Endocrinology Vol. 141, No. 9 3104-3110
Copyright © 2000 by The Endocrine Society
Differential Regulation of Insulin-Like Growth Factor-Binding Protein-3 Protease Activity in MCF-7 Breast Cancer Cells by Estrogen and Transforming Growth Factor-ß11
Houta Salahifar,
Robert C. Baxter and
Janet L. Martin
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, 2065 New South Wales, Australia. E-mail:
janetlm{at}med.usyd.edu.au
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Abstract
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We have examined the regulation of an insulin-like growth
factor-binding protein-3 (IGFBP-3) protease secreted by MCF-7 human
breast cancer cells using a ligand-binding assay that relies on the
decrease in affinity for des(13)IGF-I that occurs when IGFBP-3
becomes proteolyzed. IGFBP-3 protease activity was not altered by
treatment of MCF-7 cells with all-trans-retinoic acid,
vitamin D, epidermal growth factor, platelet-derived growth factor,
insulin, or forskolin. However, estradiol was a potent stimulator of
IGFBP-3 protease activity, with a significant and maximal effect at 1
nM. This was prevented by cotreatment with tamoxifen, which
had no significant effect in the absence of estradiol. By contrast,
TGFß1 dose dependently inhibited the amount of protease activity
secreted by MCF-7 cells, with complete reversal of IGFBP-3 degradation
apparent in response to 10 ng/ml TGFß1. This study has demonstrated
that estrogens and TGFß1, factors that are stimulatory and
inhibitory, respectively, for MCF-7 cell growth, also stimulate and
inhibit the production of an enzyme capable of proteolyzing the growth
inhibitory protein IGFBP-3.
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Introduction
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INSULIN-LIKE growth factor I (IGF-I) and
IGF-II are potent mitogens for human breast cancer cells in
vitro (1), and the recent observation that a high circulating
level of IGF-I in premenopausal women correlates with increased risk of
the development of breast cancer (2) may have a link with a role for
this growth factor in the development of malignant breast disease.
The growth-promoting effects of IGFs are regulated by their high
affinity interaction with members of the family of IGF-binding proteins
(IGFBPs) (3). IGFBP-3, the predominant IGFBP in the circulation, is
also secreted by many breast cancer cells (4, 5) where it has the
potential to act as an autocrine/paracrine factor to inhibit (5) or
enhance (6) the proliferative effects of IGFs. Thus, the IGFs and their
regulatory IGFBPs may be significant in the development and progression
of breast cancer, where IGFs act as mitogens and promote the growth of
breast tumor cells, and IGFBPs regulate the impact of IGFs on tumor
growth.
IGFBP-3 is a glycosylated protein of 4345 kDa when intact; however,
proteolysis of IGFBP-3 in serum has been demonstrated in pregnancy and
a variety of pathological conditions, including postsurgical and
severely ill patients (7, 8), patients with malignancies (9), and
adults with noninsulin-dependent diabetes (10). The secretion of
IGFBP-degrading proteases by cells in vitro is also well
documented, with cathepsin D (11, 12), plasmin (13), and matrix
metalloproteases (14) each capable of causing IGFBP-3 proteolysis. The
fragments generated by enzymatic cleavage of IGFBP-3 frequently have
reduced affinity for IGFs (15), and this is thought to be the
explanation for altered responsiveness to IGFs in cells where IGFBP-3
proteolysis is modified (13). However, IGFBP-3 fragments may also have
bioactivity independent of their modulation of type 1 IGF receptor
activation (16, 17). IGFBP proteases therefore have the potential to
both increase the free IGF concentration and generate IGFBP-3 fragments
with intrinsic growth-promoting or -inhibiting activities.
We have previously shown that MCF-7 cells secrete an IGFBP-3 protease
with biochemical characteristics different from those of other known
IGFBP-3 proteases (18). In this study we describe a simple assay
developed for the quantitative measurement of IGFBP-3 proteolysis and
use it to examine the regulation of this protease activity in MCF-7
cells.
