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The Journal of Clinical Endocrinology & Metabolism Vol. 85, No. 10 3821-3827
Copyright © 2000 by The Endocrine Society


Original Studies

Regulation of Insulin-Like Growth Factor-Binding Protein 1 by Hypoxia and 3',5'-Cyclic Adenosine Monophosphate Is Additive in HepG2 Cells1

Junichi Sugawara, Salli I. Tazuke, Lii F-Suen, David R. Powell, Fiona Kaper, Amato J. Giaccia and Linda C. Giudice

Departments of Gynecology and Obstetrics (J.S., S.I.T., L.F.-S., L.C.G.) and Radiation Oncology (F.K., A.J.G.), Stanford University Medical School, Stanford, California 94305-5317; and Department of Pediatrics (D.R.P.), Baylor College of Medicine, Houston, Texas 77030

Address correspondence and requests for reprints to: Linda C. Giudice, M.D., Ph.D., Department of Gynecology and Obstetrics, Stanford University Medical Center, Room HH-333, Stanford, California 94305-5317. E-mail: giudice{at}stanford.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Insulin-like growth factor-binding protein 1 (IGFBP-1) is important in regulating minute-to-minute IGF bioavailability in the circulation and is primarily an inhibitor of IGF action systemically and in most cellular systems. Understanding regulation of IGFBP-1 is, thus, important in understanding regulation of IGF actions. The IGFBP-1 promoter contains a cAMP response element, and cAMP stimulates IGFBP-1 gene expression at the transcriptional level. Recently, we have found three consensus sequences for the hypoxia response element in intron 1 of the IGFBP-1 gene. Herein, we have investigated the effects of hypoxia and a cAMP analog, 8-bromoadenosine-3',5'-cyclic monophosphate (8-Br-cAMP), on IGFBP-1 expression in HepG2 cells, a model system for IGFBP-1 gene regulation. HepG2 cells were exposed to normoxia (20% pO2) or hypoxia (2% pO2) for 24 h in the absence or presence of 8-Br-cAMP (0.1, 0.5, and 1 mM). Western ligand blotting revealed IGFBP-1 as the predominant IGFBP in HepG2-conditioned media, which increased in a dose-dependent manner after incubation with 8-Br-cAMP in normoxia and hypoxia (3-fold and 7-fold at 1 mM, respectively). Under hypoxic, compared with normoxic, conditions, IGFBP-1 protein and messenger RNA (mRNA) levels increased ~10-fold and 20-fold, respectively. In normoxia, 8-Br-cAMP stimulated IGFBP-1 protein and mRNA levels in a dose-dependent manner (7-fold and 10-fold at 1 mM). Hypoxia and 8-Br-cAMP showed additive stimulatory effects on IGFBP-1 protein and mRNA levels (35-fold and 50-fold at 1 mM) that were time and dose dependent. Primary transcripts of IGFBP-1 mRNA were increased concordantly with IGFBP-1 mRNA. The half-life of the IGFBP-1 mRNA was markedly increased (~6-fold) by hypoxia, and cAMP minimally enhanced this effect. These results demonstrate that hypoxia and compounds that increase intracellular cAMP additively regulate IGFBP-1 gene expression by transcriptional and posttranscriptional mechanisms. Regulation of IGFBP-1 mRNA and protein by cAMP and hypoxia may be important for understanding the physiologic and pathophysiologic roles of IGFBP-1.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INSULIN-LIKE GROWTH factor-binding protein 1 (IGFBP-1) is synthesized primarily in liver, pregnancy decidua, and luteinizing granulosa cells in adult humans and is elevated in the circulation of pregnant women, growth-restricted fetuses, insulin-dependent diabetics, and individuals with GH receptor deficiency (1). IGFBP-1 gene regulation is complex and is governed by a variety of cis-acting elements, including hypoxia, cAMP, insulin, glucocorticoids, and progesterone (1, 2, 3). In liver or hepatoma cells IGFBP-1 expression is increased by dexamethasone (4) and by agents that raise intracellular cAMP levels, such as glucagon, forskolin, theophylline, and cAMP analogs (5, 6, 7). There is a cAMP response element (CRE) in the IGFBP-1 promoter, and cAMP stimulates IGFBP-1 gene expression at the transcriptional level (8). We have recently found three consensus sequences for the hypoxia response element (HRE) in intron 1 of the IGFBP-1 gene and have demonstrated that at least one HRE is functionally responsive to hypoxia induction in HepG2 cells in vitro (3). In addition, recent evidence suggests that IGFBP-1 induction by hypoxia is mediated via hypoxia-inducible factor 1 (HIF-1) (3), a nuclear transcription factor important in the response of other hypoxia-inducible genes including erythropoietin (EPO) (9), vascular endothelial growth factor (10, 11), and lactate dehydrogenase A (LDH-A) (12). Of note is an observed synergy between hypoxia and cAMP in the induction of LDH-A (12), suggesting common pathways of induction for this gene.

