Endocrinology Vol. 142, No. 5 1889-1898
Copyright © 2001 by The Endocrine Society
Growth Inhibition in Giant Growth Hormone Transgenic Mice by Overexpression of Insulin-Like Growth Factor-Binding Protein-2
Andreas Hoeflich,
Sabine Nedbal,
Werner F. Blum,
Michael Erhard,
Harald Lahm,
Gottfried Brem,
Helmut J. Kolb,
Rüdiger Wanke and
Eckhard Wolf
Institutes of Molecular Animal Breeding (A.H., S.N., H.L., E.W.),
Animal Physiology (M.E.), and Veterinary Pathology (R.W.),
Ludwig-Maximilian University, 81377 Munich, Germany; Lilly Germany GmbH
(W.F.B.), 61350 Bad Homburg, Germany; Institute of Clinical
Chemistry (H.J.K.), Clinic Harlaching, 81545 Munich, Germany; and
Institute of Animal Breeding and Genetics (G.B.), University of
Veterinary Sciences, 1210 Vienna, Austria
Address all correspondence and requests for reprints to: Prof. Dr. Eckhard Wolf, Institute of Molecular Animal Breeding/Gene Center, Ludwig-Maximilian University, Feodor-Lynen-Strasse 25, 81377 Munich, Germany. E-mail: ewolf{at}lmb.uni-muenchen.de
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Abstract
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To clarify the role of insulin-like growth factor (IGF)-binding
protein-2 (IGFBP-2) in postnatal growth regulation, we crossed
hemizygous CMV-IGFBP-2 transgenic mice with hemizygous PEPCK-bGH
transgenic mice, which are characterized by serum GH levels in the
range of 2 µg/ml. Four genetic groups were obtained: animals carrying
both transgenes (GB), the GH (G) or the IGFBP-2 transgene (B), and
nontransgenic controls (C). Male offspring were analyzed for serum
levels of IGF-I, for serum and tissue levels of IGFBP-2, and for body
and organ growth. Serum IGF-I levels were 2- to 3-fold increased
(P < 0.001) in the GH-overexpressing groups, with
no difference between G and GB mice. Serum IGFBP-2 levels were 4- to
9-fold (P < 0.001) increased both in B and GB
vs. C and G mice. Western immunoblot analysis did not
reveal differences in tissue IGFBP-2 levels between B and GB mice.
IGFBP-2 levels were highest in pancreas, followed by skeletal muscle,
heart, kidney, brain, skin, and spleen. No elevation of IGFBP-2 was
found in the liver. Body weight gain of G and GB mice was significantly
increased vs. C and B mice, resulting in almost 2-fold
increased body weights at the age of 15 weeks. However, there was a
significant reduction in body weight of GB vs. G mice
(17%; P < 0.001) and of B vs. C
mice (13%; P < 0.05). This was primarily caused
by a marked reduction of carcass weight (GB vs. G, 27%;
B vs. C, 21%; P < 0.001).
Measurements of nose-rump-length, organ (brain, heart, spleen, liver,
pancreas, kidney), and tissue weights (skin, carcass, abdominal fat) in
5- and 15-week-old mice revealed several indications that the
growth-inhibiting effect of IGFBP-2 overexpression was more marked
in high-GH/IGF-I mice: 1) At 5 weeks of age, GB mice displayed a
significant reduction of all growth parameters except for the weight of
abdominal fat, when compared with G mice, whereas only brain weight was
significantly reduced in B vs. C mice. 2) In 15-week-old
animals, a significant reduction in all growth parameters, except for
spleen and abdominal fat weights, was seen in GB vs. G
mice, whereas only nose-rump-length and the weights of carcass and
brain were significantly reduced in B vs. C mice. Our
study demonstrates, for the first time, the potential of IGFBP-2 to
inhibit GH-stimulated growth in giant transgenic mice, providing
further evidence for an inhibitory effect of this IGFBP in
vivo.
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Introduction
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INSULIN-LIKE GROWTH FACTOR (IGF)-BINDING
protein (IGFBP)-2 is particularly prominent in late fetal and neonatal
serum, but it is also found at significant levels in adult serum. Serum
and tissue levels of IGFBP-2 are subject to complex physiological
regulation (for review, see 1). We have recently
shown that IGFBP-2 messenger RNA (mRNA) levels are increased by
exogenous IGFs already during preimplantation embryonic development
(2). Elevated IGFBP-2 levels were found in the milk of
transgenic rabbits overexpressing IGF-I in the mammary gland
(3) and in the serum of transgenic mice overexpressing
IGF-II under the control of the PEPCK promoter (4),
demonstrating up-regulation of IGFBP-2 expression by IGFs. Increased
hepatic IGFBP-2 mRNA and serum IGFBP-2 levels were observed in mice
that are small because of long-term selection for low body weight
(5). In addition, IGFBP-2 has been shown to be
up-regulated in a variety of pathological conditions, such as
interstitial lung disease, liver cirrhosis, or chronic renal failure
(for review, see 6). However, until recently, it was
unclear whether elevation of IGFBP-2 has intrinsic effects or merely
represents an epiphenomenon without direct consequences for growth and
metabolism.
