Endocrinology Vol. 139, No. 8 3456-3464
Copyright © 1998 by The Endocrine Society
Overexpression of an Inhibitory Insulin-Like Growth Factor Binding Protein (IGFBP), IGFBP-4, Delays Onset of Prostate Tumor Formation1
Susan E. Damon,
Lisette Maddison,
Joy L. Ware and
Stephen R. Plymate
Geriatric Research, Education, and Clinical Center, VA Puget Sound
Health Care System (S.E.D., L.M., S.R.P.), Tacoma, Washington 98493;
Division of Gerontology and Geriatric Medicine, Department of Medicine,
University of Washington (S.E.D., L.M., S.R.P.), Seattle, Washington;
and the Department of Pathology (J.L.W.), Medical College of Virginia,
Richmond, Virginia 23298
Address all correspondence and requests for reprints to: Stephen Plymate, Geriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, American Lake Division, Tacoma, Washington 98493. E-mail: splymate{at}u.washington.edu
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Abstract
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Insulin-like growth factor (IGF) binding proteins (IGFBPs) have been
shown to either inhibit or enhance the action of IGF, or act in an
IGF-independent manner in the prostate. We have overexpressed the
IGF-inhibitory IGFBP-4 in the malignant M12 prostate epithelial cell
line to determine the effects on tumor formation and apoptosis.
Overexpression was determined by Northern, Western immunoblot and
Western radioligand blot analysis. IGF-induced proliferation was
reduced in the IGFBP-4 transfected cells compared with control cells
(P
0.01). Colony formation in soft agar was
significantly inhibited up to 14 days after plating in the IGFBP-4
transfected cells when compared with the M12 controls
(P
0.01): however, in the presence of
des(13)IGF-I, there was no significant difference between the control
and IGFBP-4 transfectants in colony formation in soft agar. Apoptosis
in an IGFBP-4 transfected cell line was significantly increased in
response to induction by 6-hydroxyurea compared with the control line.
When injected sc into male athymic/nude mice, a marked delay was noted
in tumor formation in animals receiving IGFBP-4 transfected cells
(P
0.01). Interestingly, IGFBP-2 protein levels
were reduced in the conditioned media of all IGFBP-4 transfected cell
cultures. These data indicate that an inhibitory IGFBP may
significantly delay the growth of malignant prostate epithelial cells
and enhance the sensitivity of these cells to apoptosis.
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Introduction
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THE INSULIN-LIKE GROWTH FACTOR (IGF) system
plays a critical role in the normal proliferation of many tissues and
cell types and has been implicated in transformation (1, 2). The IGF
system consist of the ligands (IGF-I and IGF-II), two receptors
designated type I and type II IGF receptors (IGF-IR and IGF-IIR), and a
family of soluble, IGF binding proteins (IGFBPs) that specifically bind
IGFs and modulate their action in either a positive or negative fashion
(3, 4, 5). In turn, IGFBPs are regulated by various proteases (3, 6).
Proliferative and other actions of IGF in normal and malignant cells
appear to be mediated exclusively through the IGF-IR (7, 8). In
prostate tissue and in both primary and established cell cultures
derived from prostate, components of the IGF system have been studied.
The IGF-IR has been detected in prostate epithelium both in
vitro and in vivo (9, 10, 11) and epithelial and stromal
cells produce the IGF-II ligand as well as IGFBPs 26 (9, 12, 13, 14, 15, 16, 17).
In several tissue systems, during the transition from the benign to
malignant state, qualitative and quantitative changes in various
components of the IGF axis frequently occur. Human epithelial breast
cancer cells (18, 19) and human pancreatic (20) and parathyroid tumors
(21) contained elevated levels of the IGF-IR when compared with the
benign state. Work in our laboratory has shown that in prostate
epithelium, both in vivo and in vitro there are
several changes in the IGF system. IGF-IR levels decrease and IGF-II
levels increase in malignant cells (12, 22). Changes in expression of
IGFBPs also occur in the progression to prostate cancer: IGFBP-2 and
IGFBP-5 levels increase, whereas IGFBP-3 (16, 17) and IGFBP-7 (23)
levels decrease from the benign to malignant state.
Immortalization of cells, an early event in the transformation process,
requires overexpression of the IGF-IR and an increase in IGF expression
in NIH 3T3 and PC-12 cells (24, 25). When either IGF-IR or IGF
expression was blocked in these cell lines, immortalization and
resulting transformation was inhibited. Rat prostate cancer cells
lacking the IGF-IR exhibited suppressed tumor growth and inhibition of
invasive growth to surrounding cells in vivo (26),
suggesting the IGF system also plays an important role in metastasis of
prostate cancer.
