Endocrinology Vol. 141, No. 7 2401-2409
Copyright © 2000 by The Endocrine Society
Insulin-Like Growth Factor Binding Protein-3 Is Regulated by Dihydrotestosterone and Stimulates Deoxyribonucleic Acid Synthesis and Cell Proliferation in LNCaP Prostate Carcinoma Cells1
Janet L. Martin and
Stacey L. Pattison
Kolling Institute of Medical Research, University of Sydney, Royal
North Shore Hospital, St Leonards, New South Wales 2065, Australia
Address all correspondence and requests for reprints to: Dr. Janet Martin, Kolling Institute of Medical Research, Royal North Shore Hospital, St. Leonards, University of Sydney, New South Wales, 2065 Australia. E-mail: janetlm{at}med.usyd.edu.au
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Abstract
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We have investigated the production and actions of a growth regulatory
protein, insulin-like growth factor binding protein (IGFBP)-3, in the
androgen-responsive prostate carcinoma cell line LNCaP. Confluent
monolayers of cells secreted approximately 0.7 ng/ml IGFBP-3 over
24 h. Dihydrotestosterone (DHT, 10 nM) and
1,25-dihydroxyvitamin D3 (vitamin D, 10 nM)
increased IGFBP-3 in media to 149 ± 15% and 206 ± 18% of
control, respectively, when added separately, and to 453 ± 28%
of control when used in combination. IGFBP-2, secreted at approximately
25-fold higher concentrations than IGFBP-3, was increased 50% by
10 nM DHT, but there was no effect of vitamin D on IGFBP-2
production in the absence or presence of DHT. Cell-associated IGFBP-3,
and immunoreactive IGFBP-3 species of 20 kDa and 30 kDa were also
increased in response to vitamin D plus DHT. A combination of vitamin D
and DHT increased DNA synthesis in LNCaP cells 3-fold, and this was at
least partly mediated by endogenous IGFBP-3 because anti-IGFBP-3 IgG,
but not nonimmune serum IgG, reduced the stimulatory effect of vitamin
D and DHT from 293 ± 11.6% to 161 ± 30.7% of control
levels (P < 0.0001). Basal and DHT plus vitamin
D-stimulated thymidine incorporation was significantly increased by 50
ng/ml human plasma-derived purified IGFBP-3. After 4 days treatment
with vitamin D plus DHT, or pure IGFBP-3, LNCaP cell numbers were
increased relative to control. These results indicate a role for
IGFBP-3 in the proliferation of androgen-responsive prostate carcinoma
cells.
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Introduction
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NORMAL PROSTATIC GROWTH and function are
subject to the action of many hormone and growth factor systems.
Important among these is the insulin-like growth factor (IGF) axis,
comprising the peptide growth factors IGF-I and -II, the type 1 IGF and
IGF-II/mannose-6-phosphate receptors, and the IGF-regulatory molecules,
the IGF-binding proteins (IGFBPs) (1). IGF-I stimulates DNA synthesis
in both normal prostate epithelial cell cultures and in some cell lines
established from benign or malignant prostate tissue (2). It has been
observed that increased expression of IGFs and decreased secretion of
some IGFBPs by prostate stromal cells accompanies the acquisition of
malignancy (3), and increased tumorigenicity and metastatic potential
of virally transformed prostate epithelial cells correlates with
modifications to all components of the IGF axis, viz.
receptors, peptides, and the IGFBPs (4). This implies that disruption
of the IGF axis may be an important step in the establishment or
progression of prostate malignancy.
The IGFBP family comprises six structurally related proteins,
designated IGFBP-1 to -6, having high affinity
(
1010-1011 liter/mol)
for both IGF-I and IGF-II (5). Various studies have demonstrated the
production of one or more IGFBPs by normal and malignant prostate
epithelial cells (3, 6, 7, 8), and three cell lines frequently used as
models of prostate carcinoma, PC-3, Du145, and LNCaP, also secrete
IGFBPs (7, 9, 10, 11, 12, 13, 14). Modulation of IGF bioactivity by endogenous or
exogenous IGFBPs has been demonstrated in the PC-3 and Du145 cell lines
(12, 13, 15), and recent evidence indicates that some of the IGFBPs may
also exert growth-inhibitory effects independently of preventing type 1
IGF receptor activation. In the PC-3 cell line, IGFBP-3 is reported to
both inhibit cell proliferation (8) and induce apoptosis (16) via
IGF-receptor-independent pathways. These findings point to a
significant role for IGFBP-3 in the regulation of prostate cancer cell
proliferation.
In the rat prostate in vivo and prostate carcinoma cells
in vitro, 1,25-dihydroxyvitamin D3
(vitamin D) and its analog EB1089 decrease cell proliferation
concomitantly with increased IGFBP-3 expression (15, 17), suggesting
that in prostate cancer cells, as in other cell systems (18), IGFBP-3
may mediate the growth-inhibitory effect of vitamin D. Other studies
have shown an interaction between vitamin D and dihydrotestosterone
(DHT) in the modulation of prostate cell proliferation (19), but the
role of IGFBP-3 in this is not clear. In the present study we have used
the androgen-responsive LNCaP prostate carcinoma cell line to
investigate the regulation of IGFBP-3 production by these agents, and
the role of endogenous IGFBP-3 in LNCaP cell proliferation. Our data
show that unexpectedly, endogenous and exogenous IGFBP-3 can
stimulate DNA synthesis and cell proliferation in the LNCaP cell
line.