In the current study, we have examined the effects of hypoxia and a cAMP analog, 8Br-cAMP, on IGFBP-1 protein and mRNA expression, primary transcripts of IGFBP-1, and IGFBP-1 mRNA stability in HepG2 cells. We report additive effects of hypoxia and 8Br-cAMP on IGFBP-1 protein and mRNA expression in HepG2 cells, suggesting that cAMP and hypoxia may operate through independent pathways for IGFBP-1 gene activation


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells

HepG2 cells, a human hepatocellular carcinoma cell line (13) known to produce IGFBP-1 (14), were purchased from the American Type Culture Collection (Manassas, VA). HepG2 cells were grown at 37 C in 95% air-5% CO2 in 175-mm2 cell culture dishes and fed every 3–4 days with MEM (Life Technologies, Inc., Grand Island, NY) plus 10% FBS and 50 µg/mL gentamicin (Gemini Bio Products, Inc., Calabasas, CA), 0.1 mM nonessential amino acids (Life Technologies, Inc.), and 1 mM sodium pyruvate (Life Technologies, Inc.). Cultures were passaged weekly when confluent at a ratio of 1:4 using trypsin-EDTA (Life Technologies, Inc.).

Materials

8-Bromoadenosine-3',5'-cyclic monophosphate (8Br-cAMP; Sigma, St. Louis, MO) was dissolved in H2O to a stock concentration of 100 mM. Actinomycin D (Sigma) was dissolved in dimethyl sulfoxide (600 µg/mL), and 5,6-dichloro-1-D-ribofuranosyl benzimidazole (DRB; Sigma) was dissolved in ethanol (10 mM) and stored at -20 C. [125I] IGF-I (µCi/µg) and [125I] IGF-II (µCi/µg) were purchased from Amersham Pharmacia Biotech (Piscataway, NJ).

Hypoxia treatment and hormonal supplementation

Cells were plated in duplicate in custom-made 60-mm glass plates, with notched sides to allow gas change (15), at 2–3 x 106 cells, and stabilized in serum-free RPMI 1640 (Life Technologies, Inc.) for 24 h before the following experiments. To examine the effect of different concentrations of 8Br-cAMP under hypoxic or normoxic conditions, dishes were placed in specially designed aluminum hypoxia chambers that were prewarmed to 37 C, sealed, and subjected to successive rounds of evacuation, followed by flushing with 95% N2/5% CO2 while being slowly agitated. The final oxygen concentration in the media after one cycle was reduced to 2% measured with a Clark-type electrode (Controls Katharobic, Edmonton, Alberta, Canada). The chambers were then placed in a 37 C incubator for 24 h in the absence or presence of varying concentrations of 8Br-cAMP (0.1, 0.5, and 1 mM) in serum-free RPMI 1640. Controls were cells cultured in normoxia for 24 h in the presence or absence of 0.1, 0.5, or 1 mM 8Br-cAMP. Kinetic studies were conducted in which cells were treated in normoxia or hypoxia for 2, 6, 12, or 24 h with or without 8Br-cAMP (1 mM). Five-milliter aliquots of conditioned media were collected, centrifuged, and stored at -20 C for subsequent analysis. Total cellular RNA was isolated, as described below. All conditions were examined in duplicate in three separate experiments.

