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*Prostate Cancer
Endocrinology Vol. 142, No. 5 1990-1998
Copyright © 2001 by The Endocrine Society


ARTICLES

Inhibition of Growth and Increased Expression of Insulin-Like Growth Factor-Binding Protein-3 (IGFBP-3) and -6 in Prostate Cancer Cells Stably Transfected with Antisense IGFBP-4 Complementary Deoxyribonucleic Acid1

Rolf H. Drivdahl, Cynthia Sprenger, Kenneth Trimm and Stephen R. Plymate

Research Service, Department of Veterans Affairs Puget Sound Health Care System (R.H.D., C.S., K.T., S.R.P.), Tacoma, Washington 98493; and Department of Medicine, University of Washington (R.H.D., S.R.P.), Seattle, Washington 98195

Address all correspondence and requests for reprints to: Dr. Rolf H. Drivdahl, Research Service (151), Veterans Affairs Medical Center, American Lake, Tacoma, Washington 98493. E-mail: drivdahl.rolf_h{at}seattle.va.gov


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Insulin-like growth factor-binding proteins (IGFBPs) both stimulate and inhibit IGF activity, and in the M12 prostate cancer cell line, overexpression of IGFBP-4 was shown to delay tumorigenesis while decreasing the production of IGFBP-2. We have performed the reverse experiment, inhibition of IGFBP-4 expression with antisense complementary DNA, in two prostate tumor cell lines, ALVA-31 and M12. Expression of antisense messenger RNA transcripts was verified by RNase protection assays, and inhibition of mature IGFBP-4 in cell medium was demonstrated by Western blotting. Both transfected lines (ALVA-31asBP4 and M12asBP4) proliferated more slowly in monolayer culture than parental controls. Colony formation in soft agar was strongly inhibited in both cases, and the rate of tumor formation and growth in male athymic nude mice injected with M12asBP4 was markedly reduced relative to that in mice receiving M12 control cells. Apoptosis induced by the topoisomerase inhibitor etoposide was also enhanced in transfected cells. The effects on colony formation in soft agar and tumor formation in mice were maintained for the duration of the experiments, in contrast to the delayed growth observed in the previous study of IGFBP-4 overexpression. A significant difference was found in the patterns of IGFBP expression; production of both messenger RNA and protein for IGFBP-3 and IGFBP-6 was greatly increased in the M12asBP4 and ALVA31asBP4 cell lines. Up-regulation of these binding proteins has been observed in association with actions of 1,25-dihydroxyvitamin D3 in prostate cancer cells, and the data suggest a role for IGFBP-3 and IGFBP-6 in the suppression of prostate tumor cell growth.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INSULIN-LIKE growth factor I (IGF-I) and IGF-II have well documented pleiotropic effects in many cell types, including stimulation of cellular proliferation and differentiation (1). They have also been shown to promote survival and protection from apoptotic cell death in both normal and transformed cells and may therefore either initiate or enhance tumorigenesis (2). IGFs are potent mitogens for breast cancer cells both in vivo and in vitro (3); cultures of nonmalignant prostate epithelial cells also exhibit extensive proliferation in response to IGF-I and -II, and in fact, IGF is required for their survival (4, 5). Prostate cancer cells, however, are far less responsive to exogenous IGF, probably due to greatly reduced expression of the IGF-I receptor (IGF-IR) (6, 7).

Endocrine activity of the IGF system is accomplished via a series of complex interactions among the ligands, the IGF-I and IGF-II surface receptors (IGF-IR and IGF-IIR), and a group of high affinity IGF-binding proteins (IGFBPs) (1, 8). In addition, numerous proteases have been described that regulate IGFBP levels (9). Most of the activities of IGFs, including protection against apoptosis, are mediated by the IGF-IR (10, 11). Some or all components of the IGF system are dysregulated in cancer cells (2, 12): in normal prostate, stromal cells are the principal source of both IGFs and IGFBPs, but increased IGF-II messenger RNA (mRNA) and protein were reported in malignant prostate epithelial cells, concomitant with reduced levels of IGF-IR and altered patterns of IGFBP production (7, 13, 14). These data are consistent with numerous studies demonstrating overproduction of IGF-II in human tumor cells (15, 16). Clinical studies have indicated that elevated serum levels of IGF-I represent a significant risk factor for the development of prostate cancer (17).

Six IGFBPs have been cloned and sequenced (18, 19), and recently several proteins with limited homology to the IGFBPs and reduced IGF-binding capacities have been identified and designated IGFBP-related proteins (20). Greater than 90% of circulating IGFs are bound to IGFBPs, and it was originally thought that their primary function was to stabilize the ligands while acting as both a transport vehicle and a means to sequester IGFs from their receptors, thereby inhibiting IGF activity. It has become increasingly clear that IGFBPs can also enhance or potentiate IGF effects and in some instances may act independently of the ligands (21). Control of IGFBP synthesis is therefore an additional and intricate mechanism for modulation of IGF activity. In malignant prostate cells, the pattern of IGFBP expression differs markedly from that seen in normal epithelium; in situ hybridization studies have demonstrated increased IGFBP-2 and decreased IGFBP-3 levels in adenocarcinoma tissue (13). IGFBP-2 was also reported to be elevated, and IGFBP-3 reduced, in serum from patients with prostate cancer (22, 23). The increased IGFBP-2 was positively correlated with serum PSA.

