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Endocrinology Vol. 140, No. 9 3962-3970
Copyright © 1999 by The Endocrine Society


ARTICLES

Differential Effects of Insulin-Like Growth Factor I (IGF-I) and IGF-Binding Protein-1 on Protein Metabolism in Human Skeletal Muscle Cells1

Robert A. Frost and Charles H. Lang

Department of Cellular and Molecular Physiology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033

Address all correspondence and requests for reprints to: Robert A. Frost, Ph.D., Department of Cellular and Molecular Physiology, Hershey Medical Center: H166, Hershey, Pennsylvania 17033.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Insulin-like growth factor-binding protein-1 (BP-1) is a multifunctional protein that binds IGF-I in solution and integrins on the cell surface. BP-1 is overexpressed during catabolic illnesses, and the protein accumulates in skeletal muscle. To define a potential physiological role for BP-1 in regulating muscle protein balance, we have examined the effect of IGF-I and BP-1 on protein synthesis and degradation in human skeletal muscle cells. IGF-I-stimulated protein synthesis by 20%, and this was completely inhibited by either phosphorylated or nonphosphorylated BP-1. Half-maximal inhibition of protein synthesis occurred at a molar ratio of BP-1 to IGF-I of 1.5:1. BP-1 failed to form a complex with a truncated form of IGF-I (desIGF-I), and consequently, BP-1 failed to inhibit the ability of desIGF-I to stimulate protein synthesis. IGF-I and BP-1 dose-dependently inhibited protein degradation individually, and both BP-1 phosphovariants failed to block the ability of IGF-I to do the same. Blocking integrin receptor occupancy with the integrin antagonist echistatin blunted the ability of BP-1 to inhibit protein degradation, but had no significant effect on IGF-I-mediated changes in protein synthesis or degradation. The extracellular matrix protein vitronectin also inhibited protein degradation, but vitronectin receptor antibodies failed to block BP-1 action. In contrast, antibodies to the ß1 integrin subunit blocked BP-1-mediated inhibition of protein degradation. Rapamycin inhibited IGF-I-dependent protein synthesis, but not the ability of IGF-I to inhibit proteolysis. In contrast, rapamycin completely blocked the ability of BP-1 to inhibit proteolysis. Our results demonstrate that BP-1 inhibits IGF-I-mediated protein synthesis by binding to IGF-I. BP-1, acting independently of IGF-I, inhibits protein degradation. The IGF-independent response occurs via ß1 integrin binding and stimulation of a rapamycin-sensitive signal transduction pathway.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE EROSION of lean body mass during catabolic illness remains a major cause of morbidity and mortality in a variety of pathophysiological conditions. Muscle wasting is a common feature of bacterial infection (1), the acquired immune deficiency syndrome (2, 3), cancer cachexia (4, 5), and chronic alcohol abuse (6). The mechanism by which patients lose muscle mass remains to be completely defined, but includes both a decrease in muscle protein synthesis (7) and an increase in muscle protein degradation (8).

Alterations in the GH-insulin-like growth factor I (IGF-I) axis are commonly associated with muscle wasting. In response to infection, the plasma concentration of IGF-I is markedly reduced (9), and the loss of the anabolic action of IGF-I is thought to negatively impact muscle protein metabolism via changes in protein synthesis and degradation (10). Qualitatively similar decreases have also been observed in response to various inflammatory stimuli (11, 12).

Essentially all of the IGF-I in blood and tissues is bound to IGF-binding proteins (IGFBPs) (13). IGFBP-1 (BP-1) is the most dynamically regulated of the IGFBPs, and circulating levels of this binding protein are believed to control the free or bioavailable fraction of IGF-I (14, 15). BP-1 may also influence IGF activity within skeletal muscle, as muscle BP-1 content is dramatically increased after injection of Gram-negative endotoxin or proinflammatory cytokines (11, 12).

