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Endocrinology Vol. 141, No. 10 3578-3586
Copyright © 2000 by The Endocrine Society


ARTICLES

Proliferation of Mouse Mammary Epithelial Cells in Vitro: Interactions among Epidermal Growth Factor, Insulin-Like Growth Factor I, Ovarian Hormones, and Extracellular Matrix Proteins1

Terry L. Woodward, Jianwei Xie, James L. Fendrick and Sandra Z. Haslam

Department of Physiology, Michigan State University, East Lansing, Michigan 48824

Address all correspondence and requests for reprints to: Sandra Z. Haslam, Ph.D., Department of Physiology, 108 Giltner Hall, Michigan State University, East Lansing, Michigan 48824-1101. E-mail: shaslam{at}pilot.msu.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The purpose of the present study was to investigate the role of extracellular matrix proteins (ECMs; collagens I and IV, fibronectin, and laminin) in modulating proliferative responses of normal mammary epithelial cells in serum-free culture to epidermal growth factor (EGF) and insulin-like growth factor I (IGF-I). As EGF and IGF-I can alter steroid responses, the interactions among growth factors, estrogen, and R5020 were also investigated.

We report the novel finding that all ECMs tested, but not a nonspecific attachment factor, poly-L-lysine (PL), promoted a highly synergistic proliferative response to EGF plus IGF-I. EGF receptors were significantly increased with culture time on all ECMs, but not on PL. IGF receptor expression was significantly 2- to 4-fold higher on all ECMs compared with PL. EGF decreased IGF-binding protein-2 (IGFBP-2) and IGFBP-3 by more than 50% in the presence of IGF-I on PL or collagen I. These results indicate that ECM-specific IGF-I/EGF synergism occurs in response to ECM up-regulation of growth factor receptors and EGF down-regulation of inhibitory IGFBPs. Growth factors did not synergize with estrogen and/or R5020. Instead, estrogen plus R5020 decreased EGF- plus IGF-I-induced proliferation in an ECM-dependent manner. These studies demonstrate that proliferation of normal mammary epithelial cells involves complex interactions among steroids, growth factors, binding proteins, and ECMs.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
MAMMARY STROMA plays an important role in the growth and development of the mouse mammary gland (1). Our laboratory and others have demonstrated through in vivo and in vitro experiments, that epithelial-stromal interactions are critical for the initiation and maintenance of estrogen and/or progesterone responsiveness in mammary epithelial cells (for review, see Ref. 1). These complex reciprocal interactions between epithelium and stroma are likely to involve a number of different mechanisms. There is evidence that stromal cells can influence epithelial cell behavior by the secretion of growth factors and/or by altering the composition of the extracellular matrix in which the epithelial cells reside (1, 2, 3).

Although it has been previously shown that estrogen acts locally in the mouse mammary gland to stimulate cell proliferation and regulate progesterone receptor (PR) levels, it appears that the mitogenic effects of 17ß-estradiol (E) may be mediated indirectly by locally produced growth factors (4, 5, 6). We and others have hypothesized that E produces its mitogenic effect in the mammary gland via the paracrine action of stroma-derived growth factors (7, 8, 9). The observation that growth factors such as epidermal growth factor (EGF) and insulin-like growth factor I (IGF-I), but not E, are mitogenic for mammary epithelial cells in serum-free culture has provided further support for this hypothesis (10). There is also evidence that growth factors can synergize with estrogen or can activate E receptor (ER) in the absence of ligand (11). Thus, the exact mechanisms by which growth factors may mediate and/or modulate estrogenic effects in the mammary gland are not known at present.

In vivo most if not all extracellular matrix (ECM) proteins of the basement membrane in the mouse mammary gland come from the stromal cells (2, 12). ECM proteins have been shown to be important in mediating hormonally regulated expression of milk proteins in mammary epithelial cells both in vivo and in vitro (13, 14, 15). We have reported that stroma-derived ECM molecules can also modulate the proliferative effects of the synthetic progestin, R5020, in mammary epithelial cells in serum-free medium (16). The purpose of the present study was to investigate the effects of the ECM molecules [collagen I and IV (Col I and Col IV), LN, and FN] on the proliferative responses to EGF and IGF-I. As EGF and IGF-I may also mediate or modulate ovarian hormone responses, their interactions with E and R5020 on various ECM proteins were investigated.