Work in our laboratory indicates that IGFBP-4 and -6 are poorly expressed in normal epithelial cells, but are abundant in several tumor cell lines. We found high constitutive expression of IGFBP-4 mRNA and protein in the ALVA-31, -41, and-101 prostate tumor lines as well as in PC-3 (24). IGFBP-4 production was not regulated by treatment of cells with factors that alter cell growth and expression of other IGFBPs, such as 1,25-dihydroxyvitamin D3 [1,25-(OH)2D3], IGF-II, or dihydrotestosterone. Overexpression of IGFBP-4 in the M12 prostate tumor cell line delayed, but did not prevent, tumor formation in nude mice, and the researchers concluded that the observed effects were most likely due to prevention of ligand access to the IGF-IR (25). However, this study and others have also suggested coordinate regulation of IGFBPs, such that altered production of one binding protein may profoundly influence the levels of others. In the M12 line, for example, high IGFBP-4 levels were associated with reduced IGFBP-2. As our work has indicated that IGFBP-4 expression is a constitutive feature of tumor cell lines, we have investigated the consequences of inhibiting IGFBP-4 production in two prostate tumor cell lines, in terms of both tumorigenic potential and synthesis of other IGFBPs.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
Tissue culture media and additives, antibiotics, bacterial growth media, guanidine isothiocyanate, phenol, and agarose were purchased from Life Technologies, Inc. (Grand Island, NY). Defined FCS was purchased from HyClone Laboratories, Inc. (Logan, UT). Random primers labeling kits, horseradish peroxidase-linked antirabbit secondary antibody, enhanced chemiluminescence reagents, and [125I]IGF-II (2000 Ci/mmol) were purchased from Amersham Pharmacia Biotech (Piscataway, NJ). GeneScreen nylon blotting membranes and [32P]deoxy-CTP were obtained from NEN Life Science Products-DuPont (Boston, MA). Nitrocellulose and PAGE reagents were purchased from Bio-Rad Laboratories, Inc. (Richmond, CA). IGFBP antibodies were obtained from Austral Biological (San Ramon, CA). Restriction enzymes and IGF-II were obtained from Promega Corp. (Madison, WI). The mammalian expression vector pcDNA3.1Zeo, pFx-5 liposome transfection reagent, and zeocin were purchased from Invitrogen (San Diego, CA). Bacterial plasmids containing complementary DNA (cDNA) probe sequences for IGFBP-1- through 6 were a gift from S. Shimasaki.

Cell lines and culture
The ALVA-31 prostate cell line was developed from a primary tumor obtained by radical prostatectomy, as described by Loop et al. (26). The M12 line was derived from tumors developed in nude mice injected with p69SV40T cells; these are human prostate epithelial cells immortalized with simian virus 40 T antigen (27). Cells were maintained at 37 C in RPMI 1640 supplemented with 10 ng/ml epidermal growth factor, 0.1 µM dexamethasone, 5 µg/ml insulin, 5 µg/ml transferrin, 5 ng/ml selenium, and 50 µg/ml gentamicin (RPMI/ITS) in a 95% air/5% CO2 atmosphere. FCS (5%) was included at plating, and the medium was replaced with the defined medium after 24 h. Culture conditions for individual assays are described below; all in vitro experiments were performed a minimum of three times.

Vector preparation and transfection
A 505-bp EcoRI/HindIII fragment of the human IGFBP-4 cDNA was inserted using T4 DNA ligase into pcDNA3.1Zeo+ cut with EcoRI and HindIII, resulting in the antisense orientation relative to the cytomegalovirus promoter. The ligation reaction was used to transform competent Escherichia coli DH5{alpha} cells; cells were plated on Luria-Bertoni agar containing 50 µg/ml ampicillin, and miniprep DNA from individual colonies was analyzed by restriction enzyme digestion for the presence of IGFBP-4 cDNA. Plasmid DNA from a positive colony was linearized with PvuI and introduced into ALVA31 and M12 cells by liposome-mediated transfection with pFx-5 (Invitrogen) according to the manufacturer’s instructions. Control cells were prepared by transfection with pcDNA3.1Zeo+ alone; these are designated ALVA31pC and M12pC. After 48 h, cells were passaged into selective medium containing 100 µg/ml zeocin and cultured for 10 days. Individual colonies were isolated from the plate by trypsinization in cloning rings and were maintained in growth medium containing 50 µg/ml zeocin. IGFBP-4 mRNA and protein expression were determined by ribonuclease (RNase) protection assays and Western blotting as described below.

