Endocrinology Vol. 140, No. 1 454-461
Copyright © 1999 by The Endocrine Society
The Insulin-Like Growth Factors (IGF) and IGF Type I Receptor during Postnatal Growth of the Murine Mammary Gland: Sites of Messenger Ribonucleic Acid Expression and Potential Functions1
Monica M. Richert and
Teresa L. Wood
Department of Neuroscience and Anatomy, Pennsylvania State
University College of Medicine, Hershey, Pennsylvania 17033
Address all correspondence and requests for reprints to: Teresa L. Wood, Ph.D., Department of Neuroscience and Anatomy, Pennsylvania State University College of Medicine, P.O. Box 850, 500 University Drive, Hershey, Pennsylvania 17033. E-mail: twood{at}psu.edu
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Abstract
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The goals of this study were to determine the cellular sites of
insulin-like growth factor (IGF) and IGF type-I receptor (IGF-IR)
expression and to begin to elucidate functional roles for the IGFs
during postnatal development of the murine mammary gland. Using
in situ hybridization analyses, we determined that
IGF-I, IGF-II, and IGF-IR messenger RNAs were expressed in the highly
proliferative terminal end buds during pubertal ductal growth.
Consistent with these data, IGF-I (in combination with mammogenic
hormones) promoted ductal growth in pubertal stage mammary glands
cultured in vitro. During postpubertal and pregnancy
stages, IGF-II and IGF-IR continued to be expressed in ductal
epithelium. Expression of IGF-II in ductal and alveolar epithelium
correlated with the pattern of rapidly proliferating cells, as
determined by incorporation of 5-Bromo-2'-deoxyuridine, suggesting a
potential autocrine or paracrine role for IGF-II as a mitogen for
ductal epithelial cells. IGF-I expression was reinitiated in mammary
epithelium in the differentiated alveoli at the end of pregnancy,
suggesting an additional role for this factor in maintenance of the
alveoli during lactation. Taken together, these data support an
in vivo role for locally-produced IGFs in promoting
ductal growth during puberty and suggest that IGF-I and IGF-II may have
distinct functions during pregnancy-induced alveolar development.
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Introduction
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POSTNATAL growth of the mammary gland in
rodents is initiated at puberty, under the influence of ovarian and
pituitary hormones (1, 2, 3, 4, 5). Before puberty, the mammary gland consists
of a rudimentary epithelial structure that has initiated growth into
the mammary fat pad (1, 2). Pubertal growth of the mammary epithelium
involves rapid lengthening and branching of the ductal structures,
primarily through proliferation of cells in the terminal end buds
(TEBs) located at the tips of the growing epithelial ducts.
Postpubertal virgin glands undergo continued moderate epithelial growth
with each estrus cycle, that consists of further branching and the
formation of rudimentary alveolar structures (1, 2, 6). The second
major postnatal growth phase of the mammary gland occurs during
pregnancy, under the influence primarily of ovarian hormones and
pituitary PRL (1, 4, 7, 8, 9, 10, 11, 12, 13, 14). Pregnancy-induced growth results in
terminal differentiation of the gland and culminates in formation of
secretory alveoli in preparation for lactation. Terminal
differentiation of the gland is then maintained throughout lactation
until weaning and involution, the process whereby the alveolar
structures regress through remodeling and programmed cell death.
The ovarian and pituitary hormones mediate postnatal growth of the
mammary gland, at least in part, through local induction of peptide
growth factors (1). The insulin-like growth factors (IGFs) are among
the growth factors implicated in postnatal growth of the mammary gland.
IGF-I and IGF-II are mitogenic peptides that have essential growth
promoting actions during embryonic development (15, 16). The evidence
that the IGF peptides have a role in postnatal development of mammary
tissue comes from in vitro as well as in vivo
studies. In vitro, both IGF-I and IGF-II are potent mitogens
for normal and tumorigenic mammary epithelial cells (17, 18, 19, 20). Moreover,
conditions for optimal growth of mammary gland explant cultures use
micromolar concentrations of insulin (13, 21, 22, 23). At these
superphysiological concentrations, insulin stimulates the IGF type I
receptor (IGF-IR), the primary signaling receptor for both IGF-I and
IGF-II (24). In vivo, IGF-I (implanted into mammary fat pads
of hypophysectomized, estrogen-treated male rats) induces epithelial
growth (25).
