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The role of oxidative stress in the COVID-19 disease may involve recognition of the viral S-protein by angiotensin converting enzyme-2 (ACE2) receptor and pattern recognition receptors like toll-like receptors 2 and 4, and activation of transcription factors like nuclear factor kappa B, that subsequently activate nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) expression succeeded by ROS production (Kozlov et al., 2021)

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Research has examined its role in: IGFBP-independent IGF-1R binding and receptor activation studies Myogenic cell proliferation, satellite cell activation, and muscle biology research PI3K/Akt/mTOR and MAPK pathway signalling investigations IGFBP-3 regulation and gene expression modelling in muscle cell cultures Tissue repair and wound healing pathway research Comparative IGF-1 analogue studies alongside IGF-1 LR3 and native IGF-1 Neuroregeneration and CNS biology research models Cell differentiation and anti-apoptotic pathway studies IGF-DES and Myogenic Cell Research Treatment of porcine embryonic myogenic cells with Des(1-3)IGF-1 resulted in a threefold reduction in IGFBP-3 levels in conditioned media, while IGF-1 treatment caused a fourfold increase in the steady-state level of myogenin mRNA suggesting that IGF-I treatment accelerates differentiation of myogenic cells, and that this differentiation may be preceded or accompanied by decreased IGFBP-3 production

In November 2023, the Food and Drug Administration approved a version for weight loss under the name Zepbound.