Western blotting
Proteins in culture medium (serum-free) were bound to nitrocellulose in a dot blot apparatus, washed with water, and dried. Circles containing the individual samples were cut out with a cork borer, transferred to microfuge tubes, and boiled in 100 µl SDS sample buffer [0.05 M Tris (pH 6.8), 2% SDS, and 0.025% bromophenol blue] containing 8 M urea. Samples were then subjected to electrophoresis in 12% SDS-polyacrylamide gels and transferred electrophoretically to nitrocellulose as described by Hossenlopp et al. (28). The transfer buffer contained 15 mM Tris base, 120 mM glycine, and 5% methanol. Membranes were washed successively in Tris-buffered saline [TBS: 20 mM Tris-HCl (pH 7.5) and 0.15 M NaCl] and then with TBS containing 0.3% Tween 20 (TBST). They were blocked in TBST with 5% nonfat milk, incubated overnight at 4 C with appropriate antibodies in TBST/5% nonfat milk, and washed extensively with TBST. Bands were detected using horseradish peroxidase-linked antirabbit secondary antibody and enhanced chemiluminescence reagents (ECL system, Amersham Pharmacia Biotech, Arlington Heights, IL), according to the manufacturer’s protocol.

RNA extraction and analysis
RNA was extracted from cells by a minor modification of the procedure described by Chomczynski and Sacchi (29). Briefly, the medium was removed, and the cell layer was covered with a small volume of lysis solution containing 4 M guanidine isothiocyanate, 0.5% sarcosyl, and 25 mM sodium citrate, pH 7.0. The lysate was acidified with 0.1 vol sodium acetate, pH 4.0, and vigorously extracted with a 3:1 mixture of phenol/chloroform. The aqueous layer was separated by centrifugation at 10,000 x g, and the RNA was precipitated with isopropanol. RNA was redissolved in lysis solution, precipitated with ethanol, and redissolved in 100% formamide. The RNA concentrations were calculated from the optical densities at 280 and 260 nm.

RNA was fractionated by electrophoresis in 1.25% agarose gels containing 0.66 M formaldehyde and 20 mM MOPS buffer, pH 7.2 (30, 31). Before loading, samples containing 10 µg RNA were denatured at 70 C in 50% formamide, 2.2 M formaldehyde, and 20 mM MOPS (pH 7.2); 0.5 µg ethidium bromide was added to each sample to stain the RNA. After electrophoresis, gels were washed extensively in water and then in 10 x SSC (1 x SSC is 0.015 M sodium citrate and 0.15 M NaCl, pH 7.0), and the RNA was visualized by UV illumination on a Fotodyne, Inc. (New Berlin, WI) transilluminator. Visual analysis of ethidium bromide staining of the 28S and 18S RNA bands was used as a preliminary indication of the integrity and uniform loading of RNA. RNA was then transferred to Gene Screen by capillary blotting in 10 x SSC and cross-linked to the membrane with the Stratalinker apparatus from Stratagene (La Jolla, CA).

cDNA probes and hybridization
Partial cDNA sequences for IGFBPs were obtained in the plasmid vector pBluescript SK+ (Stratagene). Plasmids were used to transform competent cells of E. coli DH5{alpha} by heat shock, and recombinant bacteria were grown in Luria-Bertoni broth containing 100 µg/ml ampicillin (32). Plasmid DNAs were isolated by a standard alkaline lysis technique, purified by chromatography on Sephacryl S-400, and digested with appropriate restriction enzymes to release inserts. Inserts were separated on 1.5% low melt agarose gels and recovered by phenol extraction and ethanol precipitation.

Northern blots were prehybridized at 43 C in a Hybaid roller bottle oven (Intermountain Scientific, Salt Lake City, UT); the prehybridization solution was 50% formamide, 6 x SSC, 5 x Denhardt’s solution, 0.1 M NaPO4 (pH 7.2), 10 mM sodium pyrophosphate, and 50 µg/ml sonicated herring sperm DNA (33). 32P-Labeled probes were prepared from cDNA inserts by the random primers technique (34), denatured in 0.3 M NaOH, neutralized, and added directly to the prehybridization solution. Hybridization proceeded overnight at 43 C. The blots were washed at moderate stringency (1 x SSC and 0.1% SDS, 65 C) and exposed to Kodak X-OMAT AR5 film with an intensifying screen at -70 C. Bands were quantitated with an image analyzer equipped with the MCID version 4.2 software (Imaging Research, Inc., St. Catherine, Canada).

Hybridization to a labeled 18S oligonucleotide probe was used as an additional control for uniform loading. The oligonucleotide was end labeled with [{gamma}-32P]ATP and T4 polynucleotide kinase and purified on a Sephadex G-25 spin column. Hybridization was performed at 43 C in the same solution as for cDNA probes, except that the formamide concentration was 20%. Blots were washed twice at 35 C in 5 x SSC/0.1% SDS (10 min each), once at 50 C in 5 x SSC/0.1% SDS (30 min), and finally in 5 x SSC at 35 C for 10 min.

