Endocrinology Vol. 142, No. 5 1990-1998
Copyright © 2001 by The Endocrine Society
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
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Abstract
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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.
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Introduction
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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.
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Materials and Methods
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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
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 manufacturers
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
manufacturers 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
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
Denhardts 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 [
-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.
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Results
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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. 1
). 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+.
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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. 2
, 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.
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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. 3
). 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.
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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 4
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).
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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 1
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. 5
). 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.
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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. 6
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.
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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. 7
, 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. 8
).

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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. 1 , 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.
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Discussion
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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. 
Received September 6, 2000.
 |
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