
[Cancer Research 62, 3985-3991, July 15, 2002]
© 2002 American Association for Cancer Research
Antiestrogen ICI 182,780 Decreases Proliferation of Insulin-like Growth Factor I (IGF-I)-treated MCF-7 Cells without Inhibiting IGF-I Signaling1
Hemant Varma and
Susan E. Conrad2
Departments of Biochemistry and Molecular Biology [H. V.] and Microbiology and Molecular Genetics [S. E. C.], Michigan State University, East Lansing, Michigan 48824
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ABSTRACT
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Previous studies have suggested that antiestrogens inhibit MCF-7 cell
proliferation by alteringthe expression or activity of components of the insulin-like growth
factor I (IGF-I) signaling pathway, including IGF-I receptor, insulin
receptor substrate 1, and phosphatidylinositol 3-kinase. In this
report, we examine the effects of the pure antiestrogen ICI 182,780
(ICI) on various targets of IGF-I signaling in MCF-7 cells. ICI
treatment led to decreases in the absolute levels of cyclin D1 and
cyclin A expression, retinoblastoma protein phosphorylation, and DNA
synthesis in IGF-I-treated cells. However, IGF-I retained the ability
to induce these events in the presence of ICI, suggesting that ICI
treatment did not completely block IGF-I signaling. Consistent with
this suggestion, IGF-I-induced phosphorylation of extracellular
signal-regulated kinase, AKT, and insulin receptor substrate 1 was
unaffected by ICI treatment. Finally, transient expression of either
constitutively active phosphatidylinositol 3-kinase or AKT was
unable to induce proliferation in ICI-treated MCF-7 cells. Together,
these results indicate that ICI can inhibit proliferation without
blocking IGF-I signaling and suggest a model in which both estrogen
receptor and IGF-I signaling regulate cell cycle components and are
required for MCF-7 cell proliferation.
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INTRODUCTION
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Both growth factors and estrogen regulate proliferation of many
breast cancer cells, including the MCF-7 human cell line. Growth
factors bind to membrane-bound receptor tyrosine kinases that activate
signaling cascades affecting cell cycle progression.
IGF-I3
stimulates proliferation of MCF-7 cells through the IGF-IR
(1
, 2)
. Activated IGF-IR recruits and phosphorylates the
IRS-1, which in turn activates several downstream signaling pathways
including the MAPK and PI3K pathways (3
, 4)
. PI3K activity
is essential for proliferation of MCF-7 cells, and blocking its
activity with either a chemical inhibitor (5)
or by
constitutive expression of PTEN (phosphatase and tensin homologue
deleted on chromosome 10), a phosphatidylinositol 3-phosphatase
(6)
, causes a G1 arrest in these
cells. PI3K activates downstream kinases including AKT, p70S6 kinase,
and glycogen synthetase 3-kinase (7)
. One of the key
downstream targets of these kinases is cyclin D1, an important
regulator of cell cycle progression (8)
.
Estrogens activate ER
and ERß, which are ligand-activated
transcription factors (9)
. MCF-7 cells are ER
positive
(10)
, and their proliferation is regulated by estrogens
and antiestrogens (11)
. One mechanism by which estrogens
such as E induce proliferation in MCF-7 cells is by activating genes
that promote cell cycle progression, including cyclin D1 and
c-myc (12)
. Antiestrogens reverse the
cell cycle changes induced by estrogen and inhibit proliferation of
MCF-7 cells.
In addition to directly regulating cell cycle progression, there is
evidence that both E and antiestrogens influence growth factor
signaling pathways. For example, antiestrogens are reported to inhibit
IGF-I-induced proliferation in MCF-7 cells (13
, 14)
. Under
some experimental conditions, this inhibition coincides with a
down-regulation of intermediates in the IGF-I signaling pathway,
including IGF-IR (15
, 16)
and IRS-1 protein levels
(17)
, and IRS-1 phosphorylation (18)
,
suggesting that antiestrogens directly inhibit IGF-I signaling. The
current study was undertaken to test this model. The results presented
here demonstrate that in addition to decreasing proliferation in the
presence of IGF-I, ICI treatment of IGF-I-stimulated cells decreases
the absolute levels of several important cell cycle regulators,
including cyclin D1, cyclin A, and phosphorylated pRb. However, ICI
also lowered the basal levels of cyclin D1 expression and proliferation
in SFM, and the fold induction of cyclin D1 and proliferation by
IGF-I was similar in the absence and presence of ICI. In addition, ICI
treatment did not inhibit the ability of IGF-I to induce
phosphorylation of ERK or AKT, indicating that this antiestrogen does
not completely block IGF-I signaling in MCF-7 cells. Finally,
expression of constitutively active PI3K or AKT did not overcome an
antiestrogen-mediated growth arrest of MCF-7 cells, indicating that
deregulation of the PI3K pathway is insufficient to convert cells to
antiestrogen resistance. Together, these results suggest a model in
which ER acts downstream of or parallel to the PI3K/AKT pathway to
regulate MCF-7 cell proliferation.
