IGF-2

Insulin-like growth factor 2, IGF-II, somatomedin A (historical)

Growth hormone axis
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1What it is

IGF-2 is the lesser-known sibling of IGF-1. Both are small proteins structurally related to insulin, and both circulate bound to IGF-binding proteins. In humans IGF-2 is actually the more abundant of the two in adult blood, at roughly three times the concentration of IGF-1, but unlike IGF-1 it is only weakly controlled by growth hormone. Its best-understood role is in fetal growth: the IGF2 gene is "imprinted", expressed only from the paternal copy, and disturbances in that region of chromosome 11 cause either growth restriction (Silver-Russell syndrome) or overgrowth with tumour predisposition (Beckwith-Wiedemann syndrome). Mice lacking the gene are born at 60% of normal size (DeChiara 1990, Nature).

In adults IGF-2 is produced by the liver and many tissues, acts locally in muscle, bone and brain, and is overproduced by some tumours — the cause of a well-recognised but rare syndrome of severe hypoglycaemia from "big IGF-2" secreted by large sarcomas and other tumours (Daughaday 1988, NEJM).

IGF-2 has never been developed as a medicine. Interest as a research compound comes mainly from a decade of rodent work on memory, and from muscle-regeneration biology. Human data on administering it do not exist, and this profile is short for that reason.


2How it's thought to work

IGF-1 receptor. IGF-2 activates it, though less potently than IGF-1, producing the same PI3K/Akt and MAPK growth-and-survival signalling.
Insulin receptor isoform A. IGF-2 is a relatively strong of this fetal/cancer-associated isoform, which is part of why it matters in tumour biology and why high levels cause hypoglycaemia.
IGF2R (mannose-6-phosphate receptor). binds IGF-2 and routes it for destruction — a clearance receptor and tumour suppressor. Paradoxically, the rodent memory work suggests IGF2R signalling in the hippocampus is required for the memory effect.
Muscle. IGF-2 is produced by differentiating muscle cells and acts as an autocrine signal for myoblast fusion and regeneration after injury.
The second IGF, important in fetal growth and signalling through both the IGF-1 receptor and the insulin receptor's A isoform.Schematic — not to scale

3What the research shows

Memory enhancement in rodents

Injection of IGF-2 into the hippocampus, or systemically, shortly after learning strengthened memory consolidation and persistence in rats and mice, dependent on IGF2R (Chen 2011, Nature; Stern 2014, Neuropsychopharmacology — systemic administration). Later work reported rescue of memory and social deficits in mouse models of autism-related conditions (Steinmetz 2018, J Neurosci) and of ageing-related decline. All rodent. No human cognitive study of IGF-2 exists. [3][4][5]
Graded C/D

Muscle regeneration

IGF-2 expression rises during muscle regeneration and drives myoblast differentiation in culture (Florini 1991, J Biol Chem); in mice, IGF-2 contributes to recovery after injury. Exogenous IGF-2 for muscle growth in humans has never been studied. [6]
Graded C (foundational biology)

Fetal and placental growth

Knockout and imprinting studies establish IGF-2 as a master fetal growth factor (DeChiara 1990, Nature; Constância 2002, Nature — placental IGF-2). This is why it is central to Beckwith-Wiedemann and Silver-Russell syndromes. [1][7]
Not gradedhuman observational / in vitro

Cancer biology

IGF-2 overexpression and loss of imprinting are documented across many tumour types (hepatoblastoma, Wilms tumour, colorectal, adrenocortical), and IGF-2-driven hypoglycaemia in sarcoma patients is a recognised paraneoplastic syndrome. This is the clearest human evidence about IGF-2, and it points to risk, not benefit.

Body composition, longevity, recovery in humans

No data whatsoever.

4Reported side effects and interactions

Literature-reported

no human administration data. The human syndromes of IGF-2 excess (tumour-associated) feature profound hypoglycaemia, suppressed GH and insulin, and growth of soft tissue. Rodent studies at memory-enhancing doses report no gross toxicity over short courses.

Community-reported

scarcely any; the compound is rarely used and reports are unreliable. Hypoglycaemia symptoms would be expected.