Numerous studies suggest that there is a molecular interaction between IGF system components and various members of the integrin family of receptors. For example, ligand occupancy of the {alpha}vß3 receptor by the extracellular matrix protein vitronectin is required for IGF-I to stimulate migration of porcine aortic smooth muscle cells (pSMC) (16). The integrin antagonist echistatin blocks the ability of IGF-I to stimulate protein synthesis, DNA synthesis, and IGF signaling in pSMCs (17). BP-1 also contains a fibronectin-like arginine, glycine, and glutamic acid (RGD) sequence. This sequence is essential for cell migration in response to BP-1 and the ability of an IGF-I/BP-1 complex to promote wound healing (18).

Although IGFBPs have been shown to inhibit IGF binding to rat L6 myoblasts (19), little is known about the effect of BP-1 on protein synthesis and degradation in human myoblasts. It is possible that BP-1 could bind to IGF-I and thereby impair ligand receptor interaction or, alternatively, BP-1 could interact with cell surface integrin receptors. The aim of the present study was to examine the ability of BP-1 to regulate IGF-I-dependent processes in human myoblasts. Secondly, we examined the ability of BP-1 to alter protein degradation independent of IGF-I via integrin binding.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture
Normal human myoblasts were purchased from Clonetics Corp. (San Diego, CA) and cultured in skeletal muscle growth medium containing epidermal growth factor, insulin, BSA, fetuin, and dexamethasone (Clonetics Corp.). Cells were subsequently grown in MEM (Sigma Chemical Co., St. Louis, MO) supplemented with 5% new born calf serum (NBCS), penicillin (0.1 U/liter), streptomycin (0.1 mg/liter), and amphotericin (0.25 ng/liter). Cells were subcultured into 24-well cluster dishes (Falcon, Lincoln Park, NJ) and grown in serum-free medium for 72 h for subsequent measurement of protein synthesis and degradation.

Protein synthesis
Protein synthesis was determined as previously described (20). Human myoblasts were treated with serum-free MEM alone or one of the following reagents: recombinant human IGF-I (Genentech, Inc., San Francisco, CA), IGFBP-1 (Sigma), echistatin (Sigma), or anti-IGF-I receptor antibody {alpha}-IR-3 (Calbiochem, San Diego, CA). Alternatively, cells received anti-{alpha}vß3 or -ß1 integrin antibodies (Chemicon, Temecula, CA) or various combinations of the above for 6 h. Control cells received either an equal volume of medium containing 0.1% BSA and/or DMSO. Cells were labeled with 2 µCi/well [3H]phenylalanine (132 Ci/mmol; Amersham Pharmacia Biotech, Arlington Heights, IL) for the entire period. Cells were washed, isolated in trypsin-EDTA, and precipitated overnight at 4 C with 10% trichloroacetic acid (TCA). After washing, TCA-precipitable radioactivity was solubilized in 1 N sodium hydroxide and liquid scintillation cocktail (Scintsafe I, Fisher Scientific, Springfield, NJ) and counted in a liquid scintillation counter (Wallac, Inc., Gaithersburg, MD).

Protein degradation
Myoblasts were subcultured to 24-well cluster plates as described above and after 24–48 h prelabeled with [3H]tyrosine (70 Ci/mmol; Amersham Pharmacia Biotech, Arlington Heights, IL) for 72 h in MEM with 5% NBCS. Cells were washed with serum-free medium and treated with hormones, antibodies, or echistatin as described above. Tyrosine release was measured over 72 h as soluble counts in the conditioned medium after precipitation of secretory proteins in the presence of 1 mg/ml BSA and 10% TCA, as described previously (21). Protein degradation was linear over a 96-h period in control and IGF-I-treated cells. BP-1 that was added to skeletal muscle cells and subsequently recovered from the medium was neither degraded nor dephosphorylated over this time period. In experiments using nonphosphorylated BP-1 (npBP-1), the phosphorylated protein was purified from HepG2-conditioned medium and treated with alkaline phosphatase to obtain the nonphosphorylated form. These preparations are greater than 90% pure (Sigma Chemical Co.). We have confirmed that these preparations contain mostly npBP-1 and pBP-1, respectively, by nondenaturing PAGE. We have also obtained identical results with preparations of BP-1 purified from amniotic fluid and supplied by an independent source (Calbiochem; data not shown).

