Endocrinology Vol. 141, No. 3 1100-1106
Copyright © 2000 by The Endocrine Society
Thrombospondin and Osteopontin Bind to Insulin-Like Growth Factor (IGF)-Binding Protein-5 Leading to an Alteration in IGF-I-Stimulated Cell Growth1
Taek-Jeong Nam,
Walker H. Busby, Jr.,
Catherine Rees and
David R. Clemmons
Department of Medicine, University of North Carolina, Chapel Hill,
North Carolina 27599
Address all correspondence and requests for reprints to: David R. Clemmons, M.D., Division of Endocrinology, CB# 7170, 6111 Thurston-Bowles, Chapel Hill, North Carolina 27599-7170. E-mail:
endo{at}med unc.edu.
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Abstract
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Insulin-like growth factor (IGF)-binding protein-5 (IGFBP-5) has been
shown to bind to extracellular matrix (ECM) with relatively high
affinity, but the ECM components that mediate this interaction have not
been identified. These studies show that radiolabeled IGFBP-5
specifically coprecipitates with two ECM proteins, thrombospondin-1
(TSP-1) and osteopontin (OPN). As TSP-1 binds avidly to heparin, as
does IGFBP-5, the effect of glycosaminoglycans on the TSP-1/IGFBP-5
interaction was analyzed. Heparan and dermatan sulfate inhibited
binding, whereas heparin increased binding. Chondroitin sulfate A
and B had no effect. In contrast, both heparin and heparan sulfate
significantly inhibited the OPN-IGFBP-5 interaction and chondroitin
sulfate A, B, and C had no effect. To determine the region of IGFBP-5
that was involved in each interaction, synthetic peptides that spanned
several regions of IGFBP-5 were tested for their capacity to
competitively inhibit coprecipitation. A peptide that contained the
amino acids between positions 201 and 218 resulted in 76% and 86%
inhibition of binding to TSP-1 and OPN, respectively. Three other
synthetic peptides that spanned regions of IGFBP-5 with several charged
residues had no effect. IGFBP-5 mutants that contained substitutions
for basic residues in the 201218 region were tested for their ability
to bind to TSP-1 or OPN. A mutant with substitutions for amino acids at
positions R201 and K202 and a mutant with substitutions for K211, R214,
K217, and R218 had the greatest reduction in binding to TSP-1. Mutants
containing substitutions for R214 alone and the combined K217A, R218A
mutant had the greatest reductions in OPN binding. When the smooth
muscle cell growth response to these components was assessed, IGF-I
plus IGFBP-5 or the combination of TSP-1 or OPN with IGF-I
potentiated the IGF-I effect. The addition of IGFBP-5 to these
combinations resulted in further significant growth stimulation. Both
OPN and TSP-1 specifically bind to IGFBP-5 with high affinity. These
interactions may be important for concentrating intact IGFBP-5 in
extracellular matrix and for modulating the cooperative interaction
between the IGF-I receptor and integrin receptor signaling
pathways.
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Introduction
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INSULIN-LIKE growth factor (IGF)-binding
protein-5 (IGFBP-5) has been shown to bind to extracellular matrix
(ECM) obtained from cultured fibroblasts and/or porcine
aortic smooth muscle cells (pSMC) (1, 2). Of the six forms of high
affinity IGFBPs, IGFBP-5 binds to ECM with the greatest affinity (3).
ECM binding is functionally significant because it allows better
equilibrium between IGF-I that is bound to IGFBP-5 and IGF-I receptors
(3). ECM binding protects IGFBP-5 from degradation by IGFBP-5
proteases that are present in interstitial fluids (4). Previous studies
have shown that IGFBP-5 binds to glycosaminoglycans that are present in
several proteoglycans that are localized in ECM and to specific
proteins, such as tenascin, plasminogen activator inhibitor-1 (PAI-1),
and type IV collagen (3, 5, 6). Although PAI-1 is an important
component of fibroblast ECM, it is not present in smooth muscle cell
(SMC) ECM. Tenascin is present in SMC ECM, but inhibitors of
glycosaminoglycan binding do not completely inhibit the association of
IGFBP-5 with pSMC ECM, suggesting that IGFBP-5 is also binding to
nonglycosaminoglycan-containing proteins within this matrix (7).
ECM is an important component of atherosclerotic lesions. When lesions
are analyzed, both thrombonspondin-1 (TSP-1) and osteopontin (OPN) have
been shown to be preferentially synthesized by cells in lesions and to
be abundant within the ECM (8, 9, 10). Both proteins contain RGD sequences
and bind avidly to the
Vß3 integrin (11, 12).
