Endocrinology Vol. 142, No. 1 21-27
Copyright © 2001 by The Endocrine Society
Transcriptional Regulation of Insulin-Like Growth Factor-I Receptor Gene Expression in Prostate Cancer Cells1
Susan E. Damon,
Stephen R. Plymate,
Julie M. Carroll,
Cynthia C. Sprenger,
Chevaboon Dechsukhum,
Joy L. Ware and
Charles T. Roberts, Jr.
Geriatric Research Education and Clinical Center, Veterans
Administration Puget Sound Health Care System (S.E.D., C.C.S.,
S.R.P.), Tacoma, Washington 98493; Department of Medicine, University
of Washington (S.E.D., S.R.P.), Seattle, Washington 98195; Department
of Pathology, Medical College of Virginia/Virginia Commonwealth
University (C.D., J.L.W.), Richmond, Virginia 23298; and Department of
Pediatrics, Oregon Health Sciences University (J.M.C., C.T.R.),
Portland, Oregon 97201
Address all correspondence and requests for reprints to: Dr. Charles T. Roberts, Department of Pediatrics (NRC-5), Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, Oregon 97201. E-mail: robertsc{at}ohsu.edu
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Abstract
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A marked decrease in the type 1 insulin-like growth factor (IGF)
receptor (IGF-IR) occurs in prostate epithelial cells during
transformation from the benign to the metastatic state. One of the
principal regulators of IGF-IR gene expression, the WT1 tumor
suppressor, is expressed in prostate cancer and in prostate cancer cell
lines. The purpose of this study was to determine whether the decrease
in IGF-IR expression was transcriptionally regulated, and whether WT1
action may be involved in the repression of the IGF-IR gene in prostate
cancer cells. The P69 cell line was derived by immortalization of human
primary prostate epithelial cells with simian virus-40 T antigen and is
rarely tumorigenic. The M12 line was derived from the P69 line by
selection for tumor formation in nude mice and is tumorigeneic and
metastatic. P69 cells express 20,000 IGF-IR/cell, whereas M12 cells
express 3,500 IGF-IR/cell. These differences in receptor number are
reflected in proportional differences in IGF-IR mRNA levels. To assess
IGF-IR promoter activity in these cell lines, each was transiently
transfected with luciferase reporter vectors containing the IGF-IR gene
transcription start site and 476 bp of 5'-flanking sequence, 640 bp of
5'-untranslated region sequence, or both regions. The promoter activity
of the full-length construct was 50% lower (P <
0.01) in M12 cells compared with P69 cells, the activity of the
5'-flanking region construct was 53% lower (P <
0.0001), and that of the 5'-untranslated region construct was 36%
lower (P = 0.01). P69 clones stably transfected
with a WT1 expression vector exhibited decreased expression of the
endogenous IGF-IR gene and decreased promoter activity in transient
transfection assays with IGF-IR promoter constructs containing multiple
WT1 binding sites. The observed reduction in endogenous IGF-IR
expression was sufficient to inhibit IGF-I-stimulated cell
proliferation. These data suggest that most of the decreased expression
of the IGF-IR seen in malignant prostate epithelium is the result of
transcriptional repression of the IGF-IR gene, and that this repression
may be due in part to the increased expression of the WT1 tumor
suppressor in metastatic prostate cancer.
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Introduction
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THE INSULIN-LIKE growth factor (IGF)
receptor (IGF-IR) mediates the mitogenic, transforming,
differentiating, and antiapoptotic effects of the IGF ligands, IGF-I
and IGF-II (1, 2, 3). Transformation of the prostate
epithelium is a multistep process that is initially IGF-IR dependent,
but as tumorigenicity increases and the cancer becomes androgen
independent and metastatic, IGF-IR expression decreases
(4, 5, 6). Despite this reduction in IGF-IR as prostate
epithelial cells (PEC) become more aggressive, the IGF-IR appears to
continue to play a role in tumor growth. The use of IGF-IR antisense or
dominant negative mutants that further reduce IGF-IR activity in
prostate cancer cells results in decreased tumor invasiveness in
vitro and decreased tumor formation in nude mice (7, 8). These data indicate that although markedly decreased in
number, the IGF-IR retains its antiapoptotic and proliferative
functions and contributes to the maintenance of the malignant
phenotype.