Glucose uptake
Glucose uptake was determined as described by Steele-Perkins et al. (22). Briefly, myoblasts were subcultured into six-well cluster dishes and grown to confluence. Cells were washed with buffer containing 140 mM NaCl, 2.7 mM KCl, 1 mM CaCl2, 1.5 mM KH2PO4, 8 mM Na2PO4, 0.5 mM MgCl2, and 0.1% BSA. The assay was initiated by the addition of hormone for 30 min, followed by the addition of deoxy-D-[14C] glucose (1 µCi) in 0.1 mM 2-deoxy-D-glucose. After 12 min, the cells were washed and isolated in 400 µl 2 N sodium hydroxide.

Western blots
Conditioned media and cell extracts were electrophoresed on 7.5% denaturing or nondenaturing polyacrylamide gels and electrophoretically transferred to nitrocellulose with a semidry blotter (Bio-Rad Laboratories, Inc., Melville, NY). The resulting blots were blocked with 5% nonfat dry milk for 1.5 h and incubated with either antibodies against human BP-1 (Upstate Biotechnology, Inc., Lake Placid, NY) or p70 S6 kinase (Santa Cruz Biotechnology, Inc., Santa Cruz, CA). Unbound primary antibody was removed with Tris-buffered saline containing 0.5% Tween-20, and blots were incubated with antirabbit Ig conjugated with horseradish peroxidase. Blots were briefly incubated with the components of an enhanced chemiluminescent detection system (Amersham Pharmacia Biotech). Dried blots were used to expose x-ray film for 1–3 min.

Statistics
Values are the mean ± SEM. Unless otherwise noted, each experimental condition was tested in sets of six, and each experiment was repeated three times. Data were analyzed by ANOVA followed by Student-Newman-Keuls test. Statistical significance was set at P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
BP-1 inhibits IGF-I-stimulated protein synthesis
IGF-I-stimulated protein synthesis by 20% in human myoblasts (Fig. 1Go, top panel). This response was completely inhibited by either a nonphosphorylated (npBP-1) form or a mixture of phosphorylated (pBP-1) forms of BP-1. Neither npBP-1 nor pBP-1 altered the basal level of protein synthesis on its own (data not shown). Furthermore, the ability of IGF-I to stimulate protein synthesis was inhibited by BP-1 in a dose-dependent manner (Fig. 1Go, bottom panel). Half-maximal inhibition occurred at a BP-1 concentration of 120 ng/ml or a molar ratio of 1.5:1. Maximal inhibition of IGF-stimulated protein synthesis occurred at a BP-1 concentration of 400 ng/ml or more. Phosphorylated BP-1 was slightly more potent than nonphosphorylated BP-1 at inhibiting protein synthesis, but this difference only reached statistical significance at a high molar ratio of BP-1/IGF-I (data not shown). In contrast, BP-1 failed to inhibit the ability of a truncated form of IGF-I (desIGF-I) to stimulate protein synthesis (Fig. 1Go, bottom panel). Similarly, IGF-I, but not desIGF-I, formed a complex with a mixture of BP-1 phosphovariants (from Hep G2 cells) as demonstrated by nondenaturing PAGE and Western blot analysis (Fig. 1Go, bottom panel, inset, compare lanes 2 and 3).



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Figure 1. Effect of IGFBP-1 on IGF-I-induced protein synthesis. Top panel, Human skeletal muscle cells were grown to confluence in 24-well cluster dishes. To measure protein synthesis, cells were serum deprived in MEM for 72 h and treated with IGF-I alone (20 ng/ml) or IGF-I and either BP-1 in a nonphosphorylated (npBP-1) or phosphorylated form (pBP-1; 400 ng/ml) in the presence of [3H]phenylalanine as described in Materials and Methods. Bottom panel, Cells were treated as above with either IGF-I (•) or desIGF-I ({blacktriangleup}; 20 ng/ml) and an increasing concentration of pBP-1. The ability of BP-1 to form a complex with IGF was assessed by nondenaturing PAGE of either BP-1 alone (from HepG2 cells; inset, lane 1), IGF-I and BP-1 (lane 2), or desIGF-I and BP-1 (lane 3) followed by Western blot analysis for BP-1. Free BP-1 (F) and IGF-I/BP-1 complex (C), respectively. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 
BP-1 inhibits IGF-I-stimulated glucose uptake
IGF-I also stimulated glucose uptake in human myoblasts by 34% (Fig. 2Go, top panel). This response was almost completely inhibited by a 5-fold excess of npBP-1. The ability of IGF-I to stimulate glucose uptake was inhibited dose dependently by BP-1 with a maximal inhibition similar to that observed for protein synthesis (Fig. 2Go, bottom panel). BP-1 did not alter the basal level of glucose uptake.