Western ligand blotting

Western ligand blotting was performed according to the method of Hossenlopp et al. (16). Seventy-five microliters of conditioned media were electrophoresed on 12% SDS-PAGE with a 5% stack at 50 V. The size-fractionated proteins were electroblotted onto nitrocellulose at 160 mA for 1 h and 20 min. Blocking was with 1% BSA in saline for 2 h. The filter-immobilized proteins were incubated with 1.5 x 106 cpm/mL [125I] IGF-I and [125I] IGF-II overnight at 4 C, washed, air-dried, and exposed to autoradiography film (NEN Life Science Products, Boston, MA) at -80C. The intensity of the blots was quantitated by laser scanning densitometry, as described (3).

IGFBP-1 immunoradiometric assay (IRMA)

IGFBP-1 levels in conditioned medium from duplicate cultures were analyzed by IRMA, according to the manufacturer’s instructions (Diagnostics Systems Laboratories, Inc., Webster, TX). The sensitivity was 0.01 ng/mL, and the intra- and interassay coefficients of variation were 4.7% and 2.3%, respectively. IGFBP-1 levels were normalized by the total protein in conditioned medium by the method of Bradford (17).

Northern blot hybridization

Total RNA was isolated with a modification of Chomczynski and Sacchi (18), using TRIzol (Life Technologies, Inc.) according to the manufacturer’s instructions. Ten micrograms of total RNA were loaded per lane for 1.2% agarose-formaldehyde electrophoresis. Gels were then stained with ethidium bromide to confirm even loading of total RNA in each lane. RNA was transferred onto nitrocellulose membrane by capillary transfer, and the filters were irradiated in a Stratagene ultraviolet cross-linking apparatus (Stratagene, La Jolla, CA). The following cDNA probes were used: a 938-bp EcoRI fragment of human IGFBP-1 complementary DNA (cDNA) and PstI/SphI 1260-bp intron-1 fragment of the human IGFBP-1 gene (19). The probes were labeled with deoxycytidine 5'{alpha}-phosphate32-labeled triphosphate (NEN Life Science Products) using a random priming kit (Amersham Pharmacia Biotech). Membranes were blocked at 42 C in 50% formamide, 5x SSC, 0.3% SDS, 5x Denhart’s solution, and 100 µg/mL salmon sperm DNA and then probed overnight at 42 C using 1 x 106 cpm/ml of the appropriate random-primed probe. Filters were washed twice at room temperature in 5x SSC and 0.5% SDS, twice at 37 C in 1x SSC and 0.5% SDS, and twice at 65 C in 0.1x SSC and 1.0% SDS. Films were exposed at -70 C using DuPont enhancing screens. Molecular sizes were confirmed using an RNA marker (Promega Corp., Madison, WI) and ribosomal RNA (18S and 28S) as standards. The hybridization signals on the blots were analyzed quantitatively on a laser scanning densitometer (LKB, Bromma, Sweden). The intensity on the blots was normalized with 18S ribosomal RNA on ethidium bromide staining, and the relative intensity was calculated as a fold of the mean RNA value compared to controls.

Measurements of IGFBP-1 mRNA half-life

To investigate IGFBP-1 mRNA stability, HepG2 cells were treated with either one of two transcription blockers, actinomycin D (3 µg/mL) (20) or DRB (100 µM) (21). The blocking agents were added 15 min before treatment (zero time point), and cultured in hypoxic or normoxic conditions for 2, 6, 12, or 24 h in the presence or absence of 1 mM 8Br-cAMP. Cells were collected, and total cellular RNA was extracted at the appropriate time point and processed for Northern blot analysis, as described above.