The P69SV40T series of PEC has been previously described with respect
to tumor formation and the IGF system (9, 10, 11). The
parental P69 cell line is poorly tumorigenic and not metastatic,
whereas the M12 subline is greater than 90% tumorigenic and is
metastatic (11). P69 cells express levels of IGF-IR
similar to those seen in primary PEC. IGF-IR expression decreases
significantly in the metastatic M12 subline, as has been reported in
human metastatic prostate cancer and in murine prostate cancer models
(5, 6, 10). The P69/M12 cell system thus represents an
appropriate model in which to study the role and the regulation of the
IGF-IR in the progression of prostate cancer.
When the IGF-IR is reexpressed in the malignant, metastatic M12 cell
line to levels found in the benign parental P69 cell line, there is a
concomitant decrease in tumor growth and metastasis in vivo,
decreased growth in soft agar, and an increased sensitivity to
apoptosis in vitro (12, 13). These data suggest
that normal IGF-IR levels are necessary to maintain a less aggressive
phenotype, and that altered responsiveness to IGF-I is alone sufficient
to modulate the malignant phenotype.
The observation that both IGF-IR mRNA and protein decrease
significantly in the transition from benign to malignant human prostate
epithelium in vivo and in vitro is consistent
with the idea that this decrease is due to transcriptional regulation
(4). The transcription of the IGF-IR gene is controlled by
various factors, including Sp1 (14), p53 (15, 16), and WT1 (17, 18, 19, 20). The WT1 gene is located at
11p13 and encodes a DNA-binding protein with four
C2-H2 zinc finger domains
(21, 22). Multiple versions of the WT1 protein are
generated as a result of alternative splicing, RNA editing, and
alternative translation initiation codons (23, 24, 25). WT1
variants produced as a result of the alternative splicing of exon 9 are
designated WT1(+KTS) or WT1(-KTS) depending on the presence or absence
of a three-amino acid (Lys, Thr, Ser) insert between zinc fingers 3 and
4. The WT1 proteins arising from these transcripts appear to have
altered specificity for DNA binding and may regulate transcription in
different ways (26, 27, 28). The WT1 gene product belongs to
the early growth response family (29) and represses
the transcription of several growth factor and growth factor receptor
genes, including the IGF-IR (17, 18, 19, 20, 30). The IGF-IR
promoter contains 12 WT1 DNA-binding sites (18) in the
proximal 5'-flanking and 5'-untranslated regions (5'-UTRs; Fig. 1
) that contribute in an additive manner
to WT1 repression of IGF-IR promoter activity.

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Figure 1. Schematic representation of the IGF-IR proximal
promoter region, exon 1, and the sequences incorporated into the
luciferase reporter constructs used in transient transfection assays.
Arrows depict the location and orientation of
WT1-binding sites (consensus; 5'-GXGGGGGXG-3') as defined by gel shift
and deoxyribonuclease I footprinting analyses (18 ). INR, The initiator
motif directing specific transcription initiation from this TATA-less
promoter.
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There is mounting evidence that suggests WT1 may play an important role
in prostate pathophysiology. We have previously demonstrated that WT1
expression is decreased, whereas IGF-IR and IGF-II expression is
increased, in stromal cells from patients with benign prostatic
hyperplasia (31). Ng et al. reported that WT1
protein increases commensurate with the Gleason score in archival
prostate needle biopsy specimens (32). Finally, WT1
message levels increase dramatically in several malignant, metastatic
PEC lines and human prostate carcinomas compared with either human
benign prostate epithelium or nonmetastatic prostate cell lines, and
the proportion of WT1(+KTS) vs. WT1(-KTS) transcription
splice variants varies between nonmetastatic (1:1) and metastatic (2:1)
prostate cancer cell lines (33).
In this study we have examined the level at which IGF-IR expression is
regulated in metastatic and nonmetastatic prostate cancer cells and the
potential contribution of WT1 to this regulation. We measured IGF-IR
promoter activity in the benign P69 cell line (which expresses high
levels of IGF-IR) and the malignant, metastatic M12 subline (which
expresses low levels of IGF-IR) using IGF-IR promoter fragments to
drive the expression of a firefly luciferase reporter gene. We also
analyzed IGF-IR promoter activity and IGF-I-stimulated cell
proliferation in stably transfected P69 cells overexpressing WT1(+KTS)
to determine whether an increase in WT1 expression could influence
IGF-IR expression and IGF responsiveness.