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Materials and Methods
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Materials
BSA, protein A, media for cell culture, glutamine, antibiotics,
bovine insulin, estradiol, tamoxifen, forskolin, insulin,
1,25-dihydroxyvitamin D3, and
all-trans-retinoic acid were purchased from
Sigma (St. Louis. MO). Trypsin-EDTA solution was obtained
from Flow Laboratories (North Ryde, Australia), and FCS was purchased
from Trace Biosciences (North Ryde, Australia). Epidermal growth factor
(EGF), platelet-derived growth factor (PDGF), and transforming growth
factor-ß1 (TGFß1) were purchased from Austral Biologicals (San
Ramon, CA). Des(1, 2, 3)IGF-I was purchased from GroPep Pty. Ltd. (Adelaide, South Australia). Nonidet P-40 was a product of
Fluka Chemical Co. (Basel, Switzerland). Recombinant human
IGF-I was donated by Kabi Peptide Hormones (Stockholm, Sweden) and
Genentech, Inc. (South San Francisco, CA).
[Methyl-3H]thymidine was
obtained from ICN Biomedical Corp. (Seven Hills,
Australia). IGF-I, des(1, 2, 3)IGF-I, and protein A were radioiodinated
with Na125I using chloramine-T. Molecular weight
markers and electrophoresis equipment and materials were purchased from
Pharmacia Biotech (Uppsala, Sweden) and Bio-Rad Laboratories, Inc. (Australia), and Hyperfilm-MP
autoradiography film was purchased from Amersham Pharmacia Biotech (Aylesbury, U.K.). All other reagents were of analytical
grade.
Cell culture and stimulation experiments
MCF-7 breast adenocarcinoma cells were obtained from
American Type Culture Collection (Manassas, VA) and were
maintained in RPMI buffered at pH 7.4 with 15 mM HEPES and
containing 10% FCS, 4 mM glutamine, and 10 mg/liter bovine
insulin. For stimulation experiments, cells were seeded into 24-well
plates or 25-cm2 flasks at approximately 5
x 104 cells/cm2 in growth
medium and grown to confluence. Media were replaced by phenol red-free
RPMI containing 1 g/liter BSA for 24 h before the addition of test
substances. Peptides, steroids, and growth factors were added to cells
in phenol red- and serum-free medium (0.5 ml/well or 10 ml/flask),
cultures were incubated for a further 48 h, then media were
collected and prepared for analysis of IGFBP-3 protease activity. Cell
numbers were determined on trypsin-dispersed cultures using a
hemocytometer.
Preparation of conditioned media and IGFBP-3 digests
Conditioned media were equilibrated with sodium acetate buffer
at pH 5.5 using a Centricon 10 ultrafiltration unit (Amicon, Danvers,
MA) as follows. Medium (25 ml) was concentrated 50-fold by
centrifugation in the Centricon 10, then flushed with 5 vol 0.1
M sodium acetate buffer, pH 5.5. The final concentrate was
readjusted to starting volume in this buffer. Protease activity in
these samples was assessed by incubating plasma-derived IGFBP-3 (100
ng) with 100 µl prepared medium at 37 C for 24 h at pH 5.5.
Proteolysis of IGFBP-3 was monitored by immunoblot after SDS-PAGE or by
ligand binding assay as described below.
Ligand binding assay
A decrease in binding of IGFBP-3 to
[125I]des(1, 2, 3)IGF-I was used to assay IGFBP-3
proteolysis. This truncated IGF-I tracer was used because it retains
considerable affinity for IGFBP-3, but not for other IGFBPs (19).
IGFBP-3 digests prepared as described above were serially diluted in
binding assay buffer (50 mM sodium phosphate, 0.25% BSA,
and 0.02% sodium azide, pH 6.5) to give final IGFBP-3 concentrations
of 0.120 ng/50 µl, then incubated with
[125I]des(1, 2, 3)IGF-I (10,000 cpm) for 16 h
at 22 C in a final assay volume of 300 µl. IGFBP-3-bound tracer was
precipitated by the addition of anti-IGFBP-3 antibody (R100, 0.5 µl)
in 25 µl binding buffer containing 0.1 M sodium
phosphate, 0.2 g/liter sodium azide, and 2.5 g/liter BSA. After 1
h at 22 C, complexes were precipitated by the addition of goat
antirabbit
-globulin (2.5 µl) and 1 ml cold 60 g/liter
polyethylene glycol 6000 in 0.15 M NaCl and centrifugation
for 20 min at 4,000 rpm. Supernatants were decanted, and pellets were
counted for 2 min.
