Endocrinology Vol. 140, No. 12 5729-5735
Copyright © 1999 by The Endocrine Society
Insulin-Like Growth Factor Signaling Pathways in Rat Hepatic Stellate Cells: Importance for Deoxyribonucleic Acid Synthesis and Hepatocyte Growth Factor Production1
S. Skrtic,
K. Wallenius,
A. M. Gressner and
J.-O. Jansson
Research Center for Endocrinology and Metabolism (S.S., K.W.,
J.-O.J.), Sahlgrenska University Hospital, SE-413 45
Göteborg, Sweden; and Department of Clinical Chemistry and
Pathobiochemistry (A.M.G.), Rheinisch-Westfalische Technische
Hochschule-University Hospital, D-52057 Aachen, Germany
Address all correspondence and requests for reprints to: Stanko Skrtic, Research Center for Endocrinology and Metabolism, Endocrine Division, Gröna Stråket 8, Sahlgrenska, University Hospital, SE-413 45 Göteborg, Sweden. E-mail: stanko{at}medic.gu.se
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Abstract
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It has been shown recently that insulin-like growth factor 1 (IGF-1)
increases both DNA synthesis and hepatocyte growth factor (HGF)
production in cultured hepatic stellate cells. In this study, we
used selective blockers to investigate crucial signaling pathways for
these effects of IGF-1 in cultured rat hepatic stellate cells.
Both LY 294002 [a phosphatidylinositol 3-kinase (PI3-K) inhibitor],
and rapamycin [a blocker of activation of the serine/threonine p70 S6
kinase (p70S6K), a molecule downstream from PI3-K]
completely reversed the IGF-1-induced stimulation of DNA synthesis.
Mitogen-activated protein kinase (MAPK) inhibition by PD
98059 had a less pronounced suppressory effect, although the
used PD 98059 dose was fully effective in inhibiting MAPK
phosphorylation. Both LY 294002 and PD 98059 lowered the IGF-1-induced
increase of HGF in the medium by about 40%, but LY 294002 was 10 times
more potent than PD 98059. Inhibition of p70S6K activation
by rapamycin blocked IGF-1-induced DNA synthesis but not the increase
in HGF.
In conclusion, PI3-K (and, to some extent, MAPK) signaling pathways
seem to be important for IGF-1-stimulated DNA synthesis and HGF
production. DNA synthesis also seems to be dependent on
rapamycin-sensitive activation of the PI3-K effector
p70S6K.
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Introduction
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THE LIVER IS the main source of circulating
insulin-like growth factor 1 (IGF-1) (1, 2). Although it may be assumed
that liver-derived IGF-1 has endocrine effects on extrahepatic tissues,
there are indications of local effects in the liver (3). Hepatocytes
themselves do not respond to IGF-1 because they have few IGF-1
receptors (1, 4, 5), but there are IGF-1 receptors on the
nonparenchymal cells (5, 6). It has been shown that IGF-1 stimulates
both DNA synthesis (7, 8, 9, 10) and the production of hepatocyte growth
factor (HGF) in hepatic stellate cells (HSC) in vitro (3).
Factors other than IGF-1 may also exert such effects on HSC (11). This
suggests paracrine interactions between hepatocytes and HSC similar to
those described between hepatocytes and hepatic endothelial cells
(12).
HGF is a pleiotropic factor with mitogenic, motogenic, and morphogenic
effects on cells of epithelial origin, such as hepatocytes (13, 14).
HSC seem to be the main producers of HGF in the intact liver in
vivo (15), and freshly-seeded HSC also produce HGF in
vitro (16, 17). The HGF messenger RNA (mRNA) levels of HSC
in vitro are then decreased during transformation (16, 17).
HSC, synonymously termed Ito cells, lipocytes, and fat-storing cells,
are nonparenchymal cells located adjacent to the hepatocytes in the
perisinusoidal space of Disse (18, 19, 20). Their main physiologic role in
the intact liver is the storage and metabolism of retinoids (18). When
the liver is injured, the HSC are activated to proliferate and
transform to myofibroblast-like cells, producing different matrix
proteins (20). This transformation also occurs when HSC are cultured on
plastic (19).