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Materials and Methods
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Materials
Tissue culture plasticware was supplied by Nunc (Roskilde,
Denmark) and Corning, Inc. (Corning, NY). Media for cell
culture, glutamine, antibiotics, bovine insulin, BSA,
1,25-dihydroxyvitamin D3 (vitamin D), and protein
A were purchased from Sigma (St. Louis. MO); FCS was
purchased from Trace Biosciences (North Ryde, New South Wales,
Australia). DHT (>99% purity by HPLC) was purchased from Steraloids
(Wilton, NH). Receptor grade [long
Arg3]insulin-like growth factor-I
([LR3]IGF-I) was obtained from GroPep Pty. Ltd. (Adelaide, South Australia, Australia), and
recombinant human IGF-I and IGF-II were donated by Pharmacia & Upjohn, Inc. (Stockholm, Sweden). IGFBP-3 was purified from
Cohn fraction IV of human plasma as previously described (20). IGF-I,
IGFBP-2, and protein-A were radioiodinated with
Na125I using chloramine-T; IGFBP-3 affinity
labeled with [125I]IGF-I was prepared as
described previously (21). Electrophoresis reagents and protein
molecular weight markers were from Amrad Pharmacia Biotech (Sydney, New
South Wales, Australia) and Bio-Rad Laboratories, Inc.
(Richmond, CA). Hybond C nitrocellulose membrane and Hyperfilm MP
autoradiography film were purchased from Amersham Pharmacia Biotech (Bucks, UK). Nonidet P-40 was purchased from Fluka Chemical Co. (Basel, Switzerland).
The IgG fraction from IGFBP-3 polyclonal antiserum was isolated by
protein A-affinity chromatography. One milliliter serum (R30) was
adsorbed onto a column containing 2 ml protein A Sepharose (Amrad
Pharmacia Biotech). After 1 h at 22 C, the column was washed with
50 ml of 50 mM sodium phosphate (pH 6.5) containing 0.1
M NaCl, and eluted with 10 ml 0.1 M glycine, pH
3. The eluted IgG fraction was adjusted to starting volume (1 ml) by
centrifugation through a Centricon 30 ultrafiltration device (Amicon,
Inc., Beverly, MA) and equilibrated to pH 7.4 with RPMI medium.
Nonimmune rabbit serum for use as a control was prepared in the same
way.
Cell cultures
LNCaP cells were purchased from the American Type Culture Collection (Manassas, VA), maintained in RPMI medium containing
5% FCS, 2 mM glutamine, and 10 µg/ml bovine insulin, and
passaged by trypsinization every 67 days. For stimulation
experiments, confluent cell monolayers in 24-well plates were incubated
for 48 h in serum- and insulin-free RPMI medium containing 2
mM glutamine and 1 g/liter BSA [serum-free medium
(SFM)] before addition of test reagents in fresh SFM for 14 days.
Media were collected for analysis of IGFBPs by RIA and Western
blotting, and cell monolayers were processed for cell-associated IGFBPs
as described below.
RIAs and IGFBP-3 cell association assay
IGFBP-2 (22) and IGFBP-3 (21) in cell-conditioned medium were
measured by RIA as previously described. Cell- or matrix-associated
IGFBP-3 was measured immunologically as described previously (23).
Briefly, cell monolayers were rinsed in SFM, and then incubated for
16 h at 22 C with anti-IGFBP-3 serum at a final dilution of
1:5,000 in SFM. Monolayers were washed twice with SFM and incubated for
an additional 2 h with [125I]protein A
(20,000 cpm/well in SFM). Monolayers were again washed, solubilized in
5 g/liter SDS, and then lysates were
-counted. Nonspecific binding
was determined using normal rabbit serum in lieu of immune serum. This
assay cannot distinguish between IGFBP-3 bound with the cell and that
associated with the extracellular matrix.
Northern analysis
LNCaP RNA was isolated using Total RNA Isolation Reagent
(Advanced Biotechnologies, Surrey, UK) and quantitated by absorbance at
260 nm. Northern analysis was carried out as previously described (23)
using the [32P]dCTP-labeled complementary DNA
probe for human IGFBP-3 (a gift of Dr. N. Shimasaki, University of
California San Diego, La Jolla, CA). Filters were hybridized overnight
at 42 C, and then washed in 0.1x SSC at 42 C, with an additional wash
in 1x SSC if required. Filters were quantified using a PhosphorImager
(Molecular Dynamics, Inc., Sunnyvale, CA).
SDS-PAGE and Western blotting
Electrophoresis and Western blotting were carried out as
previously described (24). Conditioned media were prepared for Western
blot analysis of IGFBPs by 5-fold concentration through Centricon
10 ultrafiltration units (Amicon Inc., Beverley, MA).
Concentrates (50 µl) were mixed with 10 µl sample buffer and
electrophoresed through 12% gels at 80 V for 16 h. Separated
proteins were transferred to Hybond C membrane, and then membranes were
blocked in Tris-buffered saline (TBS, 10 mM Tris, 50
mM sodium chloride, pH 7.4) containing 10 g/liter BSA, 0.2
g/liter sodium azide, and 0.5 ml/liter Nonidet P-40 ("blocking
buffer") for 23 h at 22 C. For immunoblotting, blocked membranes
were incubated overnight at 4 C with IGFBP-3 antiserum (R30) at 1:5,000
final dilution, or IGFBP-2 antiserum (22) at 1:2,000 final dilution.