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Materials and Methods
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Materials
RPMI 1640, epidermal growth factor (EGF), and dexamethasone were
purchased from Sigma (St. Louis, MO). Gentamycin,
fungizone, and geneticin (G418) were obtained from Life Technologies, Inc. (Grand Island, NY). FBS was purchased from
HyClone Laboratories, Inc. (Logan, UT). Insulin,
transferrin, and selenium were purchased as the additive ITS from
Sigma. PrEBM and supplements for growth of primary human
PEC were obtained from Clonetics (San Diego, CA). The pGL3 control and
enhancer plasmids, the luciferase assay system with reporter lysis
buffer, Aqueous96
3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide cell
proliferation kits, and Tfx-50 were obtained from Promega Corp. (Madison, WI). WT1 (C-19) polyclonal and IGF-IR polyclonal
antibodies were obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). RNA-STAT60 was purchased from
Tel-Test (Friendswood, TX).
Cell lines and culture
Derivation of the P69SV40T (P69), and M12 cell lines has been
previously described (9, 10, 11). Briefly, human PEC were
immortalized with simian virus-40 T antigen to produce the immortalized
P69 cell line. P69 cells were injected sc into athymic nude mice and
produced tumor nodules in 2 of 18 animals after 180 days. These nodules
were reimplanted into athymic nude mice and after 3 passages resulted
in M12 cells, which demonstrated a short latency period of 710 days
to tumor formation in all 10 animals receiving sc injection and which
were locally invasive and metastatic when injected orthotopically
(11). All cells were cultured in RPMI 1640 medium
supplemented with 10 ng/ml EGF, 0.1 mM dexamethasone, 5
µg/ml insulin, 5 µg/ml transferrin, and 5 ng/ml selenium,
fungizone, and gentamicin (ITS medium) at 37 C in 5%
CO2. PC-3 and LNCaP cells were obtained from
American Type Culture Collection (Manassas, VA) and were
cultured in RPMI 1640 medium supplemented with 10% FBS. Human primary
PEC at passage 4 were obtained from Clonetics and seeded at 2.5 x
103 cells/T-25 flask in PrEBM supplemented with
bovine pituitary extract, insulin, hydrocortisone, GA-1000, retinoic
acid, transferrin, T3, epinephrine, and human EGF
supplied in a Bulletpack (Clonetics).
The B7 and D16 cell lines are stable clones of P69 cells transfected
with a 3.0-kb human WT1(+KTS) cDNA cloned into the pcDNA3 mammalian
expression vector (Invitrogen, San Diego, CA)
(20). Clones were cultured in RPMI 1640 medium
supplemented as described above and with 200 µg/ml G418.
Transfectants were characterized for the expression of WT1 by RT-PCR
and Western immunoblot, IGF-IR expression by Western immunoblot, and
IGF-I-induced proliferation by
3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide
assay.
Ribonuclease (RNase) protection assay of IGF-IR mRNA
levels
Primary human PEC, P69, M12, LNCaP, and PC3 cells were harvested
at 80% confluence, and total RNA was prepared using RNA-STAT60. RNA
quantity and integrity were verified by electrophoresis of 2-µg
aliquots on ethidium bromide-stained 1% formaldehyde-agarose gels,
followed by densitometric analysis using a Gel-Doc 1000 system and
Molecular Analyst software (Bio-Rad Laboratories, Inc.,
Hercules, CA). Twenty-microgram aliquots of total RNA were used in a
RNase protection assay with a [32P]UTP-labeled
antisense RNA probe complimentary to exon 2 and 3 sequences of the
human IGF-IR mRNA as previously described (17).
Hybridization signals were quantitated using a GS 375 phosphorimager
(Bio-Rad Laboratories, Inc.).
Cell surface IGF-IR levels
IGF-IR number per cell was determined by Scatchard analysis as
previously described (10). Briefly, cells plated in
24-well culture dishes were incubated in duplicate with
[125I]IGF-I (Amersham Pharmacia Biotech, Arlington Heights, IL) for 3 h at 26 C at
concentrations ranging from 0.052 nM. Nonspecific binding
was determined by adding a 500-fold molar excess of unlabeled IGF-I (a
gift from Eli Lilly & Co., Indianapolis, IN). After
incubation, the cells were placed at 4 C for 15 min and rinsed with
ice-cold PBS buffer containing 1% BSA. Cells were solubilized in 0.2
N NaOH, and the cell-associated radioactivity was counted
in a
-counter. Protein was measured using the bicinchoninic acid
assay (Pierce Chemical Co., Rockford, IL), and cell number
was determined by counting cells in replicate wells. The maximum
binding capacity and apparent dissociation constant were determined
using Scatchard analyses as previously described (10).
