Endocrinology Vol. 138, No. 2 741-750
Copyright © 1997 by The Endocrine Society
Roles of Insulin Receptor Substrate-1 and Shc on Insulin-Like Growth Factor I Receptor Signaling in Early Passages of Cultured Human Fibroblasts
Yoshihiko Takahashi,
Kazuyuki Tobe,
Hiroko Kadowaki,
Daisuke Katsumata,
Yoshimitsu Fukushima,
Yoshio Yazaki,
Yasuo Akanuma and
Takashi Kadowaki
Institute for Diabetes Care and Research (Y.T., H.K., Y.A.), Asahi
Life Foundation, Tokyo 100, Japan; Third Department of Internal
Medicine (Y.T., K.T., Y.Y., T.K.), Faculty of Medicine, University of
Tokyo, Tokyo 113, Japan; and Saitama Childrens Medical Center (D.K.,
Y.F.), Iwatsuki 339, Japan
Address all correspondence and requests for reprints to: Takashi Kadowaki, Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan.
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Abstract
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Insulin-like growth factor-I (IGF-I) improves glucose metabolism and
growth in patients with leprechaunism. We investigated signal
transduction through IGF-I receptor in comparison with epidermal growth
factor (EGF) receptor in early passages of cultured skin fibroblasts
from a normal subject and a patient with leprechaunism whose insulin
receptor tyrosine kinase was almost nonexistent. Insulin receptor
substrate-1 (IRS-1) became tyrosine-phosphorylated and bound growth
factor receptor-bound protein 2 (GRB2) quickly by IGF-I. The
association of Shc with GRB2 by IGF-I was detected by immunoblot with
anti-Shc antibody but was hardly visible with antiphosphotyrosine
antibody, which was in marked contrast to efficient tyrosine
phosphorylation of Shc by EGF. However, the potency of IGF-I for DNA
synthesis was far stronger than EGF, which was not parallel with the
potency of these growth factors to activate Shc or MAP kinase. Rather,
phosphatidylinositol (PI) 3-kinase activity, which was activated by
IGF-I about 5- to 10-fold more strongly than EGF, appeared to correlate
with mitogenesis. Signal transduction pathways following IGF-I receptor
or EGF receptor activation were indistinguishable between the normal
subject and the patient. Our results strongly suggest that in human
skin fibroblasts, which represent a more physiological cell culture: 1)
IRS-1, rather than Shc, is the major tyrosine-phosphorylated protein
binding GRB2 in initial phase of IGF-I signaling; 2) mitogenic potency
of receptor tyrosine kinases such as IGF-I receptor and EGF receptor
may not be determined solely by the amount of Shc-GRB2 complex or the
activity of MAP kinase; and 3) in contrast to previous reports, IGF-I
and EGF receptor signalings are not defective in leprechaunism.
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Introduction
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INSULIN-LIKE GROWTH FACTOR I (IGF-I) is
known to have metabolic and growth-promoting effects and can compensate
for some insulin action in patients with mutations in the insulin
receptor gene (1). Its receptor (IGF-I receptor) has tyrosine kinase
activity, phosphorylates insulin receptor substrate-1 (IRS-1), and Shc
directly, which leads to activation of MAP kinase cascade, PI 3-kinase,
and so on in various established cell lines and murine tissues such as
liver, muscle, and adipose tissue (2, 3). However, its postreceptor
signaling in primary culture of human cells has not been well
documented. Here, we characterize IGF-I receptor (IGF-I R) signaling in
early passages of cultured human skin fibroblasts in order to
investigate how IGF-I R mediates its signals through insulin receptor
substrate-1 (IRS-1) (4) and Shc (5) in the activation of
mitogen-activated protein kinase (MAP kinase) pathway in a human cell
system with no overexpression of signaling molecules. There is still
controversy over the importance of IRS-1 and Shc in insulin and IGF-I R
signaling (4, 6, 7, 8, 9). To assess the contribution of Shc in IGF-I R
signaling in mitogenesis, we compared it with signaling of epidermal
growth factor receptor (EGF R), taking advantage of the coexpression of
EGF R together with insulin receptor (IR) and IGF-I R in human skin
fibroblasts.
Studies using human skin fibroblasts for insulin- or IGF-I-mediated
signaling have always been hampered by the fact that there is ligand
cross-reactivity between IGF-I R and IR. Because the similarity and the
difference in postreceptor signaling between the two remain to be
learned, we cannot rule out the possibility that a small effect of such
cross-reactivity may affect interpretation of the results. To minimize
these problems, we used cells from both a normal subject and a patient
with leprechaunism who lacked almost completely the tyrosine kinase
activity of IR due to mutations in both alleles of IR gene (10, and
this study).
Another purpose for using the patients cells was to examine
postreceptor signalings of IGF-I receptor and EGF receptor in
leprechaunism, which always has severe growth retardation. We also
found that, although there are several reports on functional defects of
multiple receptor tyrosine kinases (RTKs) in leprechaunism (11, 12, 13, 14),
our patient had normal signalings for IGF-I and EGF as described
below.
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Materials and Methods
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Cell culture
Primary cultures of skin fibroblasts were obtained from the
normal subject and the patient with leprechaunism by a standard method.
Cells were cultured in DMEM containing 10% FCS and antibiotics and
were maintained at 37 C in a CO2 incubator. Two days after
reaching confluence, cells were washed once with PBS and serum-starved
in DMEM containing 0.05% BSA for 20 h and subjected to the
experiments, except for 3H-thymidine incorporation study.