RNase protection assays
Cells from transfected clones were grown to near confluence in standard RPMI/ITS growth medium, and RNA was extracted as described above. RNase protection assays (35) were used for specific detection of the antisense IGFBP-4 transcript. The IGFBP-4 cDNA in pBluescript SK+ was linearized with HindIII, and the complementary RNA sense strand probe was synthesized with T3 RNA polymerase in transcription buffer containing 40 mM Tris-HCl (pH 7.9); 6 mM dithiothreitol; 10 mM NaCl; 2 mM spermidine; 0.4 mM each of ATP, UTP, and GTP; 1 µg plasmid DNA template; and 50 µCi [32P]CTP. The reaction was stopped by adding EDTA to 20 mM final concentration, and the probe was purified by passage through a Sephadex G-25 spin column. Approximately 5 x 105 cpm probe were hybridized overnight with RNA from cultured cells at 45 C in 80% formamide. Single stranded (nonhybridized) RNA was then digested sequentially with an RNaseA/RNase T1 mixture and with proteinase K, and the remaining hybrids were extracted with phenol/chloroform and precipitated in ethanol. The samples were recovered by centrifugation, redissolved in water, and fractionated in a 6% polyacrylamide gel in Tris/borate/EDTA buffer, pH 8.3. The gel was dried and exposed to x-ray film at -70 C with an intensifying screen.

Cell proliferation assays
Relative cell number was assessed by measurement of total DNA content and by direct cell counting. Cells were seeded in 60-mm dishes (250,000 cells/dish), and assays were performed after 6 days in culture. For DNA determinations, medium was removed from cells, and the monolayer was washed with PBS, followed by extraction with 200 µl 0.5 N NaOH, neutralization with 100 µl O.5 M Tris HCl (pH 7.4) containing 1 M HCl, and determination of DNA content by a fluorometric assay with Hoechst 33258, using excitation at 365 nm and measuring emission at 458 nm (36). For direct measurement of cell number, cells were removed from plates by trypsinization, resuspended in 1 x PBS, and counted in a hemocytometer. In control experiments, there was a linear relationship between total DNA and the cell number determined by hemocytometer counting.

Poly(ADP-ribose) polymerase (PARP) assays
Cells grown to near confluence were incubated in basal RPMI for 24 h; etoposide was added to a final concentration of 5 µM for the final 4 h. Monolayers were then washed twice with 1 x PBS and scraped into 1 ml PBS; an aliquot of this suspension was saved for total protein determination, and the remaining cells were recovered by centrifugation at 1000 x g for 5 min. The pellet was frozen and thawed twice and resuspended in RIPA buffer (PBS containing 1% Nonidet P-40, 0.1% SDS, and 0.5% sodium deoxycholate). The suspension was drawn several times through a 22-gauge needle to shear DNA and then centrifuged to remove debris. Aliquots were then mixed with an equal volume of 2 x SDS sample buffer and prepared for PAGE and Western blotting as described above. Equal amounts of total protein (50 µg) were loaded in each lane. Samples were fractionated on a 7% gel and transferred to nitrocellulose, and the resulting blot was incubated with antibody to PARP and processed in the same manner as described for IGFBP immunoblots. Antibody to ß-actin was used as a loading control.

Growth in soft agar
Approximately 200,000 cells were seeded in 60-mm petri dishes in 0.25% agar on a 1% agar underlayer (37). Agar contained RPMI growth medium buffered with 15 mM HEPES, pH 7.4, and plates were maintained at 37 C in 5% CO2. IGF-II (or appropriate vehicle control) was added to the top layer at the time of plating. Colonies greater than 50 µm in diameter were counted 14 and 21 days after plating.

Growth of tumors in nude mice
Nude athymic male mice were injected sc with either M12asBP4 or M12pC cells (1 x 106 cells/mouse) and maintained on a laboratory diet ad libitum for 10 weeks. Tumors were counted and measured weekly. After 10 weeks, tumors were removed and digested with 0.1% type I collagenase and 50 µg/ml deoxyribonuclease I by the technique of Peehl and Stamey (38). Dispersed cells were plated in RPMI growth medium with 5% FCS for 24 h, and the medium was then replaced with defined serum-free medium. IGFBP-4 expression was analyzed by Western blotting as described above.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of antisense IGFBP-4 clones
Individual colonies from transfection of the ALVA31 and the M12 cell lines were grown in selective media and analyzed for production of the IGFBP-4 antisense RNA transcript and the mature protein secreted into culture media. RNase protection assays demonstrated production of the 505-bp antisense RNA fragment in several clones from each line; the fragment was not detected in parental cell lines or in cells transfected with pcDNA3.1Zeo+ alone (Fig. 1Go). Expression of this transcript correlated with reduced quantities of mature protein in the culture medium; in two of the ALVA31 clones and two of the M12 clones, IGFBP-4 protein was less than 20% of the control value, and these cells also exhibited the highest expression of antisense RNA. Clones A and B from ALVA31 and clones A and C from M12 were chosen for further experiments described below; they are designated ALVA31asBP4A, ALVA31asBP4B, M12asBP4A, and M12asBP4C.