SDS-PAGE and Western blotting
Electrophoresis and Western blotting of proteolyzed IGFBP-3 were
carried out as previously described (5), using 12% SDS-polyacrylamide
gels. Separated proteins were transferred to a Hybond C membrane, then
membranes were blocked in Tris-buffered saline (TBS; 10 mM
Tris and 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 a 1:5,000 final dilution. Membranes were then rinsed briefly in TBS
containing 0.5 ml/liter Nonidet P-40, and incubated for an additional
2 h with [125I]protein A (1 x
106 cpm/50 ml in blocking buffer). Blots were
washed three times for 10 min each time in TBS containing 0.5 ml/liter
Nonidet P-40, then air-dried and autoradiographed for 4 days at -70
C.
Data analysis
Data analysis was performed using the StatView statistical
package (SAS Institute, Inc., Cary, NC), and statistical
significance, taken as P < 0.05, was determined by
ANOVA followed by Fishers protected least significant differences
(Fishers PLSD).
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Results
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We initially examined the effect of hormones and growth factors
that have been implicated in regulating breast cancer cell
proliferation on the activity of the MCF-7 cell-derived IGFBP-3
protease. Cells were treated for 48 h with effectors, then
conditioned media were used to digest IGFBP-3 at pH 5.5, as described
in Materials and Methods. Samples were analyzed by
immunoblot after SDS-PAGE.
As previously reported (18), proteolysis of IGFBP-3 by untreated
(control) conditioned medium was characterized by a marked decrease in
the 43- to 45-kDa IGFBP-3 doublet and the appearance of an
immunoreactive species of 21 kDa (Fig. 1
, lane 2). An increase in the amount of protease activity was apparent in
medium conditioned in the presence of estradiol (10 nM),
with the 43- to 45-kDa IGFBP-3 doublet undetectable in these samples
(Fig. 1
, lane 12). By contrast, IGFBP-3 protease activity in medium
from cells treated with TGFß1 (10 ng/ml) was markedly decreased
compared with that in controls, with the intact 43- to 45-kDa IGFBP-3
predominating and the 21-kDa band reduced in intensity. Of the
remaining test agents, vitamin D, the antiestrogen tamoxifen, and
insulin caused a modest reduction in protease activity (Fig. 1
).

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Figure 1. IGFBP-3 protease activity in MCF-7-cell
conditioned medium. MCF-7 cells were treated for 48 h with no
addition (lane 2), 100 nM all-trans-retinoic
acid (lane 3), EGF (10 ng/ml) plus PDGF (10 ng/ml; lane 4), 10
nM 1,25-dihydroxyvitamin D (lane 5), 10 ng/ml TGFß1 (lane
6), 10 µg/ml bovine insulin (lane 7), 100 nM tamoxifen
(lane 8), 0.5 µM forskolin (lane 9), 10 ng/ml EGF (lane
10), 10 ng/ml PDGF (lane 11), or 10 nM estradiol (lane 12).
Conditioned media (100 µl) were used to digest IGFBP-3 (100 ng) as
described in Materials and Methods, then IGFBP-3
proteolysis was analyzed by SDS-PAGE and immunoblot using IGFBP-3
antiserum. IGFBP-3 incubated with unconditioned medium is shown in lane
1. The migration position of molecular mass markers is indicated on the
left of the figure.
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To examine the regulation of MCF-7-derived protease in detail, we
considered it necessary to develop a more quantitative measure of
IGFBP-3 proteolysis. We had previously shown that the 21-kDa fragment
generated by the action of this protease did not bind IGFs by ligand
blot (18); therefore, we investigated whether an assay that measured a
change in ligand binding in solution could be developed to quantify
proteolysis of IGFBP-3.
IGFBP-3 was digested with conditioned media at pH 5.5, then ligand
binding was carried out on serially diluted samples as described in
Materials and Methods. These experiments were initially
carried out using [125I]IGF-I as ligand;
however, cell-derived IGFBPs present in the media were found to
interfere in the binding assay by competing for ligand (data not
shown). We therefore proceeded to optimize the assay using
[125I]des(1, 2, 3)IGF-I as ligand. Binding of this
analog to IGFBP-3 occurs with approximately one third to one fifth the
activity of full-length IGF-I, whereas binding to other IGFBPs is much
more markedly reduced (19).