Cells used for the experiments were from fifth to tenth passage because
further culture would diminish their proliferation and viability.
Detection of mutations
PCR-direct sequencing was performed as described by Kadowaki
et al. (15). To confirm the mutation and analyze the
expression of the mutant allele, RT-PCR and allele-specific
oligonucleotide hybridization was performed. In brief, total RNA was
extracted from EB virus-transformed lymphocytes by the acid-guanidine
phenol-chloroform method, and complementary DNA (cDNA) was generated by
the standard method using a specific antisense primer located in exon
22 of the IR gene (5'-GGA AGG ATT GGA CCG AGG C-3') (16). RT-PCR was
performed with an upstream primer located in exon 18 (5'-AGT CAG CCA
GTC TCC GAG AG-3') and a downstream primer located in exon 20 (5'-GCC
ATC CAC CGT ACA GGG AG-3') under the following conditions: 94 C, 1 min;
55 C, 1 min; 30 sec; 72 C, 1 min, 30 sec x35 cycles.
32P-labeled oligonucleotide (wild-type: 5'-GAC TTT GGA
ATG ACC AGA G-3' or mutant type: 5'-GAC TTT GGA
ACG ACC AGA G-3') was probed with RT-PCR products on a
nitrocellulose sheet at 37 C for 12 h. The sheet was washed at 60
C for 10 min and subjected to autoradiography (17).
Insulin binding and tyrosine kinase activity of patients insulin
receptor
Insulin binding in EB virus-transformed lymphocytes, and the
following Scatchard analysis was performed as previously described. As
for immune-complex receptor kinase assay, EB virus-transformed
lymphocytes were solubilized, and the lysates were immunoprecipitated
with monoclonal
IR-1 antibody, which is known to be specific for
human IR, and antimouse IgG preadsorbed to protein A-sepharose.
Immunoprecipitates were extensively washed, and the content of IR was
normalized by insulin binding. Tyrosine kinase activity was assessed by
32P incorporation into histone H2B (18), and the amount of
IR was confirmed by immunoblot analysis with an antibody raised against
the C-terminal domain of IR (19).
Immunoprecipitation and blotting
Antiphosphotyrosine antibody for immunoprecipitation was
prepared from hybridoma cells (PY20), and polyclonal rabbit
antiphosphotyrosine antibody was used for blotting. Rabbit polyclonal
anti-GRB2, antihuman Sos-1, anti-c-raf-1 antibodies, and
antiextracellular signal-regulated kinase (ERK)1 antibody, which
recognizes mainly p44-MAP kinase (ERK1), were purchased from Santa-Cruz
Biotechnology, Inc. (Santa Cruz, CA). Polyclonal anti-Shc antibody and
anti-p85 of PI-3 kinase were from Transduction Laboratories (Lexington,
KY). Polyclonal anti-IRS-1 antibody, which is raised against rat IRS-1
and reacts with human IRS-1 as manufacturers protocol, was from
Upstate Biotechnology Inc. (Lake Placid, NY). Cells on 10-cm dishes
(approximately 5 x 106 cells/dish at confluence) were
stimulated with indicated growth factors for various times at 37 C and
quickly frozen in liquid nitrogen. They were then lysed with lysis
buffer A [1% Triton X-100, 50 mM HEPES, pH 7.4, 10
mM EDTA, 10 mM NaF, 10 mM
Na4P2O7, 10 mM
Na3VO4, 1 mM phenylmethylsulfonyl
fluoride (PMSF) and aprotinin]; 1-3 µg of each antibody was added to
the lysates and they were incubated for 1-2 h on ice. Then, protein G
or protein A-sepharose was added and the samples were further incubated
at 4 C for 1 h. The immunoprecipitates were washed three times
with lysis buffer A containing 0.15 M NaCl and boiled with
Laemmlis sample buffer containing 2-mercaptoethanol for 6 min. They
were subjected to SDS-PAGE followed by electrical protein transfer to
polyvinylidene difluoride membrane (Millipore). Immunoblot analyses
were performed by a standard protocol. Detection of the proteins was
done by 125I-protein A followed by autoradiography in most
of the experiments, and the alkaline phosphatase detection system was
used to identify migratory changes in some experiments. For suitable
detection of various proteins, 7.5 or 8.5% SDS-PAGE was used for
60-kDa200-kDa proteins, and 10 or 12% SDS-PAGE was used for less
than 60-kDa proteins.
Activity of MAP kinase in polyacrylamide gels
The assay for mitogen-activated protein kinase (MAP kinase) was
performed as described by Tobe et al. (20). Cells on 3.5-cm
dishes were treated with IGF-I or EGF for indicated time and lysed with
150 µl of buffer B (25 mM Tris-HCl, pH 7.4, 25
mM NaCl, 10 mM NaF, 10 mM sodium
pyrophosphate, 1 mM Na3VO4, 0.5
mM EGTA, and 1 mM PMSF). The lysates were
electrophoresed on an SDS-PAGE containing 0.5 mg/ml of myelin basic
protein (MBP). SDS was removed from the gel by washing the gel with two
changes of 20% 2-propanol in 50 mM Tris-HCl, pH 8.0, for
1 h and then 250 ml of 50 mM Tris-HCl, pH 8.0,
containing 5 mM 2-mercaptoethanol for 1 h at room
temperature. The enzyme was denatured by treating the gel with two
changes of 100 ml of 6 M guanidine HCl at room temperature
for 1 h and then renatured with five changes of 250 ml each of 50
mM Tris-HCl, pH 8.0, containing 0.04% Triton X-100 and 5
mM 2-mercaptoethanol for 810 h. After renaturation, the
gel was preincubated at room temperature for 1 h in 5 ml of 50
mM Tris-HCl, pH 8.0, 2 mM dithiothreitol, 0.5
mM EGTA, 10 mM MgCl2, and 2
µM protein kinase inhibitor (rabbit sequence; Sigma
Chemical Co., St. Louis, MO). Forty micromoles/liter of unlabeled ATP
and 50 µCi of [
-32P] ATP were then added and the gel
was further incubated for 1 h. After phosphorylation reaction, the
gel was washed frequently with 5% trichloroacetate (TCA) until the
background was negligible. The washed gel was dried and subjected to
autoradiography. The activities of bands excised from the gels were
quantitated by Cerenkov counting. In addition, the rest of total
cell lysates were subjected to immunoblot analysis for detection of
changes in the mobility of p44- and p42-MAP kinase. For blotting,
polyclonal antibody for both p44- and p42-MAP kinase (
Y91) was
prepared as described (20).