Membranes were then rinsed briefly in TBS containing 0.05% Nonidet
P-40 and incubated for a further 2 h with
[125I]protein A (1 x
106 cpm/50 ml in blocking buffer). Blots were
washed three times for 10 min each in TBS containing Nonidet P-40, air
dried, and autoradiographed for 4 days at -70 C.
Thymidine incorporation and cell proliferation assays
DNA synthesis was assessed by incorporation of
[3H]thymidine. Cell monolayers in 24-well
plates were serum-starved for 48 h before the start of the
experiment. Treatments (vitamin D, DHT, antibodies, etc.) were added
for 24 h in 0.5 ml SFM. During the final 4 h of this period,
1 µCi/well [3H]thymidine (35 Ci/mmol, ICN
Biochemicals, Inc., Cleveland, OH) was added in 50 µl SFM.
Monolayers were rinsed twice with ice-cold saline and fixed with 1
ml/well ice-cold methanol-acetic acid (3:1) at 4 C for a minimum of
2 h. Cells were solubilized in 0.5 ml of 5 g/liter SDS, and 250
µl of each lysate were mixed with scintillant (OptimaGold,
Hewlett-Packard Co., Palo Alto, CA) before counting for 2
min. Cell proliferation was determined after treatment for 4 days.
Confluent monolayers in six-well multidishes were treated as described
above with additions made in 4 ml medium/well. Four days later, media
were removed, and cells were dispersed using trypsin-EDTA. Aliquots of
suspended cells were counted using a hemocytometer.
Statistical Analysis
Individual experiments were conducted in triplicate or
quadruplicate wells; experiments were carried out at least three times
unless indicated otherwise. Data were analyzed by ANOVA and Fishers
protected least significant difference test using the StatView program
for Macintosh (SAS Institute, Inc., Cary, NC); differences
were considered significant where P < 0.05.
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Results
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SDS-PAGE and ligand blot analysis of 5-fold concentrated media
conditioned by untreated LNCaP cells for 4 days revealed the presence
of two IGFBP species (Fig. 1
). The more
abundant of these proteins, with a molecular mass of approximately 34
kDa, was determined by immunoblotting to be IGFBP-2, while the
broad band of 4345 kDa was IGFBP-3. RIA of these proteins in
unconcentrated media confirmed that IGFBP-2 levels were approximately
25- to 30-fold higher than IGFBP-3. Determined in six experiments,
confluent monolayers secreted 16.7 ± 1.03 ng/ml (mean ±
SE) IGFBP-2, and 0.67 ± 0.04 ng/ml IGFBP-3 over
24 h under serum-free conditions.

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Figure 1. Western blot analysis of LNCaP-conditioned medium.
Four day-conditioned medium from LNCaP cell monolayers was concentrated
5-fold by ultrafiltration, resolved by 12% SDS-PAGE, and transferred
to nitrocellulose as described in Materials and Methods.
Replicate blots were probed with [125I]IGF-I (lane A), or
human IGFBP-2 antiserum (lane B) or IGFBP-3 antiserum (lane C)
followed by [125I]protein A. The migration positions of
molecular mass markers (in kilodaltons) are indicated on the
left.
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To examine the regulation of production of these proteins, cells
in monolayer culture were treated with DHT (10 nM), vitamin
D (10 nM), or a combination of the two agents. As shown in
Fig. 2
, 24 h-treatment with DHT increased
medium concentrations of both IGFBP-2 (panel 2A) and IGFBP-3 (panel 2B)
by approximately 50% (P < 0.01 compared with control
for both). A significant increase in IGFBP-3 was also observed in
response to treatment with 10 nM vitamin D,
resulting in levels 2-fold elevated compared with untreated cells
(P < 0.01). A synergistic effect of the two agents was
indicated by markedly elevated IGFBP-3 levels, with a combination of
DHT and vitamin D resulting in a 4- to 5-fold increase in medium
IGFBP-3 concentrations. By contrast, vitamin D alone had no effect on
IGFBP-2, nor did it alter the response to DHT (P = 0.52
for DHT treatment vs. DHT plus vitamin D). When IGFBP-3
concentrations were determined 4 days after addition of agents, DHT was
no longer stimulatory for IGFBP-3 production in the absence of
vitamin D and did not enhance the stimulatory effect of vitamin D on
IGFBP-3 production (Fig. 2C
). However, if agents were added daily for
the 4-day incubation period, DHT once again stimulated IGFBP-3 levels
in the absence and presence of vitamin D (Fig. 2D
).

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Figure 2. IGFBP-2 and IGFBP-3 production by LNCaP
monolayers. Cells were treated for 24 h (panels A and B) or
96 h (panels C and D) in the absence of additions (ctl), or in the
presence of 10 nM DHT, 10 nM vitamin D (vitD),
or both, added at time 0 for panels A, B, and C, and every 24 h
for 96 h in panel D. Conditioned media were collected and analyzed
for IGFBP-2 (panel A) and IGFBP-3 (panels B, C, and D) by RIAs as
described in Materials and Methods. Results shown are
data pooled from two experiments performed in triplicate, and are
representative of a total of four experiments (for panels A, B, and C)
or two experiments (panel D). Significance determined by ANOVA and
Fishers PLSD is shown as: a, P <
0.01 compared with control; b, P <
0.05 compared with vitamin D.