Each experiment was performed in triplicate.
RT-PCR of WT1 mRNA
Total RNA was extracted from 20,000 cells using the Ultraspec
reagent and extraction protocol (Biotex Laboratories, Inc., Houston, TX). Total RNA was dissolved in
diethylpyrocarbonate-treated water containing RNasin (1 U/µl;
Promega Corp.) and stored at -80 C. One microgram of
total RNA was used in the RT reaction with 2 µM antisense
primer (5'-TCAAAGCGCCAGCTGGAGTTT-3'; corresponds to exon 10 of the WT1
gene), 75 mM KCl, 50 mM Tris (pH 8.3), 3.0
mM MgCL2, 0.8 mM
deoxy-NTPs, and 4.2 U/µl Moloney murine leukemia virus reverse
transcriptase (Life Technologies, Inc.) for 1 h at 42
C followed by heat inactivation at 95 C for 5 min. One tenth of the
first strand reaction was used in the amplification reaction. PCR was
performed in 56 mM KCl, 19.6 mM Tris (pH 8.3),
1.6 mM MgCl2, and 0.2 mM
deoxy-NTPs. The sense primer (5'-AGACATACAGGTGTGAAACC-3'; corresponds
to WT1 exon 8 sequence) and the antisense primer described above were
used at a final concentration of 1 µM and produced a
fragment of 225 bp. Forty cycles of PCR were performed using
denaturation for 1 min at 95 C, annealing for 30 sec at 60 C, and
extension for 1 min at 72 C using a GeneAmp 9600 thermal cycler
(Perkin-Elmer Corp., Foster City, CA). The PCR product was
analyzed by electrophoresis through a 1.5% agarose gel and transferred
to Zetaprobe (Bio-Rad Laboratories, Inc., Hercules, CA).
DNA was immobilized to the membrane with a UV cross-linker
(Stratagene, La Jolla, CA) and hybridized with the sense
primer that had been end-labeled with
[
-32P]ATP (3,000 Ci/mmol; NEN Life Science Products, Boston, MA) at 55 C for 16 h.
Autoradiographs were developed after a 48-h exposure, and hybridizing
bands were quantitated by densitometry.
IGF-IR promoter reporter constructs
Transient transfection experiments used the following rat IGF-IR
gene promoter fragments ligated upstream of the firefly luciferase
reporter cDNA in pGL3 vectors: 1) fragment -476 to +641, designated
the full-length IGF-IR proximal promoter (20); 2) fragment
-476 to +41, designated the 5'-flanking region of the IGF-IR and
generated by PCR using a forward (5'-GGGCTAGCTTTTTCACAGAGCGGGCCAG-3')
and reverse (5'-GGAAGCTTCAAGAACCTCAGCCTCACCG-3') primer; and 3)
fragment +41 to +640, designated the 5'-UTR, generated by PCR using a
forward (5'-GGGCTAGCACGTGTGCGCGGCCCCGAGA-3') and reverse
(5'-GGAAGCTTCAGAAAGAGGAGCAAAGCCC-3') primer. Nucleotide +1 corresponds
to the transcription initiation site. All PCR primers were used at 5
µM. The forward primers of the 5'-flanking and 5'-UTR
fragments contained a NheI site, and the reverse primers
contained a HindIII site. Thirty-five cycles of PCR were
performed using a Gradient Cycler 40 (Stratagene). The
PCR-generated fragments were cut with NheI and
HindIII and ligated into the pGL3 reporter plasmid.
Constructs were verified by automated fluorescent sequencing. These
constructs are schematized in Fig. 1
.
Transient transfections
P69, M12, D16, and B7 cells were transfected with the various
IGF-IR promoter/luciferase vectors using Tfx-50 according to the
manufacturers protocol. Briefly, cells were seeded in six-well plates
in complete RPMI medium containing 5% FCS and grown to 60%
confluence. Each well received 1.5 µg vector DNA using a 3:1 charge
ratio of Tfx-50/DNA in RPMI. After 1 h, the medium was replaced
with serum-containing medium, and the plates were incubated for 48
h, at which time the cells were lysed, and luciferase activities were
measured. All cells used in these experiments were
Mycoplasma free as determined by PCR with a
Mycoplasma PCR primer set (Stratagene).