MAP kinase activity in immune-complex
In brief, cells from 60-mm dishes were lysed with buffer B
containing 1% Triton X-100, and the lysates were immunoprecipitated
with anti-p44 MAP kinase antibody (anti-ERK1) preadsorbed to protein
A-sepharose. The immunoprecipitates were washed three times with buffer
B containing 0.1% Triton X-100, and the following immune-complex
kinase assay was performed as described (20).
3H-thymidine incorporation
Cells at subconfluence on 12-well plates were washed and starved
in DMEM 0.4% FCS for 36 h, then stimulated with various
concentrations of the indicated growth factor for 16 h. Two
microcuries of 3H-thymidine were added to each well, and
the cells were further incubated for 4 h, washed with PBS twice,
and treated with 10% TCA for 1 h on ice. Finally, they were
washed with 5% TCA three times and lysed. 3H-thymidine
incorporation was counted in a liquid-scintillation counter.
PI 3-kinase activity in immune-complex
Confluent monolayers on 60-mm dishes were starved, stimulated
with 100 nM IGF-I or 10 nM EGF for 1 min and
quickly frozen into liquid nitrogen. They were solubilized with lysis
buffer A, and the lysates were incubated with anti-PY or anti-GRB2
preadsorbed to protein G-sepharose for 2 h. Then, the
immunoprecipitates were washed and PI 3-kinase activity was measured as
previously described (21, 22).
For statistical analysis on 3H-thymidine incorporation
between control cells and the patients cells, Students t
test was used and P value of less than 0.05 was considered
as statistically significant.
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Results
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Detection of a mutation in the insulin receptor gene
Direct sequencing of amplified genomic DNA revealed that the
patient was a heterozygote for a missense mutation at codon 1153
(Met
Thr) that was located in the tyrosine kinase domain of the
receptor (Fig. 1A
). A substitution of Ile for Met at
codon 1153 has previously been reported (23), and the mutation
Met1153
Ile causes a severe defect in tyrosine kinase activity of the
receptor without affecting insulin binding affinity. In fact, insulin
binding in EB virus-transformed lymphocytes from a control subject was
15.8% and that from the patient was 11.4%, both of which were within
our lower normal range. IR expressed in our patients cells had normal
insulin binding affinity [Kd value: control 0.45 nM
vs. patient 0.36 nM in a representative
experiment (Fig. 1C
)], but had almost no tyrosine kinase (Fig. 1D
).
Allele-specific oligonucleotide hybridization study revealed that the
opposite allele of the patient was hardly expressed (Fig. 1B
).
Therefore, the patient was a compound heterozygote with a missense
mutation (Met1153
Thr) in the tyrosine kinase domain in
one allele that would severely decrease tyrosine kinase activity, and
with an unknown mutation in the other that would decrease messenger RNA
(mRNA) level in a cis-dominant manner. Direct sequencing analysis
spanning exon 16-21 and cDNA subcloning over exon 4-7 and exon 12-14
revealed no other mutation in the patient (data not shown).

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Figure 1. Detection of a mutation in the insulin receptor
gene in the patient with leprechaunism. A, Direct sequencing of
amplified genomic DNA spanning exon 20 of the insulin receptor gene. B,
Allele-specific oligonucleotide hybridization. C, Scatchard analysis of
insulin binding in lymphocytes. D, Tyrosine kinase activity of the
insulin receptor in EB virus-transformed lymphocytes of the patient. A,
Patient was a heterozygote for the mutation
(Met1153(ATG) Thr(ACG)), which was confirmed
by subcloning of the PCR product (data not shown). The substitution of
C for T is indicated by an arrow. Panel B, a) and b), show the
expression level of the wild type allele and the mutant allele,
respectively (C, control; Pt, patient). B, a) shows that the opposite
(wild type) allele was hardly expressed in the patient. B, b), shows
the mutant allele was definitely expressed in the patient. C, Insulin
binding affinity of insulin receptor expressed in control and
patients lymphocytes. Insulin binding was 15.8% in the control
subject and 11.4% in the patient (not shown), and the Kd
values estimated from the plot was 0.45 nM in the control
subject and 0.36 nM in the patient, both of which were
within our normal range. D, Tyrosine kinase activity in IR-1
immune-complexes measured by 32P-incorporation into histone
H2B. The immune-complexes were incubated with (+) or without (-) 100
nM insulin. The content of the receptor was normalized by
insulin binding and immunoblotting (data not shown).