Endogenous production of IGF-I is likely an important component of GH,
as well as estrogen-mediated mammary development. Administration of GH
to hypophysectomized rats induces ductal and alveolar growth, as well
as a dose-dependent increase in mammary expression of IGF-I messenger
RNA (mRNA) (26, 27, 28). IGF-I also synergizes with estrogen to stimulate
ductal growth when coimplanted into glands of hypophysectomized,
ovariectomized female rats (27, 29). The mechanism for this synergism
is unknown; however, evidence that IGF-I induces transcription of the
estrogen receptor in breast cancer cell lines suggests that IGF-I may
enhance estrogen responsiveness of mammary tissue (30). These studies
support a model for IGF-I action in postnatal mammary growth as a
downstream mediator of GH that, once induced, amplifies the mammogenic
actions of estrogen.
In addition to its role as a mitogen for mammary epithelium, exogenous
IGF-I promotes survival of mammary epithelial cells in vitro
(31), and mammary overexpression of IGF-I in transgenic mice results in
impaired involution caused by disruption of the normal process of cell
death in mammary epithelium (32, 33). These results suggest that a
reduction in IGF-I levels may be important for normal involution of the
mammary gland.
Although in vivo and in vitro manipulations with
exogenously added IGFs support the hypothesis that these factors have
important endogenous roles in mammary epithelial growth, defining the
spatial and temporal patterns of IGF and IGF-IR expression is critical
for determining the precise roles for these factors in normal
development of the mammary gland. Endogenous expression patterns for
other growth factors and receptors implicated in mammary development
have been well documented, including those for EGF/TGF-
(34, 35, 36),
the TGF-ßs (37, 38), and FGFs (39). In contrast, very little is known
about the endogenous expression of the IGFs and the IGF-IR during
postnatal stages of mammary growth.
To determine the spatial and temporal expression of the IGFs and the
IGF-IR during normal postnatal growth of the mammary gland, we have
used in situ hybridization (ISH) to identify cellular sites
of the mRNAs for these genes in the mouse mammary gland during the
rapid growth phases of puberty and pregnancy. Results of these studies
are presented here and demonstrate that IGF-I, IGF-II, and IGF-IR mRNA
expression patterns are consistent with a role for the IGFs in TEB
proliferation during pubertal growth. Moreover, using a whole-organ
culture system, we also demonstrate that IGF-I induces ductal growth in
mammary glands stimulated with mammogenic hormones in the presence of
nanomolar levels of insulin. In contrast, EGF (under identical
conditions) failed to stimulate ductal growth. Finally, a surprising
finding from these studies is the demonstration that IGF-II mRNA is a
major component of ductal epithelium during both pubertal and
pregnancy-induced growth and is expressed in a pattern that correlates
with the pattern of highly proliferative cells along the ducts. In
contrast, IGF-I mRNA expression is restricted to the stroma, except for
the TEBs during puberty and the differentiated alveoli in late
pregnancy. These results suggest distinct roles for IGF-I and IGF-II
during postnatal development of the mammary gland.
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Materials and Methods
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Radioactive ISH
Abdominal mammary glands were removed from C57Bl6/J virgin
female mice at either 5.5 or 15 weeks of age or from C57Bl6/J female
mice at midgestation (days 1213) or late gestation (days 1718) of
pregnancy. The day after copulation was counted as day 1 of pregnancy.
For optimal hybridization signal, tissues for ISH analyzes of the IGFs
and IGF-IR were fresh-frozen in isopentane on dry ice and stored at
-80 C before cryostat sectioning. For analysis of milk protein gene
expression only, tissues were perfusion-fixed in 4%
paraformaldehyde/PBS, cryoprotected in 20% sucrose, and frozen in
Tissue-Tek O.C.T. compound (Miles Inc., Elkhart, IN) over liquid
nitrogen. Ten-micron frozen sections were collected from all glands,
mounted onto Superfrost Plus microscope slides (Fisher Scientific International, Inc., Pittsburgh, PA), and stored at -80
C.