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Figure 2. Effect of BP-1 on IGF-I-induced glucose uptake. Skeletal muscle cells were grown to confluence in six-well cluster plates and serum deprived for 72 h in MEM. Top panel, Cells were treated with npBP-1 alone (400 ng/ml), IGF-I (20 ng/ml), or a combination of IGF-I and npBP-1 for 30 min. Medium was subsequently removed, and glucose uptake was determined with [14C]2-deoxyglucose for 12 min. Data are expressed as a percentage of control wells that received no hormone. Bottom panel, Cells received either IGF-I alone or IGF-I and an increasing concentration of BP-1. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 
IGF-I and BP-1 independently inhibit protein degradation
Tissue protein balance is a dynamic process potentially involving changes in both synthesis and degradation. Therefore, in the next study the ability of IGF-I and BP-1 to alter proteolysis was examined by measuring the release of [3H]tyrosine from prelabeled cells. IGF-I inhibited protein degradation in human myoblasts by 8–16%, depending on the dose (Fig. 3Go, top panel). npBP-1 alone, in the absence of IGF-I, also inhibited protein degradation dose dependently (Fig. 3Go, middle panel). Significant inhibition of protein degradation occurred with as little as 125 and 500 ng/ml IGF-I and BP-1, respectively. Phosphorylated BP-1 inhibited protein degradation to a similar extent as npBP-1 (data not shown). Figure 3Go (bottom panel) indicates that BP-1 did not prevent or attenuate IGF-I-dependent inhibition of protein breakdown. Likewise, desIGF-I inhibited proteolysis to the same extent as IGF-I, and BP-1 was again unable to prevent this response. IGFBP-1 in the medium was not degraded or dephosphorylated during the time frame of these experiments. Nonphosphorylated and phosphorylated BP-1 added to skeletal muscle cells and recovered in the conditioned medium after either 30 sec or 48 h migrated identically by nondenaturing PAGE (Fig. 4Go).



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Figure 3. Effect of IGF-I and BP-1 on muscle protein degradation. Skeletal muscle cells were cultured in 24-well cluster dishes until confluent and then labeled with [3H]tyrosine for 72 h in the presence of 5% NBCS. Cells were subsequently grown in the presence of an increasing concentration of IGF-I (top panel), BP-1 (middle panel), or IGF-I plus BP-1 or desIGF-I plus BP-1 (250 and 2000 ng/ml, respectively; bottom panel). Culture medium was collected after 60 h, and TCA-soluble radioactivity was quantified as described in Materials and Methods. Data are expressed as the ability of the hormone to inhibit proteolysis above that seen in cells grown in serum-free medium alone. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 


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Figure 4. Nondenaturing PAGE of IGFBP-1 recovered from skeletal muscle cell conditioned medium. Cells were grown in the presence of a mixture of npBP-1 or pBP-1 for either 40 sec or 48 h. Conditioned medium samples from each time point (duplicate wells) were subsequently run on a nondenaturing PAGE gel, transferred to nitrocellulose, and probed for IGFBP-1.

 
IGF-I stimulates protein synthesis and inhibits protein degradation through the IGF-I receptor
Addition of a monoclonal antibody to the IGF-I receptor ({alpha}IR-3) inhibited the basal level of protein synthesis in human myoblasts by 8% (Fig. 5Go, top panel). Furthermore, {alpha}IR-3 also completely blocked the ability of IGF-I to stimulate protein synthesis. The same antibody diminished the ability of IGF-I to inhibit protein degradation by 60% (Fig. 5Go, bottom panel). The {alpha}IR-3 antibody exhibited a slight IGF-I receptor agonist activity on its own for inhibiting protein degradation, but this did not reach statistical significance.