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IGF-I binding of the skin fibroblasts subjected to the
experiments
We characterized the expression level of IGF-I R and
tyrosine-phosphorylation of IRS-1 in control cells and the patients
cells. 125I-IGF-I binding in intact cells was 8.2% and
5.1%, respectively, in a fifth passage of culture (Fig. 2
). In further culture, 125I-IGF-I binding
in the control cells and the patients cells gradually decreased in
parallel (for example, control 4.9% and patient 3.2% in the sixth
passage). Thus, the ratio of the expression of IGF-I R in the
experiments below is considered as control: patient = 3:2. Insulin
binding in control and patients skin fibroblasts was 1.8% and 1.0%
in the sixth passage, respectively. We failed to obtain reliable
Scatchard analysis on IGF-I and insulin receptors in skin fibroblasts,
but ED50 on IGF-I receptor (Fig. 2
) suggested that IGF-I
binding affinity was not significantly different in control and
patients fibroblasts. Phosphorylation of IRS-1 as well as the amount
of p85 subunit of PI-3 kinase in antiphosphotyrosine immunoprecipitates
was approximately in parallel with the IGF-I binding in these cells
(data not shown) (21).

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Figure 2. IGF-I binding of the intact skin fibroblasts. The
figure shows 125I-IGF-I binding in intact cells. The
maximal binding of 125I-IGF-I was 8.2% in the control
cells, and 5.1% in the patients cells. ED50 was
approximately 4 nM in both cells (45).
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Detection of proteins phosphorylated on tyrosines by growth
factors
We further investigated RTK signaling in skin fibroblasts.
Immunoblotting for detection of tyrosine-phosphorylated protein is
indicated in Fig. 3
. When the cells were stimulated by
100 nM IGF-I (Fig. 3A
) tyrosine phosphorylation of IRS-1
was clearly detected and the response was maximal within 1 min, but the
change in tyrosine phosphorylation of Shc was not detected at least up
to 3 min. Tyrosine phosphorylation of EGF receptor and Shc was maximal
at 1 min with 10 nM EGF stimulation (Fig. 3B
). Other
EGF-dependent tyrosine-phosphorylated proteins (110 kDa, 100 kDa, and
60-kDa) were detected, but their identity is not known at present. When
cells were treated with 10 ng/ml basic fibroblast growth factor (bFGF)
without exogenous heparin, tyrosine-phosphorylated protein with an
Mr of approximately 140K was observed at 2, 5, and 10 min
(Fig. 3C
), probably representing the autophosphorylation of FGF
receptor. Tyrosine phosphorylation of Shc or coimmunoprecipitation of
Sck (23) in anti-Shc immunoprecipitates with bFGF stimulation was not
detected in our cell system (right side of panel C).
Blotting of the same sheet with anti-Shc antibody revealed that the
amounts of 66 kDa and 52 kDa Shc in PY20 immunoprecipitates did not
change within 10 min of bFGF stimulation (data not shown). Thus,
tyrosine phosphorylation of Shc was apparently distinct among these
growth factor stimulations.

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Figure 3. Detection of tyrosine-phosphorylated (p-Tyr)
proteins by growth factors. AC, Polyclonal anti-phosphotyrosine
immunoblottings following the immunoprecipitations by indicated
antibodies. A, Time-course of p-Tyr proteins at 100 nM
IGF-I. Phosphorylation of IRS-1 was maximal within 1 min, and
IGF-I-dependent phosphorylation of Shc or IGF-I receptor itself was not
detected at least within 3 min. B, p-Tyr proteins with various
concentrations of EGF at 1 min. Activation of EGF receptor and
phosphorylation of 52-kDa Shc were maximal at 10 nM EGF.
Also, approximately 110-kDa-, 100-kDa-, and 60-kDa proteins (indicated
by arrows) were tyrosine-phosphorylated. C, p-Tyr proteins
with 10 ng/ml of bFGF. Activation of 140-kDa p-Tyr protein was observed
in PY20 immunoprecipitates, but the phosphorylation of p66- or p52-Shc
was barely detected (B). Molecular size markers (kDa) are indicated on
the left side, i.p., immunoprecipitation.
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Tyrosine phosphorylation of Shc and its association with GRB2
following EGF stimulation
We tested anti-GRB2 and anti-Shc antibodies used for experiments
by analyzing EGF-stimulated cells. Activated EGF receptor binds GRB2
and Shc, and phosphorylates Shc on a tyrosine residue (24).
Antiphosphotyrosine antibody (PY20) was able to immunoprecipitate
activated EGF receptor (Fig. 4A
), Shc (Fig. 4B
) and
coimmunoprecipitate GRB2 (Fig. 4C
) in a time-dependent manner.
Similarly, anti-GRB2 antibody could coimmunoprecipitate activated EGF
receptor (Fig. 4A
) and Shc (Fig. 4
, A and B). Anti-Shc antibody could
coimmunoprecipitate GRB2 in a time-dependent manner (Fig. 4C
), which
was consistent with tyrosine phosphorylation of Shc (Fig. 4A
). Thus,
these antibodies worked efficiently enough for the detection of each
complex of signaling molecules. The maximal responses of these
associations occurred at 1 min after the EGF stimulation. Although
46-kDa Shc phosphorylation appeared to be weak in 7.5% SDS-PAGE
analysis in Fig. 4A
, the amount of the three species of Shc associated
with GRB2 was almost equal in 12% SDS-PAGE as shown in the middle of
Fig. 4B
.