Effects of IGFBP-2 overexpression have been studied in a variety of
in vitro models, with a wide spectrum of consequences, from
growth inhibition (7, 8, 9, 10) to growth stimulation
(11, 12 ; for review, see 6).
Overexpression of IGFBP-2 in transfected 293 human embryonic kidney
cells reduced cell proliferation. The same effect was seen for
IGF-responsive colon carcinoma cell lines cultured in conditioned media
containing high levels of IGFBP-2. In both systems, the
proliferation-inhibiting effect of IGFBP-2 could be overcome by
addition of exogenous IGFs, Long R3 IGF-I being
markedly more effective than IGF-I (8). On the other hand,
long-term overexpression of IGFBP-2 in transfected mouse adrenocortical
tumor cells (Y-1) was associated with increased cell proliferation and
tumorigenic potential. These effects were independent of exogenous IGFs
(12).
To understand the function of IGFBP-2 in vivo, the
IGFBP-2 gene has been inactivated in mice by gene targeting. However,
only minor phenotypic changes, i.e. increased liver weights
and reduced spleen weights, in adult males were observed. In this
model, the serum activities of IGFBP-1, IGFBP-3, and IGFBP-4
were increased, eventually compensating for the lack of
IGFBP-2 (13, 14).
To investigate the consequences of elevated IGFBP-2 in
vivo, we generated transgenic mice overexpressing IGFBP-2 under
the control of the CMV-promoter. These mice displayed reduced
postweaning body weight gain, which was mostly caused by a reduction in
carcass weight, identifying IGFBP-2, for the first time, as a growth
inhibitor in vivo (15). Because the phenotype
of IGFBP-2 transgenic mice was, in many aspects, opposite to that of
IGF-I-overexpressing transgenic mice, we concluded that IGFBP-2 might
inhibit IGF-I effects.
To further clarify this point, we studied consequences of IGFBP-2
overexpression under conditions of increased levels of GH and IGF-I.
Transgenic mice overexpressing homologous or heterologous GH provide
unique models for studying long-term effects of elevated GH and IGF-I.
These models have been extensively studied, with respect to body
(16, 17), skeletal (18, 19, 20), and organ growth
(16, 21, 22, 23, 24). In addition to markedly stimulated growth,
long-term GH overproduction in transgenic mice causes a spectrum of
pathological lesions, which develop primarily in kidney and liver (for
review, see 25, 26, 27) and result in a dose-dependent
shortened life-span (28).
To study effects of elevated IGFBP-2, in the context of GH
excess, we crossed hemizygous CMV-IGFBP-2 transgenic mice with
hemizygous PEPCK-bGH transgenic mice, generating four groups of
offspring harboring either the CMV-IGFBP-2 (B) or the PEPCK-bGH
transgene (G), both transgenes (GB), and nontransgenic controls (C).
Analysis of a large panel of growth parameters revealed that elevated
IGFBP-2 can indeed partially block GH-stimulated growth processes.
Interestingly, the growth-inhibiting activity of IGFBP-2 was even
more pronounced in high-GH/IGF-I mice than in mice with normal GH and
IGF-I levels.
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Materials and Methods
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Generation of transgenic mice and animal husbandry
IGFBP-2 transgenic mice were generated by microinjection
of an expression vector containing the murine IGFBP-2 complementary DNA
(cDNA) (kindly donated by Dr. S. Drop, Rotterdam, The Netherlands) and
the CMV-promoter for transcriptional control of the transgene as
described before (28). IGFBP-2 transgenic mice were
identified by real-time PCR using the SYBR Green technology (PE Applied Biosystems, Weiterstadt, Germany). PCR conditions were
according to the manufacturers instructions. Primers used were as
follows: mIGFBP-2 sense: 5' GCG CGG GTA CCT GTG AAA 3'; mIGFBP-2
antisense: 5' TCC CTC AGA GTG GTC GTC ATC 3'. Genomic DNA used for the
PCR analysis was isolated from tail tips of 3-week-old offspring using
the Puregene genomic DNA purification system (Biozym, Hess. Oldendorf,
Germany).
PEPCK-bGH transgenic mice, originally generated on a C57BL/6 x
SJL genetic background (29), were kindly provided by Dr.