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Figure 5. Role of IGF-I receptor in mediating IGF-I effects on protein synthesis and proteolysis in human skeletal muscle cells. Cells were grown to confluence in 24-well cluster dishes, and protein synthesis was measured as described in Fig. 1Go. Top panel, Cells were treated with IGF-I alone (20 ng/ml), {alpha}IR-3 alone (10 µg/ml), or a combination of IGF-I and {alpha}IR-3. Bottom panel, Human skeletal muscle cells were cultured and prelabeled with [3H]tyrosine as described in Fig. 3Go. Cells were subsequently grown in serum-free MEM in the presence of IGF-I alone, {alpha}IR-3 alone, or IGF-I and {alpha}IR-3. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 
Echistatin blocks BP-1-mediated, but not IGF-I-mediated, inhibition of protein degradation
BP-1 has diverse biological effects in vitro (23, 24) and in vivo (25, 26), and these effects could potentially arise from either IGF binding or interaction of BP-1 with integrin receptors. Therefore, in the next study, the ability of the disintegrin echistatin to block protein degradation was examined. Echistatin is a potent and promiscuous disintegrin, binding with similar avidity to {alpha}IIß3, {alpha}vß1, and {alpha}5ß1 integrins (27). In this experimental series, IGF-I inhibited protein degradation by 14%. Incubation of cells with echistatin (10-7 M) did not significantly alter this response (Fig. 6Go, top panel). In contrast, the ability of BP-1 to inhibit proteolysis was completely prevented by the same concentration of echistatin (Fig. 6Go, bottom panel).



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Figure 6. Effect of echistatin on the ability of IGF-I and BP-1 to inhibit proteolysis. Human skeletal muscle cells were grown to confluence in 24-well cluster dishes and prelabeled with [3H]tyrosine as described in Fig. 3Go. Top panel, Cells were grown in serum-free MEM in the presence of IGF-I alone (20 ng/ml), echistatin alone (10-7 M), or IGF-I and echistatin. Bottom panel, Cells were cultured in the presence of BP-1 (2 µg/ml) or BP-1 plus echistatin. Data are expressed as the ability of the hormone to inhibit proteolysis above that seen in cells grown in serum-free medium alone. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 
BP-1 inhibits protein degradation through a ß1 integrin receptor
As echistatin is a promiscuous disintegrin that binds to multiple integrin receptors, we examined whether the extracellular matrix protein vitronectin could also inhibit protein degradation. Incubation of muscle cells with as little as 100 ng/ml vitronectin inhibited protein degradation (Fig. 7Go, top panel). This response was blocked by a vitronectin receptor ({alpha}vß3) antibody. These data indicated that the vitronectin receptor may be involved in protein turnover in muscle cells. Therefore, we attempted to block the biological effect of BP-1 by preincubating cells with {alpha}vß3-specific antibodies. BP-1 inhibited protein degradation to a similar extent as vitronectin. This effect, however, was not prevented by the {alpha}vß3 antibody (Fig. 7Go). The anti-{alpha}vß3 integrin antibody also failed to block the ability of insulin to inhibit protein degradation (data not shown). As BP-1 has previously been shown to bind to the fibronectin receptor in Chinese hamster ovary cells (23), we examined the role of the ß1 integrin in mediating the ability of BP-1 to inhibit protein degradation. A ß1 integrin antibody completely blocked the ability of BP-1 to inhibit protein degradation (Fig. 7Go, bottom panel).



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Figure 7. Integrin receptor-mediated inhibition of protein degradation. Human skeletal muscle cells were grown to confluence in 24-well cluster dishes and prelabeled with [3H]tyrosine, as described in Fig. 3Go. Top panel, Cells were grown in serum-free MEM in the presence of vitronectin (VN; 100 ng/ml), BP-1 (2 µgml), VN receptor antibody (15 µg/ml), or a combination of VN or BP-1 and the VN receptor antibody. Bottom panel, Cells were cultured in the presence of BP-1 (2 µg/ml) or BP-1 and an anti-ß1 integrin antibody (15 µg/ml). Data are expressed as the ability of the hormone to inhibit proteolysis above that seen in cells grown in serum-free medium alone. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letterare not significantly different.