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Figure 4. Tyrosine phosphorylation of Shc and its
association with GRB2 following EGF stimulation. Cell lysates treated
with 10 nM EGF were immunoprecipitated by PY20, anti-GRB2
or anti-Shc antibody. AC, Immunoblotting with PY, anti-Shc and
anti-GRB2, respectively. PY20 could immunoprecipitate activated EGF
receptor, Shc and also coimmunoprecipitate GRB2 binding to
tyrosine-phosphorylated proteins. Anti-GRB2 could co-immunoprecipitate
EGF receptor, Shc (A and B), and 120 kDa protein (A). The identity of
this 120-kDa tyrosine-phosphorylated protein has not yet been
determined. Anti-Shc could coimmunoprecipitate EGF receptor and GRB2.
Molecular size markers (kDa) are indicated on the left.
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Tyrosine phosphorylation of IRS-1 or Shc and their association with
GRB2 following IGF-I stimulation
The association of IRS-1 and Shc with GRB2 was thought to be a
critical event for the activation of p21 ras, and we studied the
time-course of this association in physiological cells. As indicated in
Fig. 5A
, IRS-1 became associated with GRB2 (22) quickly
after IGF-I stimulation in intact cells, and its time course was
similar in the control and the patients cells. In contrast,
association of Shc with GRB2 was slower and its maximum was seen 35
min after the stimulation by means of anti-Shc blotting (Fig. 5B
),
which was difficult to be detected by
PY (Fig. 5A
). Thus, the
sensitivity of detection was different with the use of different
antibodies. Next, we compared the Shc-GRB2 complex formation induced by
IGF-I and EGF because its formation induced by IGF-I appeared so
slight, and the complex induced by EGF was a good control for signal
strength. As expected, the amount of Shc-GRB2 complex formed via IGF-I
R was increased, but it was far less than the complex formation induced
via EGF R (Fig. 5C
). EGF R induced the association of GRB2 with 66, 52,
and 46-kDa Shc to approximately similar extents (Figs. 4B
and 5C
), but
IGF-I promoted the association of GRB2 mainly with 52 kDa-Shc (Fig. 5
, B and C).

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Figure 5. Tyrosine phosphorylation of IRS-I and Shc and
their association with GRB2 following IGF-I stimulation. A,
Tyrosine-phosphorylated proteins in anti-GRB2 immuno-precipitates. B
and C, Detection of Shc in anti-GRB2 immunoprecipitates. Cells were
stimulated with 100 nM IGF-I, and immunoblotting was
performed with the probe of PY (A) or anti-Shc antibody (B and C).
The 46-kDa Shc was overlapped by the immunoglobulin heavy chain. A,
Tyrosine-phosphorylated 52-kDa Shc was so weakly observed at 3 or 5 min
after 100 nM IGF-I stimulation that it is hardly visible in
the photograph. Blotting with anti-Shc was more sensitive (B), and the
amounts of Shc associated with GRB2 by 100 nM IGF-I and 10
nM EGF stimulation were compared (C). i.p.,
Immunoprecipitation.
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We further investigated the amount of IRS-1-GRB2 complex and Shc-GRB2
complex by using anti-IRS-1 antibody and anti-Shc antibody. In the
presented result, the maximal IRS-1-GRB2 and Shc-GRB2 complexes in
control cells at the time corresponding to maximal association of GRB2
with each protein were compared (Fig. 6
). The amount of
GRB2 with IRS-1 maximal at 1 min was almost equal to that of Shc-GRB2
complex maximal at 5 min. It should be noted that the efficiency of
immunoprecipitation of anti-IRS-1 antibody was less than that of
anti-Shc, and tyrosine-phosphorylated IRS-1 precipitated by the
anti-IRS-1 used was approx. half of the IRS-1 precipitated by anti-PY
(data not shown). The maximal amount of GRB2 precipitated by anti-Shc
on IGF-I stimulation was about 2-fold over basal (Fig. 6
), which was
consistent with the experiment in Fig. 5
where Shc was precipitated by
anti-GRB2. Taking together the results indicated in Figs. 5
and 6
,
IRS-1-GRB2 complexes appears to predominate over Shc-GRB2 complex in at
least initial phase (within 1 min) of IGF-I signaling, although the
definite quantification of these GRB2 complexes should be determined by
more sensitive immunoprecipitation system.

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Figure 6. Detection of GRB2 associated with IRS-1 and Shc on
IGF-I stimulation. Based upon the time course of IRS-1-GRB2 and
Shc-GRB2 association in Fig. 5 , we compared the maximal amounts of the
two complexes by immunoprecipitation with anti-IRS-1 and anti-Shc
antibodies. The maximal IRS-1-GRB2 complex appeared to be equal to the
maximal Shc-GRB2 complex. However, it should be noted that this
anti-IRS-1 antibody has lower efficiency of immunoprecipitation than
anti-Shc, thus total IRS-1-GRB2 may be more abundant than indicated.
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Detection of hSos-1 in anti-Shc immunoprecipitates
In most of the transformed cells, GRB2 is thought to
constitutively bind son of sevenless (Sos) (26), and this was also true
in our cells, that is, hSos-1 was detectable in anti-GRB2 precipitates
before growth factor stimulation (Fig. 7A
, left). Interestingly, the amount of hSos-1 precipitated by
anti-GRB2 significantly increased at 13 min with EGF treatment (Fig. 7A
, left). When cells were treated with EGF for 1 min, human
Sos-1 (hSos-1) was clearly detected in anti-Shc immunoprecipitates
(Fig. 7A
, right, and B), indicating that
tyrosine-phosphorylated Shc efficiently recruited GRB2-Sos complex with
the stimulation of EGF. However, hSos-1 was scarcely detected in
anti-Shc immunoprecipitates at least within 5 min of IGF-I treatment
(Fig. 7B
). This was consistent with the fact that the amount of
Shc-GRB2 complex formation induced via IGF-I R was far less than that
via EGF R as described above. The experiment described was of the
patients cells, and similar results were obtained from control cells
(data not shown).