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Immunoblot analysis of 4 day-conditioned media confirmed the increase
in 4345 kDa IGFBP-3 in response to vitamin D, with and without DHT
(Fig. 3
). In addition, the presence of
smaller immunoreactive species, of 30 kDa and 20 kDa, was apparent in
media conditioned by cells treated with a combination of DHT and
vitamin D. These fragments were not detectable by IGF-I or IGF-II
ligand blotting (not shown).

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Figure 3. IGFBP-3 immunoblot of 5-fold concentrated
conditioned medium from LNCaP cells treated for 4 days with no addition
(lane 1), 10 nM DHT (lane 2), 10 nM vitamin D
(lane 3), or a combination of DHT and vitamin D (lane 4). Media
proteins were separated by 12% SDS-PAGE, transferred to
nitrocellulose, and immunoblotted with anti-IGFBP-3 antiserum, and then
detected with [125I]protein A. The migration positions of
molecular mass markers are shown on the right in
kilodaltons.
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To further examine the effects of vitamin D and DHT on IGFBP-3
secretion, cells were incubated with graded concentrations of DHT or
vitamin D with or without the second agent included in the incubation
at a concentration of 10 nM. Dose curves for DHT (Fig. 4A
) indicated that in the absence of
vitamin D, a significant increase (P < 0.05) in
secreted IGFBP-3 was apparent with 1 nM DHT, with
levels elevated more than 2-fold at 100 nM DHT.
Inclusion of 10 nM vitamin D markedly potentiated
the stimulatory effects of DHT, increasing IGFBP-3 more than 7-fold at
100 nM DHT (P < 0.001 compared
with control or 10 nM vitamin D). When increasing
doses of vitamin D were tested in the absence of DHT (Fig. 4B
), a
significant increase in IGFBP-3 was apparent at 1
nM vitamin D and reached a maximum at 10
nM vitamin D. Coincubation with 10
nM DHT augmented the vitamin D effect, with
half-maximal stimulation of IGFBP-3 at approximately 1
nM vitamin D in the presence or absence of DHT.
Northern analysis of IGFBP-3 messenger RNA (mRNA) (Fig. 4C
) indicated a
single hybridizing band of 2.5 kb, which was slightly increased by 10
and 100 nM DHT compared with control; vitamin D
(10 nM) also slightly increased the level of
IGFBP-3 mRNA (Fig. 4C
, lane 4). A marked increase in IGFBP-3 mRNA
was apparent for the combined treatment of 10 nM
vitamin D and 100 nM DHT (Fig. 4C
, lane 6),
suggesting that the 8-fold increase in IGFBP-3 immunoreactivity
detected in medium resulted from increased expression of IGFBP-3
mRNA.

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Figure 4. Stimulation of IGFBP-3 mRNA and protein by
DHT and vitamin D. In panels A and B, cells were incubated for 24
h with the indicated concentration of DHT in the presence (solid
symbols) or absence (open symbols) of 10
nM vitamin D (panel A), or the indicated concentration of
vitamin D in the presence (solid symbols) or absence
(open symbols) of 10 nM DHT
(panel B). Conditioned media were collected and IGFBP-3 determined by
RIA. Results are expressed as a percentage of control (no addition),
and are the mean ± SE of quadruplicate wells from one
of three experiments with identical results. For both panels:
a, P < 0.01 compared with control;
b, P < 0.001 compared with control; c,
P < 0.01 compared with 10 nM vitamin D;
d, P < 0.001 compared with 10 nM
vitamin D; e, P < 0.001 compared with 10
nM DHT. In panel C, total RNA isolated from LNCaP cells
treated for 24 h with no addition (lane 1), 10 nM DHT
(lane 2), 100 nM DHT (lane 3), or 10 nM vitamin
D in the absence (lane 4), or presence of 10 nM DHT (lane
5) or 100 nM DHT (lane 6) was probed for IGFBP-3 mRNA as
described in Materials and Methods. Stripped blots
reprobed for 18S RNA are shown as control.
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The shape of the DHT dose-response curves suggested altered sensitivity
to DHT in the presence of vitamin D, possibly through elevated androgen
receptor expression, as has previously been reported in LNCaP cells
(19, 25, 26). To investigate this, LNCaP monolayers were preincubated
with either no addition, 10 nM vitamin D, or 10
nM DHT for 24 h, and then spent media were replaced
with fresh containing no additive, vitamin D, or DHT for an additional
24 h. IGFBP-3 was measured in medium recovered after the second
24-h incubation period. As shown in Fig. 5
, preincubation with vitamin D followed
by exposure to DHT resulted in markedly elevated IGFBP-3 concentrations
(9-fold compared with control, P < 0.0001), and this
was significantly higher than in media where DHT was added in both the
pretreatment and conditioning periods (P < 0.0001). By
contrast, the response to vitamin D was the same regardless of whether
DHT or vitamin D was included in the preincubation period
(P = 0.82). These results suggest that, in LNCaP cells,
vitamin D enhances DHT-stimulated IGFBP-3 secretion by increasing
responsiveness to DHT.