Probes. [35S]-labeled RNA transcripts for
IGF-I (40), IGF-II (41, 42), the IGF-IR (43), and the milk protein gene
WDNM-1 (6) were synthesized from linearized plasmids containing partial
complementary DNA (cDNA) inserts to rat sequences. Linearized DNAs were
incubated with either Sp6 (IGF-IR), T7 (IGF-I, IGF-II), or T3 (WDNM-1)
RNA polymerase in the presence of CTP, GTP, ATP, and
[35S]-uridine 5'-triphosphate ([35S]-UTP),
according to standard RNA transcription protocols (Promega Corp., Madison, WI). The resulting RNA transcripts were purified
on Sephadex G-50 (Boehringer Mannheim, Indianapolis, IN) and
used without hydrolysis.
For ISH analyzes, frozen cryostat sections were removed from -80 C and
immediately postfixed for 10 min in 4% paraformaldehyde/PBS, rinsed in
PBS, and dehydrated through ethanols. The sections were then acetylated
in 0.25% acetic anhydride (vol/vol) in 0.05 M
triethanolamine (pH 8.0), washed in 0.2 x SSC (1 x SSC
contains 0.15 M NaCl and 0.015 M sodium
citrate), and dehydrated through ethanols. Sections were prehybridized
for 23 h at room temperature (RT) in a solution containing 50%
(vol/vol) deionized formamide, 0.6 M sodium chloride, 10
mM Tris (pH7.5), 1 mM EDTA, 0.02% Ficoll,
0.02% BSA (fraction V), 0.02% polyvinylpyrrolidone, 0.5 mg/ml sheared
herring sperm DNA, 0.5 mg/ml yeast total RNA, and 0.05 mg/ml yeast
transfer RNA. Hybridization was carried out at 50 C overnight in
prehybridization buffer containing 0.1 mg/ml herring sperm DNA with the
addition of 10% dextran sulfate, 10 mM dithiothreitol,
0.1% SDS, and 35S-labeled complementary RNA probe (4
x 107 cpm/ml). After hybridization, the sections were
rinsed in 2 x SSC and washed for 30 min at 45 C in 50% deionized
formamide/1 x SSC/10 mM dithiothreitol. Unhybridized
probe was removed by treatment with ribonuclease (RNase) A (100 mg/ml
in 0.5 M NaCl, 10 mM Tris (pH 7.5), 1
mM EDTA) for 30 min at RT, followed by a 2-h wash in
0.2 x SSC at 5560 C. After the high stringency wash, the
sections were dehydrated through ethanols and coated with
autoradiographic emulsion (NTB2, Eastman Kodak Co.,
Rochester, NY), diluted 1:1 with deionized-distilled water. Slides were
stored at 4 C in a desiccated light-proof box for 48 weeks. After
exposure, the slides were developed (Kodak D19, 3.5 min, 15 C), rinsed
in H2O, and fixed (15 C in Kodak fixer for 56 min).
Sections were washed extensively in H2O, counterstained
with hematoxylin, dehydrated through graded ethanols and xylene, and
coverslipped with Permount mounting media (Fisher). All ISH analyzes
were performed on at least 23 glands from each age. Hybridization
with control (sense) RNA yielded very low background in all cases.
Nonradioactive ISH
Nonradioactive ISH was performed using Digoxigenin RNA probes
(Boehringer Mannheim). Digoxigenin-labeled RNA probe for IGF-II was
prepared according to standard protocols (Genius Kit, Boehringer
Mannheim) using Digoxigenin-UTP undiluted with cold UTP. The procedure
for nonradioactive ISH was as described above for ISH with radioactive
probes, except for the following modifications: the hybridization
temperature was 72 C, the concentration of the Digoxigenin-labeled
probe was 0.4 mg/ml, and the slides were washed in 0.2 x SSC at 72 C
for 1 h after the hybridization followed by 0.2 x SSC at RT for 5 min.