T. E. Wagner, Edison Biotechnology Center, Ohio University,
Athens, OH. Hemizygous PEPCK-bGH transgenic mice used in this study
were derived from the 12th generation of sequential crossing with NMRI
outbred mice (Charles River Laboratories, Inc.-Wiga,
Sulzfeld, Germany). PEPCK-bGH transgenic mice were identified by PCR
using 5' CGG ACC GTG TCT ATG AGA AGC 3' sense and 5' GGA AAG GAC AGT
GGG AGT GG 3' antisense oligonucleotides (30).
Female hemizygous CMV-IGFBP-2 transgenic mice were mated with male
hemizygous PEPCK-bGH transgenic mice to generate four different genetic
groups of offspring, of which only male mice were investigated in the
present study: animals harboring both transgenes (GB), the GH (G) or
the IGFBP-2 (B) transgene, and nontransgenic controls (C).
All mice were maintained under standard (nonbarrier) conditions and had
free access to a standard diet (V1534; Ssniff, Soest, Germany)
and tap water.
Measurement of serum bGH, IGFBPs, and IGF-I
Blood samples were obtained from 15-week-old mice by
puncture of the retroorbital sinus in ether anesthesia. Serum was
separated by centrifugation, and IGFBP-2 and IGF-I concentrations were
quantified by specific RIAs as described previously
(31, 32, 33). For all assays, dilution curves of mouse serum
samples were linear and paralleled those of human standards. Serum GH
was quantified by an enzyme-linked immunosorbent assay specific for bGH
(34). Serum samples were analyzed for IGF-binding activity
by Western ligand blot (WLB) analysis as previously described
(15). Data were analyzed by ANOVA as described below.
IGFBP-2 levels in different tissues
IGFBP-2 levels in different tissues were determined by Western
immunoblot analysis as described previously (15). Briefly,
tissue samples were homogenized in extraction buffer [10
mM Na2HPO4, pH
7.0; 0.2% (wt/vol) SDS; 10% (vol/vol) glycerin] using a cell
homogenizer (ART, Mühlheim, Germany). Thirty micrograms of
protein were boiled (5 min) and separated under reducing conditions on
a 5% stacking/12% separating SDS-polyacrylamide gel using the Mini
Protean II system (Bio-Rad Laboratories, Inc., Munich,
Germany). Separated proteins were transferred to a nitrocellulose
membrane (Millipore Corp., Eschborn, Germany). The blots
were blocked with 1% fish gelatin. IGFBP-2 was identified using a
specific antiserum raised in rabbit (15). Bound antibodies
were detected with peroxidase-coupled antibodies against rabbit IgG
(Dianova Germany, Hamburg, Germany) using an ECL detection
kit (Amersham Pharmacia Biotech, Freiburg, Germany). Three
mice per genetic group were analyzed at 5 and 15 weeks of age.
Analysis of body and organ growth
Body weight of all mice was recorded, in weekly intervals, to
the nearest 0.1 g. To estimate average growth of the individual
groups, data were transformed to a weighing age of n x 7 days, by
linear interpolation, as described previously (17). At the
age of 15 weeks, mice were ether-anesthetized and killed by bleeding
from the retroorbital sinus. In addition, mice from each genetic group
were analyzed at the age of 5 weeks. Nose-rump-length (NRL) was
measured as the distance between nose and base of the tail, as
described before (17). The weight of mesentery and fat
tissue surrounding the genital organs and kidneys, which is correlated
with total body fat content, was determined as the amount of abdominal
fat tissue. For the analysis, organs were removed, blotted dry, and
weighed to the nearest milligram. Carcasses were weighed, after removal
of the organs, without skin, head, and tail. Data for body growth and
organ/tissue weights were analyzed by ANOVA, taking the effect of group
into account. Means were compared by using LSD post hoc
tests [SPSS, Inc. (Chicago, IL) program package]. To
compare the effects of IGFBP-2 transgene expression, under conditions
of normal vs. increased GH/IGF-I levels, relative
differences between B and C mice, as well as GB and G mice, were
calculated for all parameters. Therefore, values recorded for B and GB
mice were divided by the corresponding means calculated for C and G
mice, respectively. The relative effects (percent difference in body
weight, organ/tissue weights, or NRL) of IGFBP-2 overexpression in a
high (GB vs. G) and a normal (B vs. C) GH/IGF-I
background were compared using Students t test.
Histology
Livers from 6 G, 6 GB, 3 B, and 6 C mice were selected for
histological analysis. Immediately after determination of liver weight,
the organ was fixed by immersion in 10% neutral buffered formalin for
48 h at room temperature. Approximately 3-mm-thick slices of the
left, the median, and the right lobes were routinely processed and were
embedded in paraffin wax. Histological sections were cut at 4 µm and
stained with hematoxylin and eosin according to standard methods.