SMC that migrate into neointima have been shown to possess abundant
Vß3 receptors, and
their migration and division are partly dependent upon
Vß3 expression
(13, 14, 15). OPN and TSP-1 have been shown to stimulate SMC migration and
division (14, 15), and it has been proposed that SMC remain in the
activated, synthetic state partly as a function of the enhanced
quantities of these specific matrix proteins within lesions (16, 17). During the course of studies to purify an IGFBP-5 protease from
pSMC-conditioned medium, IGFBP-5 affinity chromatography was used as a
purification step. A 140-kDa protein that was eluted from the affinity
column was sequenced. The first 29 residues of the amino-terminal
sequence were identical to TSP-1, suggesting that TSP-1 binds to
IGFBP-5 with relatively high affinity. Although OPN was not detected by
sequencing, it is also an abundant component of atherosclerotic lesion
ECM. As IGFBP-5 is also concentrated in lesions (18), and as it can act
to potentiate the effects of IGF-I on pSMC division (2), it was of
interest to determine whether TSP-1 or OPN would bind to IGFBP-5
and the functional consequences of IGFBP-5 binding on IGF-I
actions.
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Materials and Methods
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Materials
Human OPN was a gift from Wes Weslin of Monsanto, Inc.
(Chesterfield, MO). Human TSP-1, antihuman TSP-1 and antihuman OPN
antisera, Eagles MEM, DMEM, and FBS were purchased from Life Technologies, Inc. (Gaithersburg, MD). BSA, ammonium persulfate,
and sodium phosphate were obtained from Sigma (St. Louis,
MO). IGFBP-5 was purified as previously described (1) from the
conditioned medium from CHO cells that had been transfected with the
human IGFBP-5 complementary DNA. The material had been proven to be
homogenous by amino acid sequence analysis (1). Human recombinant IGF-I
was a gift from Genentech, Inc. (San Francisco, CA). Tris,
SDS, chloramine-T, polyacrylamide, and prestained mol wt standards were
purchased from BRL (Gaithersburg, MD). Tween-80 was obtained from
Fisher Scientific (Cleartown, NJ).
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Materials and Methods
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Purification of TSP-1
pSMC were isolated from thoracic aortas of young pigs, as
previously described (19). They were grown in DMEM supplemented with
10% FBS as described previously (20). Confluent monolayers were washed
twice in serum-free medium, then 50 cc were added to each of 175
4-cm2 flasks (Falcon Lab Division, Becton Dickinson and Co., Franklin, NJ), and the medium was
collected after 24 h. This was repeated until 2.4 liters
serum-free medium had been collected. The conditioned medium was
purified by heparin-Sepharose, arginine-Sepharose, and wheat-germ
agglutinin affinity chromatography. The fractions that were eluted with
0.5 M
n-acetyl-D-glucosamine were pooled and
applied to an IGFBP-5 affinity column that had been prepared as
described previously (6). The column was prepared by conjugating pure
IGFBP-5 to Affi-Gel 10 (Bio-Rad Laboratories, Inc.,
Richmond, CA) according to the manufacturers instructions. The gel
was washed, and the activity was applied in 25 mM
ammonium acetate buffer containing 4 mM CaCl and
25 mM NaCl, pH 7.0. The purified fractions that
were eluted with the same buffer containing 1.0 M
NaCl were concentrated and analyzed by SDS-PAGE, 9% gel. The major
bands were excised from the gel, then cleaved proteolytically with
lysyl endopeptidase (Wako BioProducts, Richmond, VA) using 0.5 µg/gel
slice (21). The peptides obtained from the band migrating with an
Mr estimate of 140,000 were purified by reverse
phase (C18) HPLC, then sequenced (6). The
sequence of one predominant peak yielded the first 29 amino-terminal
amino acids of porcine TSP-1.
Coimmunoprecipitation of human IGFBP-5 and TSP-1 or OPN
The ability of IGFBP-5 to bind to either OPN or TSP-1 was
analyzed by coimmunoprecipitation.
[125I]IGFBP-5 was prepared as previously
described (2). The specific activity was between 510 µCi/µg.