We postulated that overexpression of an inhibitory IGFBP could decrease
the availability of the already up-regulated IGF-II in prostate cancer
cells, and that this would in turn reduce tumor formation and or
growth. Of the six well characterized IGFBPs, IGFBP-4 alone appears to
act exclusively in an inhibitory fashion with respect to the IGF
ligands (3), by sequestering IGF from the IGF-IR. In this study, we
attempted to alter the availability of the IGF-II ligand by
overexpressing IGFBP-4 in the highly tumorigenic and metastatic M12
human prostate epithelial cell line to determine the resulting effect
on tumor cell growth. The M12 cell line, like prostate adenocarcinomas,
overexpress the IGF-II ligand and have reduced levels of the IGF-IR
(22).
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Materials and Methods
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Materials
RPMI-1640, epidermal growth factor, and dexamethasone were
purchased from Sigma Chemical Co. (St. Louis, MO). Insulin-like growth
factors-I and -II were gifts from Eli Lilly and Co. (Indianapolis, IN).
Gentamicin, fungizone, and geneticin (G418) were obtained from Oncogene
Science (Uniondale, NY). FBS was obtained from Hyclone (Logan, UT).
Insulin, transferrin, and selenium were purchased as the additive ITS
from Collaborative Research (Waltham, MA). Nitrocellulose and
electrophoresis reagents were purchased from Bio-Rad Laboratories
(Richmond, CA). Horseradish peroxidase-linked donkey antirabbit IgG,
Enhanced Chemiluminescence (ECL) detection reagents, and
[125 I]-IGF-II (2000 Ci/mmol) were from Amersham
(Arlington Heights, IL). The polyclonal IGFBP-4 antibody was obtained
from UBI (Lake Placid, NY). The pcDNA3.1 vector was purchased from
Invitrogen (San Diego, CA). The Cell Titer 96 AQueous cell
proliferation kit and Tfx-50 Transfection Reagent were obtained from
Promega (Madison, WI). The IGFBP-4 complementary DNA (cDNA) was
obtained from Dr. S. Shimazaki (Whittier Institute for Diabetes and
Endocrinology at Scripps Memorial Hospital).
Cell culture
Derivation of the M12 cell line has been previously described
(27, 28). Briefly, human prostate epithelial cells were immortalized
with SV40T antigen to the produce the benign, immortalized P69SV40T
(P69) cell line. P69 cells were injected sc into athymic nude mice,
producing tumor nodules in 2 of 18 animals after 180 days. These
nodules were reimplanted into athymic nude mice, and after three
passages resulted in the M12 cells, which demonstrated a short latency
period of 710 days to tumor formation in all 10 animals receiving sc
injection, and were locally invasive and metastatic when injected
intraprostatically (29). M12 cells were cultured in RPMI-1640 medium
supplemented with 10 ng/ml EGF, 0.1 mM dexamethasone, 5
mg/ml insulin, 5 mg/ml transferrin, and 5 ng/ml selenium, fungizone,
and gentamicin (ITS medium) at 37 C in 5% CO2. All cells
used in these experiments were mycoplasma free as determined by the
Gen-Probe Mycoplasma T.C. Rapid Detection System (Gen-Probe, San Diego,
CA).
Vector preparation
The mammalian expression vector pcDNA3.1 was used to prepare the
pcBP4 construct that expresses the IGFBP-4 cDNA from the constitutive
CMV promoter. A 0.989-kb cDNA fragment containing the full-length
IGFBP-4 coding sequence (30) was ligated into the EcoRI and
XhoI sites, oriented 5' to 3', of pcDNA3.1 using Ready-To-Go
T4 ligation kit (Pharmacia Biotech, Piscataway, NJ). The IGFBP-4 cDNA
contains 189 bp of 5' untranslated region, a 761-bp coding sequence,
and 42 bp of the 3' untranslated region. Subcloning efficient DH5a
Escherichia coli cells (Life Technologies, Gaithersburg, MD)
were transformed with the pcDNA3.1-IGFBP4 ligation and ampicillin
resistant colonies assayed by DNA minipreparations and restriction
digestion.