We report the novel finding that all ECM proteins tested promoted a highly synergistic effect between EGF and IGF-I through mechanisms that increased growth factor receptors and decreased IGF-I-binding proteins (IGFBPs). In contrast, no additive or synergistic proliferative effect was observed with either EGF or IGF-I and E or R5020. In fact, the opposite was observed; E plus R5020 decreased proliferation in an ECM-dependent manner when added to EGF plus IGF-I.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents and chemicals
Collagenase III and pronase were purchased from Worthington Biochemical Corp. (Freehold, NJ) and Calbiochem (La Jolla, CA), respectively. Culture media, phenol red-free DMEM/Ham’s nutrient mixture F-12 (1:1; DMEM/F12), MEM nonessential amino acids, poly-L-lysine (PL), L-glutamine, EGF, penicillin, and streptomycin were purchased from Sigma (St. Louis, MO). Hanks’ Balanced Salt Solution (HBSS), mouse fibronectin (FN; >95% pure), and Col IV (>95% pure) were obtained from Life Technologies, Inc. (Grand Island, NY). Mouse laminin (LN; >95% pure) and rat collagen I (Col I; >90% pure) were purchased from Becton Dickinson and Co. (Bedford, MA). Human recombinant IGF-I and des(1, 2, 3)-IGF-I were obtained from GroPep Pty. Ltd. (Adelaide, Australia) All other chemicals and hormones were obtained from Sigma (St. Louis, MO).

Cell culture
Nulliparous (10–12 weeks old) BALB/c mice from our own colony were the source of mammary tissues. Epithelial cells were obtained by enzymatic dissociation as previously described (16). Cell viability was determined by exclusion of trypan blue, and viability was about 95%. On day 0, freshly dissociated mammary epithelial cells were plated at 1.4 x 105 cells/well; cultured in 96-well flat-bottomed plates in serum- and phenol red-free DMEM/F12 with 0.1 mM nonessential amino acids, 0.3 mg/ml L-glutamine, 0.1 µg/ml insulin, 100 µg/ml penicillin, and 50 µg/ml streptomycin; and kept in 5% CO2 at 37 C. E and the synthetic progestin, R5020 (promegestone; NEN Life Science Products, Boston, MA) were used at final concentrations of 23 and 10 nM, respectively. Growth factors were used at the concentrations indicated in the text.

Treatment of culture dishes with ECM
Coating concentrations and conditions used for ECM molecules were previously described (16). One day before cell plating, ECM molecules were coated onto each culture well as follows: Col I, Col IV, FN, and LN at 6.25 µg/cm2 and PL at 125 µg/cm2. After 1-h incubation at 37 C, the supernatants were removed, and each well was rinsed with HBSS.

[3H]Thymidine incorporation and DNA content
[3H]Thymidine incorporation was used to measure DNA synthesis of cell cultures with or without hormone and/or growth factor treatments as previously described (17). Briefly, cells were incubated with 0.1 µCi/well [3H]thymidine (SA, 50 Ci/mmol; ICN Pharmaceuticals, Inc., Irvine, CA) at 37 C for 6 h. This was followed by washing with HBSS, ice-cold 90% ethanol, 10% (wt/vol) trichloroacetic acid, and HBSS. After air-drying, the cells were dissolved with 1 M NH4OH/NaOH (pH 12.3) for 4–5 h and neutralized with 1 M KH2PO4. Radioactivity was determined by liquid scintillation counting. DNA content for each well was determined by a fluorometric assay using Hoescht 33258 by the method of West et al. (18). Calf thymus DNA was used as a standard.

Steroid hormone binding assays
Ligand binding assays were used to determine ER and PR contents as previously described (19). DNA content was determined as described above.

EGF receptor (EGF-R) binding assay
EGF-R on cultured cells were determined by the receptor binding assay described by Krane et al. (20). First, the saturated concentration of [125I]EGF (SA, 107 µCi/µg; Amersham Pharmacia Biotech, Arlington Heights, IL) was determined in the cultured mammary epithelial cells by Scatchard analysis with a range of 1–18 ng/ml [125I]EGF. It was found that 10 ng/ml EGF saturated EGF-R binding. In the saturated ligand binding assay, cells were rinsed twice with warm HBSS and incubated with 50 µl/well of a 10 ng/ml solution of [125I]EGF with or without a 1000-fold excess of cold EGF at 4 C for 6 h. Specific binding was calculated by subtracting nonspecific binding obtained in the presence of unlabeled EGF from total binding obtained in the absence of unlabeled EGF. DNA content was determined as described above.