[125I]IGFBP-5 (50,000 cpm/ml) was incubated
with anti-TSP-1 (1:500 dilution) and TSP-1 (100 ng/ml) for 14 h at
4 C. The incubation buffer (250 µl) contained 30 mM
sodium phosphate (pH 7.4), 10 mM EDTA, 0.1% BSA, and 0.5%
Tween-80. The following day, normal mouse serum (0.5 µl) was added
with 3 mg protein G-Sepharose, and the mixture was centrifuged for 10
min at 12,000 x g. If OPN was to be
immunoprecipitated, the same incubation buffer was used, but OPN (200
ng/ml) was substituted for TSP-1. The anti-OPN antibody was used at a
1:250 dilution. No mouse serum was added, and protein A-Sepharose (3
mg) was substituted for protein G-Sepharose. The immune complexes were
then dissociated from either protein A- or protein G-Sepharose by
boiling the samples in 50 µl Laemmli sample buffer, and 40 µl were
removed and analyzed by SDS-PAGE, 12.5% gel. The gels were dried, and
the amount of IGFBP-5 bound was determined by autoradiography. The
amount of binding activity that could be detected using an excess of
unlabeled IGFBP-5 (500 ng/ml) was determined to assess the degree of
nonspecific binding. For quantification, the autoradiographs were
analyzed by PhosphorImager using ImageQuant SF software
(Molecular Dynamics, Inc., Sunnyvale, CA). The results are
expressed as arbitrary scanning units. In some experiments, the ability
of mutant forms of IGFBP-5 to bind to TSP-1 or OPN was determined. The
incubation conditions were identical to those previously described,
except that rather than adding unlabeled, nonmutated IGFBP-5, the
various mutants were added at a concentration of 1 µg/ml. The mutants
had had basic amino acids, between positions 201218 within IGFBP-5,
converted to neutral residues. Some of the mutants contained amino acid
substitutions that had been shown to markedly alter their ability to
bind to ECM (2, 7). The mutants that were analyzed had received
substitutions for basic amino acids at positions K202N, R207A, and
R208A; K217A and R218A; K211N, R214A, K217A, and R218A; K207A and
K211N; R201A and K202N; K211N alone; or R214A alone. The preparation,
purification, and characterization of these mutants were previously
reported (2, 7). None had alterations in affinity for IGF-I.
In some experiments the capacity of glycosaminoglycans to compete for
binding to IGFBP-5 with OPN or TSP-1 was analyzed. These compounds were
added at 100 ng/ml, along with [125I]IGFBP-5
and unlabeled TSP-1 (100 ng/ml) or OPN (200 ng/ml). In other
experiments, synthetic peptides that contained regions of the IGFBP-5
sequence with several charged residues were tested for the ability to
compete with [125I]IGFBP-5 for binding to OPN
or TSP-1. The peptides were added at a concentration of 1.0 µg/ml,
then binding was determined as described above. The method of synthesis
and purification as well as their amino acid sequences have been
reported previously (7). The sequences are as follows: peptide A:
RKGFYKRKQCKPSRGRKR; peptide B, AVKKDRRKKLT; peptide C, HALLHGRGVCLNEKS;
and peptide D, RPKHTRISELKAE.
In some experiments, no [125I]IGFBP-5 was
added, and the unlabeled IGFBP-1, -2, -3, or -4 (500 ng/ml) was
coimmunoprecipitated with TSP-1 or OPN (1.0 µg/ml) as described
above. Human IGFBP-1, -2, -3, and -4 were purified from conditioned
medium from CHO cells that had been transfected with each complementary
DNA as described previously (4). The method of purification and the
purity of these proteins have been reported previously (1). After
immunoprecipitation and separation by SDS-PAGE, the proteins were
transferred to Immobilon membranes (Millipore Corp., Bedford, MA) and analyzed by Western ligand blotting
using [125I]IGF-I as described previously (6, 22). [125I]IGF-I (150 µCi/µg) was added to
the filters using 150,000 cpm/ml incubation buffer. The filters were
washed before autoradiography as previously described (22). The results
were quantified by scanning densitometry.
Measurement of binding affinity and biological actions
To determine the affinity of TSP-1 and OPN for IGFBP-5,
[125I]IGFBP-5 (40,000 cpm/tube),was incubated
with TSP-1 (100 ng/ml) or OPN (200 ng/ml). Increasing concentrations of
unlabeled IGFBP-5 (0.540 ng/tube) were added to duplicate tubes.
After overnight incubation, the bound
[125I]IGFBP-5 was precipitated as described
previously (6), and Scatchard analysis of the results was performed to
calculate the affinity constants. To determine whether TSP-1 or OPN
binding to IGFBP-5 would alter its affinity for IGF-I,
[125I]IGF-I (25,000 cpm/tube) was incubated
with IGFBP-5 (200 ng/ml) plus OPN (200 ng/ml) and/or TSP-1 (100 ng/ml)
and increasing concentrations of unlabeled IGF-I (0.5100 ng/ml).