Cell lines
Cells lines were produced by liposome mediated transfection
using Tfx-50 (Promega) according to the manufacturers protocol, using
1.33 mg plasmid DNA per 5.5 x 105 cells in a 60-mm culture
dish. Control cells were produced by transfecting M12 cells with
pcDNA3.1 alone. Both transfected and nontransfected M12 cells were
selected with G418 (800 mg/liter active ingredient) for 7 days until
all the nontransfected M12 control cells died. At this point, the G418
concentration was stepped down to 200 mg/liter, and the cells were
selected for another 2 weeks. After the 2-week period, resistant cells
were pooled to form a polyclonal cell line designated M12BP4pop. Two
clonal cell lines, expressing low and intermediate levels of the
transgenic IGFBP-4, were selected from M12BP4pop culture for analysis
in this study. These clones were picked using the method of
Gibson-DAmbrosio et al. (31). Briefly, M12BP4pop cells
were plated sparsely on plastic culture dishes and grown until
individual colonies were visible. A sterile nylon membrane (Genescreen,
DuPont, Wilmington, DE) was placed over the colonies, and the medium
was aspirated. After 3 h, the membrane was marked for orientation
on the plate and removed; growth medium was replaced, and cells
remaining on the plate were allowed to grow. The membrane was
immediately probed with IGFBP-4 antibody by Western immunoblotting as
described below. Colonies identified as high expressors of IGFBP-4 were
removed from the master plate using cloning rings and subcultured.
Messenger RNA (mRNA) analysis
Cells were cultured until they reached 90% confluence, at which
time total cytoplasmic RNA was isolated using an acid guanidinium
thiocyanate-phenol-chloroform extraction method. Ten milligrams of each
RNA preparation were separated by electrophoresis through a 1.5%
agarose/2.2 M formaldehyde gel, transferred overnight by
capillary action onto a nylon membrane (Genescreen, DuPont) using
10 x SSC as the transfer solution, and cross-linked to the
membrane by UV irradiation in a Statalinker 1800 (Stratagene, La Jolla,
CA). The Northern blot was probed with the
EcoRI/HindI11 fragment of the IGFBP-4 cDNA
radiolabeled (1 x 109 dpm/ug)with
a-[32P]-dCTP (New England Nuclear-DuPont; specific
activity 3000Ci/mmol) using a random priming kit (Prime-a gene,
Promega) overnight at 42 C in 50% formamide, 5 x SSC, 10 x
Denhardts solution, 1% SDS, 100 mg/ml sheared, denatured Herring
sperm DNA. The blot was washed for 30 min in 2 x SSC at RT, 30
min in 2 x SSC, and 1% SDS at RT, and stringently washed at 65 C
in 0.2 x SSC, 1% SDS for 30 min. Blots were exposed to Kodak XAR
film (Eastman Kodak Co., Rochester, NY) for 2 days with one intensifier
screen at -70 C. Bands in the resulting autoradiograph were quantified
using an image analyzer equipped with MCID version 4.2 software
(Imaging Research, St. Catherines, Ontario, Canada).
Western ligand and immunoblot analysis of IGFBP-4 expression
IGFBP-4 protein production was assayed by radioligand and
immunoblot analysis. Cells were plated in 60-mm plates in medium
containing serum and allowed to grow to 70% confluence. The cells were
then switched to serum-free medium for 24 h, after which time the
medium was collected, normalized to cell numbers (determined by cell
counts), and concentrated by filtration through nitrocellulose (32).
After concentration, proteins were redissolved in 50 ml denaturing SDS
sample buffer (0.5 M Tris, pH 6.8, with 1% SDS, 10%
glycerol, and 8 M urea) and separated on a 12% SDS-PAGE.
The proteins were then transferred to nitrocellulose by
electroblotting. [125I]-IGF-II (2000 Ci/mmol; Amersham)
was used for radioligand blotting at 1.25 x 105
cpm/ml. Radioactivity was visualized using Kodak XAR-2 film with
intensifying screens at -70 C for 24 h. Band intensities in the
resulting autoradiograms were quantified by densitometry as described
above. Western immunoblotting was prepared as described above through
the transfer step, but the nitrocellulose membrane was probed with
antiserum to human IGFBP-4 at a dilution of 1:4000, and detection was
accomplished with horseradish peroxidase-linked donkey antirabbit
secondary antibody and enhanced chemiluminescence reagents (ECL system,
Amersham) using the manufacturers protocol.
Proliferation assays
Cell proliferation was assessed using a colorimetric, MTS assay
for quantification of viable cells using the Cell Titer 96
AQueous kit (Promega). In this assay, 2,500 cells were
added to each well of a 96-well plate; and IGF-II (0100 ng/ml) was
added to the ITS medium at the time of plating. After 72 h in
culture, the tetrazolium salt and dye solution were added, color
development was allowed to proceed for 23 h at 37 C, and absorbance
at 570 nm was measured for each well. Each cell line was tested in
three separate experiments. MTS results were confirmed by cell counts.
The correlation between cell number and the MTS tetrazolium assay in
our laboratory is r = 0.97.