Histological analyses were carried out on coded slides to avoid
knowledge of the nature of the experimental group.
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Results
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Circulating levels of GH, IGF-I, and IGFBPs
Mean serum concentrations of GH were in the range of 2 µg/ml in
the groups carrying the PEPCK-bGH transgene and were not affected by
IGFBP-2 overexpression in the double transgenic mice. The endogenous GH
in C and B mice was not detected by the enzyme-linked immunosorbent
assay used in our study (Fig. 1A
).

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Figure 1. Serum concentrations of bGH (panel A), IGFBP-2
(panel B), and IGF-I (panel C) in mice carrying the PEPCK-bGH transgene
(G; n = 12), the CMV-IGFBP-2 transgene (B; n = 7), both
transgenes (GB; n = 10), and nontransgenic controls (C; n =
14). The figure shows means and SDs. Means marked by
different superscripts (a, b) are significantly (at least
P < 0.05) different; n.d., not detectable.
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Serum IGFBP-2 levels were 4- to 9-fold (P < 0.001)
increased both in B and GB mice, compared with C and G mice (Fig. 1B
).
The activities of other serum IGFBPs were determined by WLB analysis,
which showed an increased signal for proteins of 39/43 kDa (IGFBP-3)
and of 24 kDa (nonglycosilated IGFBP-4) in the PEPCK-bGH
transgenic groups. The increase in immunoreactive IGFBP-2 in the B and
GB groups was confirmed by WLB, demonstrating functional activity of
the transgene-encoded IGFBP-2 (Fig. 2
).

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Figure 2. WLB analysis of serum samples from mice carrying
the PEPCK-bGH transgene (G), the CMV-IGFBP-2 transgene (B), both
transgenes (GB), and nontransgenic controls (C).
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Serum IGF-I levels were 2- to 3-fold increased (P <
0.001) in the GH-overexpressing groups, with no difference between G
and GB mice (Fig. 1C
).
IGFBP-2 levels in different tissues
Western immunoblot analysis did not reveal obvious differences in
tissue IGFBP-2 levels between 15-week-old B and GB mice. IGFBP-2 levels
were highest in pancreas, followed by skeletal muscle and heart,
kidney, brain, skin, and spleen. No elevation of IGFBP-2 was found in
the liver (Fig. 3
). Analysis of tissue
samples from 5-week-old mice led to similar results (data not
shown).

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Figure 3. Western immunoblot analysis of IGFBP-2 levels in
different tissues from mice carrying the PEPCK-bGH transgene (G), the
CMV-IGFBP-2 transgene (B), both transgenes (GB), and nontransgenic
controls (C). For comparison of the blots, 30 µg protein extract of
skeletal muscle from a B mouse was loaded on each gel (lane S).
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Body weight gain and body dimensions
As expected, body weight gain was markedly stimulated by
expression of the PEPCK-bGH transgene. This effect became significant
at the age of 5 weeks and resulted in an almost 2-fold increased body
weight at the age of 15 weeks (Fig. 4A
).
Body weight of B vs. C mice was reduced (13%,
P < 0.05), confirming our first report on the
consequences of IGFBP-2 overexpression in transgenic mice
(15). However, the growth-inhibiting effect of IGFBP-2 was
also evident on the background of GH overexpression and increased
levels of IGF-I. Body weight of GB vs. G mice was reduced by
17% (P < 0.001).

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Figure 4. Body weight gain (panel A), NRL (panel B), and
relative NRL (rNRL; panel C) of mice carrying the PEPCK-bGH transgene
(G; n = 13), the CMV-IGFBP-2 transgene (B; n = 7), both
transgenes (GB; n = 10), and nontransgenic controls (C; n =
15). To calculate rNRL, NRL was divided by the cube root of body
weight, to keep the same dimension. The figures show means and
SDs. In panels B and C, means marked by different
superscripts (a, b, c, d) are significantly (at least
P < 0.05) different within age class.
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In accordance with the findings for body weight, the
nose-rump-length (NRL) of the G mice was significantly increased
vs. C and B mice, at both the ages of 5 and 15 weeks (Fig. 4B
). IGFBP-2 overexpression in GB mice abolished the effect of the
PEPCK-bGH transgene on NRL in 5-week-old mice and reduced it
significantly (P < 0.001) in 15-week-old animals. In
addition, there was a significant (P < 0.05) reduction
in NRL in 15-week-old B vs. C mice. The NRL-body
weight1/3-ratio was not different between the
groups at 5 weeks of age. Although the relative NRL was significantly
(P < 0.05) increased in 15-week-old G mice, IGFBP-2
overexpression in GB mice completely reduced normalized body size in
the condition of GH excess (Fig. 4C
), strongly supporting an enhanced
IGFBP-2 effect in the context of high levels of GH and IGF-I.