IGF-1 signaling pathways in different cell types have many features in
common, although it has been shown that the relative importance of the
different pathways can vary between cell types. The IGF-1 receptor is a
heterotetrameric protein with ligand-stimulated tyrosine kinase
activity (21). Because the IGF-1 receptor has large homology with the
insulin receptor, it is not surprising that insulin in high doses can
bind to the IGF-1 receptor and mimic the effects of IGF-1 (21). The
activated IGF-1 receptor phosphorylates insulin receptor substrate-1.
Phosphorylated insulin receptor substrate-1 serves as a multisite
docking protein by binding to numerous SH2 domain-containing proteins,
such as phosphatidylinositol 3-kinase (PI3-K) and Grb-2 (21). Grb-2 can
also associate with IGF-1 receptor-phosphorylated Shc, which leads to
the activation of the ras-raf-MAPK pathway (21). Activated PI3-K
has multiple downstream effector molecules. One of them is the
serine/threonine p70 S6 kinase (p70S6K), which, in turn,
phosphorylates the ribosomal S6 protein (22). Another effector is
protein kinase B (PKB) (23).
IGFs are unusual among growth factors, in that they affect both the
proliferation and differentiation of cells. It is well known that
different effects of IGF-1 may employ different intracellular pathways.
Special attention has been paid to the MAPK and PI-3K pathways, where
MAPK has been implicated in the mediation of the mitogenic action of
IGF-1 and PI-3K on the more differentiated effects of IGF-1 in
myoblasts (24). However, in the human breast cancer cell line MRC-7,
PI-3K is more crucial than MAPK for IGF-1s mitogenic signaling
(25).
One preliminary study of transformed myofibroblast-like cells indicates
that IGF-1 and insulin stimulate mitogenesis via a PI-3K-dependent
pathway (26). Few studies have been performed on IGF signaling in
untransformed HSC. The aim of this study was to identify the
intracellular pathways that mediate the effects of IGF-1 on DNA
synthesis and HGF production in primary, untransformed HSC
cultures.
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Materials and Methods
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Isolation and culture of HSC
The isolation and culture of rat HSC have previously been
described in detail (3). Briefly, 1-yr-old male Sprague Dawley rats
(BW, 500700 g; Lippische Versuchtierzucht, Extertal, Germany) were
used. Nonparenchymal liver cells were obtained using the
pronase-collagenase perfusion technique, and HSC were further purified
by single-step density-gradient centrifugation with Nycodenz (analytic
grade; Nyegaard, Oslo, Norway), as described (3). The cells were
identified by their typical light-microscopic appearance, transmission
electron microscopy, immunofluorescent staining for desmin and
vimentin, vitamin A-specific autofluorescence (by staining fat droplets
with oil red O) and, negatively, by their inability to phagotocytose
latex beads, to stain for peroxidase, and to express Fc receptors. The
cell viability, checked by trypan blue exclusion, was higher than 95%.
The mean purity of freshly isolated HSC was 90 ± 5%.
The cells were seeded, on day 0, with a density of 20 x
103 cells/cm2 in 24-well cell culture plates
and were maintained as monolayers with DMEM containing
L-glutamine (4 mM), penicillin (100 IU/ml),
streptomycin (100 µg/ml), 10% FCS (all from Roche Molecular Biochemicals, Mannheim, Germany), and insulin (0.02 U/ml, from
bovine pancreas; Sigma, St. Louis, MO) in a humidified
atmosphere of 5% CO2-95% air at 37 C. On day 1, the
medium was changed about 16 h after seeding. The purity was then
higher than 97%. About 10 h later, medium was changed to a
serum-deprived one, with 0.2% FCS, for 24 h. On day 2, the cells
were exposed to recombinant human IGF-1 in a medium with 0.2% FCS or a
control medium with 0.2% FCS alone. The cultures were kept in these
media for 48 h before collecting the media and harvesting the
cells. Twenty-four hours before harvest, 1 µCi/mL
3H-thymidine was added to all groups. The experiments were
repeated, and representative data are shown.