After overnight incubation, IGFBP-5 was precipitated with 6.25%
polyethylene glycol (Sigma), and the bound
[125I]IGF-I was determined as described
previously (23). The results were analyzed by the method of Scatchard.
To determine the ability of OPN and TSP-1 binding to alter the ability
of IGFBP-5 to mediate IGF-I actions, SMC were plated at 5000
cells/cm2 on 24-well plates in DMEM containing
2% FBS. Some of these plates had been precoated with TSP-1 or OPN
(2 µg/well). After 24 h to allow for attachment, the
medium was changed, and 0.5 ml fresh DMEM containing 0.2% human
platelet-poor plasma was added. After 24 h, 50 ng/ml IGF-I was
added to triplicate cultures. Additional wells also received IGFBP-5
(500 ng/ml). After 48 h, cell number was determined. Each point
represents the mean ± SD of triplicate determinations
from separate experiments.
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Results
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To determine whether TSP-1 and OPN would bind specifically
to IGFBP-5, [125I]IGFBP-5 was incubated with
TSP-1 or OPN, and coimmunoprecipitation was performed as described in
Materials and Methods. As shown in Fig. 1
, [125I]IGFBP-5
bound specifically to both OPN and TSP-1, and binding could be competed
with unlabeled IGFBP-5. To determine whether the effect was specific
for IGFBP-5, unlabeled IGFBP-1 to -4 were incubated with TSP-1, and
IGFBP-1 to -3 were incubated with OPN. The amount of
[125I]IGF-I bound was determined by Western
ligand blotting. As shown in Fig. 2A
, IGFBP-3 and -4 bound to TSP-1, but the nonspecific precipitation of
IGFBP-3 was high, and the signal intensity for IGFBP-4 was considerably
less than that for IGFBP-5. IGFBP-2 and -3 binding to OPN could be
detected, but, again, the signal intensities were substantially less
than that for IGFBP-5 (Fig. 2B
). When the scanning densitometry results
were compared with those for IGFBP-5, the results showed that
substantially more IGFBP-5 bound to each protein compared with the
other forms of IGFBPs (Table 1
). Because
of differences in the affinity of each binding protein for
[125I]IGF-I, absolute quantitative comparisons
cannot be made; however, the differences between the signal intensities
of the IGFBP-5 bands compared with those for IGFBP-2, -3, or -4
are so great (e.g. >20-fold) that they are unlikely to be
due solely to differences in affinity for IGF-I.

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Figure 1. Coprecipitation of IGFBP-5 with OPN or TSP-1.
[125I]IGFBP-5 was incubated with unlabeled OPN or TSP-1,
as described in Materials and Methods, and the complexes
were immunoprecipitated. After electrophoresis through a 12.5%
SDS-polyacrylamide gel, the amount of IGFBP-5 that was
coimmunoprecipitated with either the TSP-1 or the OPN antibody was
determined by autoradiography. Lane 1, [125I]IGFBP-5
alone; lane 2, [125I]IGFBP-5 and TSP-1 (100 ng/ml); lane
3, [125I]IGFBP-5 and OPN (200 ng/ml); lane 4,
[125I]IGFBP-5 and TSP-1 plus unlabeled IGFBP-5 (500
ng/ml); lane 5, [125I]IGFBP-5 and OPN plus unlabeled
IGFBP-5 (500 ng/ml).
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Figure 2. Ligand blot of IGFBP-1, -2, -3, -4, and -5 binding
to TSP-1 (A) and OPN (B). A, Unlabeled IGFBPs (500 ng/ml), IGFBP-1
(lanes 1 and 2), IGFBP-2 (lanes 3 and 4), IGFBP-3 (lanes 5 and 6),
IGFBP-4 (lanes 7 and 8), and IGFBP-5 (lanes 9 and 10) were incubated
with TSP-1 (200 ng/ml; lanes 2, 4, 6, 8, and 10), and each complex was
coimmunoprecipitated with anti-TSP-1 antiserum. After coprecipitation,
the proteins were separated by SDS-PAGE and transferred to an Immobilon
filter that was then incubated with [125I]IGF-I to
determine the amount of each binding protein that was coprecipitated.