Organ and tissue weights
These parameters were investigated in 5-week-old mice
because this was the age when the first significant differences in body
weight were observed. The absolute weights of spleen (127%), liver
(70%), skin (41%), kidneys (35%), heart (33%), and pancreas (23%)
were already significantly (at least P < 0.05)
increased in G vs. C mice (Table 1
). The carcass weight of G mice was, as
a tendency, increased (13%, P = 0.158), compared with
C mice.
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Table 1. Absolute organ and tissue weights of 5-week-old mice
carrying the PEPCK-bGH transgene (G), the CMV-IGFBP-2 transgene (B),
both transgenes (GB), and nontransgenic controls (C)
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Overexpression of IGFBP-2 in GB mice markedly reduced the effect of
elevated GH on the weights of all organs and tissues, most of which
were not different from those measured in controls (C). The reduction
was most prominent for the weights of spleen, pancreas, and kidneys
(Fig. 5A
). Pancreas weights of GB mice
were even lower than those of C mice. Liver weights of GB mice were
also significantly reduced vs. G mice (P <
0.001) but were still higher (P < 0.05) than in C and
B mice. Interestingly, a reduction (P < 0.05) in brain
weight was seen in B and GB mice vs. C and G mice. These
data show that elevated IGFBP-2 potently reduces effects of GH
overexpression at the age of 5 weeks.

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Figure 5. Reduction (%) of body weight, body dimensions,
and organ/tissue weights by IGFBP-2 overexpression in the context of
normal GH levels (B vs. C; white bars)
and in the context of GH excess (GB vs. G; black
bars) in 5-week-old (panel A) and 15-week-old mice (panel B).
The levels of body weight reduction are indicated by a dotted
line (B vs. C) and a solid line
(GB vs. G), respectively. The relative effects (percent
difference in body weight, organ/tissue weights or NRL) of IGFBP-2
overexpression in a high (GB vs. G) and a normal (B
vs. C) GH/IGF-I background were compared using
Students t tests. Significant differences
(P < 0.05) are indicated by an
asterisk.
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Relative to body weight, the weights of skin, abdominal fat, and heart
were not different between the genetic groups (Table 2
). Whereas the relative weights of
carcass and brain were significantly (P < 0.05)
reduced in G and GB vs. C and B mice, GH overexpression
resulted in an overproportionate increase of spleen and liver weights.
These effects were similar to those observed in 15-week-old mice (see
below). However, in contrast to the older age class, relative pancreas
weights were not yet increased in 5-week-old GH-overexpressing mice but
were reduced (P < 0.05) in GB mice vs. all
other groups. The relative kidney weight was increased
(P < 0.01) in B mice vs. all other
groups.
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Table 2. Relative organ and tissue weights of 5-week-old mice
carrying the PEPCK-bGH transgene (G), the CMV-IGFBP-2 transgene (B),
both transgenes (GB), and nontransgenic controls (C)
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At the age of 15 weeks, all organ and tissue weights were significantly
increased in G vs. C and B mice (P < 0.05
for abdominal fat; P < 0.001 for all other parameters;
Table 3
). However, coexpression of the
CMV-IGFBP-2 transgene in GB mice reduced the effect of GH excess on the
weights of carcass (27%, P < 0.001), kidneys (21%,
P < 0.001), pancreas (17%, P <
0.05), liver (15%, P < 0.001), brain (12%,
P < 0.001), heart (12%, P < 0.05),
spleen (11%, P = 0.07), and skin (9%,
P < 0.05; Fig. 5B
). In contrast, a significant
reduction in B vs. C mice was seen only for the weights of
carcass (21%, P < 0.001) and brain (15%,
P < 0.001).
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Table 3. Absolute organ and tissue weights of 15-week-old
mice carrying the PEPCK-bGH transgene (G), the CMV-IGFBP-2 transgene
(B), both transgenes (GB), and nontransgenic controls (C)
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As a proportion of body weight, the weights of heart and kidneys were
not different among the genetic groups (Table 4
). However, the GH transgenic groups (G,
GB) displayed an overproportionate increase in the weights of liver
(P < 0.001), skin (P < 0.001), spleen
(P < 0.001 vs. C; P < 0.05
vs. B), and pancreas (P < 0.01
vs. C; P < 0.05 vs. B). In
contrast, the relative weights of brain (P < 0.001)
and carcass (P < 0.01) were significantly reduced in G
and GB vs. C and B mice. Effects of the CMV-IGFBP-2
transgene were also seen on relative organ weights. The relative weight
of the carcass was decreased (P < 0.001), whereas the
relative weight of the skin was increased (P < 0.05)
in GB vs. G mice. Furthermore, B mice displayed reduced
relative carcass weights (P < 0.001) but increased
relative spleen and liver weights (P < 0.05), compared
with C mice. As a proportion of body weight, the abdominal fat weight
was, as a tendency, reduced in G vs. C mice and in GB
vs. B mice. A significant (P < 0.05)
difference was found between B and G mice.