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Figure 1. Characterization of prostate cell lines transfected with antisense IGFBP-4 plasmid expression constructs. Individual colonies isolated from transfection plates in cloning rings were plated in defined medium (RPMI/ITS) containing 5% FCS; after allowing the cells to attach for 24 h, medium was replaced with serum-free RPMI/ITS, and cells were grown to confluence. The medium was then changed, and conditioned medium was collected after 48 h. RNA was extracted from the cell monolayer and analyzed for the production of antisense IGFBP-4 by RNase protection assays as described in the text. Proteins from 1 ml medium were concentrated and analyzed by Western blotting; the amount of sample loaded in each well was adjusted for differences in cell number of each culture, as determined by hemocytometer counting. Letters designate individual clones; controls are M12 or ALVA31 transfected with nonrecombinant pCDNA3.1Z+.

 
Cell proliferation
Growth rates of the transfected cells were compared with parental lines by measurement of total DNA and direct cell counting in the presence and absence of 100 ng/ml IGF-II. We anticipated that removal of IGFBP-4 would enhance sensitivity to exogenous IGF. As shown in Fig. 2Go, ALVA31asBP4 and M12asBP4 proliferated at less than 70% of the rate of cells containing vector only. IGF-II was weakly mitogenic in controls, but contrary to expectations, it was even less stimulatory in the asBP4 cells.



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Figure 2. Growth of tumor cells and antisense IGFBP-4 derivatives in monolayer culture. Cells were seeded at 200,000 cells/well in 60-mm culture dishes in RPMI/ITS with 5% FCS; they were changed to serum-free conditions after 24 h and treated with either 100 ng/ml IGF-II or vehicle. Fresh medium was added every 2 days thereafter. At the indicated times the cells were removed from plates by trypsinization, recovered by centrifugation, and resuspended in 1 x PBS. Cell number was determined by hemocytometer counting. The control cells are parental M12 or ALVA31 transfected with nonrecombinant expression vector (pCDNA3.1Z). Data represent the results of three separate experiments (mean ± SEM). *, Significant difference (P < 0.01) relative to corresponding controls.

 
Anchorage-independent growth
The ability to grow in semisolid medium is a characteristic of transformed cells and thus provides in vitro evidence regarding the initiation or maintenance of tumorigenesis. There was a dramatic decrease in colony formation in both asBP4 lines relative to the empty vector controls (Fig. 3Go). In the experiment shown, inhibition after 3 weeks was 70% and 56% in ALVA31asBP4A and ALVA31asBP4B, respectively, and 87% and 82% in M12asBP4A and M12asBP4C. As with the cellular proliferation studies, IGF-II had a small stimulatory effect on colony formation in controls, but virtually no effect in asBP4 cells. Although inhibition of growth in soft agar was demonstrated after 14 days in M12 cells overexpressing IGFBP-4 (25), the differences were no longer apparent after 21 days; in the asBP4 cells, inhibition was maintained for 25 days, at which point the experiments were terminated.



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Figure 3. Growth of ALVA31, M12, and antisense IGFBP-4 derivatives in soft agar. Cells were seeded in 60-mm petri dishes in 0.3% agar on a 0.6% agar underlayer. Agar contained RPMI/ITS medium supplemented with 100 ng/ml IGF-II or vehicle control. The control cells are parental M12 or ALVA31 transfected with nonrecombinant expression vector (pCDNA3.1Z). Colonies greater than 50 µm in diameter were counted after 2 weeks. The data shown are the results of three separate experiments (mean ± SEM). *, Significant difference (P < 0.01) relative to corresponding controls.

 
Apoptosis
PARP is a nuclear protein specifically cleaved by caspase-3 and -6, generating a signature 85-kDa product, and appearance of the 85-kDa band in addition to the unmodified 115-kDa band can be used as a marker of caspase activation in apoptosis (39, 40). PARP cleavage correlates with chromatin condensation and has been demonstrated in association with condensed chromatin before detection of actual DNA fragmentation.

Cells were maintained in the presence or absence of 100 ng/ml IGF-II for 24 h before extraction, and apoptosis was induced by addition of etoposide to a final concentration of 5 µM for the final 4 h. Figure 4Go demonstrates that although both M12 and ALVA31 are highly resistant to etoposide induction, the asBP4 lines produce readily detectable quantities of the 85-kDa PARP fragment. Using the intensity of this band as an index of the extent of apoptosis, the data indicate that apoptosis was initiated to a lesser extent in the ALVA31asBP4 cells. Preliminary TUNEL assays (not shown) support this conclusion.