Inhibition of signal transduction pathways
The cells were exposed to different inhibitors for 48 h of
culture after 24 h of serum starvation. Inhibitors PD 98059 110
µM final [0.11 mM stock in 10%
dimethylsulfoxide (DMSO)], LY 294002 110 µM final
(0.11 mM stock in 10% DMSO), and rapamycin 0.11
µg/liter final (0.11 mg/liter in 10% DMSO) came from
Calbiochem (La Jolla, CA). Control cultures received the
same amount of solvent.
Determination of DNA synthesis and protein content
On day 4, the medium was collected. The cells were washed three
times in PBS, trypsinized, and aliquoted in two tubes. One sample was
used for either measurements of 3H-thymidine incorporated
into DNA, as described before (27), or DNA measurements with
bisbenzimidazole, as described (28). The protein content of the
supernatant was measured using the DC Protein Assay, according to the
manufacturers instructions (Bio-Rad Laboratories, Inc.,
Hercules, CA).
Measurement of immunoreactive rat HGF
When the cell cultures were stopped, the medium was aspirated
and spun at 3,300 x g, for 20 min, at 4 C. The
supernatant was collected and frozen at -70 C. An enzyme-linked
immunosorbent assay was used to measure immunoreactive rat HGF
(Institute of Immunology, Tokyo, Japan). Briefly, 50 µl of sample
medium in duplicate was dispensed to a 96-well plate precoated with
monoclonal antibodies against human HGF, as described (29). Rat HGF
standard solution was provided by the manufacturer for a standard
curve. The plates were then incubated overnight at room temperature
and, thereafter, washed and incubated with an antirat HGF rabbit
polyclonal antibody. Peroxidase-labeled goat antirabbit Ig, together
with a chromogenic substrate, was added. The absorbance was monitored
by an enzyme-linked immunosorbent assay reader at 490 nm.
In most experiments, HGF content was normalized to DNA content in the
cells as an indicator of cell number. See above for the DNA content
measurements.
Measurement of phosphorylated MAPK
HSC (cultured in 6-well plates) were washed in PBS, 50 µl SDS
sample buffer was added, and the cells were scraped and frozen in -70
C. The samples were then sonicated (two times; 15 sec each time) and
centrifuged (12,000 x g; 10 min). For each sample,
equal amounts (15 µl) were separated on one-dimensional
SDS-polyacrylamide gels (NuPage gels; Novex, San Diego,
CA). The proteins were transferred to a polyvinyldifluoride membrane
(Novex) using a blotting device (Xcell II;
Novex). The membranes were then incubated with monoclonal
antibodies against phoshporylated p44/42 MAPK (Thr202/Tyr204)
(New England Biolabs, Inc., Beverly, MA). Immunoreactive
protein was visualized by chemiluminescence using a horseradish
peroxidase-conjugated second antibody with an enhanced
chemiluminescence detection system (Amersham Pharmacia Biotech, Uppsala, Sweden). The filters were exposed to
enhanced chemiluminescence film (Amersham Pharmacia Biotech) at room temperature for 25 min, and the films were
subsequently developed. The relative levels of p44 and p42
immunoreactive MAPK were estimated by scanning with a Shimadzu CS-9000
densitometer (Shimadzu, Kyoto, Japan). Protein levels are
expressed as a percent of the mean value of the untreated control
cultures (percent of control).
Statistical analysis
Values are given as the mean ± SEM.
Comparisons between two groups were made using Students t
test. Comparisons between more than two groups were made using a
one-way ANOVA, followed by Students-Newman-Keuls multiple-range
test for pairwise contrasts among a group of means.
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Results
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Specific stimulation of IGF-1 on HGF
In the first experiment, we investigated the previous finding (3)
that IGF-1 increased medium HGF content.
The effect was specific and did not reflect an overall effect on total
protein levels in the medium. IGF-1 (100 ng/ml) did not affect the
protein content in the supernatant of the HSC cultures (control,
0.95 ± 0.06 vs. IGF-1, 0.92 ± 0.05 mg/ml;
P > 0.05). However, IGF-1 significantly increased the
HGF content in cultured medium, both when expressed per volume medium
(control, 0.11 ± 0.01 vs. IGF-1, 0.31 ± 0.01
ng/ml; P < 0.01) and per total protein content in the
culture medium (control, 0.12 ± 0.01 vs. IGF-1,
0.35 ± 0.12 ng/mg; P < 0.01).