To compare the abilities of intact and proteolyzed IGFBP-3 to bind
des(1, 2, 3)IGF-I tracer, IGFBP-3 was incubated with 0, 25, or 50 µl
MCF-7 conditioned medium for 16 h at pH 5.5, then
[125I]des(1, 2, 3)IGF-I binding to samples was
analyzed. Under our normal ligand binding assay incubation conditions
of 2 h at 22 C, the 5-fold decrease in affinity of IGFBP-3 for
des(1, 2, 3)IGF-I caused a reduction in binary complex formation to almost
undetectable levels (data not shown); however, this was overcome by
increasing the time of incubation to 16 h. Under these conditions,
dose-dependent binding of tracer was observed when IGFBP-3 was
incubated in the absence of conditioned medium, with approximately 50%
of tracer bound at 10 ng/tube IGFBP-3 (Fig. 2A
). IGFBP-3 incubated with 25 µl MCF-7
conditioned medium showed that binding activity decreased by two
thirds, whereas binding was completely abolished after incubation with
50 µl conditioned medium.
We had previously shown by immunoblotting that IGFBP-3 protease
activity was inhibited by the protease inhibitors EDTA and leupeptin
(18). To confirm this in the solution assay, we measured binding of
des(1, 2, 3)IGF-I to 5 ng IGFBP-3 in samples incubated with conditioned
medium in the presence of either leupeptin (250 mM) or EDTA
(25 mM). As shown in Fig. 2B
, [125I]des(1, 2, 3)IGF-I tracer binding to IGFBP-3
decreased with increasing volumes of MCF-7 conditioned medium in the
absence of inhibitors, reflecting proteolysis of IGFBP-3. Inclusion of
EDTA or leupeptin during IGFBP-3 digestion prevented this loss of
binding activity, with the binding curves superimposable on those in
which IGFBP-3 was incubated with either unconditioned medium or
conditioned medium at pH 7 (Fig. 2B
). The samples analyzed by ligand
binding assay shown in Fig. 2A
were reanalyzed by ligand blot. Figure 2C
shows decreased 43- to 45-kDa IGFBP-3 after incubation with 25 and
50 µl medium, indicating that a decrease in the amount of intact
IGFBP-3 in these samples parallels a decrease in
[125I]des(1, 2, 3)IGF-I binding.
Using this assay we reassessed IGFBP-3 protease activity in the samples
originally analyzed by immunoblotting shown in Fig. 1
. With the
exception of those from estradiol- or TGFß1-treated cells, none had
significantly altered IGFBP-3 protease activity compared with
untreated samples when examined by ligand binding assay (data not
shown). However, treatment with 10 nM estradiol resulted in
stimulation of proteolysis so that
[125I]des(1, 2, 3)IGF-I binding to IGFBP-3 was
reduced from 12.5% in the untreated medium sample to about 6% by
medium from estradiol-treated cells (Fig. 3
). By contrast with this, medium from
cells treated with 5 ng/ml TGFß1 showed a 70% inhibition of the loss
of des(1, 2, 3)IGF-I binding activity compared with control medium (Fig. 3
), confirming the earlier finding of reduced protease activity
obtained by immunoblot. In view of the effects of estradiol and TGFß1
on IGFBP-3 protease activity, we then focused on further
characterization of its regulation by these agents.

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Figure 3. IGFBP-3 protease activity in MCF-7-cell
conditioned medium measured by binding of
[125I]des(1 2 3 )IGF-I. The untreated (ctl),
estradiol-treated (E2), and TGFß1-treated (TGFß1)
samples analyzed by immunoblot in Fig. 1 were reassayed for
[125I]des(1 2 3 )IGF-I binding using 5 ng IGFBP-3 from each
digest. Binding of unproteolyzed IGFBP-3 is indicated in lane 1.
Results are expressed as the mean ± SD of pooled data
from two experiments, with each sample analyzed in duplicate.
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Regulation of IGFBP-3 protease activity by estradiol
When IGFBP-3 was digested with 5 µl medium from 10
nM estradiol-treated cells, a more than 50% reduction in
[125I]des(1, 2, 3)IGF-I binding was apparent
compared with that using medium from untreated cells, reflecting an
increase in IGFBP-3 proteolysis (Fig. 4A
). When cells were treated with graded
concentrations of estradiol, a significant increase in protease
activity was apparent with 1 nM estradiol, and 10
nM estradiol reduced
[125I]des(1, 2, 3)IGF-I binding to approximately
50% of the control value (P < 0.001). There was no
significant difference in [125I]des(1, 2, 3)IGF-I
binding between the 1 and 10 nM samples. To
confirm that the observed increase in protease activity did not reflect
increased cell number over the 48-h incubation, cell numbers were
determined at the end of the conditioning period. There was no
significant difference in cell number between control and
estradiol-treated cultures (29.9 ± 3.7 x
105 cells/flask for control and 32.1 ±
2.5 x 105 cells/flask for 10
nM estradiol, mean ±
SE of three flasks for each; P =
0.56).
