IGF1 and visceral leishmaniasis: Finally, growth factors have also entered the M1/M2 macrophage world: in a hamster model of visceral leishmaniasis, macrophage arginase I expression is driven by fibroblast growth factor-2 (FGF-2) and insulin-like growth factor-1 (IGF-1), which both signal via STAT6 and are amplified by co-stimulation with IL-4 (107).