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Figure 4. Apoptosis in tumor cells and antisense IGFBP-4 derivatives. Tumor cells were grown to near confluence and incubated in minimal RPMI for an additional 24 h; 5 µM etoposide, a DNA topoisomerase inhibitor and an inducer of apoptosis, was added for the final 4 h. Attached cells were scraped into 1 ml of 1 x PBS, recovered by centrifugation, and resuspended in 200 µl RIPA buffer. The remaining procedures of sample preparation and Western blot analysis were as described previously, except that the gel percentage was 7%. Equal amounts of total protein (50 µg) were loaded in each lane. PARP was detected using a specific monoclonal antibody from Oncogene Research. Appearance of the signature 85-kDa band, resulting from cleavage by caspase-3 and -6, in addition to the unmodified 115-kDa band is used as a marker for induction of apoptosis. The control cells are parental M12 or ALVA31 transfected with nonrecombinant expression vector (pCDNA3.1Z).

 
Tumorigenesis in vivo
The severely diminished growth of asBP4 cells in semisolid medium indicates a potent inhibition of the transformed phenotype; this phenomenon was further examined by in vivo experiments in athymic nude male mice. Cells (1 x 106) from either the M12pC controls or the M12 asBP4C line were injected sc into sets of 10 mice, and the number of mice developing tumors as well as the sizes of individual tumors were determined over a period of 8 weeks. Table 1Go demonstrates that 8 of the 10 control mice developed tumors, compared with only 2 of the mice receiving M12asBP4. Additionally, the tumors in the M12asBP4-treated mice were significantly smaller; tumor volume in mice injected with M12asBP4 was only 6% of that in control mice (Fig. 5Go). No delayed increase in tumor formation in the later stages of the experiment was observed.


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Table 1. Number of tumors formed after sc injection of M12pC (control) or M12asBP4 cells into male, athymic nude mice

 


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Figure 5. Rate of tumor volume increase in mice injected with M12pC or M12asBP4 cells. Nude athymic male mice were injected sc with either M12asBP4 or M12pcDNA control cells (1 x 106 cells/mouse) and maintained on a laboratory diet ad libitum for 8 weeks. Tumors were counted and measured weekly. *, P < 0.02, by Mann-Whitney U test.

 
Cells were isolated from individual tumors after 10 weeks and regrown in monolayer culture, and the expression of IGFBP-4 in the culture medium was determined by Western blotting. The results in Fig. 6Go show that inhibition of IGFBP-4 expression, relative to that in the M12 controls, was still evident in the tumors from M12asBP4-injected mice. The formation of these tumors was therefore not simply due to a loss of antisense inhibition in vivo.



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Figure 6. Western blot analysis of IGFBP-4 expression in cells isolated from tumors grown in mice. Ten weeks after injection, mice from each experimental group were killed, and tumors were removed and digested with 0.1% type I collagenase and 50 µg/ml deoxyribonuclease I. Dispersed cells were plated in RPMI growth medium with 5% FCS for 24 h, and the medium was then replaced with defined serum-free medium. Medium was collected after 48 h and analyzed by Western blotting; the amount of sample loaded in each well was adjusted for differences in cell number of each culture, as determined by hemocytometer counting. Procedures for electrophoresis, transfer, and washing are described in the text.

 
IGFBP-3 and IGFBP-6 expression in antisense clones
Previous work in our laboratory has shown that growth inhibition by 1,25-(OH)2D3 in ALVA-31 cells is associated with increased expression of IGFBP-3 and -6 (Drivdahl et al., manuscript submitted), whereas decreased levels of IGFBP-3 have been correlated with tumorigenic growth in both cell culture and clinical studies. We therefore examined the expression of these binding proteins in the asBP4 cell lines to determine whether this is a common characteristic correlated with inhibition of malignant prostate cell growth. As shown in Fig. 7Go, IGFBP-3 mRNA was strongly up-regulated in the M12asBP4 and ALVA-31asBP4 clones relative to their respective parental lines. The increase in mRNA in different experiments was consistently 5- to 10-fold; both parental lines (particularly ALVA-31) produce very low amounts of IGFBP-3. IGFBP-6 was enhanced 3- to 5-fold in asBP4 cells; the increase was typically less pronounced in ALVA-31asBP4 clones, because constitutive production of IGFBP-6 was significantly higher in the ALVA-31 controls. Western immunoblotting confirmed the results from Northern analysis, demonstrating markedly enhanced secretion of both IGFBP-3 and -6 into the culture medium (Fig. 8Go).



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Figure 7. Northern hybridization analysis of IGFBP expression in tumor cell lines. Cells were grown to near confluence in RPMI/ITS and then treated in RPMI minimal medium with 100 ng/ml IGF-II for an additional 24 h; controls received appropriate vehicle. RNA was extracted and subjected to Northern blot analysis as described in Materials and Methods. Uniformity of loading and the positions of 28S and 18S RNA were determined from ethidium bromide staining and from hybridization to an end-labeled oligonucleotide for 18S RNA. IGFBP cDNA probes were partial cDNAs obtained from Dr. S. Shimasaki. The control cells are parental M12 or ALVA31 transfected with nonrecombinant expression vector (pCDNA3.1Z). C, Vehicle control; IGF, treated with 100 ng/ml IGF-II.

