Endocrinology Vol. 139, No. 5 2287-2292
Copyright © 1998 by The Endocrine Society
Insulin-Like Growth Factor II Promoter Expression in Cultured Rodent Osteoblasts and Adult Rat Bone1
Valerie Gangji2,
Sheila Rydziel,
Bari Gabbitas and
Ernesto Canalis
Departments of Research and Medicine (V.G., S.R., B.G., E.C.),
Saint Francis Hospital and Medical Center, Hartford, Connecticut 06105;
and The University of Connecticut School of Medicine (E.C.),
Farmington, Connecticut 06030
Address all correspondence and requests for reprints to: Ernesto Canalis, M.D., Department of Research, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, Connecticut 06105-1299.
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Abstract
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Insulin-like growth factor (IGF)-II stimulates bone formation by
increasing the replication of cells of the osteoblastic lineage and by
enhancing the differentiated function of the osteoblast. Although
IGF-II is synthesized by skeletal cells, little is known about the
mechanisms involved and its regulation by growth factors. IGF-II
expression is tissue specific and is developmentally regulated. In the
present study, we examined the expression of IGF-II in fetal rat,
newborn mouse and MC3T3-E1 osteoblastic (Ob) cells, and in adult rat
calvariae. We also determined mechanisms involved in the regulation of
IGF-II by platelet-derived growth factor (PDGF) BB, fibroblast growth
factor-2 (FGF-2), and transforming growth factor (TGF) ß1. Northern
analysis revealed IGF-II transcripts of 3.6 and 1.2 kb in osteoblastic
cells and adult rat calvariae. Ribonuclease (RNase) protection assay
using probes specific to the three known IGF-II promoters, P1, P2, and
P3, demonstrated messenger RNA (mRNA) expression driven by P3 in
osteoblasts and adult rat calvariae, but no expression of P1 or P2
transcripts. PDGF BB, FGF-2, and TGF ß1 inhibited the expression of
IGF-II P3 mRNA by 50%. PDGF BB, FGF-2, and TGF ß1 also decreased the
rates of IGF-II transcription in rat Ob cells as determined by nuclear
run-on assays and did not modify the decay of IGF-II in
transcriptionally arrested rat Ob cells. In conclusion, the synthesis
of IGF-II in osteoblastic cells and in adult rat calvariae is driven by
IGF-II P3 and is regulated by skeletal growth factors acting at the
transcriptional level using the IGF-II P3.
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Introduction
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INSULIN-LIKE growth factors (IGF)-I and -II
are among the most prevalent growth factors synthesized by the
osteoblast (1, 2, 3, 4, 5). IGF-I and IGF-II have modest mitogenic properties
for skeletal cells, stimulate type I collagen synthesis, and decrease
bone collagen degradation by inhibiting collagenase expression (6, 7, 8).
The content of IGF-II in fetal rodent bone is 4 to 10 times higher than
IGF-I (9). Although IGF-II is developmentally regulated and serum
levels of IGF-II decline after birth, selected adult tissues, such as
brain, heart, and bone continue to synthesize IGF-II (10, 11, 12).
Although the actions of IGF-II are similar to those of IGF-I, IGF-I is
regulated by systemic hormones, whereas IGF-II is not (2, 13). PTH and
GH stimulate IGF-I synthesis in osteoblasts, and cortisol is inhibitory
(14, 15). The expression of both IGF-I and IGF-II is regulated by
skeletal growth factors. Platelet-derived growth factor (PDGF) BB,
fibroblast growth factor-2 (FGF-2), and transforming growth factor-ß1
(TGFß1) inhibit the expression of IGF-I and IGF-II, but the
mechanisms responsible for the effect have not been defined (3, 16).
The rodent IGF-II gene is complex and consists of six exons. Exons 1,
2, and 3 are 5'-nontranslated leader exons, preceded by distinct
promoters termed P1, P2, and P3 (17). Although the IGF-II gene
structure is well conserved between human and rodents, the IGF-II human
gene contains an adult, liver-specific promoter termed human P1. This
promoter is responsible for IGF-II synthesis in adult human liver and
is not expressed by rodent tissues (18). Since a homolog of the IGF-II
human P1 is not present in rodents, the levels of circulating IGF-II in
adult rodents are limited and derived from extra hepatic sources,
possibly from skeletal, heart, and brain tissues. The rodent IGF-II
gene is expressed as multiple messenger RNA (mRNA) transcripts ranging
from 1.24.6 kb (17). This heterogeneity results from differential
initiation of transcription of its promoters and the use of at least
two sequential polyadenylation sites in the last exon. The IGF-II P3
initiates 3.6 and 1.2 kb mRNA, and it is the major promoter driving
IGF-II expression in fetal tissues. Although the serum levels of IGF-II
decline after birth, the concentrations of IGF-II in adult skeletal
tissue remain significant. However, the promoter driving IGF-II
expression and the mechanisms involved in the regulation of IGF-II in
osteoblasts have not been established.