Theoretical. the strongest theoretical concern on this site for a growth factor — IGF-2 signalling through IGF-1R and IR-A is a recognised driver of tumour growth, and loss of IGF2 imprinting is an early event in several cancers. Hypoglycaemia via IR-A. Possible suppression of endogenous GH/IGF-1.

Interactions. additive hypoglycaemia with insulin, sulfonylureas, IGF-1 variants and GLP-1 .

Markers researchers commonly monitor

No compound-specific monitoring exists; the following derive from IGF physiology:

MarkerWhy it's watched
Fingerstick glucose around dosing and fasting glucosehypoglycaemia is the acute, predictable risk.
IGF-1, IGF-2 and IGFBP-3serum IGF-2 can be measured by specialist labs; a baseline is informative because endogenous levels are high and variable.
HbA1c and fasting insulinlonger-term glucose handling.
CBC and CMPgeneral baseline for an injected growth factor with no human safety data.
Age-appropriate cancer screeningthe mechanism warrants it; this is a clinician conversation.

Free for everyone. Safety information is never behind a paywall.


5Reconstitution and handling

Supplied, where it is at all, as small (often 100 µg–1 mg) vials intended for laboratory use, frequently with a recommended such as dilute acetic acid or a buffer rather than . gently against the vial wall and keep cold. Laboratory-grade growth factors are not manufactured to injectable standards.

Open in calculator, pre-loaded →

6Commonly studied alongside

IGF-1 and IGF-1 LR3 (as comparators in binding and potency work), mecasermin (approved IGF-1), insulin (receptor pharmacology). In the memory literature, compared with other consolidation enhancers in rodents; no human combinations.

Informational cross-links. Not stack recommendations.


7Regulatory status by region

RegionStatus (checked —)
United StatesNot FDA-approved; not a compounding-list substance; sold only as a laboratory reagent
European UnionNot authorised
United KingdomNot licensed
AustraliaNot approved; growth factors of this class are prescription-only †
South AfricaNot registered
SportProhibited by WADA (S2 — "insulin-like growth factor-1 (IGF-1) and its analogues" and growth factors affecting muscle, tendon or ligament are listed; IGF-2 falls under the growth-factor wording) †

8Open questions

  • Whether the rodent memory effect has any human counterpart; no trial has been attempted and the safety case for one is difficult.
  • The real-world composition and purity of IGF-2 sold outside laboratory supply chains.
  • Everything about human pharmacokinetics and safety.

9References

  1. 1DeChiara TM, Efstratiadis A, Robertson EJ (1990). A growth-deficiency phenotype in heterozygous mice carrying an insulin-like growth factor II gene disrupted by targeting. Nature. PubMed · DOI
  2. 2Daughaday WH et al. (1988). Synthesis and secretion of insulin-like growth factor II by a leiomyosarcoma with associated hypoglycemia. N Engl J Med. PubMed · DOI
  3. 3Chen DY et al. (2011). A critical role for IGF-II in memory consolidation and enhancement. Nature. PubMed · DOI
  4. 4Stern SA, Kohtz AS, Pollonini G, Alberini CM (2014). Enhancement of memories by systemic administration of insulin-like growth factor II. Neuropsychopharmacology. PubMed · DOI
  5. 5Steinmetz AB et al. (2018). Insulin-like growth factor II targets the mTOR pathway to reverse autism-like phenotypes in mice. J Neurosci. PubMed · DOI
  6. 6Florini JR et al. (1991). "Spontaneous" differentiation of skeletal myoblasts is dependent upon autocrine secretion of insulin-like growth factor-II. J Biol Chem. PubMed
  7. 7Constância M et al. (2002). Placental-specific IGF-II is a major modulator of placental and fetal growth. Nature. PubMed · DOI
  8. 8Livingstone C (2013). IGF2 and cancer. Endocr Relat Cancer. PubMed · DOI

† Being confirmed by our reviewers against current sources.


10Community

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Self-reported side effects Phase 2

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11Page history

26 Oct 2026Profile published — awaiting medical review

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