 
Rapamycin blocks the ability of IGF-I to stimulate protein synthesis and BP-1 to inhibit protein degradation
Insulin and IGF-I are known to stimulate muscle protein synthesis through a pathway that can be inhibited by rapamycin and is therefore thought to involve p70 S6 kinase (28). Less is known about the signal transduction pathways that IGF-I and BP-1 may use to inhibit protein degradation. Therefore, we examined whether rapamycin alters the ability of IGF-I and BP-1 to influence protein synthesis and degradation. IGF-I stimulated protein synthesis by 22% (Fig. 8Go, top panel) and stimulated the phosphorylation of p70 S6 kinase (Fig. 8Go, top panel, inset, lane 2). The effect of IGF-I on protein synthesis was inhibited by rapamycin in a dose-dependent manner (Fig. 8Go, top panel). Rapamycin also inhibited the ability of IGF-I to stimulate the phosphorylation of p70 S6 kinase (Fig. 8Go, inset, lane 3). By comparison, rapamycin at a dose that inhibited protein synthesis (25 ng/ml) had no effect on the basal rate of protein degradation in myoblasts and failed to block the ability of IGF-I to inhibit protein degradation (Fig. 8Go, bottom panel). In contrast, the ability of BP-1 to inhibit protein degradation was completely blocked by rapamycin (Fig. 8Go, bottom panel).



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Figure 8. Effect of rapamycin on IGF-I-stimulated protein synthesis and IGF-I- and BP-1-mediated proteolysis. Human skeletal muscle cells were grown to confluence in 24-well cluster dishes, and protein synthesis was measured as described in Fig. 1Go. Top panel, Cells were treated with IGF-I alone (20 ng/ml) or IGF-I and an increasing concentration of rapamycin during the measurement of protein synthesis. Inset, Western blot of p70 S6 kinase from cell extracts of cells cultured in serum-free medium alone (lanes 1 and 4), with IGF-I alone (lane 2), or with IGF-I and rapamycin (lane 3). Note the shift in the migration of p70 S6 kinase and the ability of rapamycin to block this response. Bottom panel, Cells were prelabeled with [3H]tyrosine, as described in Fig. 3Go, and subsequently grown in serum-free MEM in the presence of IGF-I (20 ng/ml), BP-1 (2 µg/ml), rapamycin (20 ng/ml), or a combination of peptide and rapamycin. Data are expressed as the ability of the hormone to inhibit proteolysis above that seen in cells grown in serum-free medium alone. Values are the mean ± SE (n = 6). Groups with different letters are significantly different from each other (P < 0.05). Groups with the same letter are not significantly different.

 
Wortmannin inhibits protein synthesis
The p70S6 kinase is thought to be a substrate of multiple upstream protein kinases, including a key enzyme that is the mammalian target of rapamycin (mTOR). mTOR, in turn, is regulated by kinases and/or phosphatases on the phosphoinositol-3-kinase (PI3-kinase) and protein kinase B pathway. Therefore, we examined whether wortmannin, a PI3-kinase inhibitor, blocked the ability of IGF-I to influence protein synthesis. Wortmannin inhibited the basal rate of protein synthesis by 16% and prevented IGF-I from stimulating protein synthesis above that seen in serum-free medium alone (Table 1Go).


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Table 1. Protein synthesis in muscle cells treated with IGF-I and wortmannin

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of this study demonstrate a unique role for IGFBP-1 in the regulation of muscle protein metabolism. BP-1 inhibits IGF-I-mediated protein synthesis in human skeletal muscle cells, but unexpectedly also inhibits protein degradation independent of IGF-I. The effect of BP-1 on protein degradation appears to be mediated through a ß1 integrin receptor, since the disintegrin echistatin and anti-ß1 integrin antibodies inhibit BP-1 action.