To characterize mechanisms involved in IGF-II gene regulation in rodent
osteoblasts, we examined the expression of IGF-II and its promoters in
adult rat bone, calvarial osteoblasts from newborn mice and 22-day
fetal rats, and MC3T3-E1 cells, a mouse osteoblastic cell line. We also
examined the mechanisms involved in the regulation of IGF-II by PDGF
BB, FGF-2, and TGFß1 in osteoblasts from 22-day fetal rat
calvariae.
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Materials and Methods
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Culture technique
The culture method used was described in detail previously (19, 20). Parietal bones were obtained from 22-day-old fetal rats
immediately after the mothers were killed by blunt trauma to the nuchal
area, and from 3- to 5-day newborn mice killed by carbon monoxide (CO)
asphyxiation. This project was approved by the Institutional Animal
Care and Use Committee of Saint Francis Hospital and Medical Center.
Cells were obtained by five sequential digestions of parietal bones
from fetal rats and newborn mice, using bacterial collagenase (CLS II,
Worthington Biochemical, Freehold, NJ). Cell populations harvested from
the third to the fifth digestions were cultured as a pool and were
shown to have osteoblastic characteristics (Ob cells) (19, 20). Cells
were plated at a density of 5,000 to 10,000 cells/cm2 and
cultured in a humidified 5% CO2 atmosphere at 37 C until
reaching confluence (
50,000 cells/cm2). For the nuclear
run-on experiments, first passage of rat Ob cell cultures were used.
For this purpose, cells were trypsinized, replated, and grown to
confluence. Rat and murine Ob cells were cultured in DMEM (Life
Technologies, Grand Island, NY) supplemented with 10% FBS (Summit
Biotechnologies, Fort Collins, CO). Passage 8 of immortalized
osteoblastic MC3T3-E1 cells was plated at a density of 50,000
cell/cm2 in
MEM (Life Technologies, Gaithersburg, MD)
containing 20 mM HEPES and 10% FBS (21). Cells were grown
to confluence at 37 C in a humidified 5% CO2 atmosphere.
Confluent Ob and MC3T3- E1 cells were exposed to serum-free medium for
2024 h and then exposed to test or control medium in the absence of
serum for 248 h. In 48-h treated cultures, the medium was replaced
after 24 h with fresh control or test solutions. PDGF BB, FGF-2
(both from Austral, San Ramon, CA) and TGFß1 (a kind gift of
Genentech, South San Francisco, CA) were added directly to the medium.
5, 6-Dichlorobenzimidazole riboside (DRB) (Sigma Chemical Co., St.
Louis, MO) was dissolved in absolute ethanol and diluted 1:200 in DMEM.
For RNA analysis, the cell layer was extracted with guanidine
thiocyanate at the end of the incubation and stored at -70 C. For the
nuclear run-on assays, nuclei were isolated by Dounce
homogenization.
Northern blot analysis
Total cellular RNA was isolated with guanidine thiocyanate, at
acid pH, followed by phenol-chloroform extraction and ethanol
precipitation or by RNeasy kit according to the manufacturers
instructions (Qiagen, Chatsworth, CA) (22). RNA from adult rat
calvariae was obtained after pulverization of the bones and
homogenization in a chilled guanidine thiocyanate solution. The RNA
recovered was quantitated by spectrophotometry, and equal amounts of
RNA from control or test samples were loaded on a formaldehyde agarose
gel after denaturation. The gel was stained with ethidium bromide to
visualize RNA standards and ribosomal RNA, demonstrating RNA loading of
the various experimental samples. The RNA was then blotted onto Gene
Screen Plus-charged nylon (DuPont, Wilmington, DE), and uniformity of
the transfer was documented by revisualization of ribosomal RNA. A
1400-bp murine prepro-IGF-II complementary DNA (cDNA) (kindly provided
by G. Bell, Chicago, IL) was purified by agarose gel electrophoresis
(23). The IGF-II cDNA was labeled with
[
-32P]deoxycytidine triphosphate and
[
-32P]deoxyATP (50 µCi each at a specific activity
of 3,000 Ci/mmol; DuPont) using the random hexanucleotide-primed
second-strand synthesis method (24). Hybridizations were carried out at
42 C for 1672 h, and posthybridization washes were performed at 65 C
in 0.5 x saline-sodium citrate (SSC). The blots were stripped,
rehybridized with a 752-bp BamHI-SphI restriction
fragment of a murine 18S ribosomal RNA cDNA (American Type Culture
Collection, Rockville, MD) and washed at 65 C with 0.1 x SSC. The
bound radioactive material was visualized by autoradiography on Kodak
X-OMAT AR films employing Cronex Lightning Plus intensifying screens
(DuPont). Relative hybridization levels were determined by densitometry
and corrected for the intensity of the 18S signal. Northern analyses
shown are representative of three or more cultures.