The odd-numbered lanes did not receive added TSP-1. B, Lanes 1 and 2,
IGFBP-1; lanes 3 and 4, IGFBP-2; lanes 5 and 6, IGFBP-3; lanes 7 and 8,
IGFBP-5. Lanes 2, 4, 6, and 8 also had OPN (200 ng/ml) added. As in A,
the IGFBPs were coimmunoprecipitated by adding anti-OPN antiserum, and
the signal intensity was quantified by autoradiography after Western
ligand blotting.
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Heparin and heparan sulfate have been shown to inhibit IGFBP-5 binding
to ECM, and IGFBP-5 contains a glycosaminoglycan-binding domain (5). To
determine the effect of glycosaminoglycans on IGFBP-5 binding to TSP-1
and OPN, increasing concentrations of several glycosaminoglycans were
tested. Heparin increased the binding of IGFBP-5 to TSP-1, but heparan
sulfate was a potent competitive inhibitor (Fig. 3A
). Chondroitin sulfate A and B had no
effect on binding, whereas dermatan sulfate was a weak inhibitor.
Unlike TSP-1, both heparin and heparan sulfate were potent competitive
inhibitors of IGFBP-5 binding to OPN, and chondroitin sulfate A, B, and
C had no effect (Fig. 3B
).

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Figure 3. Glycosaminoglycan binding to TSP-1 (A) and OPN
(B). A fixed concentration of each glycosaminoglycan (100 ng/ml) was
incubated with either TSP-1 or OPN and [125I]IGFBP-5. A,
Lane 1, TSP-1 alone; lane 2, [125I]IGFBP-5 alone; lanes
38, [125I]IGFBP-5 plus TSP-1; lane 4, heparin; lane 5,
heparan sulfate; lane 6, chondroitin sulfate A; lane 7, chondroitin
sulfate B; lane 8, dermatan sulfate. PhosphorImage analysis showed that
heparin increased the binding of IGFBP-5 to TSP-1 2.8-fold, and heparan
sulfate decreased it by 72% compared with the control value. Dermatan
sulfate decreased binding by 38%. Chondroitin sulfate A and B produced
no change. B, Lane 1, OPN alone; lane 2, [125I]IGFBP-5
alone; lanes 38, [125I]IGFBP-5 plus OPN; lane 4,
heparin; lane 5, heparan sulfate; lane 6, chondroitin sulfate A; lane
7, chondroitin sulfate B; lane 8, dermatan sulfate. PhosphorImage
analysis showed that heparin decreased band intensity by 69%, heparan
sulfate reduced band intensity by 61%, and chondroitin sulfate A, B,
and C had minimal effects, reducing band intensities by less than 20%
for each treatment.
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To localize the region of IGFBP-5 that might be responsible for binding
to TSP-1 and OPN, four synthetic peptides that contain regions of
sequence of IGFBP-5 (7) that contain charged sequences that might be
important in protein-protein interactions were coincubated with
radiolabeled IGFBP-5 and TSP-1. As shown in Fig. 4A
, the peptide termed peptide A
competitively inhibited binding to TSP-1 (the band intensity is reduced
59% compared with that in lane 2). In contrast, peptide B had no
effect on binding, and peptides C and D resulted in an increase.
Peptide A was also a potent competitive inhibitor of IGFBP-5 binding to
OPN (Fig. 4B
), peptide B had a modest effect, peptide C had no effect,
and peptide D resulted in an increase. The results indicate clearly
that binding to TSP-1 and OPN is mediated primarily through the peptide
A region.

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Figure 4. Binding of IGFBP-5 to TSP-1 (A) or OPN (B) in the
presence of IGFBP-5 peptides. Peptides (1.0 µg/ml) encoding the
regions of IGFBP-5 sequence that contained multiple charged residues
were used to compete with [125I]IGFBP-5 and TSP-1 (A) or
OPN (B). A, Lane 1, [125I]IGFBP-5 alone; lanes 27,
TSP-1 (200 ng/ml) plus [125I]IGFBP-5; lane 3, peptide A
(1 µg/ml); lane 4, peptide B; lane 5, peptide C; lane 6, peptide D;
lane 7, TSP-1 plus [125I]IGFBP-5. Scanning densitometry
showed that peptide A inhibited binding by 59% compared with the
control value. Peptide B had no effect on binding. Peptides C and D
increased binding by 2.1- and 2-fold, respectively. B, Lane 1, OPN
alone (100 ng/ml); lane 2, [125I]IGFBP-5 alone; lanes
38, OPN plus [125I]IGFBP-5; lane 4, peptide A (1
µg/ml); lane 5, peptide B; lane 6, peptide C; lane 7, peptide D.