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MATERIALS AND METHODS
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Cell Culture.
MCF-7 cells were obtained from Dr. Michael Johnson at the Lombardi
Cancer Center and maintained in Improved Modified Eagles
Medium (Biofluids, Inc.) containing 5% FBS (HyClone),
penicillin (100 units/ml), and streptomycin (100 µg/ml). For
serum-free experiments, cell pellets were washed twice in PBS, and the
washed cells were plated at 106 cells/100-mm
plate or 50,000 cells/well on 24-well plates in phenol red-free,
serum-free, DMEM F-12 (Sigma) on collagen 1 (4
µg/cm2)-coated tissue culture plates as
described previously (19)
. After overnight incubation,
cells were treated with ICI (100 nM), E (1 nM),
IGF-I (10 ng/ml), ICI + E, IGF-I + E, or IGF-I + ICI. For ICI pretreatment, ICI was added 24 h before the
addition of IGF-I.
Plasmids.
The HA-tagged AKT encoded by pCEFL-myr-HA-AKT contains a myristylation
signal that causes membrane localization and has been described
previously (20)
. The plasmid was a gift of Dr. Yi Li and
J. S. Gutkind. The constitutively active Myc-tagged PI3K (p110*)
and the kinase dead PI3K (
KIN) constructs have been described
previously (21)
and were provided by Dr. Anke Klippel. The
SRE-luc and the CMV ß-galactosidase plasmids were obtained from
Clontech. The cyclin D1 cDNA plasmid was provided by Dr. Steven Reed. A
plasmid containing the 18S rRNA gene was obtained from Dr. Laura
McCabe.
Chemicals, Growth Factors, and Antibodies.
ICI was a gift of A. Wakeling (Zeneca Pharmaceuticals), and E was
purchased from Sigma. IGF-I was from GroPep Pty. Ltd. (Adelaide,
Australia), and LY294002 was from Calbiochem. Rat tail collagen 1 was
from Collaborative Biomedical Products (Bedford, MA).
[3
H]Thymidine (50 Ci/mmol) was from ICN
Biomedicals. The cyclin D1, IRS-1, and tyrosine phosphate (4G10)
antibodies were from Upstate Biotechnology. Antibodies to cyclin E,
cyclin A, and pRb were from PharMingen. The ER
antibody was a
monoclonal antibody (Mab17; Ref. 22
) and was a gift of Dr.
Richard Miksicek. Both the total and phosphoserine 473 AKT antibodies
were rabbit polyclonal antibodies from New England Biolabs. Phospho-ERK
and total ERK antibodies were from Santa Cruz Biotechnology. Rat
anti-HA and mouse anti-Myc (clone 9E10.3) antibodies were from
Boehringer Mannheim and Neomarkers, respectively. Sheep anti-BrdUrd and
mouse anti-BrdUrd were from Fitzgerald Industries and Boehringer
Mannheim, respectively. FITC-conjugated donkey antisheep and goat
antirat antibodies were from Sigma, whereas the rhodamine-conjugated
goat antimouse antibody was from Boehringer Mannheim. The ß-actin
antibody was from Sigma.
Transfections and Luc Assays.