RNase protection assay
Fragments containing sequences for the rat IGF-II promoter P1
(nucleotides -499 to +213), P2 (nucleotides -1164 to +140) and P3
(nucleotides -809 to +75), a kind gift from Dr. P. Holthuizen
(Utrecht, The Netherlands) were subcloned from pSLA3 into pGEM 3Z
(Promega, Madison, WI) (Fig. 1
). The
pTRIPLEscript vectors containing the sequences for the rat
glyceraldehyde-3-phosphate dehydrogenase (GAPD) and ribosomal RNA
(rRNA) 28S were obtained commercially (Ambion, Austin, TX). RNA was
isolated as described for Northern analysis. Antisense RNA probes were
generated by cloning DNA fragments into PGEM-3Z vector carrying an SP6
promoter in the presence of [
-32P]uridine triphosphate
and bacteriophage RNA polymerase SP6 (DuPont) (25). Total RNA was
hybridized with 104 to 5 x 104 cpm of
-32P-labeled antisense RNA probes to the IGF-II
promoters P1, P2, P3, 28S, or GAPD constructs in a buffer containing
80% formamide at 45 C for 16 h. After hybridization, RNA samples
were digested with RNase A and RNase T1 (Ambion) for 30 min at 37 C.
Protected hybrids were extracted and precipitated with RNase
inactivation/precipitation mixture (Ambion) and electrophoresed on an
8% polyacrylamide denaturing gel (Gel-mix 8, Life Technologies). The
RNA-RNA hybrid was detected by autoradiography, and the relative
hybridization levels were determined by densitometry and corrected for
the intensity of the 28S signal. The sizes of the protected fragments
were 213 bp, 140 bp, 75 bp, 316 bp, and 115 bp for IGF-II P1, P2, P3
(Fig. 1
), GAPD, and 28S constructs, respectively, and were
determined using pGEM DNA markers (Promega, Madison, WI).

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Figure 1. Schematic representation of the rat IGF-II
promoter region. Arrows indicate DNA sequences used to
create riboprobes for the detection of IGF-II promoters (P) 1, 2, and
3. Protected fragments detected are indicated below.
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Nuclear run-on assay
To examine changes in the rate of transcription, nuclei were
isolated by Dounce homogenization in a Tris buffer containing 0.5%
Nonidet P-40. Nascent transcripts were labeled by incubation of nuclei
in a reaction buffer containing 500 µM each adenosine,
cytidine, and guanosine triphosphates, 150 U RNasin (Promega), and 250
µCi [
-32P]uridine triphosphate (3000 Ci/mM, DuPont)
(26). RNA was isolated by treatment with DNase I and proteinase K,
followed by phenol-chloroform extraction and ethanol precipitation.
Linearized plasmid pBluescript SK+ DNA containing about 1
µg of the IGF-II cDNA was immobilized onto Gene Screen Plus by slot
blotting according to manufacturers directions (DuPont). The plasmid
vector pGL2-Basic (Promega) was used as a control for nonspecific
hybridization, and murine 18S cDNA was used to confirm uniformity of
the radioactive counts applied to each membrane. Equal counts per min
of [
-32P]-RNA from each sample were hybridized to
cDNAs at 42 C for 72 h and washed in 1xSSC at 62 C for 30 min.
Hybridized cDNAs were visualized by autoradiography, measured by
densitometry, and corrected for the intensity of the 18S signal.
Statistical methods
Values are expressed as means ± SEM. Data on
mRNA decay were plotted by linear regression, and the slopes obtained
for control and treated cells were analyzed for significant differences
using the method of Sokal and Rohlf (27).