As little as 10-7 M echistatin blocked BP-1 from inhibiting protein degradation. This is similar to the concentration of echistatin needed to inhibit vitronectin-mediated migration of porcine aortic smooth muscle cells (pSMC) and DNA synthesis in response to IGF-I (16). Vitronectin inhibits protein degradation in skeletal muscle cells, and the effect of vitronectin is blocked by anti-{alpha}vß3 antibody. Thus, changes in protein metabolism may be a general response to changes in the occupancy of various integrin receptors. In skeletal muscle cells, echistatin did not block the ability of IGF-I to inhibit protein degradation, suggesting that IGF-I and BP-1 inhibit protein degradation through different receptors.

Although echistatin inhibits binding to the vitronectin ({alpha}vß3) receptor, and vitronectin inhibits protein degradation to a similar extent as BP-1, our data imply that BP-1 does not signal through the {alpha}vß3 receptor. A specific antibody to this receptor failed to block the ability of BP-1 to inhibit protein degradation, although it blocked the ability of vitronectin to inhibit protein degradation. This suggests that BP-1 signals through another integrin receptor, such as the fibronectin receptor ({alpha}5ß1 integrin), as previously demonstrated in Chinese hamster ovary cells (23). Indeed, an antibody to the ß1 integrin subunit is a potent inhibitor of the effect of BP-1 on protein degradation. Myoblasts have previously been shown to express a tissue specific isoform of the ß1 integrin receptor subunit (29).

It is noteworthy that BP-1 inhibited protein synthesis in the same concentration range as that found in the plasma of patients with thermal injury (30) and children with uncontrolled diabetes (31). BP-1 is also elevated to a similar extent in patients with AIDS wasting (32), and these patients show a muscle-specific resistance to GH/IGF-I at the level of protein synthesis (33, 34). Hence, it is possible that the impairment in muscle protein synthesis observed during these catabolic conditions is in part a result of an increase in the plasma concentration of BP-1. Furthermore, BP-1 can be detected in human muscle by immunohistochemistry, and muscle BP-1 content is dramatically elevated in rats injected with either endotoxin or proinflammatory cytokines (11, 12, 35).

BP-1 may also serve to minimize protein loss during the recovery phase of catabolic conditions by preventing further protein degradation. This would be in agreement with the ability of BP-1 to promote wound healing (18), and the observation that BP-1 can remain in muscle even after it has been cleared from the circulation (36). Retention of BP-1 in muscle may result in a relatively high local concentration of BP-1 at the cell membrane similar to that used in our skeletal muscle cell cultures.

BP-1 exists in multiple forms, including at least five phosphoisoforms (37, 38). Phosphorylated BP-1 has a higher affinity for IGF-I than its nonphosphorylated counterpart, and BP-1 in human plasma is predominantly in a highly phosphorylated state (39, 40). Both forms of BP-1 inhibited the ability of IGF-I to stimulate protein synthesis in myoblasts, and we only observed a significant difference in their inhibitory action at a high molar ratio of BP-1 to IGF-I. The two isoforms also inhibited protein degradation to a similar extent, and both failed to block the ability of IGF-I to inhibit protein degradation. These data suggest that BP-1 functional activity is independent of its phosphorylation state in this model system. In addition, BP-1 that was added to the cells could be recovered from the conditioned medium. It was neither degraded nor dephosphorylated over a 48-h period. BP-1 phosphovariants have previously been shown not to differ in their ability to inhibit IGF-I-stimulated DNA synthesis in human endometrial stromal cells (24) and to either enhance (41) or inhibit IGF action (42) in pSMC. Therefore, BP-1 effects may be either cell type or culture condition specific (43).

Our data also indicate that IGF-I requires the IGF-I receptor, but not an integrin receptor, to mediate its effects on protein synthesis and degradation. Inhibition of receptor binding with an IGF-I receptor antibody ({alpha}IR-3) prevented IGF-I-mediated protein synthesis and blocked IGF-I from inhibiting protein degradation. Protein synthesis was stimulated at a lower concentration of IGF-I than was necessary to inhibit protein degradation. This may be due to the time frame of the proteolysis assay. Protein degradation is measured over a 48-h period to detect the breakdown of long-lived proteins. IGFBPs accumulate in the medium during this period, and they may inhibit IGF action (R. A. Frost, unpublished observation). Administration of GH to healthy control subjects stimulates muscle protein synthesis to the same extent (25%) as we have observed in myoblasts treated with IGF-I (33), and it is likely that this effect is mediated by IGF-I. These findings suggest that IGF-I uses predominantly the IGF-I receptor rather than the insulin receptor for these two processes. The {alpha}IR-3 antibody also inhibited protein synthesis on its own, suggesting the presence of an IGF-I or IGF-II autocrine loop in these cells. Indeed, endogenous IGF-I peptide is detectable in human myoblasts by RIA (R. A. Frost, unpublished observation).