Effects of MAPK inhibition on IGF-1-stimulated DNA synthesis and
HGF production
To investigate the effects of IGF-1 on DNA synthesis and HGF
production and to define the intracellular signals that mediate these
effects, we added different signal transduction inhibitors to the HSC
cultures. We investigated the importance of the ras-raf-MAPK cascade by
addition of the specific MAP kinase kinase or ERK kinase
inhibitor PD 98059 to HSC cultures treated with IGF-1 (100 ng/ml). As
shown in Fig. 1A
, IGF-1 induced a 4-fold
increase in DNA synthesis in HSC, as measured by
3H-thymidine incorporation. However, after addition of the
MEK inhibitor PD 98059, there was no significant stimulatory effect of
IGF-1 on DNA synthesis. IGF-1 increased the levels of immunoreactive
HGF in the cell culture medium 2-fold (Fig. 1B
). Addition of the MEK
inhibitor PD 98059 to the cultures reversed the stimulatory effect of
IGF-1 on the HGF levels. Compared with cultures treated with IGF-1
only, the levels were decreased by about 30% and did not differ from
those of untreated controls (Fig. 1B
). PD 98059 alone had no effect on
either DNA synthesis or HGF content in the control cultures (Fig. 1
, A
and B).

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Figure 1. Effects of incubation of HSC on days 24 of
culture with the specific MAPK inhibitor PD 98059. The HSC were
incubated with control medium and IGF-1 (100 ng/ml) with or without PD
98059 (10 µM). A, 3H-thymidine incorporation
(cpm/µg DNA) into DNA as a determinant of DNA synthesis in HSC
cultures; B, content of immunoreactive rat HGF (ng/µg DNA) in the
supernatant of HSC. Each point represents the mean
± SEM for three culture wells. *, P <
0.05, compared with PD 98059-treated cultures; #, P
< 0.05; ##, P < 0.01, compared with
vehicle-treated control cultures (Students t test).
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Effects of PI-3 kinase inhibition on IGF-1-stimulated DNA synthesis
and HGF production
In addition to the MAPK pathway, the PI-3 kinase pathway has been
shown to mediate the mitogenic and differentiating effects of IGF-1 and
insulin in different cell systems. We therefore studied the effects of
PI-3 kinase inhibition in the next experiment. The addition of the
specific PI-3 kinase inhibitor LY 294002 completely abolished the
IGF-1-induced 4-fold increase in DNA synthesis in HSC cultures (Fig. 2A
). IGF-1-induced stimulation of HGF
production was also reversed after treatment with LY 294002. LY 294002
alone had no effect on either DNA synthesis or HGF content in the
control cultures (Fig. 2
, A and B).

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Figure 2. Effects of incubation of HSC on days 24 of
culture with the PI 3 kinase inhibitor LY 294002. The HSC were
incubated with control medium and IGF-1 (100 ng/ml) with or without LY
294002 (10 µM). A, 3H-thymidine incorporation
(cpm/µg DNA) into DNA as a determinant of DNA synthesis in HSC
cultures; B, content of immunoreactive rat HGF (ng/µg DNA) in the
supernatant of HSC. Each point represents the mean
± SEM for three culture wells. *, P <
0.05; **, P < 0.01 LY 294002-treated cultures; #,
P < 0.05; ##, P < 0.01,
compared with vehicle-treated control cultures (Students
t test).
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Effects of p70S6K inhibition on IGF-1-stimulated DNA
synthesis and HGF production
We also specifically blocked activation of a downstream effector
of the PI-3 kinase pathway, p70S6K, using rapamycin. The
addition of rapamycin completely abolished the IGF-1-induced increase
in DNA synthesis in the HSC cultures (Fig. 3A
). In contrast, rapamycin had no effect
on the HGF levels after IGF-1 treatment (Fig. 3B
). Rapamycin alone had
no effect on either DNA synthesis or HGF content in the control
cultures (Fig. 3
, A and B).

