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This version published online on October 4, 2007
Endocrinology, doi:10.1210/en.2007-0869
A more recent version of this article appeared on January 1, 2008
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Submitted on June 28, 2007
Accepted on September 25, 2007

IRS-1 deficiency promotes apoptosis in the putative intestinal crypt stem cell region, limits Apcmin/+ tumors, and regulates Sox9

N M Ramocki*, H R Wilkins, S T Magness, J G Simmons, B P Scull, G H Lee, K K McNaughton, and P K Lund*

Departments of Cell and Molecular Physiology and Medicine , University of North Carolina, Chapel Hill, NC 27599

* To whom correspondence should be addressed. E-mail: nicole_ramocki{at}med.unc.edu or empk{at}med.unc.edu.

Reduced apoptosis of crypt stem/progenitor cells and elevated insulin and insulin-like growth factors (IGFs) are linked to colon cancer risk. Insulin receptor substrate-1 (IRS-1) mediates the actions of insulin, IGF-I, and IGF-II, but the role of endogenous IRS-1 in crypt apoptosis and cancer is undefined. Using IRS-1-/-, IRS-1+/-, and IRS-1+/+ mice, we tested the hypothesis that reduced IRS-1 expression increases apoptosis of intestinal crypt cells and protects against Apcmin/+ (Min)/{beta}-catenin-driven intestinal tumors. Expression of Sox9, a transcriptional target of Tcf/{beta}-catenin and putative biomarker of crypt stem cells, was assessed in intestine of different IRS-1 genotypes and cell lines. Irradiation-induced apoptosis was significantly increased in the crypts and crypt stem cell region of IRS-1 deficient mice. Tumor load was significantly reduced by 31.2 ± 14.6% in IRS-1+/-/Min and by 64.1 ± 7.6% in IRS-1-/-/Min mice, with more prominent reductions in tumor number than size. Compared with IRS-1+/+/Min, IRS-1-/-/Min mice had fewer Sox9 positive cells in intestinal crypts and reduced Sox9 mRNA in intestine. IRS-1 overexpression increased Sox9 expression in an intestinal epithelial cell line. We conclude that even small reductions in endogenous IRS-1 increase apoptosis of crypt stem or progenitor cells, protect against {beta}-catenin-driven intestinal tumors, and reduce Sox9, a Tcf/{beta}-catenin target and putative stem/progenitor cell biomarker of putative crypt stem/progenitor cells.


Key words: IRS-1 • Sox9 • intestine • adenoma • apoptosis • stem cell




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