 


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Figure 8. Western blot analysis of IGFBP-3 and -6 in culture medium from tumor cell lines. Cells were plated in RPMI/ITS containing 5% FCS and allowed to attach for 24 h; the medium was then changed to serum-free RPMI/ITS, and cells were grown to confluence. They were then treated in RPMI minimal medium with either 100 ng/ml IGF-II or vehicle, and conditioned medium was collected after 48 h. Proteins from 1 ml medium were concentrated and analyzed by Western blotting as described in Fig. 1Go, except that antibodies were directed against IGFBP-3 and IGFBP-6. The amount of sample loaded in each well was adjusted for differences in cell number of each culture, as determined by hemocytometer counting. C, Vehicle control; IGF, treated with 100 ng/ml IGF-II.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IGFBPs have been shown to be widely expressed in normal and malignant prostate cells, and they are either up- or down-regulated by a variety of agents that affect cell growth (19). The number of different binding proteins, the variations in physical IGF-binding properties, and their ability to either enhance or inhibit IGF activity all suggest complex mechanisms for the control of cell growth via modulation of IGF activity. Expression of specific IGFBPs is changed markedly in tumor cells, as are the other components of the IGF system (7, 13, 14). We have been investigating contributions of individual IGFBPs to tumor growth: the high constitutive expression of IGFBP-4 in several of the cell lines used in our studies suggested that it may be a feature of the malignant state and that diminished levels would alter other components of the IGF system as well as tumor cell growth.

We have demonstrated that severe inhibition of IGFBP-4 expression by antisense RNA in two prostate cancer cell lines results in slower proliferation in monolayer culture, dramatically decreased colony formation in soft agar, and a heightened sensitivity to the induction of apoptosis by etoposide. In addition, tumor growth in mice was effectively blocked in M12 cells carrying the antisense IGFBP-4 construct, and the inhibitions of both anchorage-independent growth and tumor formation in vivo were maintained for the duration of the experiments.

Overexpression of IGFBP-4 in M12 cells was reported to delay tumorigenesis, and the effect was attributed to sequestration of autocrine IGF and consequent interference with its mitogenic and antiapoptotic activities (25). Logically, underexpression might be expected to exert opposite effects by permitting increased IGF availability. An important difference between the two conditions is the change observed in the expression of other IGFBPs. Overexpression of IGFBP-4 was associated with a decline in IGFBP-2 levels; however, reduced IGFBP-4 correlated with enhanced production of both IGFBP-3 and -6. We have previously found that reduced proliferation and anchorage-independent growth in ALVA-31 and PC-3 cells treated with 1,25-(OH)2D3 are also associated with increased expression of IGFBP-3 and -6. If one of the principal functions of the binding proteins were to prevent survival-promoting actions of IGF, then the increases in IGFBP-3 and IGFBP-6 would afford a more than adequate compensatory mechanism for ligand binding despite the reduced IGFBP-4. This conclusion is substantiated by the lack of response to exogenous IGF-II in the growth experiments here. The primary form of IGF in prostate is IGF-II, and given the emphatic preference of IGFBP-6 for IGF-II, the conditions do not favor free ligand.

Increased IGFBP expression has frequently been invoked as a mediator for suppression of cellular proliferation by hormonal agents. Rozen et al. (41) reported a 15- to 20-fold increase in IGFBP-5 in MCF-7 cells in response to administration of 1,25-(OH)2D3 and several analogs with antiproliferative capability. In PC-3 cells, 1,25-(OH)2D3 and the EB1089 analog stimulated IGFBP-3 synthesis (42), and Nickerson and Hyunh (43) demonstrated dramatic increases in several IGFBPs in rat ventral prostate, concomitant with significant ventral prostate regression induced by EB1089. Transforming growth factor-ß and retinoic acid were also reported to up-regulate IGFBP-3 in PC-3 cells (44). All of these reports concluded that growth inhibition was partially mediated by IGFBPs. We found a correlation between specific IGFBP levels and the extent of transformed cell growth. The mechanism of IGFBP action in asBP4 cell lines is unclear, but is unlikely that simple sequestration of IGF is sufficient to explain why tumorigenesis is delayed in the presence of low IGFBP-2 and high IGFBP-4, but largely prevented in the presence of high IGFBP-3 and -6.