Statistical analysis

Results were presented as the mean ± SEM. Differences between groups were examined by one-way ANOVA, followed by Scheffe’s F-test, and significance was assigned at P less than 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of hypoxia and 8Br-cAMP on IGFBP-1 expression: dose response

HepG2 cells were used as a model system to investigate IGFBP-1 gene regulation under hypoxic conditions and by cAMP. HepG2 cells in serum-free medium were incubated in normoxic (20% O2) and hypoxic (2% O2) conditions for 24 h. IGFBP-1 protein in conditioned media was analyzed by Western ligand blotting (Fig. 1AGo), which revealed a complement of IGFBPs with molecular weights of 34, 28, and 24 kDa, previously identified as IGFBP-2, IGFBP-1, and IGFBP-4, respectively (3). In normoxia and hypoxia, IGFBP-1 levels were markedly greater than other IGFBPs and increased in a dose-dependent manner after the incubation with 8Br-cAMP at 1 mM by 3-fold and 7-fold, respectively (Fig. 1BGo). Other IGFBPs were not affected by 8Br-cAMP and hypoxia treatment, detected by this method.



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Figure 1. Effects of hypoxia and 8Br-cAMP on IGFBPs in HepG2 cells. A, Western ligand blot: cells were incubated for 24 h in normoxic (lanes a-d) or hypoxic conditions (lanes e-h) with different doses of 8Br-cAMP. Nonpregnant human serum (NPS) demonstrates IGFBP-3, a prominent doublet with relative molecular mass between 38 and 43 kDa. Lane SP shows IGFBP-2 (34 kDa) and IGFBP-4 (24 kDa) in human seminal plasma. Human midgestation amniotic fluid (AF) shows IGFBP-1 (28 kDa). Molecular weight markers are shown on the left in kDa. Aliquots of conditioned medium, amniotic fluid, serum, and seminal plasma were analyzed by ligand blotting. IGFBPs were detected by incubation with [125I] IGF-I and [125I] IGF-II, followed by autoradiography. IGFBPs are shown on the right. B, Densitometric analysis of IGFBP-1 levels in conditioned medium was performed by laser densitometer, as described in Materials and Methods. Data are shown as a fold over normoxic control.

 
IRMA analysis (Fig. 2AGo) of conditioned medium revealed that under hypoxic, compared with normoxic, conditions IGFBP-1 protein levels increased by an average of 10-fold. Under normoxic conditions, the cAMP analog 8Br-cAMP (0.1, 0.5, and 1 mM) stimulated IGFBP-1 protein levels in a dose-dependent manner (7-fold at 1 mM), compared with the normoxic control.



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Figure 2. Effects of hypoxia and 8Br-cAMP on IGFBP-1 protein and mRNA expression: dose response. A, IRMA: HepG2 cells were preincubated in serum-free RPMI 1640 for 24 h, and cells were cultured in fresh serum-free medium in normoxic (20% O2) or hypoxic (2% O2) conditions with or without 8Br-cAMP (0.1, 0.5, and 1 mM) for 24 h. IGFBP-1 levels in conditioned medium were quantitated by IRMA assay and normalized by total protein concentrations. The values compared to normoxic control are the mean ± SEM of three different experiments. *, P < 0.05 (vs. normoxic control). B, Northern analysis: autoradiogram of representative Northern blot of total RNA isolated from HepG2 cells cultured 24 h in normoxia (lanes a-d) and hypoxia (lanes e-h) with different concentrations of 8Br-cAMP (0.1, 0.5, and 1 mM). Controls were total RNA extracted from decidualized endometrial stromal cells (ST). Steady-state levels of IGFBP-1 mRNA (1.5 kb) were detected using an EcoRI fragment (938 bp) of the human IGFBP-1 cDNA. Ethidium bromide staining of 18S ribosomal RNA is shown at bottom, demonstrating approximately equal loading of total RNA in each well. C, Densitometric analysis of Northern blots: data were shown as a fold over normoxic control (lane a). The values shown are the mean ± SEM of three different experiments. *, P < 0.05 (vs. normoxic control).