IGF receptor (IGF-R) binding assay
IGF-R on cultured cells were determined by the ligand binding method described by Stewart et al. (21) and Yamasaki et al. (22). Initially, the saturating concentration of [125I]IGF-I (SA, 327 µCi/µg; NEN Life Science Products) was determined in the cultured mammary epithelial cells by Scatchard analysis with 0.1–1.6 nM/ml [125I]IGF-I. It was found that 0.4–0.6 nM IGF-I saturated IGF-R binding. In the saturated ligand binding assay, cells were rinsed twice with warm HBSS and incubated with 50 µl/well of a 0.6-nM solution of [125I]IGF-I with or without a 1000-fold excess of cold IGF-I at 4 C for 2.5 h. Specific binding was calculated by subtracting nonspecific binding obtained in the presence of unlabeled IGF-I from total binding obtained in the absence of unlabeled IGF-I. DNA content was determined as described above.

IGFBP analysis
Freshly isolated murine mammary epithelial cells were plated in serum-free medium (SFM) in 24-well dishes at 1 x 106 cells/well on PL (12.5 µg/cm2), Col I (12.5 µg/cm2), or FN (12.5 µg/cm2) for 48 h, and conditioned medium was collected. Medium was prepared for Western blotting as previously described (23). Briefly, the following protease inhibitors were immediately added upon medium collection: phenylmethylsulfonylfluoride (2 mM), leupeptin (3 µM), aprotinin (16 µM), sodium orthovanadate (500 µM), and EDTA (2 mM). The conditioned medium was centrifuged (1000 x g, 4 C, 10 min) to remove any cells, concentrated 10-fold with Micron low protein binding 10,000 mol wt cut-off filters (Amicon, Inc., Beverly, MA), and immediately frozen in aliquots at -80 C until Western blot analysis. Samples, in the presence of protease inhibitors (listed above), were separated on 12% acrylamide SDS-PAGE gels. Samples were electrotransferred onto nitrocellulose filters and probed with [125I]IGF-I (SA, 2000 Ci/mmol; Amersham Pharmacia Biotech) as previously described (23). Filters were exposed overnight to 2 days in a PhosphorImager cassette and subsequently scanned for band intensity using a PhosphorImager (Molecular Probes, Inc., San Francisco, CA). To confirm the identity of IGFBPs, Western immunoblots were performed, using rabbit antimouse polyclonal antiserum to either IGFBP-2 or IGFBP-3 (GroPep Pty. Ltd.) under nonreducing conditions according to the manufacturer’s instructions. Briefly, for Western immunoblot, sample buffer for SDS-PAGE contained only 0.2% SDS, because higher concentrations of SDS resulted in no binding or reduced antibody binding. After SDS-PAGE, Western immunoblots were incubated in 5% milk and 0.2% Tween-20 for 2 h (before antibody incubation) at room temperature to allow renaturation of IGFBPs, which was required for optimal antibody binding.

Statistical analysis
All data were expressed as the mean ± SEM, and statistical significance was determined using Student’s t test or ANOVA followed by the Tukey test, as appropriate.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of EGF and IGF-I on cell proliferation in relation to ECM composition
Dose-response studies with EGF and IGF-I (Fig. 1Go) showed that at 48 h posttreatment a maximal proliferative response was obtained with 10–100 ng/ml EGF and 200–800 ng/ml IGF-I, respectively. Both growth factors caused a 2- to 3-fold increase in proliferation on all ECM proteins tested and on the nonspecific attachment factor, PL. Time-course studies using high doses of either EGF (50 ng/ml) or IGF-I (300 ng/ml) revealed that maximum [3H]thymidine incorporation was obtained 24 h after growth factor addition regardless of whether growth factors were added at the time of plating or after 1 day of culture (data not shown). Thus, all subsequent thymidine incorporation studies were carried out at 24 h posttreatment.



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Figure 1. Proliferative response of epithelial cells to increasing doses of EGF (A) and IGF-I (B) cultured on different ECM proteins. Epithelial cells were plated at 1.4 x 105 cells/well in 96-well plates on the indicated ECM proteins. On day 1, medium was changed to control (no growth factors) or medium containing different doses of EGF (A) or IGF-I (B). [3H]Thymidine incorporation into DNA was determined 48 h after exposure to growth factors as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from three or four experiments.