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Table 4. Relative organ and tissue weights of 15-week-old
mice carrying the PEPCK-bGH transgene (G), the CMV-IGFBP-2 transgene
(B), both transgenes (GB), and nontransgenic controls (C)
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To provide further evidence for an enhanced growth inhibitory effect of
IGFBP-2 in giant GH transgenic mice, we compared the relative effects
(percent difference in body weight, organ/tissue weights, or NRL) of
IGFBP-2 overexpression in a high (GB vs. G) and a normal (B
vs. C) GH/IGF-I background, using Students t
tests.
In 5-week-old mice, the reduction in spleen, pancreas, kidney, and skin
weights, as well as NRL of GB vs. G mice, was significantly
(P < 0.05) greater than the effect observed in B
vs. C mice. A tendency (P < 0.1) of an
enhanced inhibitory effect of IGFBP-2 overexpression in giant GH
transgenic mice was seen for body weight and the weights of heart,
abdominal fat, liver, and brain (Fig. 5A
).
In 15-week-old mice, the relative reduction in liver weights of GB
vs. G mice was significantly (P < 0.05)
greater than in B vs. C mice, and a tendency
(P < 0.1) of an augmented IGFBP-2 effect in
high-GH/IGF-I mice was seen for kidney weight and NRL. Opposite effects
of IGFBP-2 overexpression were seen for spleen weight, which was, as a
tendency, reduced in GB vs. G mice but increased in B
vs. C mice (Fig. 5B
).
Histology of the liver
Because overexpression of IGFBP-2 markedly reduced growth
effects of GH excess, we studied pathological alterations of the liver
that are a well known consequence of GH excess in transgenic mice.
Histologically, liver lesions were consistently found in both
15-week-old G and GB mice, and the pattern of histological liver
alterations was similar in these groups (Fig. 6
). The most striking feature was the
presence of abnormally large hepatocytes with karyomegaly. The
megalocytic change was restricted to hepatocytes and was commonly more
pronounced in the centrilobular areas. Significant enlargement and
pleomorphism of almost all the hepatocytes and their nuclei were
observed in two out of six G mice and in one out of six GB mice.
Hypertrophic liver cell nuclei frequently demonstrated pseudoinclusions
resulting from enfolding of the nuclear membrane by cytoplasmic
material. Further changes consistently observed in livers from G and GB
mice, respectively, included single liver cell necroses and mild
degrees of oval cell proliferation. Livers from B and C mice (Fig. 6
)
were indistinguishable by light microscopy and demonstrated
slight variation in the size of liver cell nuclei and low numbers of
lymphoid cells in scattered portal tracts.

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Figure 6. Representative histological sections of liver
tissue from mice carrying the PEPCK-bGH transgene (G), the CMV-IGFBP-2
transgene (B), both transgenes (GB), and nontransgenic controls (C).
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Discussion
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According to previous findings in vitro
(7, 8, 9, 10) and in vivo (3, 5, 15),
IGFBP-2 is likely to be an inhibitor of IGF actions. The present study
was performed to clarify: 1) whether IGFBP-2 has an inhibitory
effect on growth also in the context of GH excess and increased levels
of IGF-I; and 2) whether this effect is general or
tissue-/organ-specific.
Serum GH levels of both G and GB mice were in the range of 2 µg/ml,
which is consistent with our previous reports on PEPCK-bGH transgenic
mice (28, 35) and indicates that phenotypic differences
between G and GB mice are not attributable to altered PEPCK-bGH
transgene expression by coexpression of the CMV-IGFBP-2 transgene in GB
mice. Conversely, GH overexpression did not affect the expression of
the CMV-IGFBP-2 transgene, as shown by similar tissue levels of IGFBP-2
in B and GB mice (Fig. 3
). Serum IGFBP-2 levels of B and GB mice,
investigated in the present experiment, were higher than those observed
in our previous study (15). This is most likely
attributable to the different genetic background produced by our
crossing experiment.
GH overproduction caused a marked increase in all organ weights except
for the brain. In 15-week-old mice, the increase was proportionate to
body weight for kidney and heart but overproportionate for skin,
pancreas, liver, and spleen. An overproportionate growth of liver and
spleen, but not of skin and pancreas, was seen in 5-week-old G mice,
demonstrating organ- and time-specific sensitivity of different organs
to GH excess. The weights of carcass and especially of brain were less
increased than total body weight both in 5- and 15-week-old G mice.
