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The cartilage finding is notable because it suggests the peptide acts through pathways relevant to connective tissue repair, not only lipolysis

Mayo Clinic Proceedings

IGF-2 can act over its own receptor (IGF-2 receptorIGF-2R), which is a manose-6-phosphate transmembrane protein with undetermined actionsit is thought that it acts as a scavenger receptor by sequestering IGF-2 and IGF-1 from the extracellular medium and targeting them for destruction [103]