a strong structural resemblance to insulin (or, more accurately, proinsulin). Infusion of IGF-1 decreases circulating levels of insulin and glucagon, increases tissue glucose uptake and inhibits hepatic glucose export. IGFs display pluripotent activities, regulating the growth, activation, differentiation (and maintenance of the differentiated state) of a wide variety of cell and tissue types (discussed later). The full complexity and variety of their biological activities are only now beginning to be appreciated.<\/p>\n
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