MCF-7 cells were plated at 5 x 105 cells/60-mm dish and transfected using
Superfect reagent (Qiagen). One µg of SRE-luc plasmid was
cotransfected with 1 µg of either vector, p110*, or
KIN along with
0.2 µg of pCMV ß-galactosidase as a control for transfection
efficiency. Cells were kept in 5% charcoal dextran-stripped serum
containing medium for 24 h and then treated with various media for
an additional 24 h. Cells were harvested at 48 h
posttransfection, and both luc and ß-galactosidase activities were
measured using the protocol provided by the manufacturer (Clontech) on
a Turner TD 20E luminometer (Turner Designs). Each transfection was
done in triplicate, and the luc activity was normalized to
ß-galactosidase activity in each sample.
[3
H]Thymidine Incorporation.
Cells were plated at 50,000 cells/well on 24-well plates and treated as
described for the respective experiments. One µCi of tritiated
thymidine was added to each well, and the cells were harvested in 0.5%
NaOH, 0.1% Triton X-100 after 24 h of labeling. Cell lysates were
precipitated with trichloroacetic acid (10%), and acid-precipitable
counts were measured using liquid scintillation counting. Six wells
were harvested for each treatment; three wells were used for thymidine
incorporation, and the remaining three wells were used to determine the
DNA content by a fluorometric assay (23)
.
[3
H]Thymidine incorporation/well was normalized
to DNA content.
Immunoblotting.
MCF-7 cells were lysed as described previously (24)
, and
protein was quantitated using the Bradford protein assay (Bio-Rad).
Protein (2050 µg) was subjected to SDS-PAGE (12% or 7.5%),
transferred to polyvinylidene difluoride membranes, and probed using
the appropriate primary antibodies followed by horseradish
peroxidase-conjugated secondary antibodies. Bands were visualized using
the enhanced chemiluminescence reagent (Pierce). Cyclin D1 levels in
the experiment shown in Fig. 2A
were quantitated by
densitometric scanning of the resulting films.

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Fig. 2. ICI pretreatment does not inhibit IGF-I-mediated induction
of cyclin D1 or proliferation. MCF-7 cells incubated in SFM or
pretreated with ICI for 24 h were stimulated with IGF-I.
A, cell lysates were harvested at the time points
indicated and subjected to Western blotting for cyclin D1, cyclin A,
p21Waf1, p27Kip1, pRb, or ß-actin.
B, in a parallel experiment, [3H]thymidine
incorporation was determined during the 24-h period after IGF-I
treatment. Results represent the average ±SE of triplicate
wells normalized to DNA content. Fold induction of
[3H]thymidine incorporation in either SFM- or ICI-treated
cells is shown above the bars. The results shown are
representative of three independent experiments.
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Northern Blotting.
Cells were lysed, and total RNA was purified using Trizol reagent (Life
Technologies, Inc.). Twenty µg of RNA were electrophoresed on 1%
agarose-formaldehyde gels, transferred to nitrocellulose membranes, and
hybridized with a 32P-labeled cDNA probe for
cyclin D1. The membrane was stripped and reprobed for 18S rRNA as a
loading control. Bands were quantitated by PhosphorImager scanning
(Molecular Dynamics), and the cyclin D1 mRNA levels were normalized to
18S rRNA.
Indirect Immunofluorescence.
Cells were plated on coverslips and transfected with either the
HA-tagged AKT or the Myc-tagged PI3K (p110*) plasmid using Superfect
reagent (Qiagen). After transfection, cells were incubated in medium
containing 5% FBS and ICI and labeled with 25 µM BrdUrd
for 5 h before fixation at 48 h posttransfection. The double
immunofluorescence procedure for detecting proteins and BrdUrd has been
described previously (25)
. BrdUrd incorporation was
detected using mouse anti-BrdUrd for HA-AKT and sheep anti-BrdUrd for
Myc-PI3K. Cells were viewed under a fluorescence microscope, and
the percentage of HA- (or Myc-)positive and -negative cells that were
also positive for BrdUrd was determined. At least 100 HA/Myc-positive
and -negative cells were counted in each experiment. The images shown
in Fig. 5A
were taken on an Olympus microscope, scanned, and
converted to grayscale using Adobe Photoshop.

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Fig. 5. Constitutively active PI3K and AKT are insufficient to
overcome an ICI-induced cell cycle arrest. MCF-7 cells were transfected
with constitutively activated AKT (HA tag) or PI3K (Myc tag). After
transfection, cells were incubated for 48 h in medium containing
5% FBS + ICI, and BrdUrd was added for the final 5 h
before fixation. Cells in medium containing 5% FBS served as a control
population of cycling cells. Expression of the transfected proteins and
BrdUrd incorporation were detected by double indirect
immunofluorescence as described in "Materials and Methods."