Luciferase assays
Luciferase activity was determined using the Luciferase Assay
System (Promega Corp.) according to the manufacturers
protocol. Cells were lysed with 1 x reporter lysis buffer and
analyzed on a Nichols Institute Diagnostics
Luminometer 400 (San Juan Capistrano, CA). Each sample was read
for 20 sec. Transfection efficiency was determined by transfection of
duplicate wells with the pGL3 control vector in which luciferase
expression is driven by the simian virus 40 promoter as well as
cotransfection with a pCMV ß-galactosidase reporter plasmid as
previously described (20).
Western immunoblots
Cells were collected for Western blot analysis by washing with
PBS and 0.1% BSA. Cells were lysed in 100 µl SDS sample buffer (10%
glycerol, 2% SDS, and 0.001% bromophenol blue) and heated for 5 min
at 100 C. Electrophoresis of cell lysates was performed on a 10%
SDS-PAGE gel. Protein concentration was determined with the
bicinchoninic acid protein assay reagent, and 50 µg protein were
added to each lane. After electrophoresis, proteins were transferred to
nitrocellulose by electroblotting and probed with either IGF-IR or WT1
antibodies. Bound antibody was detected using ECL (Amersham Pharmacia Biotech, Piscataway, NJ). Buffers and wash times were
as suggested in the ECL kit, except that nitrocellulose was washed in
10% hydrogen peroxide for 10 min before the first blocking step.
Assays of tumor growth in vivo
The tumorigenicity of P69, M12, and PC-3 cell lines was assessed
by sc injection of 106 cells into male athymic
nude mice that were 68 weeks old at the time of injection. Each group
of 10 mice was injected with 1 of the 3 cell lines. The percentage of
tumor formation was defined as the percentage of mice injected with
tumor cells that developed tumor nodules over the 12-week period
postinjection. All mice were maintained in a specific pathogen-free
barrier facility. In vivo experiments were conducted under a
protocol approved by the VAPSHCS and University of Washington
animal care and use committees.
Cell proliferation
Cell proliferation was determined with a tetrazolium
assay for quantification of viable cells (Cell Titer 96 Aqueous kit,
Promega Corp.). Twenty-five hundred cells were added to
each well of a 96-well plate, and test reagents were added at the times
indicated. IGF-I was added to the ITS medium at the time of plating.
After 72 h in culture, the tetrazolium salt and dye solution was
added, color development was allowed to proceed for 23 h at 37 C, and
absorbance at 570 nM was measured for each well. Each cell
line was tested in three separate experiments. MTS results were
confirmed by cell counts. The correlation between cell number and the
MTS tetrazolium assay in our laboratory is r = 0.97.
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Results
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Relationship between tumor formation and IGF-IR expression
When tumor formation in nude mice was compared with IGF-IR
expression in a series of PEC lines, there was an inverse correlation
with IGF-IR protein and mRNA levels (Fig. 2
). Specifically, the M12 and PC-3 cell
lines are highly tumorigenic and metastatic and display the lowest
levels of IGF-IR protein and mRNA. The poorly tumorigenic P69 cell line
and primary PEC express high levels of IGF-IR protein and mRNA. LNCaP
cells, which are weakly metastatic, exhibit intermediate levels of
IGF-IR expression. No changes in affinity for IGF-I were seen.

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Figure 2. A, RNase protection assay of IGF-I mRNA levels in
prostate epithelial cells in primary culture and prostate epithelial
cell lines. M, Molecular weight marker; P, probe. PEC, P69, LNCaP, M12,
and PC-3 refer to cells and cell lines described in the text. Shown are
the 307-base marker (lane M) the 394-base IGF-IR antisense RNA probe
(lane P), and the 379-base protected probe band corresponding to
endogenous IGF-IR mRNA in the various samples. B, Comparison of IGF-IR
number per cell (squares), relative IGF-IR mRNA levels
as determined by scanning densitometry of the autoradiograph in A
(circles), and tumorigenicity of cell lines when
implanted sc in nude mice (diamonds).