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Figure 5. Effect of vitamin D or DHT preincubation on
IGFBP-3 production by LNCaP cells. Confluent cell monolayers were
incubated for 24 h in the absence of additions, or in the presence
of 10 nM DHT or 10 nM vitamin D as indicated.
Media were removed, and fresh medium containing no addition
(white bars), 10 nM DHT (hatched
bars) or 10 nM vitamin D (black
bars) was added for a second 24- h period. Media were collected
and assayed for IGFBP-3 content. Results shown are mean ±
SE of quadruplicate wells from one of two similar
experiments. Significance is indicated as: a,
P < 0.01 compared with control (no addition for
first and second incubation periods); b,
P < 0.01 compared with the same second treatment
after DHT preincubation.
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Immunological analysis of cell- or matrix-associated IGFBP-3 was
carried out as described previously (23) to determine whether it
changed in response to DHT and vitamin D. As shown in Fig. 6A
, cell-associated IGFBP-3 was not
significantly altered in response to 10 nM DHT
(P = 0.41); however, vitamin D (10
nM) caused a 25% increase in the amount of
IGFBP-3 associated with the cell or matrix (P <
0.001). This was further elevated, to 150% of control, in the presence
of 10 nM DHT (P < 0.001 for DHT
+ vitamin D vs. vitamin D alone). Addition of IGF-I (50
ng/ml) subsequent to incubation with DHT plus vitamin D resulted in a
reduction in the amount of cell- or matrix-associated IGFBP-3 (Fig. 6A
). By contrast, [LR3]IGF-I, an IGF analog
that has reduced affinity for IGFBP-3, had no significant effect.

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Figure 6. Cell-associated IGFBP-3 in LNCaP cells. A,
Confluent cultures of cells were incubated for 24 h with 10
nM DHT (T), 10 nM vitamin D (D), or a
combination of the two agents (T/D) as indicated, after which
cell-associated IGFBP-3 was determined as described in Materials
and Methods. In the hatched bars, cells were
preincubated for 24 h with vitamin D and DHT, and then 50 ng/ml
IGF-I (I)or [LR3]IGF-I ("LR3") was added
in fresh medium for a further 24 h before measurement of
cell-associated IGFBP-3. B, Cells were treated with human
plasma-derived IGFBP-3 at the indicated concentrations in the absence
(open squares) or presence (closed
circles) of a combination of DHT and vitamin D at 10
nM each. After 24 h, media were removed, and
cell-associated IGFBP-3 was determined as described in Materials
and Methods. Results are expressed as a percentage of
cell-associated IGFBP-3 relative to control (no addition) cultures, and
derive from quadruplicate determinations in one of three experiments
with similar results. Significance is shown as: panel A:
a, P < 0.001 compared with control;
b, P < 0.001 compared with T/D:
panel B; a, P < 0.001 compared with
control (no addition); b, P < 0.05
compared with DHT + vitamin D; c, P
< 0.001 compared with 1000 ng/ml IGFBP-3.
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Incubation of LNCaP cells with graded concentrations of exogenous
plasma-derived IGFBP-3 resulted in a dose-dependent increase in
cell- or matrix-associated IGFBP-3 (Fig. 6B
) with a significant effect
(P < 0.0001 compared with no addition) apparent at 100
ng/ml IGFBP-3. As before, DHT and vitamin D (10
nM each) significantly increased cell- or
matrix-associated IGFBP-3 in the absence of exogenous IGFBP-3 (Fig. 6B
). In the presence of vitamin D and DHT, a significant increase in
the level of cell- or matrix-associated IGFBP-3 was apparent at a lower
concentration of exogenous IGFBP-3 (10 ng/ml) (Fig. 6B
;
P < 0.05 compared with DHT plus vitamin D). However,
this effect was lost with increasing concentrations of IGFBP-3, so that
at 1000 ng/ml exogenous IGFBP-3, there was significantly less
cell-associated IGFBP-3 detectable in the presence of DHT and vitamin D
than in their absence (P < 0.0001).
In other cells, increased secretion of IGFBP-3 may result in decreased
sensitivity to the proliferative effects of IGFs due to their
sequestration (24, 27). To examine how endogenous IGFBP-3 affected the
actions of IGFs in LNCaP cells, we examined basal and IGF-stimulated
[3H]thymidine incorporation in the absence and
presence of DHT and vitamin D. As shown in Table 1
, LNCaP cells were insensitive to IGF-I,
with 50 ng/ml failing to stimulate DNA synthesis; higher concentrations
were similarly without effect. This lack of response to IGF-I was not
due to high levels of endogenous IGFBPs because
[LR3]IGF-I, the IGF analog that does not bind
IGFBPs and should therefore be unaffected by their presence, similarly
failed to stimulate DNA synthesis (Table 1
). When added separately at
10 nM, DHT and vitamin D caused a slight increase in DNA
synthesis; however, this was not statistically significant (data not
shown). The combination of DHT and vitamin D each at 10 nM
caused a 3-fold increase in DNA synthesis compared with control (Table 1
, P < 0.0001). Although neither IGF-I nor
[LR3]IGF-I significantly affected the response
to vitamin D plus DHT (Table 1
), a trend toward decreased DNA synthesis
was noted with IGF-I (P = 0.084 for DHT + vitamin D +
IGF-I compared with DHT + vitamin D), but not
[LR3]IGF-I (P = 0.69, Table 1
).