A, representative micrographs showing expression of the
tagged proteins. B, the percentage of PI3K- or
AKT-positive cells that were also BrdUrd positive is represented by
filled bars. Open bars represent the
percentage of PI3K- or AKT-negative cells that were BrdUrd positive in
the same cultures. The results are the average ± SE of
three independent experiments. C, MCF-7 cells were
cotransfected with a SRE-luc plasmid and either vector alone,
constitutively active PI3K (p110*), or a kinase dead version of PI3K
( KIN). All transfections also included a CMV promoter-driven
ß-galactosidase gene as a control for transfection efficiency, and
all luc activities were normalized to ß-galactosidase activity. The
results shown represent fold induction over vector alone control and
are shown as the average ± SE of three independent
experiments, each done in triplicate.
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RESULTS
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ICI Treatment Decreases Proliferation of IGF-I-treated MCF-7 Cells.
To assess the effects of E, ICI, and IGF-I on proliferation, MCF-7
cells were cultured in SFM and treated with these agents alone or in
combination. Proliferation was assayed by measuring
[3
H]thymidine incorporation, and results from
one representative experiment are shown in Fig. 1A
. MCF-7 cells in SFM incorporated basal levels of
[3
H]thymidine, which decreased 45-fold upon
treatment with ICI. This result suggested that a ligand-independent
activity of ER was inhibited by ICI. E treatment induced a 2-fold
increase in [3
H]thymidine incorporation that
was completely reversed by ICI. Treatment with IGF-I alone increased
proliferation 34-fold over control levels, and E had an additive
effect with IGF-I. In agreement with previously published results
(13
, 14)
, ICI treatment reduced proliferation in the
presence of IGF-I, but not down to the level seen in cells treated with
ICI alone or in combination with E. This suggested that the ability of
IGF-I to stimulate proliferation was not completely inhibited by ICI
treatment. To determine the extent to which IGF-I stimulated
proliferation in the presence and absence of ICI,
[3
H]thymidine incorporation was compared in
three independent experiments. The results of these experiments
confirmed those shown in Fig. 1A
; IGF-I treatment induced
proliferation 34-fold in both the presence and absence of ICI, but
the absolute levels of proliferation obtained were 23-fold higher in
the absence of ICI (data not shown).

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Fig. 1. ICI treatment decreases proliferation in IGF-I-treated
cells. MCF-7 cells were plated in SFM, and after overnight culture,
cells were treated with ICI (100 nM), E (1 nM),
IGF-I (10 ng/ml), or various combinations thereof as described in
"Materials and Methods." Untreated cells in SFM served as controls.
A, [3H]thymidine (1 µCi) was added to
each well after 24 h of treatment, and cells were harvested after
24 h of labeling. Acid-precipitable counts were measured and
normalized to DNA content. Results from one experiment are shown as the
average ± SE from triplicate wells. B,
in experiments carried out in parallel to those shown in
A, cells were harvested after 2 days of treatment, and
lysates were subjected to immunoblotting for cyclin D1, cyclin E,
cyclin A, and ER . Actin served as a loading control.
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Both ICI and IGF-I Regulate Cyclin Protein Levels.
To investigate the mechanism(s) by which ICI limits proliferation, we
examined its effects on the expression of cyclins, key regulators of
the G1-S-phase transition. MCF-7 cells were
treated as described above, and protein extracts were prepared and
subjected to Western blot analysis for cyclin D1, cyclin E, and cyclin
A. Results from one representative experiment are shown in Fig. 1B
. Cells in SFM expressed basal levels of cyclin D1 that
decreased upon treatment with ICI. Treatment of cells with IGF-I or
with IGF-I + E increased the levels of cyclin D1 compared
with controls, and cells cotreated with both ICI and IGF-I expressed
lower levels of cyclin D1 than those treated with IGF-I alone. Cyclin A
levels increased in cells treated with either IGF-I or E and were
decreased by ICI treatment. Cyclin A is induced at the
G1-S transition (26)
, and its
regulation is consistent with the proliferation data shown in Fig. 1A
. Cyclin E levels did not change with the various
treatments. Also shown in Fig. 1B
is down-regulation of ER
levels in the presence of E and ICI. ICI has previously been shown to
cause receptor degradation (27)
, and E down-regulates
ER
by decreasing its transcription, mRNA, and protein stability
(28
, 29)
. In similar experiments, levels of progesterone
receptor, a transcriptional target of ER (30)
, were
increased by E treatment of cells in SFM (data not shown). Together,
these results confirm that the SFM was free of E.