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Results
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Northern analysis revealed IGF-II transcripts of 3.6 and 1.2 kb in
rat and mouse Ob cells, adult rat calvariae, and an IGF-II transcript
of 3.6 kb in MC3T3-E1 cells (Fig. 2
). A
1.8-kb transcript was not detected by Northern analysis in Ob cells or
adult rat bone, even after prolonged exposure of autoradiographs.
IGF-II mRNA expression was of similar magnitude in rat and mouse Ob
cells, whereas a lower level of expression was detected in adult rat
calvariae, and minimal expression was detected in MC3T3-E1 cells. RNase
protection assay revealed the presence of transcripts driven by the
IGF-II P3 promoter in rat and murine Ob cells and adult rat calvariae
(Fig. 3
). Confirming the results obtained
by Northern analysis, IGF-II P3 transcript expression was virtually
undetectable in MC3T3-E1 cells (data not shown). IGF-II P1 and IGF-II
P2 transcripts were not detected in either osteoblastic cells or
fronto-parietal bone extracts.

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Figure 2. A, Expression of IGF-II transcripts in primary rat
(R) and mouse (M) Ob cells, adult rat calvariae (Adult), and MC3T3-E1
cells (M3). B, Expression of IGF-II mRNA in adult rat calvariae and
MC3T3-E1 cells. Autoradiograph exposure was 10 times longer than in
panel A. Eight micrograms of total RNA were extracted and subjected to
Northern blot analysis and hybridized with -32P-labeled
mouse IGF-II cDNA. The blot was stripped and rehybridized with a
labeled mouse 18S cDNA. IGF-II mRNA was visualized by autoradiography
and is shown in the upper panel while 18S ribosomal RNA
is shown below.
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Figure 3. Expression of rodent IGF-II promoter 1, 2, and 3
(P1, P2, and P3) mRNA in rat (R) and mouse (M) Ob cells, and adult rat
calvariae (Adult). Ten micrograms of total RNA were extracted and
subjected to RNase protection using -32P-labeled IGF-II
P1 (P1) or IGF-II P2 (P2) or IGF-II P3 (P3) and GAPD probes.
RNase-protected fragments were separated by PAGE, and the sizes of
IGF-II P1 (213 bp), IGF-II P2 (140 bp), IGF-II P3 (75 bp), and GAPD
(316 bp) protected fragments are indicated by arrows.
Lane 1 shows a negative control (yeast transfer RNA); lanes 2, 3, 4,
and 5 show IGF-II P1, P2, P3, and GAPD probes, respectively, and lane 6
shows pGEM standards. The upper half of the
autoradiograph showing results of adult rat bone was underexposed in
relationship to the lower half due to the intensity of
the signal for GAPD.
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Confirming prior observations, PDGF BB at 100 ng/ml, FGF-2 at 30 ng/ml,
and TGFß1 at 30 ng/ml inhibited IGF-II mRNA expression in mouse (not
shown) and rat Ob cells (Fig. 4
) (3). The
effect was time dependent and after 48 h PDGF BB, FGF-2, and
TGFß1 decreased IGF-II mRNA levels by 70%. RNase protection assay
demonstrated a time-dependent inhibition of IGF-II P3 mRNA expression
in rat Ob cells after exposure to PDGF BB, FGF-2, and TGFß1 (Fig. 5
). The decrease was observed after
24 h and was sustained for 48 h. Densitometric analysis
revealed that PDGF BB at 100 ng/ml, FGF-2 at 30 ng/ml, and TGFß1 at
30 ng/ml for 48 h inhibited IGF-II P3 transcript expression by
79 ± 8%, 60 ± 16%, and 64 ± 5% (mean ±
SEM; n = 4), respectively.

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Figure 4. Effect of PDGF BB (B) at 100 ng/ml, FGF-2 (F) at
30 ng/ml, and TGFß1 (T) at 30 ng/ml on IGF-II mRNA expression in rat
Ob cells treated for 6, 24, and 48 h. Total RNA from cultures
exposed to DMEM (C), PDGF BB, FGF-2, or TGFß1 was subjected to
Northern blot analysis and hybridized with -32P-labeled
mouse IGF-II cDNA. The blot was stripped and rehybridized with a
labeled mouse 18S cDNA. IGF-II mRNA was visualized by autoradiography
and is shown in the upper panel while 18S ribosomal RNA
is shown below.