 
To determine the effects of combined treatment with EGF and IGF-I, cells were simultaneously treated with maximal doses of EGF (50 ng/ml) plus IGF-I (300 ng/ml; Fig. 2Go). A highly synergistic, 6- to 11-fold increase in proliferation was observed in response to the combined growth factors on all ECM proteins. In contrast, a significantly smaller (4-fold), additive response to the combined growth factors was obtained on PL. The synergistic stimulation observed on ECM proteins was probably not due to differences in cell densities, because we have previously shown that cell attachments on PL, LN, and Col IV are very similar (16).



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Figure 2. Synergistic effect of EGF- plus IGF-I induced epithelial cell proliferation on different ECM proteins. Epithelial cells were plated as described in Fig. 1Go. After a 24-h incubation, medium was changed to control (no EGF or IGF-I), EGF (50 ng/ml), IGF-I (300 ng/ml), or EGF (50 ng/ml) plus IGF-I (300 ng/ml). [3H]Thymidine incorporation into DNA was determined 24 h after exposure to growth factors as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from three experiments. *, P < 0.01, proliferation in the EGF- plus IGF-I-treated group is greater than that in EGF- or IGF-I-treated groups on PL. **, P < 0.01, proliferation in EGF- plus IGF-I-treated groups on all ECM proteins is greater than that in EGF- or IGF-I-treated groups on ECM proteins and PL.

 
Analysis of the synergistic response to combined treatment with EGF and IGF-I
The following possibilities were considered as mechanisms underlying the synergistic effect of EGF and IGF-I: 1) IGF-I caused an increase in EGF-R; 2) EGF caused an increase in IGF-R; 3) IGF-I modulated the expression of IGFBPs; and/or 4) EGF modulated the expression of IGFBPs. To test possibilities 1 and 2, EGF-R and IGF-R levels were determined by ligand binding. Epithelial cells cultured on PL and Col I for 24 h (Control-24 h) had significantly higher levels of EGF-R than the other ECM proteins (Fig. 3Go). After 48 h in culture (Control-48 h), there was a 2-fold increase in EGF-R levels in cells cultured on Col I, Col IV, and LN and a 3-fold increase in cells cultured on FN. There was no significant increase in EGF-R in cells cultured on PL. These results suggest that the cells cultured on ECM proteins, but not on PL, are able to up-regulate EGF-R levels. Addition of IGF-I at 24 h did not further increase EGF-R levels on any ECM proteins (Fig. 3Go).



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Figure 3. EGF-R levels in epithelial cells cultured on various ECM proteins. Cells were plated as described in Fig. 1Go. After a 24-h incubation, medium was replaced with control medium only (no growth factors) or medium containing IGF-I (300 ng/ml). EGF-R levels were determined on control cells at 24 and 48 h after initial plating. EGF-R levels were determined in IGF-I-treated cells 24 h after the addition of growth factor. EGF-R binding assays were performed as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from two experiments. *, P < 0.01, EGF-R levels for the 24 h controls were greater on PL and Col I than for other ECM proteins.**, P < 0.01, EGF-R levels for the 48 h controls were lower on PL than on all other ECM proteins.

 
In the case of IGF-R levels, 2-fold higher binding was observed on all ECM proteins compared with PL at both 24 and 48 h (Fig. 4Go). Furthermore, the level of IGF-R on LN was 2-fold higher than that on the other ECM proteins. Addition of EGF at 24 h produced no additional increase in IGF-R levels on any ECM protein or PL. The pattern of increased proliferation observed with EGF plus IGF-I on each ECM (Fig. 2Go) was most closely correlated with the level of EGF-R on each ECM (Fig. 3Go). However, the greater proliferative responses to EGF plus IGF-I on all ECM proteins compared with PL are probably due to higher levels of both EGF-R and IGF-R.



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Figure 4. IGF-R levels in epithelial cells cultured on various ECM proteins. Cells were plated as described in Fig. 1Go. After a 24-h incubation, medium was replaced with control medium (no growth factors) or medium containing EGF (50 ng/ml). IGF-R levels were determined on control cells at 24 and 48 h after initial plating. IGF-I binding was determined on EGF-treated cells 24 h after addition of growth factor. IGF-R binding assays were performed as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from two experiments. *, P < 0.01, receptor levels in 24-h control groups on ECM proteins were greater than that in 24-h control group on PL. **, P < 0.01, receptor levels in 48-h control groups on Col I, Col IV, and FN were greater than that in 48-h control group on PL. ***, P < 0.01, receptor levels in the 24- and 48-h groups on LN were greater than those in all other control groups.