ICI Pretreatment Does Not Block IGF-I Induction of Cyclin D1
Expression or Proliferation.
The fact that IGF-I retained the ability to induce cyclin D1 and
[3
H]thymidine incorporation in the presence of
ICI suggested that IGF-I signaling was functional in ICI-treated cells.
However, because cells were treated simultaneously with IGF-I and ICI,
it was possible that ICI had insufficient time to block IGF-I
signaling. To investigate the effects of ICI pretreatment on IGF-I
signaling, cells were plated in SFM and then either left in SFM or
preincubated with ICI for 24 h. They were then stimulated with
IGF-I in the presence or absence of ICI, harvested at various times,
and analyzed by Western blotting for cyclin D1, cyclin A, the Cdk
inhibitors p21Waf1 and
p27Kip1, and pRb. The results of one
representative experiment are shown in Fig. 2A
. Consistent with the results in Fig. 1
, ICI treatment
decreased the absolute levels of cyclin D1 approximately 2-fold, as
determined by densitometric scanning. However, IGF-I treatment induced
cyclin D1 expression to similar extents in both the absence and
presence of ICI. The levels of cyclin D1 remained constant in ICI + IGF-I-treated cells until 36 h but declined between 24 and
36 h in cells treated with IGF-I alone. This decrease correlated
with the entry of cells into S phase, as indicated by cyclin A
expression and pRb phosphorylation. Because cyclin D1 levels vary
during the cell cycle, the decline in cyclin D1 levels may be a
consequence of cell cycle progression (8)
.
Because both ICI and IGF-I have been reported to regulate
p27Kip1 and p21Waf1 levels
in MCF-7 cells (31
, 32)
, we examined the effects of IGF-I
and ICI on these proteins. The p27Kip1 levels
were higher in ICI pretreated cells than in control cells at time
0 (Fig. 2A)
; however, IGF-I treatment decreased
p27Kip1 levels in both ICI-treated and control
cells. In contrast to previous reports (32
, 33)
, the
levels of p21Waf1 were not reproducibly altered
by IGF-I or ICI treatment in these experiments. Although we have not
investigated the reason for this difference, it may be due to different
cell culture conditions. Under the conditions used in these experiments
(cells in SFM plated on collagen), the basal levels of
p21Waf1 are high, and it is possible that they
cannot be further increased by IGF-I or ICI treatment.
The effect of ICI pretreatment on IGF-I-induced proliferation was also
assessed. As shown in Fig. 2A
, ICI pretreatment almost
completely blocked cyclin A expression and pRb phosphorylation,
although small increases were reproducibly seen at the 36 h time
point. These effects were paralleled by changes in DNA synthesis, where
ICI treatment decreased [3
H]thymidine
incorporation approximately 4-fold (Fig. 2B)
. However, even
in the presence of ICI, IGF-I increased proliferation 2.4-fold over
that seen in untreated cells. The overall decrease in proliferation in
ICI-treated cells may be due to the 50% reduction in cyclin D1 levels
observed because a threshold level of cyclin D1 may be required to
fully activate G1 Cdks and phosphorylate
pRb. Alternatively, additional targets of ICI may be contributing to
its effects.
Cyclin D1 mRNA Levels Are Regulated by Both ICI and IGF-I.