Our original study describing this protease indicated that its activity
was inhibited by [LR3]IGF-I (18), an IGF-I
analog with extremely low affinity for IGFBP-3. To confirm that the
estradiol-stimulated IGFBP-3 protease activity represented the same
protease, we tested the effect of [LR3]IGF-I on
estradiol-stimulated IGFBP-3 protease activity. Conditioned medium from
estradiol-stimulated cells was incubated with 50 ng IGFBP-3 in the
presence or absence of [LR3]IGF-I at 37 C and
pH 5.5 for 16 h. SDS-PAGE and immunoblot analysis of these digests
confirmed that [LR3]IGF-I blocked the
proteolysis of IGFBP-3 by estradiol-treated conditioned medium (data
not shown).
We then examined the effects of the antiestrogenic compound tamoxifen.
Protease activity in medium conditioned by MCF-7 cells treated with
estradiol, tamoxifen, or a combination of the two agents was determined
by immunoblot and ligand binding assay. As shown by the IGFBP-3
immunoblot in Fig. 5A
, the dose-dependent
disappearance of the 43- to 45-kDa IGFBP-3 doublet was accompanied by
the appearance of the 21-kDa fragment for both the control (untreated)
and estradiol-treated samples. Almost complete disappearance of the 43-
to 45-kDa IGFBP-3 was observed with 50 µl untreated medium, but only
10 µl estradiol-treated medium were required for the same degree of
proteolysis. This suggested an approximately 5-fold increase in
protease activity in medium from estradiol-treated cells and confirmed
the results obtained by ligand binding assay. Treatment with both
tamoxifen and estradiol produced the same pattern of proteolysis as
that for control conditioned medium, indicating greatly reduced IGFBP-3
protease activity and inhibition of the stimulatory effect of estradiol
(Fig. 5A
).

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Figure 5. Effects of tamoxifen on estradiol-stimulated
protease activity. A, IGFBP-3 (50 ng) was proteolyzed by the indicated
volume of conditioned medium from untreated cells, cells treated with
10 nM estradiol, or cells treated with 10 nM
estradiol plus 100 nM tamoxifen. IGFBP-3 proteolysis was
assessed by SDS-PAGE and IGFBP-3 immunoblot, as described in
Materials and Methods. The migration positions of
molecular mass markers are indicated on the left. B,
[125I]des(1 2 3 )IGF-I binding to IGFBP-3 (2.5 ng) digested
by medium from untreated cells or those treated as indicated was
determined. Binding of intact IGFBP-3 (i.e. IGFBP-3
incubated with unconditioned medium) is indicated as 100% (Ctl).
Results are expressed as the mean ± SEM of pooled
data from three experiments carried out in duplicate. Statistical
significance, determined by ANOVA and Fishers PLSD, is shown (**,
P < 0.005 compared with untreated).
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When these samples were analyzed by ligand binding assay, tamoxifen
(100 nM) did not significantly affect IGFBP-3 protease
activity in the absence of estradiol (Fig. 5B
). However, coincubation
of cells with tamoxifen (100 nM) and estradiol (10
nM) led to inhibition of the stimulatory effect of
estradiol on IGFBP-3 protease activity (P < 0.005
compared with estradiol alone).
Regulation of IGFBP-3 protease activity by TGFß1
We next examined the regulation of the protease activity by
TGFß1. As shown in Fig. 6A
, when
IGFBP-3 was incubated with medium from cells treated with TGFß1, the
loss of IGF-binding activity was markedly reduced compared with that
using medium from untreated cells, indicating a decrease in protease
activity in this medium. Immunoblot analysis, as illustrated in Fig. 6B
, indicated that the disappearance of the 43- to 45-kDa IGFBP-3
doublet was inhibited up to the highest volume of medium from
TGFß1-treated cells, indicating very little residual protease
activity in these samples (compare with Fig. 5A
, left
panel). The presence of some 21-kDa material was still apparent.