 
Northern blots of total cellular RNA isolated from HepG2 cells treated with or without 8Br-cAMP under hypoxic or normoxic conditions for 24 h were hybridized using an IGFBP-1 cDNA probe. A 1.5-kb transcript for IGFBP-1 in HepG2 cells (Fig. 2BGo), identical in size to the IGFBP-1 mRNA described previously (22), was observed. IGFBP-1 mRNA levels were increased by an average of 20-fold in hypoxic, compared with normoxic, conditions (Fig. 2CGo). Under normoxic conditions, 8Br-cAMP (0.1, 0.5, and 1 mM) stimulated IGFBP-1 mRNA levels in a dose-dependent manner (10-fold at 1 mM, compared to control).

Effects of hypoxia and 8Br-cAMP on IGFBP-1 expression: time course response

IRMA analysis (Fig. 3AGo) revealed that with 8Br-cAMP and under normoxic conditions IGFBP-1 in the conditioned medium reached a maximum (9-fold compared to without cAMP) at 12 h. Under hypoxic conditions with 8Br-cAMP, IGFBP-1 increased rapidly and reached maximum stimulation (33-fold, compared to normoxia control) at 12 h.



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Figure 3. Effects of hypoxia and 8Br-cAMP on IGFBP-1 protein and mRNA expression: time course. A, HepG2 cells were preincubated in serum-free medium for 24 h, and cells were cultured in fresh serum-free medium under normoxic conditions ({circ}) or hypoxic conditions (filled symbols) with ({blacksquare}) or without (•) 8Br-cAMP 1 mM for 2, 6, 12,and 24 h. IGFBP-1 levels in conditioned medium were quantitated by IRMA and normalized by total protein concentrations. The values shown are the mean ± SEM of three different experiments. B, HepG2 cells were preincubated in serum-free medium for 24 h, and at time zero (lane a), the medium was replaced with fresh serum-free medium containing 1 mM 8Br-cAMP. Total RNA was extracted after 2, 6, 12, and 24 h of exposure of HepG2 cells in normoxia (lanes b-e) or hypoxia (lanes f-i). A 1.5-kb steady-state IGFBP-1 mRNA was detected using a 938-bp fragment of IGFBP-1 cDNA. C, Densitometric analysis of Northern blots. Data are shown as a fold over normoxic control (lane a). The intensity on the blots was normalized with 18S ribosomal RNA on ethidium bromide staining, and the relative intensity was calculated as a fold of the mean RNA value compared to controls. Results shown are the mean ± SEM of three different experiments.

 
By Northern analysis, under normoxic conditions steady-state levels of IGFBP-1 mRNA increased rapidly after the addition of 8Br-cAMP. The increase was observed after a 2-h incubation and reached ~50% of maximum stimulation (Fig. 3Go, B and C). Under hypoxic conditions without 8Br-cAMP, IGFBP-1 mRNA increased rapidly and reached maximum stimulation at a 6-h incubation (Fig. 3Go). By the addition of 8Br-cAMP in hypoxia, IGFBP-1 mRNA was synergistically increased after a 6-h incubation (20-fold, compared to normoxic control) and was maintained throughout 24 h of culture. Under hypoxic conditions, increases in IGFBP-1 in conditioned medium and IGFBP-1 mRNA were about the same by 24 h (Fig. 3Go, A and C).