Mitogens such as IGF-I can lead to the stabilization of cyclin D1
protein (34)
. It was therefore possible that ICI was
regulating cyclin D1 mRNA levels and that IGF-I was regulating cyclin
D1 protein stability, in which case cyclin D1 mRNA and protein levels
would not be coordinately regulated. To test this possibility, total
cellular RNA was extracted at various time points after IGF-I
stimulation of ICI-pretreated or control cells, and Northern blotting
was carried out as described in "Materials and Methods." Results
from one representative experiment are shown in Fig. 3A
, and the quantitation of results from three independent
experiments is shown in Fig. 3B
. Consistent with the protein
data, the absolute levels of cyclin D1 mRNA were approximately 2-fold
higher in the absence of ICI than in the presence of ICI. However, when
the amount of mRNA at time 0 was defined as 1 for each treatment, the
induction by IGF-I was similar (22.5-fold) in the presence and
absence of ICI. These results demonstrate that cyclin D1 mRNA levels
parallel protein levels and suggest that both ICI and IGF-I are
regulating cyclin D1 predominantly at the mRNA level under these
experimental conditions.

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Fig. 3. IGF-I induces cyclin D1 mRNA in the presence and absence
of ICI. A, MCF-7 cells incubated in SFM or pretreated
with ICI for 24 h were stimulated with IGF-I. At the times
indicated after IGF-I treatment, total RNA was isolated and analyzed
for cyclin D1 mRNA by Northern blotting. B, cyclin D1
mRNA levels were normalized to 18S rRNA and are represented as fold
induction over the 0 h ICI treatment time point. The results are
the mean ± SE of three independent experiments.
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ICI Does Not Inhibit Activation of ERK, AKT, or IRS-1 by IGF-I.
To directly examine the effects of ICI on IGF-I signaling, activation
of two downstream targets, ERK/MAPK and AKT, was investigated. As shown
in Fig. 4A
, addition of IGF-I to cells in SFM leads to ERK
phosphorylation within 5 min of treatment, with the levels of
phosphorylation returning to baseline by 60 min. The ability of IGF-I
to induce ERK phosphorylation was not significantly inhibited by
pretreatment with ICI (Fig. 4, A and B)
,
indicating that this branch of the IGF-I signaling pathway is
independent of ER function.

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Fig. 4. ICI does not inhibit ERK or AKT activation by IGF-I. MCF-7
cells incubated in SFM or pretreated with ICI for 24 h were
stimulated with IGF-I. A, cells were harvested at the
time points indicated, and MAPK activation was assayed by Western
blotting using an antibody specific to phosphorylated ERK1 and ERK2.
The blots were then reprobed with an antibody that detects total ERK1
and ERK2. B, cells pretreated as described above were
incubated with IGF-I or SFM media (5*) alone and
harvested after 5 min. The levels of both phosphorylated and total ERK1
and ERK2 were determined by Western blotting. C, cells
were pretreated with ICI for 24 h or with LY294002 for 30 min.
They were then stimulated with IGF-I, and lysates were prepared at the
times indicated and analyzed by Western blotting with an antibody
specific for AKT phosphorylated on Ser473. Blots were also
probed with antibodies to total AKT, ER , and actin.
D, cells in SFM or preincubated with ICI for 24 h
were treated with IGF-I or left untreated and harvested after 10 min.
Cell lysates were prepared, and 50 µg of total protein were subjected
to SDS-PAGE (7.5%) and analyzed for IRS-1 protein levels and
phosphorylation by Western blotting with antibodies directed against
IRS-1 or phosphotyrosine.
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Activation of PI3K by IGF-I is required to induce cyclin D1 protein and
proliferation in MCF-7 cells (5)
. We confirmed this
requirement using LY294002, a specific PI3K inhibitor. Treatment of
MCF-7 cells with this inhibitor prevented the induction of cyclin D1
protein, mRNA, and proliferation seen upon IGF-I treatment (data not
shown). An important downstream target of PI3K is AKT. The effects of
ICI on IGF-I-induced AKT activation were assessed by immunoblotting
with an antibody that detects AKT phosphorylated on
Ser473 (Ref. 35
; Fig. 4C
). IGF-I treatment induced a rapid phosphorylation of
Ser473, and the levels of phosphorylated AKT were
maintained for 1 h. This induction was not inhibited by ICI
pretreatment, which down-regulated ER
protein levels. However, it
was inhibited by treatment with the PI3K inhibitor LY294002, indicating
that induction of Ser473 phosphorylation by IGF-I
does not require ER activity but does require PI3K activation.