The IGFBPs investigated in this work are diversified in both their physical characteristics and their known physiological actions. IGFBP-3 in particular has been extensively investigated in prostate, and it has been proposed as a prognostic indicator for both prostate and breast cancer. A study of patients with prostate cancer indicated that serum levels of IGFBP-3 were reduced as the disease progressed, whereas IGFBP-2 levels increased (22, 23); the increased IGFBP-2 was positively correlated with serum PSA. Guenette and Tenniswood (45) theorized that IGFBP-3 triggers apoptosis in the prostate after androgen ablation. In vitro work has shown that in addition to its effects on cellular proliferation, IGFBP-3 interacts with cell cycle and apoptotic pathways. It either initiated or potentiated apoptosis in breast cancer cells and in the PC-3 prostate tumor line (46, 47), and in our current study up-regulated IGFBP-3 is associated with enhanced susceptibility to apoptosis induced by etoposide. Constitutive overexpression of IGFBP-3 in M12 cells suppresses the ability to form tumors in mice, concomitant with increased apoptosis and G1 arrest (Plymate, S., personal communication). Other reports indicate that IGFBP-3 is up-regulated by p53 (48, 49). The p53 connection may help to explain the variable quantities of the protein in different cell lines and in clinical studies, given the frequency of p53 mutations in tumors and consequent diminished or undetectable activity (50). IGFBP-3 is also notable among the binding proteins in exertion of IGF-independent effects (21, 51), including the inhibition of cellular proliferation and potentiation of apoptosis. Specific IGFBP-3 receptors have been proposed as mediators of these effects, although the actual proteins have not been identified.

IGFBP-6 is unique in its dramatically higher (50- to 70-fold) affinity for IGF-II, relative to other binding proteins (52). IGF-II expression is elevated in many tumor cell types (16), and its production is increased in malignant prostate (7). One might therefore anticipate a role for IGFBP-6 in regulating tumor growth as well. It associates to only a limited extent with the cell surface, and O-glycosylation renders it resistant to proteolysis, affording the opportunity of posttranslational regulatory mechanisms (53). It has not been studied extensively in prostate, but both mRNA and protein are expressed in normal prostate tissue (14) and at much higher levels in the ALVA-31 and PC-3 cell lines (24, 54). In neuroblastoma cells, transfection with an IGFBP-6 cDNA effected reduced cell proliferation, and the inhibition was observed even in the presence of des(1, 2, 3)IGF-I, suggesting possible IGF-independent effects (55). In general, however, it appears to act by modulation of IGF-II action, usually manifest as inhibition. In L6A1 myoblasts increased IGFBP-6 expression resulted in inhibition of differentiation due to blockade of precursor cell mitosis (56).

We have proposed a tentative model in which IGFBP-6 and IGFBP-3 could act in concert to mediate growth inhibitory effects of 1,25-(OH)2D3. According to this concept, the principal function of IGFBP-6 would be sequestration of IGF-II, whereas IGFBP-3 contributes to as yet undefined mechanisms in cell cycle arrest and/or apoptosis. However, the means by which blockade of IGFBP-4 expression leads to the up-regulation of the other IGFBPs remains problematic. IGFBP-4 has not been shown to have ligand-independent effects, and it has been thought to act primarily through limiting IGF access to the IGF-IR. A temporarily increased availability of IGFs, resulting from the diminished IGFBP-4 expression, may activate a linked production of IGFBP-3 and -6, but this fails to explain the sustained synthesis. Alternatively, IGF might act in concert with IGFBP-4 to suppress the expression of IGFBP-3 and -6, perhaps by chaperoning IGF to the receptor. This hypothesis is consistent with data reported by Menouny et al. (57), who found increased IGFBP-6 and decreased IGFBP-4 in neuroblastoma cells treated with retinoic acid. In an analogous situation in colon cancer cells, IGF-II enhanced glioma cell growth via a synergistic interaction with IGFBP-2 (58), although this effect was not attributed to changes in the production of other IGFBPs. However, we have found that IGFBP-2 mRNA production is very low in ALVA31 and M12 controls, suggesting that IGFBP-4 may be a more significant contributor to malignant growth in these cells.

As noted above, overexpression of IGFBP-4 in M12 cells was also reported to inhibit growth; an important distinction from the present work is that overexpression delayed, but did not prevent, tumorigenesis. Western ligand blot analysis indicated a decrease in IGFBP-2 production, but confirmation of this result by immunoblotting or mRNA expression was not presented, and levels of IGFBP-3 and -6 were not specifically determined. However, abnormally high quantities of IGFBP-4, rather than facilitating IGF activity, may actually interfere with (but not prevent) IGF binding to the receptor and thereby temporarily reduce the rates of growth and tumorigenesis. It would also be interesting to know whether the putative IGFBP-4-specific protease (9) undergoes compensatory up-regulation in overexpressing cells, leading to a delayed increase in free IGF; recent evidence also suggests that the activity of this enzyme is dependent on direct interaction between IGF-II and IGFBP-4 (59).

Control of IGFBP synthesis involves transcriptional, translational, and posttranslational mechanisms as well as an extensive array of proteases that degrade the mature proteins. However this is accomplished, increasing evidence suggests coordinate control of production of the various IGFBPs, resulting in specific IGFBP patterns that contribute to maintenance of the benign or malignant state.


    Footnotes
 
1 This work was supported by an award (to R.H.D.) from the Veterans Affairs Merit Review Program. Back

Received September 6, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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