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The IGF-1R is a tyrosine kinase that undergoes autophosphorylation and catalyzes the phosphorylation of multiple cellular proteins, including members of the IRS family. On phosphorylation, IRSs interact with signaling molecules, including Akt, Ras/Raf, and Rac. Diseases associated with IGF1R include Insulin-Like Growth Factor I and Nk-Cell Enteropathy. Among its related pathways are Apoptotic Pathways in Synovial Fibroblasts and GPCR Pathway. The RsiRp-α protein is a recombinant Sirp-α protein. SIRPA plays a protective role in cardiac hypertrophy through negative regulation of the Toll-like receptor 4/nuclear factor-kappaB pathway.