 
IGFBPs have been shown to inhibit IGF-I action by binding to the growth factor (24). However, the action of des(1, 2, 3)-IGF-I is not modulated by IGFBPs, since they bind very poorly to this truncated form of IGF-I. To determine how IGFBPs were modulated by ECM proteins, EGF and IGF-I, we compared the proliferative responses to EGF plus IGF-I vs. EGF plus des(1, 2, 3)-IGF-I (Fig. 5Go). Des(1, 2, 3)-IGF-I stimulated proliferation more than IGF-I when comparing the means of ECM groups treated with des(1, 2, 3)-IGF-I to the means of ECM groups treated with IGF-I (P < 0.01), indicating the possible presence of inhibitory IGFBPs. However, there were no significant differences between the proliferative responses obtained with EGF plus IGF-I or EGF plus des(1, 2, 3)-IGF-I, suggesting that an inhibitory effect of IGFBPs did not occur when EGF was also present.



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Figure 5. Effects of EGF plus IGF-I or des(1 2 3 )-IGF-I on epithelial cell proliferation on different ECM proteins. Epithelial cells were plated as described in Fig. 1Go. After a 24-h incubation, medium was changed to control (no EGF or IGF-I), EGF (50 ng/ml), IGF-I (300 ng/ml), des(1 2 3 )-IGF-I (300 ng/ml), EGF (50 ng/ml) plus IGF-I (300 ng/ml), or EGF (50 ng/ml) plus des(1 2 3 )-IGF-I (300 ng/ml). [3H]Thymidine incorporation into DNA was determined 24 h after exposure to growth factors as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from two to four experiments. *, P < 0.01, on all ECM proteins the EGF plus IGF-I and EGF plus des(1 2 3 )-IGF-I groups were greater than all other treatment groups.

 
Analysis of IGFBPs
To determine which IGFBPs were being produced and how they were regulated by ECM proteins and/or growth factors, IGFBPs were analyzed directly. Media from epithelial cells cultured on the different ECM proteins and PL in the presence or absence of EGF, des(1, 2, 3)-IGF-I, or EGF plus des(1, 2, 3)-IGF-I were analyzed by SDS-PAGE and Western blotting. The blots were probed with [125I]IGF-I for detection of IGFBPs and then quantitated by PhosphorImager analysis (Fig. 6Go). Western ligand blots (as opposed to Western immunoblots) were chosen to quantitate IGFBPs, because 1) ligand blots use the native ligand, IGF-I, so Western ligand blots not only indicate quantity of protein, but also functional binding; and 2) Western ligand blots can more accurately compare quantities of IGFBP2 to IGFBP3 because they use a single detection protein (IGF-I) for both proteins; the different antibodies needed for IGFBP2 and for IGFBP3 used in immunoblots would have different affinities and avidities (with the potential for each polyclonal antibody to recognize one or several sites on each protein). Two IGFBPs, 34 and 42–46 kDa, were detected on the ECM proteins and PL (Fig. 6AGo). These two IGFBPs migrated at the same speed and had the same banding patterns as proteins that have previously been identified in mammary epithelial cell lines as IGFBP-2 and IGFBP-3, respectively (25, 26). We confirmed the identify of these binding proteins by Western immunoblotting with IGFBP-2- and IGFBP-3-specific rabbit antimouse polyclonal antibodies (Fig. 6BGo). Treatment with EGF alone did not increase or decrease IGFBP-2 or -3 secretion on either ECM or PL (Fig. 6CGo) In contrast, treatment with des(1, 2, 3)-IGF-I increased the levels of IGFBP-3 6-, 10-, and 5- fold on PL, Col I, and FN, respectively. IGFBP-2 was increased by des(1, 2, 3)-IGF-I 4-fold on PL and FN and 8-fold on Col I. Addition of EGF with des(1, 2, 3)-IGF-I reduced the IGFBP-3 level by more than half on PL and Col I compared with des(1, 2, 3)-IGF-I alone; no decrease was observed on FN. Addition of EGF with des(1, 2, 3)-IGF-I reduced IGFBP-2 by 54% on Col I and PL and by 17% on FN compared with IGF-I alone. However, overall levels of IGFBP-3 and -2 on FN were lower and similar to the reduced levels obtained on Col I after treatment with EGF plus des(1, 2, 3)-IGF-I. These results suggest that IGFBP-2 and -3 inhibit IGF-I action on Col I and PL and that down-regulation of these IGFBPs by EGF reduces this inhibition.