Sections were then treated with ribonuclease (RNase) A (as described
above), rinsed in RNase buffer without RNase A, and taken immediately
into immunodetection for Digoxigenin. Immunodetection of Digoxigenin
was performed according to Boehringer Genius Kit instructions
(Boehringer Mannheim).
Detection of proliferating cells
Mice at days 1213 of pregnancy were injected with 0.01 ml/g BW
of a solution of 5-Bromo-2'-deoxyuridine and 5-Fluoro-2'-deoxyuridine
(10:1 ratio, Amersham, Arlington Heights, IL). After 2.5 h,
the tissues were perfusion-fixed with 4% paraformaldehyde, and
abdominal mammary glands were removed, embedded in paraffin, and
sectioned at 45 microns. The sections were deparafinized through
xylenes and ethanols, treated with 0.1% trypsin in 0.1 M
Tris buffered saline plus 0.1% CaCl2 for 20 min at 37 C,
rinsed in PBS, and treated with 0.3% hydrogen peroxide in PBS for 10
min at RT to block endogenous peroxidase activity. Sections were then
rinsed in PBS, treated with 2 N HCl for 1 h at 37 C,
rinsed twice in 0.1 M borate buffer (pH 8.5), rinsed in
PBS, and washed in 0.2% Triton X-100 for 30 min at RT. After
additional rinses in PBS, sections were blocked for 1 h at RT in
PGB superblock (10% BSA, 0.05% NaN3, 10% normal goat
serum in PBS) and incubated for 2 h at 37 C with
peroxidase-conjugated antibromodeoxyuridine (BrdU) antibody (1:15,
Boehringer Mannheim) in PGB diluent (PGB superblock diluted 1:5 with
0.5 M phosphate buffer, pH 7.6). The sections were rinsed
in PBS and incubated with inactive DAB (2.5 mg 3'-3' diaminobenzadine,
450 µl NiCl2 in PBS, pH 7.6) for 5 min, followed by
activated DAB (inactive DAB solution, containing 7%
H2O2) for 10 min. Finally, the sections were
washed in distilled H2O and coverslipped with Aqua-Mount
(Lerner Laboratories, Pittsburgh, PA).
Organ culture
Four-week-old C57Bl6/J female mice were estrogen- and
progesterone-primed by implantation of 9-day time-release
pellets of 3 mg progesterone and 3 µg estrogen
(Innovative Research of America, Sarasota, FL).
After 9 days, the mice were killed by cervical dislocation, and two
abdominal mammary glands were removed from each mouse, under sterile
conditions. The glands were placed on Gelfoam (Upjohn, Kalamazoo,
MI) in 6-well culture dishes, maintained at 37 C in 5%
CO2 in defined media, and fed every other day for 5 days.
Defined media contained: Waymouths medium (752/1 Gibco BRL, Gaithersburg, MD) plus 100 U/ml penicillin (Gibco BRL); 100 µg/ml streptomycin (Gibco BRL); 5
µg/ml PRL (ovine PRL NIH-P-S-12, obtained through the National
Hormone Pituitary Program, NIDDK, NICHHD, USDA); 5
µg/ml hydrocortisone (Sigma Chemical Co., St. Louis, MO); 1 µg/ml aldosterone (Sigma Chemical Co.);
and either 50 ng/ml insulin alone (Sigma Chemical Co.), 50
ng/ml insulin plus 100 ng/ml IGF-I (recombinant rat IGF-I; Gro-Pep,
Adalaide, Australia), or 50 ng/ml insulin plus 60 ng/ml EGF
(recombinant human EGF; Collaborative Research, Bedford, MA).
Whole-mount staining of mammary glands
Whole-mount staining of mammary glands was performed basically
according to previously published procedures (44). Briefly, mammary
glands were removed from culture and placed in tissue cassettes between
Whatman filter paper and sponges and were fixed overnight
in 10% neutral buffered formalin. The glands then were washed 3 x
1 h in acetone, followed by 30 min each in 100% and 95% ethanol, and
stained for 1.5 h in hematoxylin (0.13 g FeCl3, 13.5
ml H2O, 1.74 ml stock hematoxylin (10% hematoxylin in 95%
ethanol), 200 ml 95% ethanol, pH 1.25). After staining, glands were
soaked overnight in H2O, dehydrated in acidic 50% ethanol,
and dehydrated through graded ethanols to xylene and photographed.