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Figure 3. Effects of incubation of HSC on days 24 of
culture with the specific p70S6K inhibitor rapamycin
(Rapa). The HSC were incubated with control medium and IGF-1 (100
ng/ml) with or without rapamycin (1 ng/ml). A, 3H-thymidine
incorporation (cpm/µg DNA) into DNA as a determinant of DNA synthesis
in HSC cultures; B, content of immunoreactive rat HGF (ng/µg DNA) in
the supernatant of HSC. Each point represents the
mean ± SEM for three culture wells. **,
P < 0.01, compared with rapamycin-treated
cultures; #, P < 0.05; ##, P
< 0.01, compared with vehicle-treated control cultures (Students
t test).
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Effects of different doses signal transduction inhibitors on the
IGF-1 response
To further verify the specificity of the signal transduction
inhibitors, they were added in lower doses to HSC cultured with or
without IGF-1. In Fig. 4A
, PD 98059
(given in doses of 1 and 3 µM) decreased the
IGF-1-induced DNA synthesis by about 45%, whereas 10 µM
had no significant effect (Fig. 4A
). In control cultures not treated
with IGF-1, PD 98059 had no effect on DNA synthesis (Fig. 4A
). Only the
highest dose (10 µM) of PD 98059 suppressed the
immunoreactive HGF content in the HSC cultures (Fig. 4B
). The PI-3
kinase inhibitor LY 294002 suppressed the IGF-1-induced DNA synthesis
in the HSC cultures, with a maximum decrease (about 80%) at 310
µM (Fig. 4C
). The addition of LY 294002 to control
cultures not given IGF-1 at doses of 3 and 10 µM
decreased DNA synthesis by 30%45%, whereas a dose of 1
µM had no effect (Fig. 4C
). As shown in Fig. 4D
, the
IGF-1-induced increase in the HGF content in the culture medium was
also significantly inhibited by about 40% by LY 294002 at doses of
110 µM. As shown in Fig. 4E
, inhibition of activation
of the p70S6K by rapamycin suppressed IGF-1-induced HSC
proliferation by about 70% at doses of 0.11 ng/ml. As can be seen in
Fig. 4F
, the levels of IGF-1-stimulated HGF content in the culture
medium were reduced by rapamycin at doses of 0.10.3 ng/ml but not by
1 ng/ml. Rapamycin alone had no significant inhibitory effects on
either DNA synthesis or HGF content (Fig. 4
, EF). The inhibitory
effects of PD 98059, LY 294002, and rapamycin on HGF content were
specific, given that none of these compounds affected total protein
content in the medium (data not shown).

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Figure 4. Dose-response effects of incubation of HSC on days
24 of culture with PD 98059, LY 294002, and rapamycin. The HSC were
incubated with control medium (circle) or IGF-1 (100
ng/ml, square) together with an inhibitor. A, C, and E,
3H-thymidine incorporation (cpm/µg DNA, expressed as
percent of control) into DNA as a determinant of DNA synthesis in HSC
cultures; B, D, and F, content of immunoreactive rat HGF (ng/µg DNA,
expressed as percent of control) in the supernatant of HSC. Each
point represents the mean ± SEM for
three culture wells. *, P < 0.05; **,
P < 0.01, compared with IGF-1-treated control
cultures; #, P < 0.05, compared with
vehicle-treated control cultures (ANOVA, followed by
Students-Newman-Keuls multiple-range test).
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Effects of PD 98059 on phosphorylated p44/42 MAPK
Because the inhibitory effect by PD 98059 on both DNA synthesis
and HGF in medium were less marked than those of LY 294002 (Fig. 4
, AD), we wanted to verify that the used doses of PD 98059 were able to
completely inhibit MAPK activity. As shown in Fig. 5
, both 10% FCS (the positive control)
and 100 ng/ml IGF-1 were able to induce phosphorylation of bands
corresponding to the size of p44/42 MAPK. The highest used dose of PD
98059 in the previous experiments was 10 µM, and this
dose completely inhibited the IGF-1-induced MAPK phosphorylation. The
stimulatory effect of IGF-1 on MAPK phosphorylation and its inhibition
by PD 98059 were confirmed by densitometric measurements of the bands
(Table 1
). IGF-1 also increased DNA synthesis, measured as
3H-thymidine incorporation in parallel cultures from the
same HSC isolation, whereas 10 µM PD 98059 was not able
to significantly inhibit the IGF-1-induced DNA synthesis in this
experiment. Immunoreactive HGF in these parallel cultures was increased
by IGF-1, and this increase was reversed by the addition of PD 98059
(Table 1
), in agreement with previous experiments (e.g. Fig. 1B
).