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IGF-IR promoter activity in P69 and M12 cells
We next determined whether IGF-IR promoter activity was lower in
the malignant, metastatic M12 cells, which express low levels of
endogenous IGF-IR, than in the poorly tumorigenic P69 cells, which
express high levels of IGF-IR. IGF-IR promoter activity was assayed in
P69 and M12 cells transiently transfected with three IGF-IR promoter
constructs. The full-length IGF-IR construct contained a 1116-bp
promoter fragment spanning bp -476 to +640 of the IGF-IR proximal
promoter. The second IGF-IR construct contained the 5'-flanking region
and the transcription start site (bp -476 to +41), and the third
construct contained the transcription start site and the 5'-UTR (bp +41
to +640). As shown in Fig. 3
, the
activity of all three constructs was significantly lower in M12 cells
than in P69 cells (50%, P < 0.01; 53%,
P < 0.0001; and 36%, P < 0.01,
respectively).

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Figure 3. IGF-IR promoter activity in P69 and M12 cells.
Dotted bars, Luciferase activity of the full-length
promoter fragment (bp -476 to +641); cross-hatched
bars, the activity of the 5'-flanking fragment (bp -476 to
+41); solid bars, the activity of the 5'-UTR fragment
(bp +41 to +640). RLU of luciferase activity was corrected for
transfection efficiency as described in Materials and
Methods. *, P < 0.01 for the full-length
and 5'-UTR constructs and P < 0.0001 for the
5'-flanking construct, M12 vs. P69.
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Effect of WT1 expression on IGF-IR promoter activity
To determine the effect of increased WT1 expression on IGF-IR gene
expression, IGF-IR promoter activity was analyzed in P69 cells as well
as in two P69 clones that had been stably transfected with an
expression vector containing a full-length WT1(+KTS) cDNA driven by the
cytomegalovirus promoter. The B7 and D16 clones express WT1 mRNA at
1,901 and 5,370 copies/20,000 cells, respectively, and WT1 protein
expression was confirmed by Western immunoblot (data not shown). We
previously identified multiple WT1 binding sites in both the
5'-flanking region nd 5'-UTR of the IGF-IR proximal promoter and found
that each region is subject to repression by WT1 in transient
transfection assays (18). The activity of each of these
promoter constructs was significantly lower (P <
0.0001) in the B7 and D16 clones compared with that in P69 cells,
indicating that WT1(+KTS) suppresses IGF-IR promoter activity in these
PEC (Fig. 4
).

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Figure 4. IGF-IR promoter activity in P69 cells and two
clonal lines derived by stable transfection of P69 with a WT1(+KTS)
expression vector and designated B7 and D16. AC, Full-length
promoter; DF, 5'-flanking regions; GH, 5'-UTR. A, D, and G, P69
cells; B, E, and H, B7 cells; C, F, and I, D16 cells. The relative
light units (RLU) of luciferase activity per mg protein was
controlled for transfection efficiency as described in Materials
and Methods. *, P < 0.0001 for B and C
vs. A, for E and F vs. D, and for H and I
vs. G.
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Effect of WT1 expression on IGF-IR levels and IGF-I
responsiveness
We next determined whether WT1 suppression of IGF-IR promoter
activity was sufficient to affect IGF-IR levels and IGF responsiveness
in the B7 and D16 clones. IGF-IR protein levels were assessed in M12,
P69, B7, and D16 cells by Western immunoblot analysis (Fig. 5
). Overexpression of WT1(+KTS) resulted
in a marked decrease in IGF-IR protein in the B7 and D16 clones to
levels comparable to those seen in the metastatic M12 cells. The
decreased level of IGF-IR in the B7 and D16 clones resulted in a
decreased proliferative response to IGF-I compared with that seen in
the parental P69 cell line (Fig. 6
).

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Figure 5. Western immunoblot of M12, P69, D16, and B7
lysates probed with antibody to the -subunit of the IGF-IR. Each
lane contains 100 µg protein. Note the marked decrease in IGF-IR
expression in the metastatic M12 line and the B7 and D16 clones,
derived by transfection of the P69 line with a WT1 expression vector,
compared with the P69 parental line.
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Figure 6. Proliferation of P69, B7, and D16 cells in
response to increasing concentrations of IGF-I. *,
P < 0.05 compared with the P69 cell line at the
same concentration of IGF-I. P69 cell growth is represented by
triangles, B7 by circles, and D16 by
squares.
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Discussion
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The action of the IGF-IR is thought to contribute to the
development of many cancers, including prostate cancer. Specifically,
high circulating levels of IGF-I are a risk factor for prostate
carcinoma (34, 35), and constitutive expression of IGF-I
in prostate basal epithelial cells (that express high levels of IGF-IR)
produces prostate cancer in transgenic mice (36).