Stained glands were stored at 4 C in methyl salicylate.
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Results
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Expression of IGFs during pubertal and postpubertal
development
Radioactive ISH was used to determine the in vivo
pattern of mRNA expression for IGF-I, IGF-II, and the IGF-IR in the
murine mammary gland during pubertal (weeks 48) and postpubertal
virgin (>8 weeks) stages of growth. During the early pubertal phase of
development (56 weeks of age), mRNAs for IGF-I, IGF-II, and the
IGF-IR all were detectable in the TEBs of the epithelial ducts (Fig. 1
; A, C, and E). IGF-I mRNAs also were
highly expressed in stroma surrounding the TEBs during pubertal growth
(Fig. 1A
). In glands from both pubertal and postpubertal mice (15 weeks
of age), IGF-II and IGF-IR mRNAs also were expressed in ductal
epithelial cells (Fig. 1
, D and F). Expression of IGF-II mRNA in the
postpubertal glands was nonuniform along the ductal epithelium (Fig. 1D
), whereas IGF-IR mRNAs were expressed uniformly along the ducts
(Fig. 1F
). IGF-I mRNAs were low-to-undetectable along the ductal
epithelium in postpubertal glands (Fig. 1B
) when analyzed after longer
exposure times (6 weeks) than those used to detect IGF-I mRNA in the
TEBs (4 weeks).

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Figure 1. Photomicrographs showing ISH to IGF-I, IGF-II, and
IGF-IR mRNAs in mouse mammary gland during pubertal (5.5 weeks; A, C,
and E) and postpubertal (15 weeks: B, D, and F) development. During
pubertal development, IGF-I (A), IGF-II (C), and IGF-IR (E) mRNAs are
expressed in the TEBs of the growing ducts. IGF-I mRNA also is readily
detectable in stroma surrounding the TEBs (A). Region of TEB is
outlined in (A). In the postpubertal gland, IGF-I mRNA (B) is
low-to-undetectable in epithelium, when compared with its expression in
the TEBs at earlier stages (A). IGF-II (D) and IGF-IR (F) mRNAs are
expressed throughout the ductal epithelium in the postpubertal gland.
Autoradiographic emulsion exposure times, using probes of equivalent
specific activities on fresh-frozen sections, were as follows: A, 4
weeks; B, 6 weeks; C, 8 weeks; D, E, and F, 2.5 weeks. Size
bar = 50 microns.
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Expression of the IGFs during pregnancy- induced
development
At the peak of alveolar development in midpregnancy (day 1213),
expression of IGF-II mRNA (Fig. 2C
) was
detected in a punctate pattern along the ducts and in isolated alveolar
cells. IGF-I mRNA expression (Fig. 2A
) was detectable in the epithelium
at this age and in isolated stromal cells immediately surrounding the
ducts. Expression of mRNAs for the milk proteins WDNM-1 (Fig. 2E
) and
ß-casein (not shown) were readily detected in the developing alveoli.
By day 18 of pregnancy, both IGF-I (Fig. 2B
) and IGF-IR (Fig. 2F
) mRNAs
were widely expressed in ductal and alveolar epithelium, whereas
expression of IGF-II (Fig. 2D
) was retained in a nonuniform pattern
along the ducts, identical to the expression pattern observed during
postpubertal (Fig. 1D
) and midpregnancy (Fig. 2C
) stages.

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Figure 2. Photomicrographs showing ISH to IGF-I, IGF-II,
IGF-IR, and WDNM-1 mRNAs in the midpregnant (day 13; A, C, and E) and
late-pregnant (day 18; B, D, and F) mammary gland. IGF-I mRNA
expression is detectable in the epithelium and isolated stromal cells
at day 13 (A). By day 18 of pregnancy, IGF-I mRNA is readily detected
throughout the epithelium of ducts and differentiated alveoli (B).
