Transforming growth factor β (TGFβ) potently inhibits the growth of human epithelial cells. However, neoplastic epithelial cells become resistant to TGFβ‐mediated mitoinhibition, and the mechanisms for this alteration during tumorigenesis are not fully understood. In this study, we demonstrate that TGFβ sensitises PLC/PRF/5 cells (Human hepatocellular carcinoma cell line) to insulin‐like growth factor 1 (IGF1), and enhances cell survival in the presence of sorafenib, a therapeutic agent used to treat advanced stage HCC. Firstly, we observed that TGFβ significantly increased mRNA and protein expression of insulin like growth factor 1 receptor (IGF1R) in PLC cells. To test how this result would affect IGF1 signaling, PLC cells were treated with TGFβ for up to 72 hrs, then treated with IGF1 for 30 min. PLC cells pretreated with TGFβ had a much greater response to IGF1 treatment, exhibiting significantly increased levels of pIGF1R and pAkt compared with IGF1 treatment only. Since IGF1 is a pro‐survival mitogen, we further tested whether an increase in IGF1 sensitivity would reduce apoptosis in the presence of sorafenib. The cells were treated with TGFβ for 48 hrs before the incubation with sorafenib for up to 24 hrs. We found that TGFβ pretreatment led to a significant reduction in both cleaved caspase 7 and cleaved PARP, and a significant increase in cell viability compared with sorafenib treatment only. Taken together, our data suggest that TGFβ can regulate the survival of HCC cells via the activation of IGF1 pro‐survival pathway and prevent Sorfafenib‐induced apoptosis.Grant Funding Source: NIH/NCI