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Figure 5. Effects of incubation of HSC on day 24 of
culture with the specific MAPK inhibitor PD 998059. The HSC were
incubated with 10% FCS, 0.1% FCS, IGF-1 (100 ng/ml), PD 98059 (10
µM), or IGF-1 with PD 98059. Phosphorylation of p44/42
MAPK was measured by Western blot on cell extracts using a specific
monoclonal antibody against phosphorylated p44/42 MAPK (Thr202/Tyr204).
The densitometric values are presented in Table 1 .
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Discussion
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Many reports have been published in recent years on the
effects of IGF-1 on different signal transduction pathways. In some
cell systems, the PI3-K pathway is mainly associated with the metabolic
effects of IGF-1 and insulin, such as the regulation of
glucose/glycogen metabolism (30, 31). Several studies have also
indicated that the MAPK pathway often is essential for IGF-1s
growth-promoting effects (24, 32, 33). On the other hand, there have
been several recent studies reporting that PI3-K contributes more than
the MAPK pathway to the mitogenic effects of IGF-1 in some systems (25, 34, 35). Our results suggest that, although both the PI3-K and MAPK
pathways are important for DNA synthesis in untransformed HSC, the
PI3-K pathway may be essential. The addition of LY 294002 (a PI3-K
inhibitor) and of rapamycin (a blocker of activation of
p70S6K that acts downstream of PI3-K) inhibited
IGF-1-induced DNA synthesis in cultured HSC, whereas the effect of the
MAPK blocker PD 98059 was less pronounced or absent. The comparatively
small effect of PD 98059 was not caused by ineffectiveness of this
substance, because this inhibitor was shown to completely suppress MAPK
phosphorylation.
We have previously reported (3) that IGF-1 can enhance the production
of HGF from cultured HSC. This was shown also in this study, where we
further investigated the signal transduction pathways for IGF-1 on HGF
production. There was a clear inhibitory effect of LY 294002 on the
IGF-1-induced HGF content in the culture medium. MAPK inhibition by PD
98059 also attenuated the IGF-1-stimulation on HGF but at a 10-times
higher dose. A preliminary report of cultured human myofibroblast-like
cells, i.e. HSC that have been transformed by prolonged
culture in vitro, where IGF-1-increased collagen type I
production, could be inhibited both by MAPK blockade and by PI3-K
blockade (26). These similarities with our results are somewhat
surprising, because we have studied untransformed HSC that may differ
in many ways from transformed myofibroblast-like cells. For instance
the IGF-1 responsiveness in HSC is much higher than that of
myofibroblast-like cells (6). Moreover, HGF mRNA levels have been
reported to be higher in untransformed HSC (16, 17), whereas collagen
type I is mainly produced in myofibroblast-like cells (19).
The effectiveness of the PI-3K inhibitor LY 294002 indicates that both
IGF-1 stimulated DNA synthesis and HGF production are dependent on
PI-3K. However, the pathways downstream may differ between these two
effects. The DNA synthesis seems to be mediated by rapamycin-sensitive
activation of the downstream mediator p70S6K, which, in
turn, activates ribosomal protein S6 and translation (22). HGF
production, on the other hand, seemed to be less dependent on this
rapamycin-sensitive pathway. One possibility is that this effect,
instead, is mediated by activation of PKB, another downstream effector
of PI-3K, which is activated by insulin and IGF-1 (23). Biological
effects mediated by PI-3K and PKB have been shown to be inhibited by LY
294002 but not by rapamycin (36).