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Figure 6. Western blots of IGFBPs secreted from cells cultured on various ECM proteins. Cells were cultured for 24 h on PL, Col I, or FN and then changed to treatment medium containing no growth factors (control), EGF (50 ng/ml), des(1 2 3 )-IGF-I (300 ng/ml), or EGF (50 ng/ml) plus des(1 2 3 )-IGF-I (300 ng/ml) for 48 h. Media were collected, concentrated, and analyzed by SDS-PAGE and Western blotting as described in Materials and Methods. A, Western ligand blots from a representative experiment were probed with [125I]IGF-I for detection of IGFBPs. B, Western immunoblots of conditioned media from des(1 2 3 )-IGF-I (Col I)-treated mammary epithelial cells on collagen I (conditions that result in expression of maximal IGFBP2 and IGFBP3) for IGFBP-2 (top panel) or IGFBP-3 (bottom panel). C, The blots in A were scanned and quantified by PhosphorImager analysis.

 
Effects of EGF, IGF-I, steroid hormones, and ECM composition on cell proliferation
Previously, we observed a significant proliferative response to R5020 on Col IV and FN at 48 h after hormone treatment, but not on other ECM proteins or PL (16). As it has been proposed that the effects of E are mediated and/or dependent upon growth factors in vivo, it was of interest to determine whether the addition of EGF and/or IGF-I influenced the proliferative response to E and/or R5020 as a function of ECM composition. Because high doses of growth factors can obscure a proliferative response to the ovarian steroids, lower doses of EGF (5 ng/ml) and IGF-I (100 ng/ml) were used in these experiments (27). Cells were treated with growth factors and hormones at the time of plating and were assayed for cell proliferation 24 or 48 h later. Neither E (23 nM) nor R5020 (10 nM) increased cell proliferation in combination with either EGF or IGF-I at 24 h on FN (Fig. 7Go, A and B) or any other ECM protein (data not shown). Hormones plus growth factors were also added 24 h after plating, and cell proliferation was measured 24 or 48 h later according to our previous scheme in which a proliferative response to R5020 was observed (16). Again, we did not observe differences in proliferation with EGF plus E, EGF plus R5020, IGF-I plus E, or IGF-I plus R5020. Culturing cells in the presence of E or R5020 using maximal doses of EGF or IGF-I also failed to produce an increased proliferative response (data not shown).



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Figure 7. Effects of E, R5020, IGF-I, and EGF on epithelial cell proliferation on FN. A, Epithelial cells were plated at 1.4 x 105 cells/well in 96-well plates on FN in medium without E or with R5020 or EGF (control), E (23 nM), R5020 (10 nM), EGF (5 ng/ml), EGF (5 ng/ml) plus E (23 nM), EGF (5 ng/ml) plus R5020 (10 nM), or EGF (5 ng/ml), E (23 nM), and R5020 (10 nM). B, The culture conditions and concentrations of steroids were the same as those described for A, and IGF-I was used at 100 ng/ml. After a 24-h incubation, [3H]thymidine incorporation into DNA was determined as described in Materials and Methods. Each value represents the mean ± SEM of triplicate determinations from four experiments.

 
As EGF plus IGF-I produced a highly synergistic increase in cell proliferation, we tested the combination of EGF plus IGF-I with E, R5020, or E plus R5020 (Fig. 8Go). Proliferation was significantly decreased by the addition of EGF, IGF-I, and R5020 on LN and by EGF, IGF-I, E, and R5020 on both Col I and LN. Thus, the progestin R5020, alone or in combination with E, decreased the EGF- plus IGF-I-induced proliferative response in an ECM-dependent manner.



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Figure 8. Effects of combined growth factors [GF; EGF (5 ng/ml) plus IGF-I (100 ng/ml) with or without E (10 nM) and/or R5020 (23 nM)] on cell proliferation on various ECM proteins. Epithelial cells were plated at 1.4 x 105 cells/well in 96-well plates on indicated ECM proteins in medium without growth factors or hormones (control) or with GF, GF plus E, GF plus R5020, or GF, E, and R5020. Each value represents the mean ± SEM of triplicate determinations from three experiments. *, P < 0.05, values obtained with EGF, IGF-I, and R5020 on LN and with EGF, IGF-I, E, and R5020 on Col I and LN were significantly lower than the values obtained with EGF and IGF-I.

