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Endocrinology Vol. 141, No. 7 2401-2409
Copyright © 2000 by The Endocrine Society


ARTICLES

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


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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 6–7 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 1–4 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 {gamma}-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 2–3 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 Fisher’s protected least significant difference test using the StatView program for Macintosh (SAS Institute, Inc., Cary, NC); differences were considered significant where P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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. 1Go). 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 43–45 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.

 
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. 2Go, 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. 2CGo). 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. 2DGo).



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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 Fisher’s PLSD is shown as: a, P < 0.01 compared with control; b, P < 0.05 compared with vitamin D.

 
Immunoblot analysis of 4 day-conditioned media confirmed the increase in 43–45 kDa IGFBP-3 in response to vitamin D, with and without DHT (Fig. 3Go). 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.

 
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. 4AGo) 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. 4BGo), 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. 4CGo) 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. 4CGo, 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. 4CGo, 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.

 
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. 5Go, 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.

 
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. 6AGo, 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. 6AGo). 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.

 
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. 6BGo) 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. 6BGo). 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. 6BGo; 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 1Go, 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 1Go). 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 1Go, P < 0.0001). Although neither IGF-I nor [LR3]IGF-I significantly affected the response to vitamin D plus DHT (Table 1Go), 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 1Go).


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Table 1. Effect of IGF-I and [LR3]IGF-I on DNA synthesis in LNCaP cells

 
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. 7AGo). 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 Fisher’s 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 1–6) or IGFBP-3 (lanes 7–10).

 
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. 7BGo, cell-derived IGFBP-2 was not depleted from conditioned medium (either untreated or DHT + vitamin D-treated) by IGFBP-3 antiserum (Fig. 7BGo, lanes 1–4); similarly, pure IGFBP-2 could not be precipitated by this antibody (Fig. 7BGo, lanes 5 and 6). Under these conditions, significant depletion of cell-derived IGFBP-3 from medium of DHT + vitamin D-treated cells (Fig. 7BGo, 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. 8AGo, 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. 8BGo, 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
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The antiproliferative effect of a number of agents—including transforming growth factor-ß, vitamin D, and steroid antagonists—correlates 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 PSA—a 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 22–25, 1997. Back

Received August 26, 1999.


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 Introduction
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 Results
 Discussion
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