Similar to IGF-I at day 18 of pregnancy, IGF-IR mRNA is present
throughout the epithelium (F). IGF-II mRNA is detected in a punctate
pattern along the ducts and in developing alveoli at both day 13 (C)
and day 18 (D) of pregnancy. This is in contrast to the expression of
mRNA for the milk protein gene, WDNM-1, which is found throughout
differentiating alveoli (but not ductal epithelium) beginning during
midpregnancy (E). Autoradiographic emulsion exposure times, using
probes of equivalent specific activities on fresh-frozen sections, were
as follows: A, 8 weeks; B, C, and D, 4 weeks; F, 2.5 weeks. The section
shown in E is from a perfusion-fixed gland and was exposed to
autoradiographic emulsion for 2 days. D, Ductal epithelium; A, alveoli;
S, stroma. Size bar = 50 microns.
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IGF-II expression along the ductal epithelium represents single
cells and correlates with the pattern of rapidly proliferating
cells
Using a nonradioactive method for ISH, we determined that the
punctate expression of IGF-II along the ductal structures during
midpregnancy was caused by expression of IGF-II mRNA in single
epithelial cells (Fig. 3A
). To determine
whether the expression pattern of IGF-II correlated with proliferating
cells along the ductal epithelium, we used a 2.5-h pulse of BrdU to
label rapidly proliferating cells in midpregnant mammary glands (Fig. 3B
). Detection of cells with an antibody to BrdU revealed individual
cells along the ducts that had incorporated BrdU in a pattern similar
to that of IGF-II expression. This is in contrast to the expression
pattern for the milk protein genes (see Fig. 2E
), which were expressed
predominantly in developing alveoli throughout the second half of
pregnancy.

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Figure 3. Comparison of IGF-II mRNA expression with pattern
of BrdU-labeled cells along the ductal epithelium during midpregnancy
(day 13). A, Nonradioactive ISH to IGF-II using a Digoxigenin-labeled
RNA probe. Note the perinuclear localization of signal in ductal
epithelial cells (arrowheads; inset). B,
Immunodetection of BrdU, after a 2.5-h pulse of BrdU. Size
bar = 50 microns.
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IGF-I stimulates ductal growth in mammary gland organ
culture
Because previously published conditions used to promote growth of
mammary epithelium in whole-gland organ culture included micromolar
levels of insulin (13, 21, 22, 23), we tested whether IGF-I in the presence
of physiological levels of insulin (nanomolar range) could promote
epithelial growth in cultured glands. Four-week-old C57Bl6/J female
mice were primed with estrogen and progesterone for 9
days, and the mammary glands were removed and cultured in
hormone-supplemented media containing one of the following treatments:
1) 50 ng/ml insulin; 2) 50 ng/ml insulin plus 100 ng/ml IGF-I; or 3) 50
ng/ml insulin plus 60 ng/ml EGF. Results from these studies
demonstrated that the addition of IGF-I (Fig. 4B
) was sufficient to promote extensive
ductal growth, compared with 50 ng/ml of insulin alone (Fig. 4A
). In
contrast, addition of EGF to 50 ng/ml of insulin (Fig. 4C
) did not
promote growth of epithelial structures greater than that observed in
glands cultured in nanomolar levels of insulin alone.

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Figure 4. Whole-mount staining of mammary glands after 5
days in culture. Glands were removed from 5.5-week-old C57Bl6/J mice
after 9 days of estrogen/progesterone priming and were
cultured, as described (see Materials and Methods), in
media containing mammogenic hormones plus either 50 ng/ml insulin (A),
50 ng/ml insulin + 100 ng/ml IGF-I (B), or 50 ng/ml insulin + 60 ng/ml
EGF (C). Note the extension of the ductal structures around and past
the lymph node in the gland cultured with IGF-I shown in (B).
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Discussion
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Data presented here demonstrate endogenous expression of IGF-I,
IGF-II, and their primary signaling receptor, the IGF-IR, in the murine
mammary gland during postnatal phases of rapid epithelial growth.
