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Although circulating hormones play an important role in regulating growth
in the growth plate, there is an increasing appreciation of the contributions
of local factors in fine-tuning the process. Sometimes, the same factor can
be both endocrine and autocrine/paracrine. Insulin-like growth factor (IGF)-I
is one such factor and is a major stimulus for growth plate chondrocyte proliferation
and differentiation. IGF-I bioavailability and hence, activity are determined
by the relative concentrations of the IGFs, IGF receptor, IGF binding proteins
(IGFBPs), IGFBP proteases and IGF or IGFBP inducers within the cellular microenvironment.
Because IGF-I was found to affect IGFBP synthesis in some tissues, Kiepe
and colleagues sought to examine the micro loop between IGF-I and its binding
proteins within the growth plate. They used epiphyseal chondrocytes isolated
from Sprague-Dawley rats, cultured in monolayers, as their experimental model.
In such primary cultures they had previously found exclusive inhibition of
IGF-dependent growth by IGFBP-1,-2,-4 and -6, enhancement of IGF-induced proliferation
by IGFBP-5 and mixed effects by IGFBP-3; it inhibited chondrocyte proliferation
in both IGF-independently and in IGF-coincubation, but enhanced IGF responsiveness
when preincubated before IGF treatment.
Under basal conditions, the conditioned media of the primary chondrocyte
cultures contained IGFBP-2 through 5. Addition of exogenous IGF-I to the serum-free
medium led to a dose- and time-dependent induction of IGFBP-3 and -5 mRNA and
protein. Specific inhibitors of the p42/44 MAP kinase or PI3 kinase pathways
were used to discern which of its 2 major signaling pathways IGF-I was utilizing
for its actions. Under basal conditions, none of the inhibitors affected chondrocyte
proliferation nor mRNA expression of either IGFBP-3 or -5. However, during
IGF-I treatment, inhibitors of both pathways completely suppressed the stimulated
chondrocyte growth and IGFBP-3 expression; IGF-stimulated IGFBP-5 expression
was only suppressed by inhibiting the PI3 kinase pathway. A mesenchymal chondrogenic
cell line (growth plate chondrocytes derived from fetal rat calvaria) was used
to confirm the epiphyseal chondrocyte findings of IGFBP-5 stimulation by IGF-I.
This cell line does not express either endogenous IGF-I or IGFBP-3. It, too,
showed that IGF-induced IGFBP-5 expression was dependent on the PI3 kinase
but not the MAP kinase pathway. Because both actinomycin D and cyclohexamide
abolished the IGFBP-5 induction by IGF-I, both transcription and de novo protein
synthesis were involved.
Kiepe
D, Ciarmatori S, Hoeflich A, Wolf E, Tonshoff B. Insulin-like growth
factor (IGF)-I stimulates cell proliferation and induces IGF binding protein
(IGFBP)-3 and IGFBP-5 gene expression in cultured growth plate chondrocytes
via distinct signaling pathways. J Clin Endocrinol Metab. 2005;146:3096–3104.
Editor’s Comment: Interestingly, in addition
to the multiple levels of control of IGF-I bioavailability and action, IGF-I
can further modulate itself by affecting local IGFBP levels. IGFBP induction
by IGF-I is cell-type specific, as is the pathway(s) IGF-I uses to do so.
Besides stimulating IGFBP synthesis, as shown in the paper by Kiepe and colleagues,
IGF-I can also induce IGFBP proteolysis. For example, IGF-I can induce IGFBP-3
proteases, which contributes to cancer cell migration and metastasis,1 and
has been shown to induce IGFBP-4 proteolysis in fetal lung fibroblasts.2
The IGF system is an integral player in bone biology, not just for growth
but also for strength. I refer the reader to reference 3 for an excellent
review of the IGF system’s role in determining bone mass. Not surprisingly,
perturbations in the IGF system have been implicated in skeletal disease.
For example, human osteoarthritic chondrocytes produced more IGF-I than normal
chondrocytes, but demonstrated an even greater increase in IGFBP-3 and -5.4 By fully understanding the regulatory balances within the skeletal IGF
system, the potential for targeted therapeutic intervention is increased.
Adda Grimberg, MD
References - (linked to )
- Grimberg A. Cancer Biol Ther. 2003;2:630 - 635.
- Price WA. Exp Lung Res. 2001;27:655-674.
- Yakar S, Rosen CJ. Exp Biol Med. 2003;228:245-252.
- Olney RC, Tsuchiya K, Wilson DM, et al. J Clin Endocrinol Metab. 1996;81:096-1103.
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