Effects of hypoxia and 8Br-cAMP on the abundance of IGFBP-1 primary transcripts

Total cellular RNA was extracted from cultured HepG2 cells treated with 0, 0.1, 0.5, and 1 mM 8Br-cAMP in hypoxic or normoxic conditions for 24 h (Fig. 4AGo). Northern hybridization using an IGFBP-1 intron-1 fragment identified several high molecular weight RNA species, which are primary transcripts and shorter splicing intermediates containing intron-1 (8). By sequence analysis (22), these species comprise the full-length transcript (FLT; 5.2 kb), FLT missing intron-3 (4.3 kb), FLT missing intron-2 (4.0 kb), FLT missing intron-2 and 3 (3.1 kb), and free intron-1 (1.5 kb), respectively (Fig. 4AGo). Under normoxic conditions, by the addition of 8Br-cAMP, the IGFBP-1 primary transcript and splicing intermediates are changed in the same manner as IGFBP-1 mRNA, consistent with a previous report that cAMP regulates IGFBP-1 primarily at the transcriptional level (8). Under hypoxic, compared with normoxic, conditions, those species are markedly increased by hypoxia, and 8Br-cAMP enhances this effect in a dose-dependent manner. Kinetic analysis (Fig. 4BGo) revealed that the primary transcripts rapidly increased by the addition of 1 mM 8Br-cAMP and that hypoxia enhances this effect. Densitometric analysis of the full-length primary transcripts revealed that ~3-fold hypoxic induction was observed and that 8Br-cAMP further stimulates this induction (~3-fold at 1 mM). This induction is considerably less than the increase in IGFBP-1 mRNA (20-fold without 8Br-cAMP, 50-fold at 1 mM 8Br-cAMP), suggesting that the increase of IGFBP-1 mRNA by hypoxia is composed primarily of a posttranscriptional and, in part, by a transcriptional component.



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Figure 4. Effects of hypoxia and 8Br-cAMP on the abundance of IGFBP-1 primary transcripts. A, Northern analysis: autoradiogram of representative Northern blot of total RNA isolated from HepG2 cells cultured 24 h in normoxia (lanes a-d) and hypoxia (lanes e-h) with different concentrations of 8Br-cAMP (0.1, 0.5, and 1 mM). Primary transcript and splicing intermediates of IGFBP-1 mRNA were detected using intron-1 fragment (1260 bp) of the human IGFBP-1 gene. Ethidium bromide staining of 18S ribosomal RNA is shown at the bottom, demonstrating approximately equal loading of total RNA in each well. B, HepG2 cells were preincubated in serum-free medium for 24 h, and at time zero (lane a), the medium was replaced fresh serum-free medium containing 1 mM 8Br-cAMP. Total RNA was extracted after 2, 6, 12, and 24 h of exposure of HepG2 cells in normoxia (lanes b-e) and hypoxia (lanes f-i). Primary transcript and splicing intermediates of IGFBP-1 mRNA were detected using the intron-1 fragment of human IGFBP-1 gene.

 
Effects of hypoxia and 8Br-cAMP on the stability of IGFBP-1 mRNA

Increase in the steady-state levels of IGFBP-1 mRNA can be caused by changing the rate of transcription, by stabilizing the mRNA (i.e. decreasing the rate of mRNA degradation), or by both mechanisms. To determine the effect of 8Br-cAMP and hypoxia on IGFBP-1 mRNA stability, HepG2 cells were treated with either one of two transcription blockers, actinomycin D (3 µg/mL) or DRB (100 µM). These blockers were added 15 min before treatment (zero time point), and cells were then cultured in hypoxic or normoxic conditions for 2, 6, 12, or 24 h without (Fig. 5AGo) or with (Fig. 5BGo) 1 mM 8Br-cAMP. After inhibiting RNA synthesis, the remaining IGFBP-1 RNA was quantitated by Northern hybridization, as described above. In the absence of cAMP, IGFBP-1 mRNA levels during normoxia decreased to 50% in ~2 h, after the addition of actinomycin D or DRB (Fig. 5AGo). Under hypoxic conditions, IGFBP-1 mRNA was markedly stabilized, and the half-life of IGFBP-1 mRNA was ~12 h. With 1 mM 8Br-cAMP (Fig. 5BGo), the half-life of IGFBP-1 mRNA was not affected under normoxic conditions, whereas under hypoxic conditions IGFBP-1 did not decline to 50% of the initial value by 24 h. These results indicate that hypoxia increases IGFBP-1 mRNA stability and that 8Br-cAMP contributes (minimally) to this stabilization.