Although these results do not address levels or localization of protein
expression for these genes, they do provide support for the hypothesis
that locally synthesized IGFs are an important component of postnatal
development of the mammary gland. First, the expression of both IGF-I
and IGF-II in the TEBs coincident with mRNA expression of the IGF-IR
during pubertal growth suggests a potential role for the IGFs in ductal
growth. To test whether the IGFs could promote ductal growth in glands
in vitro, we used a whole-organ culture system similar to
that previously established by other investigators (13, 21, 22, 23). Using
this mammary culture system, we demonstrated that IGF-I promoted ductal
elongation in intact pubertal glands cultured for 5 days in
vitro. It is unclear whether IGF-I can entirely compensate for
insulin in our system, where we analyzed ductal elongation. It should
be noted that, in previous experiments investigating the effects of
IGF-I on cultured mammary glands, it was shown that IGF-I had no effect
on alveolar differentiation when added with either micromolar levels of
insulin or in the absence of insulin (23). In ongoing experiments in
our laboratory, we are using a variety of parameters to analyze growth
of glands cultured in IGF-I in the presence or absence of insulin. Data
from these studies indicate that IGF-I can promote ductal extension
equivalently in glands cultured in the presence or absence of nanomolar
levels of insulin (data not shown). However, it is possible that there
is increased cell death in glands in the absence of insulin, which may
not be apparent by histological analysis alone after only several days
in culture. A more quantitative analysis of proliferation and cell
death, in the presence or absence of both insulin and IGF-I, is the
focus of future studies in our laboratory.
It is interesting that, in contrast to IGF-I, EGF was unable to promote
ductal growth in our culture experiments. These results were surprising
for several reasons: 1) the EGF receptor is expressed in TEBs during
pubertal growth (36); 2) EGF implanted into regressed pubertal mammary
glands of ovariectomized mice induces the formation of TEBs and ductal
growth (34, 45); and 3) previous studies, using a similar whole-organ
culture system, used identical concentrations of EGF, in the presence
of micromolar levels of insulin, to promote alveolar development (13).
Thus, the failure of EGF to induce ductal growth in our culture system
suggests that EGF (or TGF-
) may synergize with the IGFs in mediating
ductal growth during puberty. In contrast to the in vivo EGF
implant experiments, which were conducted in pituitary-intact animals,
the glands in whole-organ culture were cultured in the absence of GH,
which can stimulate endogenous expression of IGF-I in mammary glands
(28).
Because signaling through the IGF-IR results in antiapoptotic as well
as mitogenic effects in a variety of cell types (46, 47, 48, 49, 50, 51, 52), it is
possible that the predominant action of the IGFs in the TEBs is to
promote survival of TEB cells. TEB cells are known to have low rates of
cell death, particularly in the outer cap cell layer (2, 53, 54).
Similarly, the failure of EGF to induce ductal growth in the absence of
IGF-IR stimulation could be caused by decreased survival of mammary
epithelial cells in the absence of either high levels of insulin or
IGF-I. A role for IGF-I in survival of mammary epithelium during late
pregnancy and lactational stages is suggested by the IGF-I expression
data presented here, taken together with the previously published data
on transgenic mice that overexpress IGF-I from a milk protein promoter
(32, 33). After the disappearance of the TEBs in postpubertal ages,
IGF-I mRNA expression was detected only at low levels in mammary
epithelium and isolated stromal cells. IGF-I mRNA expression increased
in mammary epithelium in the differentiated alveoli at the end of
pregnancy, coincident with high expression of IGF-IR mRNAs. These
results are consistent with results showing that the major phenotype of
IGF-I overexpression in pregnant mammary glands of transgenic mice was
inhibition of cell death during involution (32, 33).