IGFBP-3 proteolysis decreased in a dose-dependent manner with
increasing concentrations of TGFß1, and complete inhibition of
protease activity was apparent in medium from cells treated with 10
ng/ml TGFß1 (Fig. 7
). Over the 48-h
incubation period, there was no significant change in cell number in
response to TGFß1 (39.5 ± 4.3 x 105
cells/flask for control and 33.9 ± 1.4 x
105 cells/flask for 10 ng/ml TGFß1; mean
± SE of three flasks for each; P
= 0.16). Proteolysis of IGFBP-3 by medium from untreated MCF-7 cells
was unchanged by the inclusion of 5 ng/ml TGFß1 in the protease
incubation mixture (data not shown), suggesting that the mechanism of
action of TGFß1 involved inhibition of protease production at the
cellular level, rather than direct interaction with either
IGFBP-3 or the protease.

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Figure 6. Inhibition of IGFBP-3 protease activity by
TGFß1. A, Intact IGFBP-3 (50 ng) was incubated with unconditioned
medium ( ) or with 50 µl medium from untreated cells () or cells
treated with 10 ng/ml TGFß1 (). The indicated concentrations of
IGFBP-3 from each sample were then assayed for
[125I]des(1 2 3 )IGF-I binding. Results are shown as the
mean of pooled data from two experiments conducted in duplicate and
represent specific binding of tracer. B, IGFBP-3 (50 ng) was digested
with the indicated volume of medium from cells treated with 5 ng/ml
TGFß1, and IGFBP-3 proteolysis was analyzed by the IGFBP-3
immunoblot. The migration positions of molecular mass markers are
indicated on the left.
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Figure 7. Dose-response curve of TGFß1 inhibition of
IGFBP-3 protease activity. MCF-7 cells were treated with TGFß1 at the
indicated concentrations, then 50 ng IGFBP-3 were digested with 50 µl
of each conditioned medium. [125I]Des(1 2 3 )IGF-I binding
was measured using 5 ng IGFBP-3 from each digest. Results are shown as
the mean ± SEM of pooled data from three
determinations carried out in duplicate. The dotted line
indicates the equivalent binding of intact IGFBP-3. **,
P < 0.005 compared with untreated.
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Discussion
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We have previously reported that proteolytic degradation of
IGFBP-3 by an enzyme in MCF-7 conditioned medium results in the
generation of fragments that fail to bind IGFs on ligand blots (18). In
this study we have described a simple assay for the quantitation of
IGFBP-3 proteolysis based on the decrease in IGFBP-3s affinity for
IGF-I that occurs when it is proteolyzed; increased protease
activity results in a decreased proportion of intact IGFBP-3, and
therefore decreased ligand binding. The level of IGFBP-3 protease
activity in a given volume of sample is inversely related to the
percentage of IGF tracer bound. Thus, if IGFBP-3 proteolysis is
inhibited, for example by EDTA or leupeptin (18), the decrease in IGF
tracer binding is reduced or abolished.
We were unable to use radiolabeled IGF-I in this assay due to
competition by other IGFBPs in the cell-conditioned medium for ligand.
In medium from MCF-7 cells, IGFBP-2 probably has the largest influence
(4), because although IGFBP-6 is also secreted by this cell line (5),
it binds IGF-I with lower affinity than either IGFBP-2 or IGFBP-3 (15)
and would be less likely to have a significant effect. By using
[125I]des (1, 2, 3)IGF-I in the ligand binding
assay, this interference was overcome. The three amino-terminal
residues of IGF-I are crucial for IGF-I binding to IGFBP-1 and IGFBP-2,
but are of relatively minor importance in binding to IGFBP-3; therefore
the affinity of this IGF analog for IGFBP-3 is reduced only about
5-fold (19).
This ligand binding assay was used in combination with the more
conventional technique involving SDS-PAGE and immunoblot to examine
regulation of IGFBP-3 protease activity secreted by MCF-7 breast cancer
cells. A range of known growth regulators of breast cancer cells were
investigated, including all-trans-retinoic acid, vitamin D,
steroids, and peptide growth factors such as insulin, EGF, and PDGF. Of
those investigated, two well recognized modulators of cancer cell
proliferation (estradiol and TGFß) were found to modify the activity
of this protease in opposite ways.