Because it has been reported previously that ICI treatment decreases
IRS-1 protein levels and/or phosphorylation induced by IGF-I, we also
examined this aspect of IGF-I signaling under our experimental
conditions. As shown in Fig. 4D
, pretreatment with ICI for
24 h did not decrease IRS-1 protein levels (compare Lanes
1 and 3). IGF-I-induced phosphorylation of IRS-1,
detected by a change in the mobility of the protein or by probing with
a phosphotyrosine-specific antibody, was also unaffected by ICI
treatment. Taken together, the results presented in Figs. 2
and 4
establish that ICI can inhibit proliferation of IGF-I-treated MCF-7
cells without directly blocking the IGF-I signaling pathway.
Constitutively Active PI3K or AKT Does Not Confer ICI Resistance.
The results presented above indicate that ICI does not directly block
the IGF-I/PI3K signaling pathway, although it does limit the total
amount of proliferation induced by IGF-I. To determine whether
constitutive activation of the PI3K pathway could overcome the
antiproliferative effects of ICI, constitutively activated forms of a
Myc-tagged PI3K (p110*) or HA-tagged AKT were used. MCF-7 cells
transfected with plasmids encoding constitutively active Myc-PI3K or
HA-AKT were incubated in ICI-containing medium, labeled with BrdUrd,
and then fixed and examined for both AKT/PI3K expression and BrdUrd
incorporation as described in "Materials and Methods." The tagged
versions of both PI3K and AKT were readily detectable in transfected
cells (Fig. 5A)
; however, as shown in Fig. 5B
, neither protein
was able to increase proliferation in the presence of ICI above the
level seen in untransfected cells.
Because constitutively active PI3K was unable to overcome an
ICI-induced growth arrest, we confirmed the activity of this construct
in MCF-7 cells by testing its ability to activate transcription from a
SRE promoter-luc reporter construct. The SRE is part of the complex
promoters of genes such as c-fos and is activated by IGF-I, and this
activation is dependent on PI3K (36
, 37)
. As shown in Fig. 5C
, the constitutively active PI3K (p110*), but not a kinase
dead mutant (
KIN), increased luc activity to a similar extent as
IGF-I treatment. This confirmed its activity in MCF-7 cells and
indicated that its inability to induce proliferation was not due to a
quantitative defect in the PI3K pathway. In addition, Fig. 5C
demonstrates that SRE activation by IGF-I was not
inhibited by ICI treatment, further supporting the finding that ICI
does not block IGF-I signaling.
 |
DISCUSSION
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There is considerable evidence for cross-talk between the IGF-I
and estrogen signaling pathways in the regulation of breast cancer cell
proliferation. Initial work (13
, 14)
demonstrated that the
antiestrogen tamoxifen inhibits insulin/IGF-I-induced proliferation of
ER-positive breast cancer cells, including MCF-7 cells. Results from
several laboratories have suggested that the decrease in IGF-I-induced
proliferation in response to antiestrogens is the result of inhibition
of the IGF-I signaling pathway and that estrogens and antiestrogens
mediate some of their proliferative effects via this pathway. Both
IGF-IR and IRS-1 protein levels have been reported to be down-regulated
by ICI (16
, 17
, 38)
, as have PI3K (18)
and
AKT (39)
activities. Additional studies have indicated
that E can enhance both PI3K and AKT activation by IGF-I
(32)
, and a recent study has reported rapid and transient
activation of PI3K by E in MCF-7 cells (40)
. All of these
findings support the idea that estrogens and antiestrogens regulate the
IGF-I signaling pathway. However, evidence to the contrary also exists.
Several studies have reported that E alone does not affect PI3K or AKT
activity (32
, 41)
. In addition, overexpression of IGF-IR
(42)
, IRS-1 (43)
, or constitutively active
AKT (44)
in MCF-7 cells did not lead to ICI resistance,
indicating that there are additional targets of ICI that mediate its
antiproliferative effects. The reason why effects of E and
antiestrogens on IGF-I signaling are seen in some experimental systems
but not others are not understood but may involve differences in both
cell lines and/or cell culture conditions.
In this study, we have investigated the effects of ICI on several
targets of IGF-I signaling. As reported previously, ICI treatment
lowered the absolute level of proliferation attained in IGF-I-treated
cells. However, basal proliferation was also decreased by ICI
treatment, and proliferation was induced to similar extents (24-fold)
by IGF-I in the presence and absence of ICI (Figs. 1A
and 2B)
. Similar results were obtained with regard to the
induction of cyclin D1, an important cell cycle-regulatory protein.