The effects seen for elevated IGFBP-2 in the absence of GH
overexpression largely confirmed our previous study. However,
presumably because of the higher IGFBP-2 expression levels, the weight
of the brain and the NRL were significantly reduced in B vs.
C mice, in addition to the previously described significant reduction
in carcass weight (15).
Interestingly, the growth-inhibiting effect of IGFBP-2 overexpression
was even more marked in high-GH/IGF-I mice, as indicated by several
observations: 1) At 5 weeks of age, GB mice displayed a significant
reduction of all growth parameters except for the weight of abdominal
fat, compared with G mice; whereas only brain weight was significantly
reduced in B vs. C mice (Table 1
); 2) In 15-week-old
animals, a significant reduction in all growth parameters, except for
spleen and abdominal fat weights, was seen in GB vs. G mice;
whereas only NRL and the weights of carcass and brain were
significantly reduced in B vs. C mice (Table 3
); 3) IGFBP-2
overexpression in GB mice completely reduced normalized body size
(NRL-body weight1/3-ratio) in the condition of GH
excess (Fig. 4C
); and 4) A direct comparison of the relative effects
(percent difference in body weight, organ/tissue weights or NRL) of
IGFBP-2 overexpression in a high (GB vs. G) and a normal (B
vs. C) GH/IGF-I background showed statistically significant
differences in both 5- and 15-week-old mice (Fig. 5
, A and B).
Theoretically, there are three major routes to explain the enhanced
inhibitory activity of IGFBP-2 in giant GH transgenic mice: 1) IGFBP-2
blocks IGF-I-mediated effects of GH excess; 2) IGFBP-2 impairs direct
effects of GH overexpression; or 3) IGFBP-2 inhibits growth in a
GH/IGF-I independent manner, but this effect is via yet-unknown
mechanisms augmented in high-GH/IGF-I mice.
Several reasons argue for an IGF-I-dependent mechanism of growth
inhibition by IGFBP-2 overexpression in giant GH transgenic mice. The
essential role of IGF-I, to stimulate growth in vivo, has
been shown by elegant studies in transgenic and knockout mouse models.
Whereas overexpression of IGF-I in GH-deficient transgenic mice
restored normal somatic growth (36), treatment with GH was
inefficient in stimulating growth of IGF-I-deficient mice
(37). Furthermore, the growth of organs that were
particularly affected by IGFBP-2 overexpression has previously been
shown to be regulated by IGF-I. For instance, the weights of the
spleen, pancreas, and kidneys were most markedly reduced in 5-week-old
GB vs. G mice. In IGF-I-overexpressing transgenic mice,
spleen and pancreas were among the organs showing the greatest increase
in weight (38). Furthermore, a specific increase in
weights of spleen and kidney was observed in GH-deficient rats treated
with IGF-I (39, 40, 41). In contrast, markedly reduced serum
IGF-I levels in mice lacking hepatic Igf1 gene expression
were associated with significantly reduced kidney weights, in spite of
elevated GH levels (42).
The weight of the carcass, which consists mainly of skeletal
muscle tissue, was most markedly reduced by IGFBP-2 overproduction
in 15-week-old mice, both in the absence and presence of the PEPCK-bGH
transgene. In hypophysectomized rats, skeletal muscle was the tissue
that showed the greatest increase (9.7-fold) in IGF-I mRNA levels after
GH treatment (43). Furthermore, transgenic mice
overexpressing IGF-I displayed an increase in body weight by 1.3-fold,
which was primarily explained by increased muscle and/or connective
tissue growth (38). In contrast, lack of IGF-I expression
in Igf1 knockout mice results in generalized muscle
hypoplasia (44) and dystrophy that is most prominent in
the diaphragm (45), causing a high incidence of perinatal
death attributable to respiratory failure. These findings underline the
importance of IGF-I for muscle development and growth.
A role of IGF-I for the growth of the heart has been demonstrated
by cardiac-specific overexpression, in transgenic mice, of a human
IGF-I cDNA under the control of the
myosin heavy chain
promoter. These mice developed cardiomegaly because of an increased
number of cells in the heart (46). Also, for brain, IGF-I
seems to be an important growth factor. Increased brain weights were
found in IGF-I-overexpressing transgenic mice (38, 47),
even in the near absence of GH (36). In contrast, reduced
brain growth was a common finding in several transgenic mouse models
overexpressing IGFBP-1 (48, 49, 50, 51, 52, 53, 54 ; for review, see
55), which seems to inhibit IGF-dependent cellular
growth and differentiation (1, 56).