Peptide A decreased binding by 86%, and peptide B decreased binding by
22%. Peptide C had no effect, and peptide D increased binding by
2.3-fold.
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To further identify the specific amino acids within the peptide A
region of IGFBP-5 that are involved in binding to TSP-1, mutant forms
of IGFBP-5 that had had substitutions for one or more charged residues
in the peptide A domain were coincubated with TSP-1, and
coimmunoprecipitation was followed by SDS-PAGE with autoradiography. A
representative experiment is shown in Fig. 5
. Mutants containing substitutions for
residues R201A, K202N or K211N, R214A, K217A, R218A, or R214A alone had
the greatest reduction in their ability to compete for binding. In
contrast, mutants containing substitutions for K202N, R206A, and R207A;
R207A and K211N; or K211N were strong competitors. When these results
were quantified by scanning densitometry, between 499% reductions in
binding were noted at the concentrations tested (Table 2
). Therefore, residues R201 and R214
appeared to be the most important for binding to TSP-1. To determine
the amino acids that were important for binding to OPN, several mutants
were coincubated with [125I]IGFBP-5 and OPN,
and then [125I]IGFBP-5 was immunoprecipitated.
The K202N, R206A, R207A, and R201A, K202N mutants gave the greatest
reductions (Fig. 6
and Table 2
). The
K211N mutant gave an intermediate result. The K217A and R218A; R214A;
and K211N, R214A, K217A, and R218A mutants showed no competition. The
R214A mutant had a major reduction in binding. This suggests that amino
acid R214 is the most important for binding to OPN and that K217 and
R218 are also important.

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Figure 5. Binding of IGFBP-5 mutants to TSP-1. Several
IGFBP-5 mutants (1 µg/ml) were incubated with TSP-1 (100 ng/ml)
plus [125I]IGFBP-5, and the complexes immunoprecipitated
as described in Materials and Methods. The products were
electrophoresed, and then the [125I]IGFBP-5 that was
precipitated was detected by autoradiography. Lane 1, TSP-1 alone; lane
2, [125I]IGFBP-5 alone; lanes 310, TSP-1 plus
[125I]IGFBP-5: lane 4, R207A, K211N mutant; lane 5,
K217A, R218A; lane 6, K202A, R206A, R207A; lane 7, unlabeled native
IGFBP-5; lane 8, K211N, R214A, K217A, R218A; lane 9, R201A, K202N; lane
10, K211N. The results were analyzed by PhosphorImager and are shown in
Table 2 .
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Figure 6. Capacities of IGFBP-5 mutants to compete with
IGFBP-5 for binding to OPN. IGFBP-5 mutants (500 ng/ml) were incubated
with OPN (200 ng/ml) and [125I]IGFBP-5. The complexes
were precipitated as described in Materials and
Methods, and the products were analyzed by gel
electrophoresis followed by direct autoradiography. Lane 1,
[125I]IGFBP-5 alone; lanes 29,
[125I]IGFBP-5 plus OPN; lane 3, K202A, R206A, R207A; lane
4, R201A, K202N; lane 5, R214A; lane 6, K211N, R214A, K217A, R218A;
lane 7, unlabeled IGFBP-5; lane 8, K217A, R218A; lane 9, K211N. The
results were quantified by PhosphorImager and are shown in Table 2 .
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To determine the functional significance of this interaction, the
affinity of IGFBP-5 for TSP-1 or OPN was determined. The results showed
that IGFBP-5 bound TSP-1 with an affinity of 7.3 x
10-9 liters/M and OPN with an
affinity of 1.2 x 10-8
liters/M. To determine whether IGFBP-5 binding to either
protein would alter its affinity for IGF-I, the binding of IGF-I to
IGFBP-5 was analyzed in the presence and absence of TSP-1 and OPN.
Neither TSP-1 nor OPN binding to IGFBP-5 caused a substantial
change in the affinity of IGFBP-5 for IGF-I. IGF-I binds to
IGFBP-5 with an affinity of approximately 3 x
10-9 liters/M in the presence of
TSP-1 and with an affinity of 1.2 x 10-9
liters/M in its absence. IGFBP-5 had an affinity of
3.6 x 10-9 liters/M for IGF-I
in the presence of OPN and 1.6 x 10-9
liters/M in its absence.