 
Effects of EGF and IGF-I on PR and ER levels
Another end point of E action in mammary epithelial cells is the increase in PR levels. In this regard, IGF-I has been implicated in mediating E regulation of PR in the ER-positive, human breast carcinoma MCF-7 cell line (28). Thus, it was of interest to determine whether either EGF or IGF-I could influence E regulation of PR as a function of ECM composition. Neither EGF nor IGF-I alone or in combination with E had any effect on PR levels on any ECM protein (data not shown). Furthermore, the PR levels were similar at both 24 and 48 h after growth factor plus E treatment regardless of ECM composition. As EGF plus IGF-I produced a highly synergistic increase in cell proliferation, we also asked whether the combination of E, EGF, and IGF-I would be effective in increasing PR levels. No increase in PR levels was obtained with this hormone combination (data not shown).

As E regulation of PR requires the presence of ER, we analyzed the effects of growth factors and ECM composition on ER levels at 24 or 48 h after treatment. Similar levels of ER were maintained on all ECM proteins, and neither EGF nor IGF-I had a significant effect on ER levels (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this report we have examined the interactions among growth factors (EGF and IGF-I), ovarian hormones (E and the progestin R5020), and ECM proteins (Col I and IV, FN, and LN) on mammary epithelial cell proliferation. We found that nulliparous-derived, adult mammary epithelial cells grown in serum-free medium on Col I, Col IV, FN, and LN, but not on PL, exhibit a highly synergistic proliferative response to EGF and IGF-I. No additive or synergistic effect of EGF and/or IGF-I with E and/or R5020 was observed on any ECM. Interestingly, we found that R5020 plus E significantly decreased the proliferative response obtained with EGF plus IGF-I, and this effect was ECM dependent, as it was observed only for cells cultured on Col I and LN.

Synergistic effects of EGF and IGF-I have previously been observed on keratinocyte proliferation in vitro in serum-free medium (20, 29). It was concluded from that study that the synergism was due to a 4-fold increase in EGF-R expression by IGF-I. Synergism between EGF and IGF-I has also been investigated in the IEC-6 rat intestinal epithelial cell line. It was found that IGF-I decreases the expression of IGF-R messenger RNA and that EGF attenuated this effect (30). We also examined the regulation of EGF-R and IGF-R as a possible mechanism for EGF/IGF synergy. EGF-R were significantly increased on Col I and FN. However, on Col IV or LN, EGF-R levels were similar to those observed on PL. Addition of IGF-I did not have any effect on EGF-R levels. We found that IGF-R levels were increased on all ECM proteins compared with those on PL. In particular, there was a 2-fold greater increase on LN than on any other ECM. EGF had no additional effect on IGF-R binding levels. Thus, it appears that ECM proteins had differential effects on growth factor receptor concentrations. Col I and FN were the most effective in increasing EGF-R levels, whereas LN was the most effective ECM protein for maintaining or increasing IGF-R levels; PL had the least effect in both cases.

EGF/IGF synergism in the IEC-6 rat intestinal epithelial cell line has also been attributed to the additive decrease in expression of IGFBP-2 by EGF and IGF-I (30). Additionally, it has previously been reported that EGF and IGF-I differentially regulate IGFBP secretion in a mouse mammary epithelial cell line (COMMA-D/MME) in serum-free medium (26). We also analyzed the influence of growth factors and ECM molecules on secreted IGFBPs. When we compared cell proliferation obtained with IGF-I to that obtained with des(1, 2, 3)-IGF-I, which has very low affinity for IGFBPs, we found a slight increase in proliferation in the presence of des(1, 2, 3)-IGF-I alone. However, the proliferative responses to EGF and des(1, 2, 3)-IGF-I were not significantly different from those observed with EGF and IGF-I. This suggested that IGFBPs were increased in cells cultured in IGF-I alone, but decreased in the presence of EGF and IGF-I. This hypothesis was supported by the observation that IGFBP-2 and -3 levels were increased by IGF-I and were consistently reduced when cells were treated with EGF and IGF-I. The exception to this was cells cultured on FN, where IGFBPs were not reduced by EGF plus IGF-I. However, overall levels of IGFBPs were significantly lower on FN regardless of growth factor treatment. Thus, the combined effect of ECM proteins to increase EGF-R and IGF-R levels and of IGF-I plus EGF to decrease IGFBP levels appear to be major contributing factors to the synergistic proliferative response obtained upon treatment with EGF and IGF-I on ECM proteins. This suggests that the balance between growth factor receptor levels and IGFBP levels is a critical determinant of the overall proliferative response. The presence of IGFBPs combined with lower levels of EGF-R and IGF-R present on cells cultured on PL are probably responsible for the lower proliferative response observed in cells cultured on this nonspecific attachment factor.