Anchorage-independent growth
For studies of anchorage-independent growth of transfected cell
lines, each well of a 24-well plate was first layered with 0.6%
agarose, 1 x RPMI 1640. A top layer containing an equal volume of
cells (1 x 106) and 2 x RPMI 1640 supplemented
0.3% agar, 200 ng/ml G418 and containing 0 or 50 ng/ml des(1, 2, 3)IGF-I
(DSL, Webster, TX) was added. Plates were maintained at 37 C in 5%
CO2 for 21 days. Colonies greater than 50 µm in diameter
were counted at 14 and 21 days after plating.
FragEL assay for apoptosis
This assay was performed on cell preparations grown directly on
glass slides. 1 x 105 cells were plated on glass
slides and grown in ITS medium/5% FBS at 37 C in 5% CO2
for 24 h to allow attachment. Medium was removed, and specimens
were rehydrated in 1 x TBS buffer and permeabilized with
proteinase K. Endogenous peroxidases were inactivated with hydrogen
peroxide. Some slides were pretreated for 2 h with 50
mM 6-hydroxyurea. The specimens were then end-labeled with
Klenow Labeling Reaction Mix (Oncogene Research Products, Cambridge,
MA) according to the manufacturers protocol. The slides were blocked
and stained using the FragEL-Klenow DNA Fragmentation Detection Kit
(Oncogene Research Products) according to the manufacturers protocol.
Apoptotic cells were then identified and quantified (per 100 cells) by
light microscopy.
Fragmentation gel assay for apoptosis
Media collected from cells grown for the above FragEL assay were
spun at 2000 rpm to collect and concentrate cells that had detached
from the plates. Harvested cells were resuspended in 15 ml of a 1:1
mixture of sample buffer (10% glycerol, 10 mM Tris, pH
8.0, 0.1% (wt/vol) bromophenol blue) and RNase A (10 mg/ml) and loaded
onto an agarose gel divided at the wells into a lower 2% portion and
an upper portion containing 1% agarose, 2% SDS, and 64 mg/ml
proteinase K. DNA was electrophoresed for 16 h at 60 V. Gels were
stained in water containing 2 mg/ml EtBr in water for 1 h, then
washed 3 times in 3 liters of water for several hours (33). DNA was
visualized by UV transillumination to reveal characteristic ladders
indicative of apoptosis.
Isolation of cells from tumors
Tumors that developed in nude, athymic male mice after sc
injection of 1 x 106 cells of either M12-pcCNA3 or
-BP4C were removed at 10 weeks after injection and digested with 0.1%
collagenase (Type 1) and 50 µg/ml DNAse (Worthington Biochemical
Corp., Freehold, NJ) according to the protocol of Peehl and Stamey
(34). Dispersed cells were plated in ITS medium/5% FBS at 5%
CO2, 37 C for 24 h to allow attachment. After 24
h, cultures were switched to serum-free ITS medium for 24 h, and
used for Western ligandblot analysis as described above.
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Results
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IGFBP-4 expression
Northern blot analysis of RNA from the polyclonal M12-BP4 cell
line designated M12-BP4pop demonstrated expression of a 1.3-kb
transgenic IGFBP-4 mRNA at a level 10-fold higher than the endogenous
2.6-kb IGFBP-4 transcript (Fig. 1
). Two
clonal cell lines M12-BP4A and -BP4C also expressed the 2.0-kb
transgenic IGFBP-4 transcript at approximately 4- and 8-fold higher
levels respectively than the endogenous IGFBP-4 mRNA (data not shown).
The control cells (M12-pcDNA3) transfected with the empty pcDNA3.1
vector, did not express the 1.3-kb transcript.

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Figure 1. Northern blot analysis of total RNA from parental
M12, M12-pcDNA3 control, and M12-BP4pop cells hybridized with a
radiolabeled cDNA fragment from IGFBP-4. Ten micrograms of total RNA
was loaded in each lane. The 2.6-kb band is the endogenous IGFBP-4
transcript, whereas the 1.3-kb band is the transgenic IGFBP-4
transcript. The amount of IGFBP-4 mRNA was quantified by densitometry
and expressed relative to the amount of the 0.8-kb ribosomal L32 band
used as a loading control.
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The levels of IGFBP-4 protein secreted into the medium conditioned by
the transfected cell lines were compared by radioligand blot analysis
using [125I]-IGF-II as the ligand (Fig. 2
). The results were quantified by
densitometry. We observed a greater than 50-fold increase in the signal
of IGFBP-4 (
24 kDa) protein band from medium conditioned by
M12-BP4pop, whereas the band intensities of the IGFBP-4 band in the
clonal cell lines M12-BP4C and -BP4A were 40- and 15-fold higher,
respectively, than medium conditioned by control M12-pcDNA3 cells. The
band seen at 26 kDa is the glycosylated form of IGFBP-4. There is a
decrease in IGFBP-2 (32 kDa) expression in medium conditioned by all
the IGFBP-4 overexpressing cell lines (Fig. 2
, A and B). This decrease
was more pronounced in the cell lines expressing higher levels of
IGFBP-4.