To determine the effects of these proteins on the ability of IGFBP-5 to
modulate IGF-I action, the SMC growth response to IGF-I was measured in
the presence of IGFBP-5 alone or with IGFBP-5 plus either TSP-1 or OPN
added to ECM. As shown in Fig. 7
, when
either OPN or TSP-1 was added with IGFBP-5, there was a significantly
enhanced cell growth response compared with that to OPN plus IGF-I,
TSP-1 plus IGF-I, or IGFBP-5 plus IGF-I. This suggests that both
proteins not only enhance IGF-I action, but also are interacting to
further enhance the cellular responses to IGF-I and IGFBP-5.

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Figure 7. Cell growth responses to IGF-I, IGFBP-5, and TSP-1
or OPN. pSMC were plated in 2% FBS at a density of 5000
cells/cm2 as described in Materials and
Methods. After 24 h, the medium was changed, and DMEM with
0.2% human platelet-poor plasma was added. After an additional 24
h, the experiment was initiated. The results are shown as the the
mean ± SD of three separate experiments, with three
determinations per experiment. P < 0.05 when the
response to IGF-I, IGFBP-5, plus OPN or IGF-I, IGFBP-5, plus TSP-1 is
compared with that to IGF-I plus OPN, IGF-I plus TSP-1, or IGF-I plus
IGFBP-5.
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Discussion
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Both TSP-1 and OPN are multidomain proteins that interact with
several different cell surface receptors. Both are secreted by SMC that
are present in vessel walls, and both have been shown to be abundant in
atherosclerotic lesions (9, 16, 24, 25). After secretion, both are
incorporated into ECM. They have been shown to act as attachment
proteins for SMC, primarily through binding to the
Vß3 integrin. This
binding occurs through their RGD sequences and can be blocked by
disintegrins. In addition, both TSP-1 and OPN have other cell-binding
domains and heparin-binding domains, which may be active in binding
heparan sulfate-containing proteoglycans, and both proteins have been
shown to bind to other proteins that are present in the ECM and on cell
surfaces (26, 27, 28, 29, 30). TSP-1 has the additional property of binding to
integrin-activating protein, a protein that binds
Vß3 and alters its
activity (31).
Because both OPN and TSP-1 are abundant within ECM, and because the
expression and ECM content of both are increased during the development
of atherosclerotic lesions, we were interested in whether they would
bind to IGFBP-5. Our interest was further stimulated by the fact that
IGFBP-5 is the only form of IGFBP that binds preferentially to ECM (3),
and the amount of IGFBP-5 within the ECM appears to be an important
determinant of the ability of IGF-I to optimally stimulate SMC DNA
synthesis (2, 3). In these studies we determined that both TSP-1 and
OPN bind to IGFBP-5 with high affinity. However, unlike binding to ECM,
the association of TSP-1 or OPN with IGFBP-5 did not significantly
alter their affinities for IGF-I. This suggests that the decrease in
the affinity of IGFBP-5 for IGF-I that is seen after IGFBP-5
association with ECM may be due to multivalent binding to several
proteins, rather than to a single protein, or that a specific site in
IGFBP-5 has to be occupied to alter its affinity for IGF-I and that
that site is not involved in binding to TSP-1 or OPN. Alternatively, it
could be due to the fact that adhesion to ECM results in an insoluble
form compared with binding to OPN and TSP-1 in solution. This absence
of a change in affinity was also noted when IGFBP-5 bound to PAI-1 in
solution (6). Because of their abundance in ECM and their relatively
high affinities for IGFBP-5, we conclude that these two proteins are
important determinants of the amount of IGFBP-5 that localizes within
the pSMC ECM.
The functional significance of binding was analyzed by determining the
ability of the combination of IGF-I, IGFBP-5, and TSP-1 or OPN to
stimulate cell growth. As shown in Fig. 7
, both TSP-1 and OPN
potentiated the cellular response to IGF-I. The effect of TSP-1 is not
surprising in view of our previously published findings that TSP-1,
when added with IGF-I, results in enhanced IGF-I receptor kinase
activity and increased phosphorylation of the principal signaling
element distal to the receptor, insulin receptor substrate-1 (32).
Furthermore, we have shown that blocking occupancy of the
Vß3 integrin by
ligands, such as vitronectin or TSP-1, with disintegrins, such as
echistatin, results in complete attenuation of IGF-I signaling (32).