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Figure 7. Detection of hSos-1 in anti-Shc
immunoprecipitates. A, Detection of hSos-1 in anti-GRB2 and in anti-Shc
with EGF treatment; B, representative blot for the detection of hSos-1
in anti-Shc immunoprecipitates with the treatment of 100 nM
IGF-I in the patients cells. GRB2-hSos-1 complex was present before
EGF stimulation, but interestingly the amount of the complex increased
with EGF stimulation (A, left). Also, hSos-1 was
coprecipitated by anti-Shc in EGF-dependent manner (A,
right). Based on this finding, we further investigated
Shc-GRB2-Sos complex formation by IGF-I. As indicated in B, hSos-1 was
undetectable in anti-Shc precipitates up to 5 min of IGF-I treatment.
The far left lane indicates hSos-1 in anti-hSos-1
immunoprecipitate from the untreated whole lysate, and the far
right lane indicates hSos-1 in anti-Shc immunoprecipitate from the
EGF-treated cell lysate, both of which are presented as controls for
anti-hSos-1 blotting.
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Activation of MAP kinase
IGF-I is thought to be more potent in mitogenesis than insulin,
and the activation of MAP kinase is critical for mitogenesis by
receptor tyrosine kinases. Therefore, we performed gel-shift assay to
evaluate the activation of the p44- and p42-MAP kinases by the
treatment of IGF-I and EGF (28). As indicated in Fig. 8
, A and B, p42-MAP kinase was completely shifted 3 min after EGF
stimulation. With the IGF-I treatment, it was more slowly but clearly
shifted, and complete shift was observed after 10 min in both the
control and the patients cells. Thus, activation of p42-MAP kinase
was far more efficient with EGF stimulation than IGF-I in human skin
fibroblasts. The mobility shift of p44-MAP kinase was unremarkable as
compared with that of p42-MAP kinase. The activities of MAP kinase on
EGF- and IGF-I stimulation assessed by both in-gel phosphorylation
assay and immune-complex kinase assay were parallel with the gel-shift,
and far stronger activation by EGF (
4-fold over basal) than by IGF-I
(
2-fold over basal) was observed (data not shown). Also,
hyperphosphorylation of c-raf-1 (27), which lies upstream
from MAP kinase and is directly activated by p21ras, was assessed by
changes in the mobility on SDS-PAGE. The change in the mobility was
initiated 3 min after EGF stimulation, and clearly observed 10 min
afterward, whereas the change began more slowly on IGF-I stimulation
and was detectable 1015 min after IGF-I stimulation (data not shown).
These observations indicate that MAP kinase cascade was activated by
both IGF-I and EGF, although the degree of activation was significantly
larger in EGF treatment in human skin fibroblasts.

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Figure 8. Fig. 8. Activation of MAP kinase. Activity of MAP kinase
induced by the treatment of 10 nM EGF or 100 nM
IGF-I was analyzed by immunoblot analysis to detect changes in the
mobilities of p42- and p44- MAP kinase, which reflect the
phosphorylation state of MAP kinases and their activities. p42 MAP
kinase was apparently shifted during both of these growth factor
treatments, whereas the shift of p44-MAP kinase was not remarkable as
compared to p42-MAP kinase.
|
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Mitogenic potency of IGF-I, EGF, and bFGF
The maximal 3H-thymidine incorporation into DNA with
the treatment of IGF-I and bFGF was obtained at the concentrations of
100 nM IGF-I and 2 ng/ml of bFGF, respectively, and the
maximal responses for IGF-I and bFGF are presented in Fig. 9
. The dose-response for EGF is also indicated in this
figure, and the maximal response for EGF was obtained at the
concentration of 0.1 nM, which was consistent with a report
on rat-1 fibroblasts (29). Interestingly, IGF-I was the strongest in
mitogenic potency and promoted DNA synthesis about 2-fold over basal
(Fig. 9
). bFGF promoted DNA synthesis about 1.4-fold. Unexpectedly, EGF
promoted DNA synthesis only about 1.21.3 fold (Fig. 9
), despite the
fact that, in many of the cell types, EGF is more potent in mitogenesis
than insulin or IGF-I. Higher concentrations of EGF tended to be
suppressive in DNA synthesis (29).

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Figure 9. Fig. 9. 3H-thymidine incorporation assay.
Cells were treated with IGF-I, EGF, or bFGF under the same culture
conditions and DNA synthesis was assessed by 3H-thymidine
incorporation. The result is indicated as -fold over basal
incorporation, which is an average of three independent experiments.
Standard deviations are indicated as bars on top of the
columns. P-values from Students t test (control
vs. patient) are as follows: 100 nM IGF-I:0.592,
0.1 nM EGF:0.497, 1 nM EGF:0.086, 10
nM EGF:0.433, bFGF:0.264. Therefore, DNA synthesis induced
by these growth factors over basal level was not significantly
different in control and the patient. In both of the control and the
patient, IGF-I-induced DNA synthesis was significantly larger than
EGF-induced one (overall p < 0.005).