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Figure 2. Western radioligand blot analysis of IGFBP-4
protein expression from conditioned medium of M12, M12-pcDNA3 control,
the IGFBP-4 overexpressing polyclonal cell line M12-BP4pop
(upper and lower panels) and two IGFBP-4
overexpressing clonal cell lines M12-BP4A and -BP4C (lower
panel). [125I]-IGF-II was used as the ligand. The
26-kDa band is the glycosylated form of IGFBP-4. Loadings were
normalized to cell number.
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Western immunoblot analysis of five cell lines demonstrated 44-fold
higher signal levels of IGFBP-4 (24 kDa) in the conditioned medium of
M12-BP4pop, 20-fold higher levels in M12-BP4C cultures, and 7-fold
higher levels in M12-BP4A cultures compared with medium from control
M12-pcDNA3 cultures (Fig. 3
). The IGFBP-4
antiserum reacts with low affinity to IGFBP-2 (32 kDa). From this
immunoblot it is also possible to detect the same pattern of IGFBP-2
expression as seen in the radioligand blot (Fig. 2
). The higher levels
of IGFBP-4 expression are associated with lower levels of IGFBP-2.

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Figure 3. Western immunoblot analysis of IGFBP-4 protein
expression from conditioned medium of M12-pcDNA3 control cells, the
IGFBP-4 overexpressing polyclonal cell line M12-BP4pop and clonal cell
lines M12-BP4A, -BP4C. Loadings were normalized to cell number. The
blot was subjected to immunoblot analysis using IGFBP-4 antiserum
(1:4000).
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Effect of IGFBP-4 overexpression on proliferation of the
tumorigenic M12 cells
To determine the effects of IGFBP-4 overexpression on
proliferation, growth rates of M12-BP4pop, -BP4C, and-pcDNA3 cells were
compared using an MTS assay (as described in Material and
Methods) in the presence or absence of 0100 ng/ml IGF-II (Fig. 4
). Each experiment was repeated three
times. In the absence or presence of 50 mM IGF-II, the two
M12-BP4 cell lines proliferated significantly more slowly than the
controls. However, the increase in rate of proliferation of M12BP4-C
cells from 1 to 10 and 10 to 100 ng/ml IGF-II was statistically
significant (P < 0.01). The M12BP4-pop cell line
showed a significant increase (P < 0.01) in
proliferation from 10100 ng/ml IGF-II.
Effect of overexpression of IGFBP-4 on anchorage independent growth
of M12 cells
The effect of overexpression of IGFBP-4 on tumorigenesis in
vitro was assayed by growth in soft agar. M12-BP4pop, -BP4A,
-BP4C, and -pcDNA3 cells were grown in soft agar for 3 weeks in the
absence or presence of 50 ng/ml des(1, 2, 3)IGF-I, an analog of IGF-I that
binds to the IGF-IR but has very low affinity for IGFBPs. Colony
numbers were counted after 2 and 3 weeks. There was a significant
(P < 0.01) decrease in the number of colonies formed
in serum-free medium in wells plated with either M12-BP4pop, -BP4A, or
-BP4C cells after 14 days compared with the control M12pcDNA3 cells
(Fig. 5A
). When the cell lines were grown
in soft agar in the presence of 50 ng/ml des(1, 2, 3)IGF-I, there was no
significant difference (P < 0.01) in number of
colonies formed between control cells and those overexpressing IGFBP-4,
indicating that the effect of IGFBP-4 overexpression was due to
inhibition of IGF, and not to an IGF-independent effect (Fig. 5B
).
However, when colony numbers were counted at 21 days in soft agar in
serum-free medium, there were no significant differences in colony
number between any of the four cell lines (data not shown). Each
experiment was repeated three times.
Effect of overexpression of IGFBP-4 on apoptosis of M12 cells
To determine the effect of overexpression of IGFBP-4 on apoptosis,
M12-BP4A, -BP4C and the control -pcDNA3 cell lines were assayed using
an in situ DNA end-labeling protocol (FragEL assay), which
end labels the 3'-OH end of DNA fragments produced by endonucleases
during apoptosis. Apoptosis was also assayed in cells that detached
from the plate by fragmentation gel analysis. Apoptosis was enhanced in
cells overexpressing IGFBP-4 in both assays (Fig. 6
). Microphotographs of contol M12-pcDNA3
or -BP4C cells treated with and without hydroxyurea for 2 h before
DNA fragment end-labeling are shown in Fig. 6
, AD. The dark staining
bodies indicated with arrows are cells undergoing apoptosis.