Therefore, it is not surprising that both TSP-1 and OPN potentiated
IGF-I stimulation of cell growth. However, their interaction with
IGFBP-5 is another potential mechanism by which this process may be
controlled. In other studies we have shown that IGFBP-5 binding to ECM
also results in a potentiation of the cell growth response to IGF-I
(3). Our finding that the addition of either TSP-1 or OPN to ECM
results in further enhancement of the SMC growth response to IGF-I plus
IGFBP-5 suggests that these proteins bind IGFBP-5 within the ECM, thus
allowing an increased amount of IGF-I to be released to receptors over
an extended time period. This enhanced receptor stimulation could also
function with the additional TSP-1 and OPN to further stimulate
Vß3 and thus to
enhance IGF-I-stimulated actions (32). Thus, TSP-1 and OPN fulfill dual
roles of enhancing the amount of IGFBP-5 within ECM and binding to
Vß3, which facilitates
IGF-I-stimulated receptor activation. This conclusion is also further
supported by our observation that transfection of SMC with IGFBP-5
mutants that suppress the synthesis of endogenous wild-type IGFBP-5 and
are not bound to ECM results in no potentiation of IGF-I-stimulated DNA
synthesis in this cell type (2). This suggests that a basal amount of
IGFBP-5 needs to be associated with ECM to achieve optimum IGF-I
responsiveness and that the cellular response to IGF-I is proportional
to the amount of IGFBP-5 within the ECM. To definitively quantify the
amount of enhancement of IGF-I action that is due to binding of TSP-1
or OPN to
Vß3 compared
with their abilities to increase the amount of IGFBP-5 within the ECM,
the effects of IGFBP-5 mutants that have low affinity for OPN or TSP-1
need to be compared with those of IGFBP-5 mutants that have normal
affinity for these proteins but low affinity for ECM.
The variables that determine the binding of OPN or TSP-1 to IGFBP-5
were analyzed. The binding to both proteins is perturbed by heparan
sulfate. In contrast, the addition of heparin increased IGFBP-5 binding
to TSP-1, but decreased binding to OPN. This suggests that sulfated
glycosaminoglycans may have more complex effects on the TSP-1-
IGFBP-5 interaction than they do on OPN binding to IGFBP-5,
wherein it simply appears that the glycosaminoglycan-binding domain of
OPN is directly involved in IGFBP-5 binding. Although TSP-1 has a
heparin-binding domain, simple inhibition of IGFBP-5 binding by
heparin could not be demonstrated, suggesting that after heparin
binding, TSP-1 undergoes a conformational change that alters its
interaction with IGFBP-5. In contrast, the ability of heparan sulfate
to inhibit IGFBP-5 binding to both proteins suggests that heparan
sulfate is binding to the glycosaminoglycan-binding domain of
IGFBP-5 and inhibiting its ability to interact with either protein (5).
This was further confirmed by using peptides containing specific
sequence domains of IGFBP-5. Peptide A, which spans the
glycosaminoglycan-binding region of IGFBP-5, was a potent inhibitor of
interaction with either TSP-1 or OPN.
Further domain specificity was determined using a series of IGFBP-5
mutants that had had basic residues within the peptide A sequence
altered. For TSP-1, residues R201 and R214 appeared to be the
predominate residues that were required for optimum binding. In
contrast, for OPN, residue R201 was not important. R214 was the most
important, and residues K217 and R218 were also very important for
optimum binding. Some experiments suggested that K211 was important,
but this result was not consistent. These are somewhat different from
the residues that are most important for binding to total ECM, which
are predominantly R207 and R214, although R201, K217, and R218 have
been shown to contribute to ECM binding. This suggests that specific
sequences of basic residues within the peptide A domain are required
for optimum binding to these proteins.
In atherosclerosis there is an accumulation of TSP-1 and OPN within
lesions. These proteins can bind to the SMC surface as well as the ECM
through both specific cell surface receptors, such as
Vß3, and through cell
surface proteins, such as integrin-activating protein. As IGFBP-5 can
also associate with cell surfaces, these interactions may provide a
molecular scaffold by which significant amounts of IGFBP-5 and IGF-I
may be concentrated focally near IGF-I surface receptors. Our in
vitro cell growth results suggest that both proteins are
potentially important modulators of IGF-I actions in vivo.
Further studies will be required to determine whether either protein
has a role in modulating the effect of IGF-I on lesion development and
the mechanisms by which they participate in this process.
 |
Acknowledgments
|
|---|
The authors thank Mr. George Mosley for his help in preparing
this manuscript.
 |
Footnotes
|
|---|
1 This work was supported by NIH Grant AG-02331. 
Received August 17, 1999.
 |
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