Although IGF-I uses the IGF-I receptor for stimulation of protein synthesis, insulin and IGF-I share intracellular signal transduction pathways. Insulin is thought to stimulate protein synthesis through a protein kinase B (Akt) signaling pathway. Overexpression of a dominant negative form of this protein can inhibit protein synthesis (44, 45, 46). Both PI-3 kinase and p70 S6 kinase are part of this signal transduction pathway, based on the finding that insulin-stimulated protein synthesis can be prevented by pretreatment with either wortmannin or rapamycin (47). It is likely that IGF-I also uses this pathway. Indeed, we found that rapamycin is a potent inhibitor of both p70S6 kinase phosphorylation and the ability of IGF-I to stimulate protein synthesis. In contrast, rapamycin, at a dose that inhibited protein synthesis, had no effect on either the basal level of protein degradation or the ability of IGF-I to inhibit protein degradation.

Our data are in agreement with that of Dardevet et al. (28) and suggests that the IGF-I signal transduction pathway diverges at a point before the mammalian target of rapamycin (mTOR) such that protein synthesis, but not degradation, is sensitive to inhibition by rapamycin. The PI3 kinase inhibitor wortmannin inhibited the basal rate of protein synthesis and prevented IGF-I from stimulating protein synthesis above that found in cells grown in serum-free medium. Yet, this effect required a relatively high concentration of wortmannin (1 µM). Shigemitsu et al. (48) have shown that the sensitivity of p70 S6 kinase activity in cultured cells to inhibition by wortmannin is dependent on the prevailing concentration of amino acids. Under conditions where protein synthesis is measured, amino acid levels are high, and a corresponding high concentration of wortmannin (1 µM) is needed to inhibit protein synthesis. Wortmannin and LY294002 have previously been shown to inhibit PI3-kinase and PI3-kinase homologs, such as mTOR, at this concentration (49). Therefore, a definitive role for PI3-kinase in protein synthesis in human skeletal muscle cells requires a more specific inhibitor.

Although integrin receptor binding has previously been shown to stimulate the mitogen-activated protein kinase (50), PI3 kinase (51), and p70 S6 kinase (52) pathways, there have been no previous reports on the pathway(s) that BP-1 uses to mediate its effects. Our data suggest BP-1 signals through a rapamycin-sensitive pathway. Rapamycin blocked the ability of BP-1 to inhibit protein degradation. However, as noted above, rapamycin had no effect on the ability of IGF-I to inhibit proteolysis. We have been unable to demonstrate a shift in the mobility of p70 S6 kinase in cells treated with BP-1, and this response suggests BP-1 signals through a rapamycin-sensitive protein other than mTOR. Rapamycin binds to FKBP-12, and this protein interacts with multiple partners, including calcineurin (53) and the ryanodine receptor (54).

In conclusion, the results of the present study indicate that IGF-I stimulates protein synthesis through the IGF-I receptor, and this effect can be blocked equally well by either phosphorylated or nonphosphorylated BP-1. IGF-I also stimulates glucose uptake in myoblasts, and this can be prevented by BP-1. In contrast, BP-1 does not prevent IGF-I from inhibiting protein degradation. Indeed, BP-1 inhibits protein degradation independently of IGF-I. BP-1 uses a rapamycin-sensitive pathway to inhibit protein degradation and the effect of BP-1 on protein degradation is mediated by a ß1 integrin. Thus, BP-1 has a unique role in regulating muscle protein metabolism based on its ability to bind IGF-I and interact with integrin receptors.


    Acknowledgments
 
We also thank Genentech, Inc. for the generous gift of both IGF-I and desIGF-I.


    Footnotes
 
1 This work was supported by NIH Grants GM-38032 and AA-11290. Back

Received December 14, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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