A major and unexpected finding of this study was the high epithelial
expression of IGF-II in the mammary gland throughout all stages of
postnatal development. Though both IGF-I and IGF-II are potent mitogens
for mammary epithelial cells in vitro, previously published
results, supporting a role for the IGFs in postnatal mammary
development, have focused on IGF-I as the primary mediator of mammary
epithelial growth. IGF-II was highly expressed in individual cells
along the ductal epithelium by late pubertal stages and through
pregnancy-induced growth. It is of potential interest that
immunodetection of EGF in pubertal mammary glands in mice showed a
similar nonuniform pattern of EGF in luminal epithelial cells along the
ducts (34). Comparison of the single cell expression of IGF-II at
midpregnancy with the pattern of cells identified by a short pulse of
BrdU showed a similar pattern of isolated epithelial cells along the
ductal structure. Because data presented here, as well as previously
published data (6), have demonstrated mRNA expression of the milk
protein genes in developing alveoli, and not ductal cells at this
stage, these data support a potential autocrine or paracrine role for
IGF-II as a mitogen for specific cells along the ducts. This hypothesis
is further supported by the results from IGF-II overexpression in
mammary glands of transgenic mice that demonstrate hyperproliferation
of the mammary epithelium (55). However, because the IGF-IR is
expressed throughout the ductal epithelium, and because IGF-I is
expressed in the stroma at these stages and is present at high levels
in the circulation, we cannot rule out the possibility that stromal or
circulating IGF-I mediates epithelial growth during late puberty and in
pregnancy. Analyzes of mammary glands from IGF-II null mutant mice are
in progress in our laboratory and will provide a direct test of an
essential function for IGF-II in mammary development. Though it is
known that these mice are lactationally competent (56), it is possible
that they might show mild deficits in mammary epithelial growth or
differentiation that do not compromise the ability to support
litters.
Finally, our results demonstrating high levels of mRNA expression for
both IGF ligands and the IGF-IR in mammary epithelium and in the TEBs
in particular suggest the possibility that locally produced IGFs could
be involved in the proposed role of IGFs and the IGF-IR in
estrogen-mediated TEB growth and in breast cancer. Estrogen receptor
null mutant mice lack TEBs and demonstrate severely reduced epithelial
growth during puberty (3). As discussed previously, IGF-I can synergize
with estrogen in promoting ductal growth in pubertal glands (29) and
can induce transcription of the estrogen receptor in breast cancer cell
lines in vitro (30). That interactions between estrogen and
the IGF system may be an important component of breast tumorigenesis is
suggested by the following studies: 1) estrogen induces IGF-IR
expression in breast tumor epithelial cell lines (57); and 2) high
levels of both the estrogen receptor and the IGF-IR are correlated with
susceptibility to breast cancer in humans (58, 59). The structure that
is most susceptible to tumor formation in breast tissue is the TEB in
rodents and the equivalent structure in the terminal ductal lobule unit
in humans (2, 53, 54, 60). This is likely because of the high
proliferative rates and low percentage of cell death in the TEBs,
particularly in the outer, cap cell layer. Therefore, changes in the
genome of these cells are more likely to be transmitted to daughter
cells, resulting in transformation and tumors. In addition to the fact
that IGF-I and IGF-II are among the most potent mitogens for breast
cancer cell lines and for primary breast tumors in both humans and
rodents, IGF-II and the IGF-IR specifically have been connected to
malignancy and breast cancer. Overexpression of IGF-II in breast
epithelial cells in vitro results in a malignant phenotype
(61), and genetic overexpression of IGF-II in mouse mammary glands
results in a high incidence of breast tumors (55). Consistent with
these results, recent studies in breast cancer patients have confirmed
abnormally high levels of IGF-II in the stroma of invasive breast
tumors, closely associated with malignant epithelial cells (62).
Moreover, numerous studies have demonstrated that blockade of the
IGF-IR inhibits growth of breast tumor cells both in vitro
and in vivo (20, 58, 63, 64, 65, 66). Taken together, these studies,
along with the data presented here, support a role for endogenous IGFs
in proliferation and survival of mammary epithelial cells and suggest
possible mechanisms for IGF function in estrogen-responsive breast
cancer.
 |
Acknowledgments
|
|---|
The authors thank Deborah Shearer and Dr. Kang Li for their
assistance in sectioning; and Dr. Lothar Henninghausen for generously
providing the cDNA to the milk protein gene, WDNM-1.
 |
Footnotes
|
|---|
1 This work was supported, in part, by NIH Grant DK-48103 (to
T.L.W.) 
Received May 29, 1998.
 |
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