Paradoxically, a progressive decrease in IGF-IR expression is seen in
human and murine metastatic disease and in the P69-M12 system employed
in this study (4, 5, 6). This consistent association of
decreased IGF-IR expression with the development of advanced disease
may reflect the ability of IGF-I (through the IGF-IR) to exert
differentiative as well as proliferative effects depending upon such
factors as the complement of postreceptor mechanisms available
(i.e. insulin receptor substrate-1)
(37); resistance to such differentiative effects may be
required for full acquisition of the malignant phenotype.
The coordinate decrease in IGF-IR protein or binding and mRNA levels
seen in metastatic prostate cancer cells is consistent with the idea
that transcriptional repression of the IGF-IR gene is a requisite for
the development of advanced disease. In that case, an understanding of
the molecular mechanisms governing transcription of the IGF-IR gene in
PEC would provide insights into improved approaches for the treatment
of refractory disease. The results of the current study demonstrate
that IGF-I promoter activity itself is decreased in metastatic prostate
cancer cells, and that this decrease is responsible for a substantial
portion of the decreased IGF-IR mRNA and protein observed in these
cells compared with their nontumorigenic or metastatic precursors. That
the difference in IGF-IR mRNA levels between P69 and M12 cells is
greater than the difference in promoter activity suggests that
regulatory elements outside of the -476/+640 proximal promoter region
analyzed in this study may influence the activity of the endogenous
IGF-IR gene in the P69-M12 cell system. Alternatively,
posttranscriptional regulatory mechanisms may also contribute to
overall IGF-IR gene regulation in this context. Our data, however,
suggest that transcriptional control is a principal component of IGF-IR
gene expression in metastatic vs. nonmetastatic prostate
cancer cells.
We have previously shown that IGF-IR gene expression is significantly
increased in Wilms tumor, and that there is a negative correlation
between levels of IGF-IR mRNA and WT1 mRNA, suggesting that the IGF-IR
is under the inhibitory control of the WT1 tumor suppressor protein
(17). Characterization of the IGF-IR promoter using gel
retardation and deoxyribonuclease I footprinting assays demonstrated 12
WT1-binding sites in the -476/+640 region of the proximal IGF-IR
promoter (18). Overexpression of WT1 in Chinese hamster
ovary and G401 cells resulted in decreased IGF-IR promoter activity and
cell surface receptor number (18, 20).
Overexpression of WT1(+KTS) in P69 cells resulted in highly significant
suppression of IGF-IR promoter activity with all three promoter
constructs. Interestingly, promoter activity in the B7 clone was
suppressed to the same extent as in the D16 clone, yet the levels of
WT1 expression were higher in B7 cells compared with D16 cells. This
may indicate that even moderate increases in WT1(+KTS) can efficiently
repress IGF-IR gene expression. The effect of WT1 on IGF-IR promoter
activity was paralleled by decreased expression of the endogenous
IGF-IR gene and a decreased proliferative response to IGF-I. A short
WT1 transcript has been recently identified in some prostate cancer
cell lines that lacks the sequence derived from the first five exons
(38). It remains to be determined whether the protein
encoded by this novel WT1 transcript has altered binding specificity or
function in prostate cells, but our previous demonstration that
carboxyl-terminal versions of WT1 are functional (20)
suggests that this WT1 variant may also repress IGF-IR gene
expression.
In summary, this study demonstrates that the decrease in IGF-IR
expression that occurs in aggressive prostate cancer appears to be
primarily at a transcriptional level, and that an increase in WT1
action may constitute part of the mechanism through which IGF-IR gene
expression is repressed. The level of IGF-IR expression may, in turn,
affect IGF responsiveness in terms of proliferation, differentiation,
or sensitivity to apoptosis. Any or all of these factors could
influence the tumorigenecity of a given PEC. In light of our previous
studies demonstrating decreased tumor growth and metastatic potential
as a result of increased IGF-IR expression (12, 13),
targeting those factors that regulate IGF-IR promoter activity may lead
to novel therapies for metastatic disease.
 |
Footnotes
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1 This work was supported by V.A. Merit Review Program (to S.R.P.),
DAMD 1798-18540 (to J.L.W.), NIH DK-52683 (to S.R.P. and J.L.W.),
and NIH DK-50810 (to C.T.R.). The content of this report does not
necessarily represent the position or the policy of the United States
government, and no official endorsement should be inferred. 
Received June 23, 2000.
 |
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