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Figure 5. Effect of PDGF BB (B) at 100 ng/ml, FGF-2 (F) at
30 ng/ml, and TGFß1 (T) at 30 ng/ml on IGF-II promoter 1, 2, and 3
(P1, P2, and P3) mRNA expression in rat Ob cells treated for 6, 24, and
48 h. Confluent cultures of rat Ob cells were grown in serum-free
medium for 24 h and exposed to DMEM (C), PDGF BB, FGF-2, or
TGFß1 for the indicated periods of time. Cells were harvested and 8
µg of total RNA were extracted and subjected to RNase protection
using -32P-labeled IGF-II P1, IGF-II P2, IGF-II P3, and
28S probes. RNase-protected fragments were separated by PAGE, and the
sizes of IGF-II P1 (213 bp), IGF-II P2 (140 bp), IGF-II P3 (75 bp), and
28S (115 bp) protected fragments are indicated by
arrows. Lane 1 shows a negative control (yeast transfer
RNA), lanes 2, 3, 4, and 5 show IGF-II P1, P2, P3, and 28S probes,
respectively, and lane 6 shows pGEM standards.
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To determine whether PDGF BB, FGF-2, and TGFß1 modified the stability
of IGF-II mRNA, rat Ob cells were exposed to DMEM, PDGF BB at 100
ng/ml, FGF-2 at 30 ng/ml, or TGFß1 at 30 ng/ml for 1 h and then
treated with 75 µM DRB, an RNA polymerase II inhibitor,
in the absence or presence of growth factors for 6, 16, and 24 h
(28). Longer exposure to DRB is not feasible in this culture model
because of decreased cell viability beyond 24 h, as determined by
trypan blue exclusion (E. Canalis, unpublished observations). In
transcriptionally arrested Ob cells, the half-life of the predominant
3.6-kb IGF-II mRNA was estimated to be longer than 36 h by
extrapolation of the values obtained at 24 h, and it was not
altered by treatment with PDGF BB, FGF-2, or TGF ß1 (Fig. 6
). To confirm that PDGF BB, FGF-2, and
TGFß1 decrease IGF-II gene transcription, nuclear run-on assays were
performed. For this purpose, nuclei were harvested from rat Ob cells
cultured in the presence or absence of growth factors for 14, 24, and
48 h. When corrected for the 18S signal, PDGF BB at 100 ng/ml,
FGF-2 at 30 ng/ml, and TGFß1 at 30 ng/ml decreased the rate of
transcription by 50 to 100% (Fig. 7
).

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Figure 6. Effect of PDGF BB at 100 ng/ml, FGF-2 at 30 ng/ml,
and TGFß1 (TGF) at 30 ng/ml on IGF-II mRNA decay in transcriptionally
arrested rat Ob cells. Confluent cultures of rat Ob cells were grown in
serum-free medium for 24 h and treated with PDGF BB, FGF-2, and
TGFß1 for 60 min before and 24 h after the addition of
5,6-dichlorobenzimidazole riboside (DRB). RNA was subjected to Northern
blot analysis and hybridized with -32P-labeled mouse
IGF-II cDNA, visualized by autoradiography, and quantitated by
densitometry. Ethidium bromide staining of ribosomal RNA was used to
check uniform loading of the gels and transfer. Values are means
± SEM for three to six cultures. Values were obtained by
densitometric scanning and are presented as percentage of IGF-II mRNA
levels relative to the time of DRB addition. Slopes were analyzed by
the method of Sokal and Rohlf and were not found to be statistically
different.
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Figure 7. Effect of PDGF BB (B) at 100 ng/ml, FGF-2 (F) at
30 ng/ml, and TGFß1 (T) at 30 ng/ml on IGF-II transcription rates in
cultures of Ob cells treated for 14 and 24 h (panel A) or for 24
and 48 h (panel B). Nascent transcripts from control (C) and
treated cultures were labeled in vitro with
[ -32P]uridine triphosphate, and the labeled RNA was
hybridized to immobilized linearized IGF-II cDNA. Murine 18S plasmid
DNA was used to demonstrate loading, and pGL2-Basic vector DNA was used
as a control for nonspecific hybridization.
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Discussion
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This study was undertaken to compare the expression of IGF-II in
fetal and adult rodent skeletal cells and to explore mechanisms
underlying the regulation of IGF-II in osteoblasts. We demonstrated
that rat and mouse Ob cells, MC3T3-E1 cells, and adult rat calvariae
predominantly express an IGF-II transcript of 3.6 kb and that IGF-II
expression in rodent osteoblasts and adult rat calvariae is driven by
the IGF-II P3 promoter. Experiments in transcriptionally blocked cells
using the RNA polymerase inhibitor DRB revealed that PDGF BB, FGF-2,
and TGFß1 did not modify IGF-II mRNA decay during a 24-h period.