However, there are also indications that IGFBP-2 might inhibit direct
growth effects of GH excess or act as a growth inhibitor independent of
GH or IGF-I. A number of studies suggested that liver growth is
directly stimulated by GH and does not depend on IGF-I. First,
transgenic mice overexpressing a human IGF-I cDNA under the control of
the mouse metallothionein I promoter were characterized by
3-fold-increased IGF-I peptide levels in the liver but did not show
increased liver growth (38). Second, expression of the
same transgene in mice lacking somatotrophic cells completely
normalized linear growth and weights of most organs but not the weight
of the liver, which was still lower than in pituitary-intact controls
(36). Third, liver-specific inactivation of the
Igf1 gene in mice eliminated IGF-I production in the liver
and decreased circulating IGF-I levels by 75%; however (possibly as a
consequence of elevated GH levels), the weight of the liver was
increased in these animals (42, 57). Our study
demonstrated a significant reduction of liver weight in GB
vs. G mice, at both the ages of 5 and 15 weeks, suggesting
that IGFBP-2 overexpression inhibits liver growth by partially
blocking the GH stimulus or directly via a yet-unknown mechanism. The
latter is supported by the fact that male mice lacking IGFBP-2
expression displayed increased liver weights (14).
However, relative liver weights of G and GB mice were not different,
both being disproportionately increased, compared with C and B mice.
Therefore, the reduction of absolute liver weight in GB vs.
G mice might be a general size effect, i.e. the expected
organ size change, given a certain overall weight change and a
particular coefficient of growth allometry (for review, see 21). Importantly, characteristic pathological lesions observed
in GH transgenic mice (16, 25, 26, 58) were also seen in
GH/IGFBP-2 double transgenic mice. The influence of IGFBP-2 on
long-term effects of GH on liver growth and pathology, including
tumorigenesis (59, 60), deserves further
investigation.
The effects of elevated IGFBP-2, to reduce body and organ growth,
parallel those observed in transgenic mice overexpressing IGFBP-1 in
several aspects. In phosphoglycerate kinase promoter-rat IGFBP-1
transgenic mice, the birth weight was significantly reduced, to
approximately 8392% of the weight of wild-type animals
(49). The growth retardation persisted in the postnatal
period, particularly after weaning. Except for brain weight (which was
disproportionately reduced) and spleen weight (which was heavier), the
absolute weights of individual organs were reduced in transgenic mice,
but similar to those of control mice when considered as a function of
body weight. The specific increase in spleen weight, in this transgenic
model, has been discussed as a consequence of IGF-independent effects
of elevated IGFBP-1. Overexpression of human IGFBP-1 under the
control of the
1 antitrypsin promoter in transgenic mice resulted in
growth retardation within the first weeks of postnatal life. Body
weight of adult mice was negatively correlated with plasma IGFBP-1
concentration (50). In contrast, no major effects on total
body weight were observed in MT-hIGFBP-1 transgenic mice
(61). These different findings may be attributable
to differences in level and tissue specificity of transgene expression
in the various models (for review, see 55). Other
alterations, such as altered glucose homeostasis and impaired female
fertility, which were seen in part of the IGFBP-1-overexpressing
transgenic mouse models (49, 50, 62), were not obvious in
CMV-IGFBP-2 transgenic mice (15), although detailed
analyses of metabolic and reproductive functions in this model remain
to be done.
In summary, our study demonstrates that IGFBP-2 is an inhibitor of
normal and GH-stimulated growth of mice, and that growth inhibition by
IGFBP-2 overexpression is more effective in high-GH/IGF-I mice. This
may be attributable to inhibition of indirect (IGF-I-mediated) or
direct effects of GH excess by elevated IGFBP-2 or may represent a
direct effect of IGFBP-2 that might be potentiated in high-GH/IGF-I
mice. The crossing experiment used for this study provides a unique
model system to understand tissue-specific effects and interactions
between members of the GH/IGF system and to identify, by expression
profiling, other factors involved in growth regulation of specific
organs.
 |
Acknowledgments
|
|---|
We thank Dr. Ingrid Renner-Müller for veterinary
management, Petra Renner for expert animal care, and Petra Demleitner
and Norman Rieger for excellent technical assistance.
Received January 2, 2000.
 |
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A. HOEFLICH, M. M. WEBER, T. FISCH, S. NEDBAL, C. FOTTNER, M. W. ELMLINGER, R. WANKE, and E. WOLF
Insulin-like growth factor binding protein 2 (IGFBP-2) separates hypertrophic and hyperplastic effects of growth hormone (GH)/IGF-I excess on adrenocortical cells in vivo
FASEB J,
November 1, 2002;
16(13):
1721 - 1731.
[Abstract]
[Full Text]
[PDF]
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