Thymidine incorporation was then measured in LNCaP cells incubated with
stimulatory concentrations (10 nM) of DHT plus vitamin D in
the presence of IgG from IGFBP-3 antiserum, to assess whether
immunoneutralization of endogenous IGFBP-3 affected the increase in DNA
synthesis elicited by these agents. In the absence of vitamin D and
DHT, DNA synthesis was unaffected by IGFBP-3 antibody (50 µl serum
equivalent) or the IgG fraction from nonimmune rabbit serum used as
control (not shown). However, in the presence of 50 µl anti-IGFBP-3
IgG, but not nonimmune serum IgG, DNA synthesis stimulated by DHT plus
vitamin D was markedly reduced (Fig. 7A
).
Higher concentrations of antibody did not result in a further decrease
in DNA synthesis (data not shown).

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Figure 7. Immunoneutralization of IGFBP-3 in LNCaP cells. A,
Cells in 24-place multiwells were treated with or without a combination
of DHT and vitamin D (10 nM each) as indicated, with IgG
from nonimmune serum (nrs) or IGFBP-3 antiserum (R30) at the indicated
dose for 24 h. Incorporation of [3H]thymidine was
determined over the final 4 h of this period, as described in
Materials and Methods. Results shown are pooled data
from two experiments carried out in triplicate wells. Statistical
significance was determined from this pooled data using ANOVAR
and Fishers PLSD: a, P < 0.001
compared with ctl; b, P < 0.01
compared with DHT+vit D. Panel B, Immunodepletion of IGFBP-2 and -3
from conditioned media. Media (100 µl) from untreated cells (lanes 1
and 2), cells treated with DHT + vitamin D (lanes 3, 4, 8, and 9), or
unconditioned medium spiked with 1 µg/ml IGFBP-2 (lanes 5 and 6) or
IGFBP-3 (lanes 9 and 10) was incubated overnight with 5 µl normal
rabbit serum (lanes 1, 3, 5, 7, and 9) or 5 µl anti-IGFBP-3-antiserum
(R30, lanes 8 and 10), and then precipitated with protein A-Sepharose
as described in Materials and Methods. Supernatants (50
µl) were separated by 12% SDS-PAGE and immunoblotted to detect
IGFBP-2 (lanes 16) or IGFBP-3 (lanes 710).
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To confirm that IGFBP-3 antiserum was not cross-reacting with the
IGFBP-2 secreted at high concentrations by LNCaP cells, IGFBP-3 IgG was
added to conditioned medium at 1:20 dilution, and supernatants were
screened for removal of IGFBP-2 by immunoblotting. As shown in Fig. 7B
, cell-derived IGFBP-2 was not depleted from conditioned medium
(either untreated or DHT + vitamin D-treated) by IGFBP-3 antiserum
(Fig. 7B
, lanes 14); similarly, pure IGFBP-2 could not be
precipitated by this antibody (Fig. 7B
, lanes 5 and 6). Under these
conditions, significant depletion of cell-derived IGFBP-3 from medium
of DHT + vitamin D-treated cells (Fig. 7B
, lanes 7 and 8), or pure
IGFBP-3 spiked into unconditioned medium (lanes 9 and 10), was
apparent.
The effect of plasma-derived IGFBP-3 on basal and stimulated thymidine
incorporation was then determined. As shown in Fig. 8A
, thymidine incorporation was
significantly increased in the presence of 50 ng/ml pure IGFBP-3,
resulting in levels approximately 2-fold elevated compared with control
(P < 0.001); no significant effect was observed with
lower concentrations of IGFBP-3. Cells treated with a combination of
DHT, vitamin D, and IGFBP-3 showed a significant increase in DNA
synthesis relative to that seen with DHT and vitamin D alone
(P < 0.01). Exogenous IGFBP-2 at the same
concentration was without effect (data not shown).

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Figure 8. DNA synthesis and cell proliferation in
IGFBP-3-treated LNCaP cells. Confluent monolayers of LNCaP cells
were treated with plasma-derived IGFBP-3 (BP, 50 ng/ml), a combination
of DHT and vitamin D (T/D, 10 nM each), or IGFBP-3, DHT,
and vitamin D. Incubations were continued for 24 h for
[3H]thymidine incorporation (panel A), or 4 days for
analysis of cell number (panel B). Statistical significance is shown as
panel A: a, P < 0.001 compared with
control; b, P < 0.01 compared with
T/D: panel B; a, P < 0.01 compared
with control; b, P < 0.05 compared
with control; c, P < 0.01 compared
with T/D or BP.
|
|
To confirm that the stimulatory effect of IGFBP-3 on DNA synthesis
translated into increased cell proliferation, total cell numbers were
examined after 96 h treatment with IGFBP-3, with and without DHT
plus vitamin D. As shown in Fig. 8B
, the pattern of change in cell
number was identical with that of DNA synthesis, although the magnitude
of the increase was smaller. IGFBP-3 (50 ng/ml) increased cell number
by 36 ± 7% (mean ± SE, pooled data from 2
experiments carried out in triplicate: P < 0.01
compared with control), while the combination of DHT plus vitamin D
resulted in a 26 ± 5% increase (P < 0.05
vs. control). Cell numbers did not change when DHT and
vitamin D were added separately (data not shown). The combination of
DHT, vitamin D, and IGFBP-3 resulted in an increase to 179 ± 11%
of control (P < 0.0001). Taken together, these results
indicate that endogenous and exogenous IGFBP-3 stimulate DNA synthesis
and cell proliferation in LNCaP cells.
