IGF-1 LR3 primarily exerts its effects through high-affinity binding to the insulin-like growth factor 1 receptor (IGF-1R), activating the PI3K/Akt and MAPK/ERK signaling pathways, which promote cell proliferation, differentiation, and survival. This mechanism is involved in various biological processes, including muscle and nerve regeneration, as well as cardiac myocyte proliferation. However, the precise details of its action, particularly in the context of fetal growth and insulin secretion modulation, remain incompletely understood.