Our finding that IGF-1 enhances HGF mRNA, as well as HGF protein,
suggests that IGF-1 enhances HGF production (3). In the present study,
the stimulatory effect of IGF-1 on medium HGF levels was not caused
only by a general increase in protein synthesis by HSC, because the
HGF/protein ratio in the medium was enhanced by IGF-1. The inhibitory
effects of MAPK and PI3-K were not caused by nonspecific inhibition of
protein synthesis, although there are reports that IGF-1s can affect
general protein synthesis in some cell systems via both PI3-K and MAPK
activation (37). Neither PD 98059 nor LY 294002 decreased medium
protein levels. Generally, the signal inhibitors used in this study
lowered DNA synthesis more effectively then HGF levels. It is possible
that the pathways studied contribute, to a lesser degree, to the
HGF-stimulating effect of IGF-1. On the other hand, it is also possible
that we were not able to detect major effects on HGF levels by these
signal transduction inhibitors, because of low turnover of HGF.
Considerable interest has recently been focused on the issue of
comparing mitogenic and differentiating effects of IGF-1. This question
has been studied extensively in myoblasts, which seem to differ from
HSC in many ways, with regard to the effects of IGF-1. In myoblasts,
IGF-1 exerts differentiating effects, i.e. myotubule
formation already at low doses of IGF-1, through a PI3-K-dependent
pathway. On the other hand, high doses of IGF-1 lead to MAPK activation
and subsequently to myoblast proliferation (24). In HSC, the PI3-K
pathway seems to be more important than the MAPK pathway, for DNA
synthesis. Moreover, dose-response curves showed that similar doses of
IGF-1 were effective both on HGF production and on DNA synthesis in
cultured HSC (3).
There have been relatively few studies on the intracellular signaling
pathways in cultured untransformed HSC (38). However, more is known
about transformed HSC, i.e. myofibroblast-like cells, and
especially about the signal transduction pathways used by
platelet-derived growth factor (PDGF) (38). PDGF has some interesting
features in common with IGF, with regard to its effects on HSC. IGF-1
and PDGF are able to act as mitogens, as well as inducers of synthesis
of different proteins. PDGF can induce both IGF-1 and the IGF-1
receptor, thereby raising the possibility that IGF-1 acts via an
autocrine loop to mediate some of PDGFs effects on cultured HSC (38).
The PDGF receptor has intrinsic tyrosine kinase activity (39) in a way
similar to that of the IGF-1 receptor (21). After phosphorylation of
the PDGF receptor, signal pathways similar to those in the IGF-1
receptor are activated, including the ras-raf-MAPK and PI3-K-dependent
pathways (40, 41). In addition to IGFs, hepatocytes seem to produce
other factors that can enhance DNA synthesis and HGF production
(11).
The physiological significance in vivo of the effects of IGF
on HSC in vitro remains to be determined. DNA synthesis and
proliferation of HSC have been associated with their transformation to
myofibroblast-like cells, a process that may be associated with
development of fibrosis (19, 20). On the other hand, increased HGF
production may facilitate liver regeneration, stimulate hepatocyte
proliferation, and protect hepatocytes from cell death (13, 14). HGF
does not seem to enhance DNA synthesis in untransformed HSC (Skrtic
et al., unpublished results). Both IGF and HGF have also
been implicated in the development of liver tumors, but their exact
roles remain unclear (14, 42). Recent publications have clearly shown,
however, that liver-derived IGF-1 is not important for the normal
growth of the intact liver during adulthood (2, 43).
In conclusion, the investigation of signaling pathways suggests that
PI3-K (and maybe also its downstream effector p70S6K) is
important for mediating the stimulatory effect of IGF-1 on DNA
synthesis, whereas the MAPK pathway may be less essential for this
effect. It is also possible that the PI3-K pathway is more important
than the MAPK pathway for IGF-1-stimulated HGF production.
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Acknowledgments
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Excellent technical assistance was provided by Birgit Lahme and
Sibylle Sauer.
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Footnotes
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1 This study was supported by the Swedish Medical Research Council
(9894), Deutsche Forschungsgesellschaft (Gr 463/92), the Bergvall
foundation, the Söderberg Foundation, the Lundberg Foundation,
the Nordic Insulin Foundation, the Swedish Medical Society, and the
Göteborg Medical Society. 
Received June 18, 1999.
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