Finally, we examined whether there was a relationship between the
stimulatory effect of exogenous IGFBP-3 and its cell or matrix
association. LNCaP cells were treated with 50 ng/ml IGFBP-3 in the
presence of graded concentrations of IGF-I, after which DNA synthesis
and cell-associated IGFBP-3 were analyzed. IGFBP-3 (50 ng/ml)
increased DNA synthesis to 253 ± 62% of control (mean ±
SE of pooled data from quadruplicate wells in two
experiments). Coincubation with up to 100 ng/ml IGF-I reduced this to
182 ± 43% of control at the highest concentration of IGF-I
tested; this was not statistically significant (P =
0.12). However, 100 ng/ml IGF-I fully blocked binding of 50 ng/ml
IGFBP-3 to the monolayer, reducing cell- or matrix associated IGFBP-3
from 143 ± 6% control in the absence of IGF-I, to 112 ±
8% of control in its presence (P < 0.01).
 |
Discussion
|
|---|
The antiproliferative effect of a number of agentsincluding
transforming growth factor-ß, vitamin D, and steroid
antagonistscorrelates with induction of IGFBP-3 in some cancer cell
lines (15, 18, 24, 28, 29, 30), suggesting that it may have an important
regulatory role in cancer cell growth. We found that, similar to its
reported effects in other cells (15, 18), vitamin D increased the
concentration of IGFBP-3 in LNCaP-conditioned medium and that DHT also
stimulated IGFBP-3 messenger RNA (mRNA) and protein production, albeit
more modestly than vitamin D.
Positive regulation of IGFBP-3 in response to DHT has also been shown
in neonatal foreskin fibroblasts (31) and human immortalized
osteoblastic cells (32). By contrast, DHT has been reported to decrease
IGFBP-3 mRNA in LNCaP cells (33), and in PC-3 prostate carcinoma cells
transfected with a constitutively active androgen receptor (34). A
putative androgen response element has been identified in the DNA
sequence of the human IGFBP-3 gene promoter between nucleotides -1742
and -1725 (35); to date, however, binding and activation of this
sequence has not been reported. It may be significant that the studies
showing reduced IGFBP-3 expression, either in response to DHT or in
androgen receptor-activated cells, were carried out in the presence of
charcoal-stripped FCS, while positive regulation of IGFBP-3 occurs in
the absence of serum. This may indicate the involvement of
serum-derived factors in the regulation of IGFBP-3 by androgens.
A marked effect on IGFBP-3 production was apparent when cells were
treated either with a combination of vitamin D and DHT, or with DHT
after preincubation with vitamin D. Our data indicated that vitamin D
increased sensitivity to DHT, and are consistent with findings
from other studies demonstrating that androgen receptors are
up-regulated by vitamin D in LNCaP cells (25, 26). Zhao et
al. (36) showed that androgens and vitamin D synergistically
stimulate production of prostate-specific antigen (PSA) by LNCaP cells
and that the effects of vitamin D on PSA production are
androgen-dependent (36). Thus, it appears that although vitamin D is an
independent regulator of IGFBP-3, in androgen-responsive cells it may
also markedly increase IGFBP-3 production by enhancing the stimulatory
effect of DHT.
The predominant form of immunoreactive IGFBP-3 detected in
LNCaP-conditioned medium was the intact 43- to 45-kDa doublet; however,
significant amounts of smaller immunoreactive, non-IGF-binding IGFBP-3
fragments of 30 and 20 kDa were present in medium from vitamin D plus
DHT-treated cells. These fragments were detected in unacidified medium,
indicating that they did not derive from the cathepsin D-mediated
proteolysis of IGFBP-3 previously described in LNCaP cells (11). PSA,
which is secreted by LNCaP cells, has also been shown to degrade
IGFBP-3 (37), and its expression is increased in response to DHT and
vitamin D (25, 36). However, the IGFBP-3 fragments of 20 and 30 kDa
detected in the present study differ in size to those reported for
proteolysis of CHO-derived IGFBP-3 by PSAa major band of 25 kDa, with
minor species of 35 and 30 kDa (37)implying the activity of different
enzyme(s). In the androgen receptor-negative prostate carcinoma cell
line PC-3, a predominant IGFBP-3 fragment of 30 kDa generated by the
action of serine proteases was detected in conditioned medium from
untreated cells (12). We are now investigating whether the protease
secreted by LNCaP cells is that enzyme.
Other studies have shown that LNCaP cells exhibit a biphasic response
to androgens, with growth stimulation at low androgen concentration (1
nM), and growth inhibition at higher concentrations (38). A
similar bell-shaped growth curve in response to vitamin D in the
presence of DHT has also been shown in LNCaP cells (39). We also
observed growth stimulation in response to the combination of vitamin D
and DHT at concentrations (10 nM) previously reported to
inhibit cell proliferation (26, 36, 38). While the cause of this
discrepancy is not known, differential sensitivity to growth regulators
may indicate the emergence of variant sublines of the parental LNCaP
cells in different laboratories. Alternatively, it is possible that the
experimental conditions used in the different studies may give rise to
different results. Our studies were conducted in the absence of serum;
however, the earlier studies of Lee et al. (38) and
Zhao et al. (36) were carried out in the presence of
charcoal-stripped FCS, which might contain factors that alter
sensitivity to the growth-inhibitory effects of vitamin D and DHT.