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Figure 5. Effects of hypoxia and 8Br-cAMP on the stability of IGFBP-1 mRNA. Logarithmic plot of Northern hybridization: HepG2 cells were treated with either one of two transcription blockers, actinomycin D or DRB, and cultured in hypoxic ({circ}) or normoxic ({square}) conditions for 2, 6, 12, or 24 h in the absence (A) or the presence (B) of 1 mM 8Br-cAMP. The intensity on the blots was normalized with 18S ribosomal RNA on ethidium bromide staining, and the relative intensity was calculated as a fold of the mean RNA value compared to controls at zero time points. The results shown are the mean ± SEM from three different experiments. *, P < 0.05.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IGFBP-1 gene regulation is complex, with multiple regulatory elements in the IGFBP-1 promoter, including a CRE and two glucocorticoid response elements, which regulate induction of IGFBP-1 gene transcription, and an insulin response element that regulates inhibition of IGFBP-1 gene expression (1, 2). A series of deletion and site-directed mutations of the hIGFBP-1 promoter have identified a CRE that confers a modest 2- to 3-fold increase in human IGFBP-1 promoter activity in response to cAMP (8). In addition to cis-acting regulatory elements in the IGFBP-1 promoter, the IGFBP-1 gene contains three HREs in its first intron, one of which is functional in driving oxygen-regulation of a reporter gene through a heterologous promoter (3). Herein, we have presented evidence in HepG2 cells that cAMP and hypoxia increase IGFBP-1 steady-state mRNA levels and protein secretion. The Northern and Western ligand blot data, taken together, as well as the IRMA assays, suggest that the effects of cAMP and hypoxia are additive.

The oxygen-regulated system controlling induction of a variety of genes by hypoxia is present in most cells and involves induction of a nuclear transcription factor, HIF-1, which binds to the HRE and, with contributions from a variety of enhancers, results in gene transcription (23, 24, 25). IGFBP-1 mRNA and protein are synthesized by HepG2 cells and are stimulated in these cells by hypoxia via mechanisms that seem to involve HIF-1 (3). Recently, a role for cAMP has been reported in the hypoxia response of other genes, including LDH-A (12) and EPO (26). LDH-A mRNA and protein are inducible by hypoxia as well as by cAMP. Mutational analyses of the LDH promoter revealed three domains in the 5' flanking region that are functionally important. These include a HIF-1-binding site in between an enhancer and a sequence characteristic of a CRE. Functional cooperativity was observed between these sites, and maximal hypoxia inducibility was observed with all three sites (12). Of note, the HIF-1-binding element alone was unable to support inducible expression. With regard to EPO, it is not induced by cAMP, but is induced by cAMP under hypoxic conditions (26). cAMP is not crucial for the hypoxia-activated signal transduction pathway per se, although it may act with other signaling pathways to enhance the response to hypoxia. Hypoxia inducibility of IGFBP-1 gene expression has several differences, compared to the LDH-A and EPO. For example, the HREs in the IGFBP-1 gene are in an intron (3) and not in the promoter that contains the CRE (8). Also, one of the HREs (5'-714-721-3') is functional in a reporter construct with a heterologous promoter and without a CRE (3). These observations suggest that the IGFBP-1 response to cAMP and to hypoxia are independent and further support the effects observed in the current study. Data on the EPO 3' enhancer, for instance, suggest that the HIF-1 DNA recognition site is cAMP responsive in hypoxic conditions (27). Whether this is so for IGFBP-1 remains to be determined. Experiments to define whether HIF-1 is the hypoxia-sensitive factor in HepG2 cells mediating the observed IGFBP-1 induction and, if so, whether the HIF-1 DNA recognition site in the IGFBP-1 gene is cAMP responsive, are planned in future studies in our laboratory.