Estradiol had a significant and maximal stimulatory effect on protease
activity when used in cells at 110 nM, concentrations
previously shown to stimulate the synthesis of many proteins including
IGFBPs (5, 20) and the proliferation of MCF-7 breast cancer cells
(21, 22, 23, 24). However, increased protease activity was apparent within
48 h of addition of steroid, and the cell-proliferative effects of
estradiol are not apparent until 46 days after its addition (21, 22),
suggesting that the observed increase in IGFBP-3-protease activity was
not a function of increased cell number.
Estradiol also stimulates the activity of cathepsin D, a lysosomal
enzyme overexpressed in primary breast tumors and associated with
increased risk of metastasis (25). Cathepsin D secreted by MCF-7 cells
also shows protease activity against IGFBP-3 (11); however, its
activity is optimum at pH 3, whereas the protease under investigation
in the present study shows maximal activity at pH 5.5 (18). This
suggests that estradiol may modulate the actions of a number of IGFBP
proteases secreted by breast cancer cells.
Tamoxifen blocked the stimulatory effect of estradiol on IGFBP-3
protease activity in cell-conditioned medium. In the absence of
estrogenic stimulation, antiestrogens may attenuate the actions of a
number of growth factors, including IGF-I (26), suggesting that these
agents can actively reduce growth inhibitory signals, rather than
merely block estrogen-stimulated proliferation. However, we found no
change in IGFBP-3 protease activity after treatment of cells with
tamoxifen alone, indicating that its inhibition of the stimulatory
effect of estradiol was via blocking estradiol action only.
Although a role for TGFß1 has been described in carcinogenesis and
stimulation or inhibition of malignant cell proliferation (27, 28), the
effect of TGFß1 on regulation of proteolysis has not been addressed
extensively. The concentration of TGFß1 required for inhibition of
IGFBP-3 protease activity (110 ng/ml) is similar to that required for
inhibition of MCF-7 cell growth (29, 30). As with estradiol, however,
the effects on cell number and protease activity were temporally
discordant, with the decrease in protease activity in response to
TGFß1 occurring before a decrease in cell number was apparent.
Therefore, reduced protease activity cannot be explained by decreased
cell number.
The mechanism by which TGFß1 inhibits IGFBP-3 protease activity is
not yet known, and although a direct effect on the expression of the
protease and/or its regulatory proteins (such as activators or
inhibitors) is likely, other possibilities should also be considered.
We have previously shown that IGF-I inhibits the MCF-7-derived IGFBP-3
protease activity in a cell-free system, suggesting a
nonreceptor-mediated effect (18). This was found not to be the case for
TGFß1, however, as it did not inhibit protease activity when added to
IGFBP-3 digests containing medium from untreated cells. It is also
possible that because TGFß1 stimulates IGFBP-3 production in some
cells (31, 32), saturation of protease by endogenous substrate could
result in an apparent loss of protease activity. However, the amount of
IGFBP-3 secreted by MCF-7 cells is low (5), and the magnitude of the
increase in response to TGFß1 is insufficient to affect protease
availability.
The IGFBP-3 protease described in the present study has a pH optimum
in vitro of 5.5 (18), raising the question of its activity
in vivo where such acidic microenvironments are generally
found only in endosomes and lysosomes. However, a pH of 5.5 has been
demonstrated in some human tumors (33), implying that an environment
conducive to the activation of this IGFBP-3 protease is possible
in vivo. Although it is still not clear how such a low pH
may be achieved, it has been suggested that localized acidic pH at the
cell surface may be due to increased release of
H+ from cell membrane proteins or
H+ adenosine triphosphatase (34, 35), or an
increase in the sialic acid content of oligosaccharide chains of cancer
cells (36). Activation of cathepsin D to enable it to degrade the
extracellular matrix of MCF-7 cells has been suggested to involve such
acidic microenvironments (37).
In breast cancer, a significant increase in the level of secreted
proteases has been correlated with increased disease recurrence, more
frequent metastasis, and increased mortality in breast cancer patients
(38, 39). This study has demonstrated that estrogens and TGFß1,
factors that are stimulatory and inhibitory, respectively, for MCF-7
cell growth, also stimulate or inhibit the production of an enzyme
capable of proteolyzing the growth inhibitory protein IGFBP-3. An
important and ongoing study to identify this protease will provide
further insight into both its significance in breast cancer cell
biology, and the role of IGFBP-3 in the development and progression of
malignant breast disease.
 |
Footnotes
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1 This work was supported by the National Health and Medical Research
Council of Australia (Grant 950199) and the University of Sydney
Medical Foundation. 
Received February 3, 2000.
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