Other studies have also reported IGF/EGF synergism in serum-free medium (20, 30). However, it should be noted that cells in these studies were initially plated in serum-containing medium. As serum contains growth-stimulating factors and ECM molecules, particularly FN, it is not possible to rule out their contributions to the synergism. The cells cultured in our studies were plated on defined ECM proteins in SFM and cultured in SFM. As all ECM proteins tested in this study, namely Col I, Col IV, FN, and LN, have been shown to be produced by mammary stroma in vivo (2, 12), our results provide novel information about how mammary stroma may influence the proliferative response of the epithelium to growth factors.

Previously, we have shown in the same culture system, that R5020 stimulates cell proliferation on FN and Col IV (16). However, in the present study no added stimulatory effects on proliferation were obtained by adding EGF or IGF-I alone or in combination with E and/or R5020. In fact, the opposite was observed; R5020 and E plus R5020 decreased EGF- plus IGF-I-induced proliferation. Although there was a trend toward reduced proliferation on all ECM proteins with the combination of E, R5020, EGF, and IGF-I, statistical significance was reached only on Col I and LN. It has recently been reported that both IGF-I and IGF-R messenger RNAs are expressed in mouse mammary gland at high levels in the terminal end buds of the pubertal gland, are undetectable in the adult gland, and are reexpressed at late pregnancy and during lactation (31). In the pubertal gland IGF-I is associated with ductal elongation, and during lactation with cell survival and involution (31). Previous studies from our laboratory have demonstrated that PR levels are very low at puberty, are highest in the adult gland and during early pregnancy, and are reduced again at late pregnancy and during lactation (32). Furthermore, we found that pubertal and lactating mammary glands are nonresponsive to the proliferative effect of progestins (33). A major proliferative response to progestins is ductal side-branching and alveolar morphogenesis. Thus, the expression of mammary IGF-I and IGF-R, and PR and progestin responsiveness are inversely related and appear to be important in two distinct stages of proliferation: IGF-I during ductal elongation, and progestins during alveolar development. Further evidence for a critical role of IGF-I in ductal development has recently been shown in IGF-I knockout mice (34). In this context the present findings that R5020 and E plus R5020 reduce the proliferative response obtained with EGF plus IGF-I in vitro also suggest that progestins may have an inhibitory effect on IGF-Iinduced proliferation in vivo.

E did not increase PR levels either alone or in combination with EGF and/or IGF-I. Previously, it has been shown that IGF-I can increase PR levels in the absence of E in MCF-7 breast cancer cells in the presence of low levels of serum (0.1%), and this effect could be completely abrogated by antiestrogen, suggesting that IGF-I stimulation of PR was mediated through the ER (28). Recently, we have also observed that EGF implants into the mammary gland of ovariectomized adult mice can induce mammary PR, and this response is blocked by antiestrogen (35). The reason for the discrepancy between the EGF effects on PR regulation in vivo and in vitro is not known. From in vivo studies we have also shown that there is an important stromal component to estrogenic regulation of PR (36). Thus, it is possible that there are additional factors that are provided by mammary stromal cells in vivo that are required for PR regulation.

In summary, in primary, serum-free cultures, normal mammary epithelial cells grown on various ECM proteins exhibit a significant synergistic proliferative response to EGF and IGF-I. It is likely that a number of different mechanisms operate to produce this synergistic response, including increased EGF-R and IGF-R levels and reduced IGFBPs levels. The novel observation from these studies is that various stroma-derived ECM proteins regulate specific aspects of the response and are necessary for IGF-I/EGF synergism. Furthermore, the synergism between EGF and IGF-I may be reduced when a progestin, R5020, is added. Deciphering the complex interactions involved in growth factor and ovarian steroid-dependent proliferation in the normal mammary gland has specific relevance to understanding the alterations in the growth control that occur in breast cancer. Furthermore, determining the mechanistic bases of epithelial-stromal interactions in normal development and during mammary carcinogenesis may provide a conceptual basis for novel approaches to the prevention and treatment of breast cancer that also focus on mammary stroma.


    Footnotes
 
1 This work was supported by NIH Grant R01-CA-40104 (to S.Z.H.). Back

Received January 11, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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