This, in conjunction with a change in the rate of transcription,
indicates that PDGF BB, FGF-2, and TGFß1 inhibit IGF-II at a
transcriptional level. The results presented were generated in
calvarial cells, and it is possible that the expression and regulation
of the IGF-II gene is different in cells from long bones. The IGF-II
gene has three different promoters of which P3 is the most active in
extrahepatic tissues and cell lines in culture (17). IGF-II expression
is tissue specific and developmentally regulated, so that most rodent
adult tissues do not express this gene. However, bone, as well as heart
and brain, express IGF-II (10, 17). The expression of IGF-II mRNA in
MC3T3-E1 cells, a mouse osteoblastic cell line, was limited compared
with primary cultures of mouse and rat osteoblasts. MC3T3-E1 cells
unlike mouse Ob cells express more IGF-I than IGF-II (29). This could
be explained by modifications of the cellular genotype after multiple
cell passages resulting in changes in the expression of transcription
factors necessary for the activation of the IGF-II gene. IGF-II
regulation by PDGF BB, FGF-2, and TGFß1 occurs through P3, the IGF-II
promoter that is known to initiate transcription of IGF-II transcripts
of 3.6 and 1.2 kb in size (17). Another study suggested that the 3.6-kb
IGF-II transcript is likely to provide the major template for IGF-II
synthesis and that the 1.2-kb transcript is generated by the use of
alternative polyadenylation signals in the primary 3.6-kb transcript
(30). Endonucleolytic cleavage of the abundant 3.6-kb mRNA may also
occur and give rise to two 1.8-kb transcripts and provide an additional
mode of regulating IGF-II production posttranscriptionally (31).
However, 1.8-kb transcripts could not be detected in Ob cells. This
confirms that expression of IGF-II in Ob cells and in adult rat
calvariae and its regulation by growth factors occurs primarily at the
transcriptional level and involves the IGF-II P3 promoter.
Although there are uncertainties about the physiological concentrations
of PDGF BB, FGF-2, and TGFß1, their effects were observed at doses
that modify other parameters of metabolic function in Ob cells
(32, 33, 34). This suggests that the inhibition of IGF-II is
physiologically relevant. The inhibitory effects of growth factors on
IGF-II synthesis may result in decreased collagen synthesis and
increased collagenase expression. This may result in a decrease in bone
matrix. In addition to decreasing IGF-II, skeletal growth factors
modify the production of IGFBPs by the osteoblast. The inhibition of
IGFBP-6 by TGFß1 seems to be particularly relevant since IGFBP-6
binds IGF-II with higher affinity than IGF-I, and IGFBP-6 selectively
blocks the effect of IGF-II on osteoblasts. The inhibition of IGFBP-6
may be a feedback mechanism to maintain adequate levels of IGF-II in
bone (35). The IGF-II receptor may also act as a IGFBP and is not
regulated by growth factors (E. Canalis, unpublished observations) (36, 37).
IGF-II is mostly abundant in fetal skeletal tissue. Studies on its
direct actions in bone cells and studies in mice, either with targeted
IGF-II gene disruption or overexpression of IGF-II, have documented its
relevance to skeletal growth (38, 39). However, it also appears to play
a role in the normal function of the adult skeleton. Bone is among the
few adult tissues expressing IGF-II, and IGF-II levels in extracts of
cortical human bone decline with aging, suggesting a possible role of
IGF-II in the maintenance of bone mass and in the pathogenesis of
osteoporosis (40).
In conclusion, our studies reveal that IGF-II is expressed by adult rat
bone as well as by osteoblasts in culture, and its expression is driven
by the IGF-II P3 promoter. Skeletal growth factors regulate IGF-II
expression in osteoblasts acting at the transcriptional level.
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Acknowledgments
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The authors thank Dr. G. Bell for the murine IGF-II cDNA, Dr. P.
Holthuizen for the rat IGF-II promoter fragments, Genentech for the
gift of TGFß, Drs. P. Holthuizen and M. Van Auken for helpful advice,
Ms. Cathy Boucher and Ms. Kristine Sasala for technical assistance, and
Mrs. Margaret Nagle for secretarial help.
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Footnotes
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1 Supported by Grant DK-42424 from the National Institute of Diabetes
and Digestive and Kidney Diseases. 
2 Supported by fellowships from the Belgian Bone Club and the Belgian
American Educational Foundation. 
Received October 3, 1997.
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