Photomicrographs A and B are M12-pcDNA3 cells grown in the presence or
absence of 50 mM 6-hydroxyurea for 2 h before DNA
end-labeling. The percentage of M12-pcDNA3 cells undergoing apoptosis
were 0.5% ± 0.3 and 2.1% ± 0.3 in the absence or presence of
hydroxyurea, respectively. Photomicrographs C and D represent M12-BP4C
cells treated without and with hydroxyurea respectively. M12-BP4C cells
underwent apoptosis at 11% ± 2.0 and 19% ± 4.0 in the absence or
presence of hydroxyurea, respectively. M12-BP4C cells demonstrated a
higher level of DNA end-labeling in both treatments when compared with
the control cells, indicating that apoptosis was increased in IGFBP-4
overexpressing cells.

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Figure 6. AD, In situ staining for
apoptosis (described in Materials and Methods) in
M12-pcDNA3 and M12-BP4C cells in the presence or absence of 50
mM 6-hydroxyurea. Microphotographs A and B depict
M12-pcDNA3 without (0.5% ± 0.3) and with a 2 h hydroxyurea
pretreatment (2.1% ± 0.3) respectively. Microphotographs C and D
depict M12-BP4C cells without (11% ± 2.0) and with hydroxyurea (19%
± 4.0), respectively. The dark staining bodies, identified by
arrows, are cells undergoing apoptosis. Numbers in
brackets represent the percentage of cells staining
positively for apoptosis in each treatment ± SEM.
Experiment was repeated three times. E, DNA fragmentation gel of DNA
isolated from cells in the media (cells that had detached from the
slides) to assay for apoptosis. Lane 1, DNA from attached M12pcDNA3
cells grown in ITS medium shown here as a negative control. Lane 2, DNA
from medium derived (floating) M12pcDNA3 cells after growth in ITS
medium and exposure to 50 mM 6-OH urea for 2 h. Lane
3, DNA from medium derived M12-BP4C cells after growth in ITS medium
and exposure to 50 mM 6-OH urea.
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The number of cells that were floating following addition of
6-hydroxyurea were 50% greater in the M12BP-4C cells compared with the
M12-pcDNA3 control clone. When the DNA from these detached cells was
separated on an agarose gel (Fig. 6E
), a marked increase in apoptosis
was seen in the M12BP-4C clone (lane 3) compared with the control clone
(lane 2) as indicated by the increased DNA fragmentation. Lane 1 is DNA
from attached M12-pcDNA3 cells that did not receive 6-hydroxyurea
treatment and is included as a negative control for apoptosis.
Effect of overexpression of IGFBP-4 on tumorigenesis in vivo
To determine the effect of IGFBP-4 overexpression in
vivo, 1 x 106 cells from each of three M12
derived cell lines (M12-pcDNA3, -BP4A, and -BP4C) were injected sc into
sets of 10 nude, athymic, male mice and tumor growth, determined as
number of mice developing new tumors over a 9-week-period, was
determined (Fig. 7
). The total number of
tumors formed in mice receiving injections of M12-BP4A and -BP4C clonal
cells was lower than in mice receiving control cells over the 9-week
postinjection period. At the end of 9 weeks, all 10 control mice had
developed tumors, whereas only 5 and 6 mice had developed tumors in the
M12-BP4C and -BP4A treated mice, respectively. When comparing the rate
of new tumor formation, at weeks 5 and 6 there was a significantly
(P < 0.01) lower rate of new tumor formation in both
M12-BP4A and-BP4C treated mice, whereas at week 7 only the M12-BP4C
treated mice showed a significantly (P < 0.01) lower
rate of new tumor formation compared with the M12-pcDNA3 control cells.
By week 8 there was no significant difference in rate of new tumor
formation between any of the treatments.
To determine whether the loss of inhibition of tumorigenesis in
vivo was due to loss of expression of IGFBP-4, cells were isolated
from 10-week-old tumors that developed in the athymic nude mice
receiving either M12-pcDNA3 or M12-BP4C cells. The level of IGFBP-4
protein secreted into the medium conditioned by these tumor derived
cells was assayed by Western radioligand blot analysis. Western ligand
blot analysis indicated that IGFBP-4 was still overexpressed in cells
derived from a tumor injected with M12-BP4C cells (Fig. 8
). Therefore, the loss of inhibition of
tumorigenesis was not due to a loss of IGFBP-4 expression. Preliminary
data (unpublished) comparing levels of IGFBP-4 in conditioned medium of
the M12-BP4C and -pcDNA3 tumor derived cells, as assayed by Western
ligand blot analysis, and grown in the presence or absence of 100 ng/ml
IGF-II indicate no decrease in IGFBP-4 levels in the presence of
IGF-II. These preliminary data suggest that proteolysis of IGFBP-4,
which is enhanced by the presence of IGFs (for review see Ref. 3) is
not a factor contributing to the loss of inhibition of tumor growth in
the M12-BP4C tumor derived cells in vitro. The expression of
IGFBP-2 also remained low in the M12-BP4C derived tumor cells, which is
consistent with expression patterns seen in the M12-BP4 cell lines
in vitro.