Northern blots using IGFBP-1 intron 1 identified several high molecular weight RNA species containing intron 1. Sequence analysis determined that the RNAs are the FLT, splicing intermediates, and free intron 1. In normoxia, the primary transcript of IGFBP-1 mRNA is increased by 8Br-cAMP in a dose-dependent manner, concordant with the changes of steady-state levels of IGFBP-1 mRNA, consistent with the previous reports that cAMP regulates IGFBP-1 at the transcriptional level (8). Under hypoxic, compared with normoxic, conditions, those species are remarkably increased, and 8Br-cAMP enhances this effect. By kinetic analysis, the primary transcripts are rapidly increased by 8Br-cAMP, and hypoxia further stimulated their induction. These results indicate that IGFBP-1 gene expression is stimulated by hypoxia at the transcriptional level that is concordant with our previous results (3). However, hypoxic induction of primary transcripts cannot fully account for the increase in steady-state IGFBP-1 mRNA, suggesting that the increase of IGFBP-1 mRNA by hypoxia is due to posttranscriptional and, in part, by transcriptional regulatory mechanisms. It has been reported that other hypoxia-inducible genes such as EPO (27, 28), vascular endothelial growth factor (29), and tyrosine hydroxylase (30) are posttranscriptionally regulated by hypoxia (i.e. hypoxia stabilizes those mRNAs). The data reported herein suggest that hypoxia regulates IGFBP-1 gene expression by transcriptional control as well as by stabilization of IGFBP-1 mRNA. Furthermore, overall, the data suggest independent pathways of hypoxia and cAMP regulation of IGFBP-1 in HepG2 cells by either independent mechanisms for IGFBP-1 transcription or by one acting primarily through posttranscriptional mechanisms.

By Western ligand blotting, in normoxia and hypoxia, IGFBP-1 levels were greater than other species (IGFBP-2 and IGFBP-4) and increased in a dose-dependent manner after incubation with 8Br-cAMP. These results may reflect tissue-specific expression of IGFBPs and will require further investigation.

IGFBP-1 is synthesized primarily in the liver, pregnancy decidua, and luteinizing granulosa cells and is elevated in physiologic conditions such as pregnancy, in the maternal circulation. It is also elevated in pathophysiologic conditions, including renal failure, insulin-dependent diabetes mellitus, GH receptor deficiency, and in the fetal circulation of pregnancies complicated by uteroplacental insufficiency and in utero hypoxia (1, 2). Regulation of IGFBP-1 by hypoxia, cAMP, and other known regulators, including glucocorticoids, progesterone, and insulin, has been observed in a variety of cell types (1). HepG2 cells have provided a useful model to investigate regulation of IGFBP-1 by these effector molecules, although extrapolation of regulation of IGFBP-1 by hypoxia and cAMP in HepG2 cells to pathophysiologic conditions requires cautious interpretation.


    Footnotes
 
1 Supported in part by the Walter and Idun Berry Fellowship (to S.I.T.), NIH Grants 31398 (to L.C.G.) and CA-73832 (to A.J.G.), The March of Dimes Birth Defects Foundation (to L.C.G. and A.J.G.), and the Naomi Vanden Horn Cancer Research Fund (to A.J.G.). Presented in part at the 80th Annual Meeting of The Endocrine Society, New Orleans, Louisiana, June 24–27,1998 (Abstract P2-316, p. 317). Back

Received December 2, 1999.

Revised April 12, 2000.

Revised June 8, 2000.

Accepted July 10, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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