Endocrinology Vol. 141, No. 10 3578-3586
Copyright © 2000 by The Endocrine Society
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
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Abstract
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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.
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Introduction
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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.
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Materials and Methods
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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/Hams 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 (1012 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 45 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 118 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
0.11.6 nM/ml
[125I]IGF-I. It was found that 0.40.6
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 manufacturers 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 Students t
test or ANOVA followed by the Tukey test, as appropriate.
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Results
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Effects of EGF and IGF-I on cell proliferation in relation to ECM
composition
Dose-response studies with EGF and IGF-I (Fig. 1
) showed that at 48 h posttreatment
a maximal proliferative response was obtained with 10100 ng/ml EGF
and 200800 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.
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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. 2
). 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. 1 . 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.
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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. 3
). 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. 3
).

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Figure 3. EGF-R levels in epithelial cells cultured on
various ECM proteins. Cells were plated as described in Fig. 1 . 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.
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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. 4
). 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. 2
) was most closely correlated with the
level of EGF-R on each ECM (Fig. 3
). 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. 1 . 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.
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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. 5
). 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. 1 . 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.
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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. 6
). 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 4246 kDa, were detected on the ECM proteins and PL
(Fig. 6A
). 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. 6B
). Treatment with EGF
alone did not increase or decrease IGFBP-2 or -3 secretion on either
ECM or PL (Fig. 6C
) 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.
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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. 7
, 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.
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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. 8
).
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.
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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).
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Discussion
|
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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
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|---|
1 This work was supported by NIH Grant R01-CA-40104 (to S.Z.H.). 
Received January 11, 2000.
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