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Figure 8. Western radioligand blot of proteins in the medium
conditioned by cells derived from tumors that developed in mice
receiving either M12-pcDNA3 control or -BP4C cells by sc injection.
Tumors were removed 10 weeks after injection. The 24-kDa band
represents IGFBP-4 protein, whereas the 32-kDa band is IGFBP-2. Note
that IGFBP-4 expression is still high in -BP4C tumor cells. Also note
IGFBP-2 protein level is low in the high IGFBP-4 expressing -BP4C tumor
cell medium but high in the medium conditioned by control tumor
cells.
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Discussion
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In this study, we demonstrate that overexpression of the
inhibitory IGFBP-4 can delay tumorigenesis in the M12 prostate cancer
cell line. Proliferation, anchorage-independent growth, and tumor
development in athymic nude mice were all inhibited by overexpression
of IGFBP-4. Furthermore, apoptosis was increased in cells
overexpressing IGFBP-4, which may explain the slower rate of
proliferation and tumor growth in these cells. The inhibitory effect of
IGFBP-4 overexpression on M12 growth was moderated by addition of high
levels of IGF-I (100 ng/ml) or ablated by addition of des(1, 2, 3)IGF-I
(50 ng/ml) to soft-agar cultures, indicating that the inhibitory effect
of IGFBP-4 was due to sequestration of autocrine IGF and not due to an
IGF-independent effect, as has been suggested in one study in colon
cancer cells overexpressing IGFBP-4 (35). The increase in apoptosis
seen in IGFBP-4 overexpressing cells is probably not due to a direct
effect of IGFBP-4 on apoptosis but indirectly due to IGFBP-4
sequestration of IGF. The IGF ligands have been implicated as cell
survival factors in many cell types, and depletion of IGF has been
shown to induce apoptosis in several cell systems (36, 37, 38, 39).
Overexpression of IGFBP-4 did not, however, result in long-term
inhibition of anchorage-independent growth of M12 cells in
vitro, nor inhibition of tumor development in vivo.
Both colony numbers in vitro and tumor growth in
vivo approximated control values by the end of the experiments,
despite a significant lag phase in early growth rates. Western
radioligand blot analysis of cells derived from tumors demonstrated
that the loss of inhibition was not due to loss of expression of
transgenic IGFBP-4 over extended time, indicating the interaction of an
additional compensatory mechanism.
Possible explanations for the loss of inhibition of tumorigenesis by
IGFBP-4 in the M12 background are as follows:
1) Proteolysis of IGFBP-4. There are well documented examples of
proteolysis of IGFBP-4 in several systems (6). The IGFBP-4 proteolyzing
enzyme Cathepsin, which is stimulated by IGF, is expressed in cultured
prostatic carcinoma cells (40). However, our in vivo data
indicate that the effect of proteolysis of IGFBP-4 was probably minimal
in this system. Western radioligand blot analysis indicated high levels
of expression of IGFBP-4 in cells derived from a 10-week-old M12-BP4C
tumor, a time when inhibition of tumorigenesis was lost. Unpublished
data from preliminary experiments using control and M12-BP4C
tumor-derived cells indicate there is no change in IGFBP-4 protein
levels in the medium of these cell cultures in the presence or absence
of 100 ng/ml IGF-II. Although preliminary, these results support the
suggestion that proteolysis is not a significant factor determining the
loss of inhibition of tumorigenesis in M12-BP4C derived tumors.
2) Production of autocrine IGF goes up sufficiently to titrate out the
elevated levels of IGFBP-4, thus increasing the amount of free IGF
available to bind to the IGF-IR. Data are not currently available to
support or refute this possibility; however, our results warrant
further investigation to determine whether an increase in IGF
expression does occur over time in M12-BP4 cell lines and tumors.