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PI 3-kinase activation by IGF-I and EGF
PI 3-kinase is thought to play a crucial role in mitogenesis by
PDGF or other cytokines; therefore, it may be implicated in the
difference in mitogenesis by IGF-I and EGF as described above. As
indicated in Fig. 10
, PI 3-kinase activity in both of
anti-PY and anti-GRB2 precipitates were significantly greater with
IGF-I stimulation than with EGF. Besides, the amount of p85 subunit of
PI 3-kinase coprecipitated by anti-PY or anti-GRB2 with IGF-I or EGF
treatment was parallel with the activity (data not shown). PI 3-kinase
activation by EGF appears to depend on cell types, and in our cells it
was really activated by EGF, although the strength was far less than
that of IGF-I-treated cells.

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Figure 10. Fig. 10. PI 3-kinase activity by IGF-I and EGF. IGF-I- and
EGF-stimulated PI 3-kinase activities in anti-PY and anti-GRB2
immunoprecipitates were compared. PI 3-kinase activity in anti-PY
precipitate was approximately 10-fold larger in IGF-I treatment than in
EGF treatment. Also, PI 3-kinase activity in anti-GRB2 was 4-fold
larger in IGF-I. Quantitation of the activity was performed by Fuji
BAS-2000 image analyzer.
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Discussion
|
|---|
IRS-1 and Shc are both phosphorylated on tyrosine residue(s) by IR
and IGF-I R(2, 3, 4, 7, 30). IR directly binds IRS-1 and Shc at tyrosine
residue 960 when it is phosphorylated (31, 32). IGF-I R interacts
directly with IRS-1 and Shc at tyrosine 950 (33, 34), additionally with
IRS-1 at tyrosine 1131, 1135, and 1136 (major autophosphorylation sites
of IGF-I R) (33), but it remains to be well defined what role IRS-1 and
Shc play in mitogenic and metabolic actions of IGF-I R. Recent studies
have suggested that Shc has an important function in mitogenesis
induced by receptor tyrosine kinases including IR and IGF-I R in
several fibroblast cell lines (7). Furthermore, Pruett et
al. have reported that Shc-GRB2 complex is dominant in the
activation of MAP kinase in L6 myoblasts from comparison of the
signalings of native IR and overexpressed IL-4 receptor, both of which
can phosphorylate IRS-1 (9). However, IRS-1 knockout mice established
by two laboratories have shown growth retardation and mild insulin
resistance, suggesting that IRS-1 plays a role in growth and metabolism
in vivo (35, 36).
We have focused on the physiological role of IRS-1 and Shc in human
cells and therefore investigated human skin fibroblasts in early
passages from primary culture. In the culture, IGF-I, EGF, and
FGF-stimulated DNA synthesis was observed due to physiologic expression
of these receptors, and IGF-I-dependent glucose transport and glycogen
synthesis could also be observed (Ref. 11, 37, and data not shown). We
also checked the dose-dependent or time-dependent changes of
immunoprecipitates in most of the experiments to confirm the adequacy
of immunoprecipitation by the antibodies used.
In both the patients cells and the control cells, IRS-1 became
associated with GRB2 immediately after IGF-I stimulation, but p66-
and p52-Shc were hardly detected in anti-GRB2 immunoprecipitates by
immunoblot with antiphosphotyrosine antibody (Fig. 5
). Thus, IRS-1,
rather than Shc, is the major tyrosine-phosphorylated protein
associated with GRB2 by IGF-I stimulation especially at initial
response in our more physiological cells. This is apparently in
contrast to EGF R signaling, where EGF R itself and Shc were strongly
tyrosine-phosphorylated and associated with GRB2 (Fig. 4A
). These
observations differ from a recent report on rat-1 fibroblasts (7),
where p52-Shc is the major tyrosine-phosphorylated protein with the
stimulation of insulin or IGF-I. In our cell system, the association of
GRB2 with p52-Shc and, to a much lesser extent, with p66-Shc was
detected by anti-Shc blotting, but its association was slower in IGF-I
stimulation (Fig. 5B
). Another finding was that EGF receptor used three
isoforms (p66, p52, and p46) of Shc proteins equally in our cells, but
IGF-I R appeared to primarily use p52-Shc (Fig. 5B
), which was in part
consistent with a previous report on Chinese hamster ovary cells
overexpressing both IR and EGF R (38).
EGF receptor binds Shc and also GRB2 directly and rapidly after the
ligand binding (25, 39, 40). Our data suggest that the activated EGF
receptor binds GRB2 directly rather than Shc (Fig. 4A
). Thus, EGF
receptor will activate p21ras very strongly through EGF
receptor-GRB2-Sos complex and Shc-GRB2-Sos complex, and we detected the
latter complex at 1 min after EGF stimulation. In contrast,
Shc-GRB2-Sos complex was hardly observable at least within 5 min after
IGF-I stimulation, which was reasonable in view of the much lower
Shc-GRB2 complex formation (Fig. 5C
). Therefore, activation of MAP
kinase would occur very slowly and weakly if Shc were the main
component for p21ras activation through IGF-I R. However, as a matter
of fact, activation of MAP kinase began 13 min after the stimulation
(Fig. 8
), and the half maximal response was obtained at 5 min as
observed in MBP-containing gel assay (data not shown). Additionally,
hyperphosphorylation of c-raf-1 was noted within 10 min
after IGF-I stimulation. In the context of IRS-1 as a common substrate
for IR and IGF-I R, this observation differed from an in
vivo study, which reported that IR could not induce
hyperphosphorylation of c-raf-1 in rat liver (41). Taking
the weak tyrosine phosphorylation of Shc and the undetectable
recruitment of Shc-GRB2-Sos via IGF-I R into account, it remains to be
determined whether Shc is a major component in the early phase IGF-I R
signaling toward MAP kinase cascade. Rather, IRS-1, the major
tyrosine-phosphorylated protein via IGF-I R, appears to contribute to
the early activation of MAP kinase cascade in human skin
fibroblasts.