Increased cell-associated IGFBP-3 in response to hormonal stimulation
has not previously been described, although it is well recognized that
IGFs can dissociate IGFBP-3 from the cell surface or extracellular
matrix. In human fibroblasts that secrete high levels of IGFBP-3, the
amount of cell-associated protein is not further increased by factors
that increase extracellular IGFBP-3, such as transforming growth
factor-ß1 (23). This may reflect saturation of
binding sites for IGFBP-3 on the cell or matrix (40). By contrast,
LNCaP cells secrete relatively little IGFBP-3 under serum-free
conditions, and we found that in addition to increasing secreted
IGFBP-3, the combination of DHT and vitamin D increased the amount of
IGFBP-3 associated with the cell monolayer. This suggests that in these
cells, an increase in IGFBP-3 expression may result in partitioning
between secreted and cell-bound forms.
Dose-dependent binding of exogenous IGFBP-3 to LNCaP monolayers was
also apparent in the absence and presence of DHT and vitamin D. When
added at a low concentration (10 ng/ml), exogenous IGFBP-3 bound better
in the presence of DHT and vitamin D than in their absence, suggesting
that DHT and vitamin D facilitate IGFBP-3 binding to the cell surface
or extracellular matrix. This effect was lost at high IGFBP-3
concentrations, however, implying that there are factors limiting the
extent to which this enhancement of cell- or matrix association can
occur. It is possible that hormones such as DHT and vitamin D modulate
the binding sites with which IGFBP-3 interacts, or extracellular
factors that regulate such interactions. Although IGFBP-3-binding
species of varying size have been demonstrated in cell lysates or
membrane preparations of some breast and prostate cancer cells (16, 41), their identity and signal transduction capability remain
unknown.
An important finding of the present study was that the
cell-proliferative effects of DHT and vitamin D in LNCaP cells are
partly mediated by IGFBP-3. Immunoneutralization of endogenous IGFBP-3
in DHT and vitamin D-treated cells resulted in decreased DNA synthesis,
although it was not reduced to basal levels even at high concentrations
of antibody. In support of a growth-stimulatory role for IGFBP-3 in
these cells, plasma-derived IGFBP-3 also increased DNA synthesis and
cell number. It was interesting to note that the concentration of
exogenous IGFBP-3 required to elicit a response was significantly more
than the
3 ng/ml increase in extracellular IGFBP-3 brought about by
DHT and vitamin D. Whether this is due to a difference in bioactivity
between plasma- and cell-derived IGFBP-3 is currently under
investigation.
Alternatively, it is possible that the amount of IGFBP-3 associated
with the cell or extracellular matrix, rather than the amount secreted,
is an important determinant of its ability to stimulate DNA synthesis.
In support of this, the magnitude of the change in
cell/matrix-associated IGFBP-3 induced by DHT plus vitamin D was
similar to that achieved by approximately 50 ng/ml exogenous IGFBP-3,
and both treatments resulted in a similar level of increase in DNA
synthesis. However, we also found that although IGF-I reduced the
amount of cell- or matrix-associated IGFBP-3, this was not accompanied
by a significant decrease in DNA synthesis, although a trend toward it
was observed. This would suggest that the degree of stimulation of DNA
synthesis by IGFBP-3 is not determined simply by how much IGFBP-3 is
associated with the cell or extracellular matrix.
It has also been suggested that proteolysis of IGFBP-3 and subsequent
release of IGFs from sequestration may be the mechanism involved in its
growth-stimulatory effect (12, 42): IGFBP-3 potentiation of IGF-I
action has been shown in fibroblasts (43, 44), MCF-7 breast cancer
cells (45), and an immortalized osteoblast cell line (32). We found
that IGFBP-3 proteolysis was increased in response to DHT plus vitamin
D, but as LNCaP cells do not secrete IGFs (46), and a stimulatory
effect of IGFBP-3 was seen in the absence of exogenous IGF-I or -II, an
IGF-receptor-mediated mechanism of action appears unlikely.
Furthermore, in our hands LNCaP cells were unresponsive to IGFs
regardless of the presence of DHT and/or vitamin D, which is in
contrast with the study of Iwamura et al. (46) who reported
increased responsiveness to exogenous IGF-I in the presence of DHT.
This discrepancy may provide further evidence of differences in the
LNCaP cell cultures under investigation in different laboratories.
In summary, we have shown that vitamin D and DHT regulate the
secretion, proteolysis, and cell- or matrix association of IGFBP-3 in
LNCaP cells, and that both endogenous and exogenous IGFBP-3 can
stimulate LNCaP DNA synthesis and cell proliferation. Defining the
mechanism of action of IGFBP-3 in these cells and understanding the
role of the different forms of IGFBP-3 in the regulation of normal and
cancer cell growth are crucial areas for future investigation.
 |
Footnotes
|
|---|
1 This work was supported by the National Health and Medical Research
Council of Australia (Project Grant 950199). Parts of this work were
presented in preliminary form at the 4th International Symposium on
Insulin-Like Growth Factors in Tokyo, Japan, October 2225,
1997. 
Received August 26, 1999.
 |
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978 - 987.
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