3) That the IGF axis is bypassed. Although it is apparent that the IGF
axis is required for normal development of the prostate and for initial
cell transformation in cancer development (41, 42), it may be less
important in later stages of carcinogenesis. In the progression from
the benign, immortalized P69 cells (the parental prostate cell line
from which M12 was derived) to the M12 cell line, there is a
concomitant decrease in the number of IGF-IRs and proliferative
response to IGF (22, 43). M12 cells have been shown to be less
responsive to IGF-stimulated proliferation than the parental P69 cell
line, where receptor number is high and IGF-II levels are lower. In M12
cells, the IGF-IRs appear to be maximally stimulated by the high levels
of autocrine IGF-II, and addition of exogenous IGF has little
proliferative effect (22). This progressive decrease in the number of
IGF-IRs and increase in IGF-II levels, as cells become more malignant,
is mirrored in vivo (12). Although it is unclear what effect
this down-regulation of the receptor may play in cancer formation, it
may indicate that as cancer progresses, there is either a lower
dependence on the IGF axis for growth, or an increase in postreceptor
signaling. However, we saw an initial inhibition of tumor growth with
overexpression of IGFBP-4 and no indications of an IGF-independent
IGFBP-4 effect, indicating the IGF ligand still exerts a growth
potentiating function in the highly malignant M12 cells.
Western ligand blot analysis of media collected from cells
overexpressing IGFBP-4 had lower levels of IGFBP-2. This
down-regulation of IGFBP-2 associated with IGFBP-4 overexpression was
seen in cultures of the transfected cells as well as cultures of
tumor-derived cells. Cell lines M12-BP4pop and -BP4C, which express
IGFBP-4 at high levels, had the lowest levels of IGFBP-2 expression,
whereas M12-BP4A cells expressed low to intermediate levels of IGFBP-4
and demonstrated a higher level of IGFBP-2 expression. The control
M12-pcDNA3 cells, which have the lowest IGFBP-4 expression, also had
the highest level of IGFBP-2 protein expression. The decrease in
IGFBP-2 expression in M12-BP4 cell lines is probably due to a decrease
in IGF availability. In a recent study by Wang et al. (44),
it was shown that IGFBP-2 expression was down-regulated in glioma cells
expressing an IGF-I antisense transcript. This study also found
that IGFBP-2 acted synergistically with IGF-I to enhance glioma
cell growth. IGFBP-2 expression is increased in many cell lines derived
from solid tumors (45), and expression is up-regulated by IGF-I in
breast cancer cells (46). We have found IGFBP-2 expression increased in
both M12 cells and in prostate adenocarcinomas (16). The role IGFBP-2
plays in prostate cancer is not known, but its expression appears to be
positively correlated with increasing degrees of prostate cell
malignancy and its role in the development or progression of prostate
cancer warrants further investigation.
Our results reinforce the importance of the IGF system in the
development and progression of prostate cancer. Although it is
generally agreed that the IGF-IR is responsible for the mitogenic,
transforming, differentiation, and antiapoptotic effects of the IGF
ligands, enhancement of apoptosis may also be a function of the IGF-IR.
When the IGF-IR was reexpressed in M12 cells to a level comparable to
that expressed in the benign parental P69 cell line, there was
inhibition of tumorigenesis and an increase in apoptosis (43, 47) by an
as yet unknown mechanism. Recent studies by Liu et al. and
OConner et al. suggest there is a proapoptotic domain on
the carboxy-terminus of the b-subunit of the IGF-IR (48, 49). It has
also been suggested that receptor number per cell may be one factor
controlling activation of various functions of the IGF-IR (50). The IGF
system may have multiple functions in tumor development that may
include a gain in tumorigenic function by stimulation through increased
IGF production, and/or a loss of antitumorigenic function as may occur
with a loss of a putative pro-apoptotic activity.
The present study was undertaken to determine whether inhibition of IGF
action via overexpression of an inhibitory IGFBP would result in
decreased growth of prostate cancer cells. There was an initial period
of significant inhibition of tumorigenesis in both clonal and
polyclonal M12-BP4 cell lines in vitro and in
vivo as assayed by anchorage independent growth and tumor
development respectively. Although inhibition of tumorigenesis was
transient in the M12 transfected cell lines, the increased sensitivity
to apoptosis seen in vitro suggests that in combination with
other treatments that predispose cells to apoptosis, overexpression of
IGFBP-4 may provide improved therapy in the treatment of prostate
cancer.
 |
Acknowledgments
|
|---|
We thank C. Tomasini and M. Yi for their excellent technical
help. We also thank Dr. S. Shimasaki (Whittier Institute for Diabetes
and Endocrinology at Scripps Memorial Hospital) for providing the
IGFBP-4 cDNA. Advice on the manuscript was kindly provided by Dr. R.
Drivdahl.
 |
Footnotes
|
|---|
1 This work was supported by a Veterans Affairs Merit Review Program
(SRP) and NIH-NIDDK-DK 96005 (SRP and JLW). 
Received December 23, 1997.
 |
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