Because Shc is thought to play an important role in mitogenesis, we
compared the mitogenic potency of IGF-I, EGF, and bFGF, which
apparently differ in the early activation of the Shc-GRB2 pathway. In
general, EGF is believed to be a more potent growth factor than IGF-I,
and in some cell types, IGF-I treatment is reported to be more
effective in combination with EGF cotreatment (42, 43). Unexpectedly,
the most potent for DNA synthesis assessed by 3H-thymidine
incorporation was IGF-I; EGF was even less potent than bFGF, which
hardly affected tyrosine phosphorylation of Shc in human fibroblasts.
This suggests that, although many RTKs can phosphorylate Shc directly
or indirectly, their mitogenic potency may not be determined solely by
the signal strength of the Shc-GRB2 pathway.
We have also shown that the maximal activity of MAP kinase was not
parallel with the mitogenic potency of IGF-I and EGF. However, we have
to consider the duration of MAP kinase activation as well as the
maximal activity, because timing effect of MAP kinase activation on
differentiation of PC12 cells by nerve growth factor, which is mimicked
by overexpression of EGF receptor, has been reported (44). In that
report, sustained activation of MAP kinase by nerve growth factor
causes differentiation of PC12 cells, which can be mimicked by
overexpression of EGF receptor, which results in longer activation of
MAP kinase, although native EGF receptor by itself activates MAP kinase
transiently and cannot induce the differentiation. Therefore the
possibility that EGF treatment causes differentiation or other effects
rather than DNA synthesis should be ruled out. In our cells,
EGF-induced MAP kinase activation and the corresponding mobility shift
of both p44- and p42-MAP kinases were transient, peaked within 10 min,
quickly fell, and returned to the basal level within 120 min (data not
shown). IGF-I-induced MAP kinase activity, as well as bFGF-induced MAP
kinase activity, returns to its basal level within 60 min (data not
shown). Thus, these three growth factors activate MAP kinase
transiently in human skin fibroblasts and do not appear to resemble the
effect of nerve growth factor on PC12 cells, although we need further
investigation, for instance, on nuclear translocation of MAP kinase
induced by its sustained activation (44).
Rather, the potency for DNA synthesis in human skin fibroblasts appears
to correlate with the activation of PI 3-kinase (Fig. 10
). Recent
reports on IR signaling show the pivotal roles of PI 3-kinase in
metabolic action, but many other growth factors or cytokines require PI
3-kinase activation for mitogenesis. Thus, it is possible that PI
3-kinase is engaged in mitogenesis by IGF-I R and that IRS-1 is a main
component to mediate its signal. To address this issue, we have now
been investigating the effect of various concentrations of wortmannin,
a commonly used inhibitor for pI 3-kinase, on DNA synthesis. In our
preliminary experiments, 100 nM wortmannin, which can
inhibit PI 3-kinase activity, coprecipitated by anti-PY antibody by
70% in vitro and does not affect IGF-I- and EGF-induced
mobility shift of p42 MAP kinase, inhibited both IGF-I- and EGF-induced
increase in thymidine incorporation by only 2030% when it was
administered 30 min before growth factor stimulation (data not shown).
This result suggests the requirement of PI 3-kinase in DNA synthesis
independently of MAP kinase, and at the same time indicates the
contribution of some other signals. We need further experiments,
however, to state definitely the effect of wortmannin on cultured skin
fibroblasts because the degree of the inhibitory effect appears to
differ not only by the dose of the drug, but also by the culture
condition and incubation time of wortmannin prior to stimulation.
In any case, our study suggests that the tyrosine phosphorylation of
Shc may be insufficient, even if it is needed as the common component,
for cell proliferation in early passages of cultured human skin
fibroblasts. The activation of MAP kinase may be insufficient as well,
although the requirement of its activation is well established. Other
signaling pathways besides the strength of Shc and/or MAP kinase
pathway such as PI 3-kinase may be important in mitogenesis mediated by
growth factor receptor tyrosine kinases.
Another implication in our report has to do with the features of
leprechaunism, a genetic syndrome of insulin resistance. Several
reports suggested that leprechaunism had a primary or secondary defect
in IGF-I R (11, 12), EGF R (13) or both (14), raising the possibility
that the abnormality in fetal growth and differentiation in
leprechaunism also involves defects of other growth factor receptors in
addition to IR. However, our patients cells with IR defect showed no
apparent impairment in IGF-I or EGF signal transduction in MAP kinase
activation and mitogenesis by these growth factors; also, bFGF-induced
mitogenesis was normal. Thus, our results demonstrate that receptor
signalings for IGF-I, EGF, and bFGF are not responsible for our
patients clinical symptoms: marked hyperinsulinemia (fasting plasma
insulin: 2847 µU/ml, 17082 pM), diabetes mellitus
(fasting plasma glucose: 251 mg/dl, 13.9 mM), intrauterine
growth retardation (body weight: 1296 g at birth), abnormal
segmentation of the lung, and so on. Although characterization of skin
fibroblasts from other patients with leprechaunism is needed for
confirmation, these data strongly suggest that defects in multiple
growth factor receptors other than insulin receptor are not essential
for the features of leprechaunism and that insulin receptor per
se may play a direct role in fetal growth and differentiation.
Received July 15, 1996.
 |
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