Whereas the absolute levels attained were lower in the presence of ICI,
the extent of both protein and mRNA induction by IGF-I was similar
(Figs. 2A
and 3)
. These results are in agreement with a
recent report (33)
showing that ICI pretreatment of MCF-7
cells did not prevent cyclin D1 induction by insulin, which, at the
concentrations used in that study, acts via the IGF-IR
(45)
.
IGF-I activates several different intracellular pathways, including the
MAPK and PI3K signaling pathways (3
, 4)
. Under our
experimental conditions, MAPK activation by IGF-I was not inhibited by
ICI treatment (Fig. 4A)
. To examine the effects of ICI
treatment on the PI3K pathway, we tested its ability to inhibit AKT
activation. AKT is implicated in both cyclin D1 induction and
proliferation, and its phosphorylation and activation are induced by
PI3K (7
, 46) . Our results show that phosphorylation of AKT
on Ser473 is induced by IGF-I in MCF-7 cells. AKT
phosphorylation was inhibited by LY294002 but was unaffected by ICI
treatment, indicating that the IGF-I signaling pathway upstream of AKT
is intact in ICI-treated cells. This was confirmed by assaying IRS-1
phosphorylation, which was also unaffected by ICI treatment.
Several interesting questions are raised by these results. The first is
whether the decreased level of proliferation seen in IGF-I + ICI-treated cells relative to those treated with IGF-I alone is due to
lower cyclin D1 levels, or whether additional targets of ICI contribute
to its effects. As shown in Fig. 2A
, although cyclin D1 is
induced in the presence of ICI, it accumulates to only 50% of the
levels seen without ICI, and there is very little hyperphosphorylated
pRb or cyclin A expression. Cyclin D1 has been proposed to activate
Cdk4 directly and to contribute to Cdk2 activation by titrating the Cdk
inhibitor p21Waf1 from cyclin E/Cdk2 complexes
into cyclin D1/Cdk4 complexes (47
, 48) , and a threshold
level of expression may be required to fulfill these functions. This
possibility is supported by the facts that cyclin D1 overexpression
promotes cell cycle progression in the presence of ICI
(49)
and that a 50% reduction in cyclin D1 levels using
antisense oligonucleotides results in a nearly complete inhibition of
MCF-7 proliferation and cyclin E/Cdk2 activity (50)
.
However, ICI also alters the expression of other cell cycle regulators
including c-Myc, the Cdk inhibitors p21Waf1 and
p27Kip1, and the Cdk-activating phosphatase
Cdc25A (31
, 47 , 51)
. In particular, the up-regulation of
p21Waf1 by antiestrogens reportedly contributes
to the inhibition of both Cdk2 (47
, 48) and Cdk4
(52)
complexes. Although we did not detect changes in
p21Waf1 expression in these experiments, and ICI
did not block the down-regulation of p27Kip1, it
remains possible that the effects of ICI on molecules other than cyclin
D1 may be responsible for the ability of ICI to decrease
proliferation in the presence of IGF-I.
A second question is whether ICI inhibits IGF-I-induced proliferation
by directly interfering with IGF-I signaling. Under our experimental
conditions, IGF-I-induced activation of IRS-1, AKT, ERK, and SRE-luc
expression was unaffected by ICI treatment, although proliferation was
strongly inhibited. This argues against a direct effect of ICI on IGF-I
signaling, although it is possible that ICI blocks elements downstream
of or parallel to AKT activation. An alternative explanation, and one
that is consistent with our finding that expression of constitutively
active PI3K is not sufficient to promote proliferation in the presence
of ICI, is that ER and IGF-I signaling pathways converge to regulate
the expression of cell cycle components such as cyclin D1 and that both
pathways are required to obtain maximal proliferation.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Dr. Terry L. Woodward for help with the serum-free
medium experiments and Christopher Ontiveros, Dr. Richard Miksicek, and
Dr. Michele Fluck for helpful discussions.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported in part by NIH Grant CA76647. 
2 To whom requests for reprints should be
addressed, at Department of Microbiology and Molecular Genetics,
Michigan State University, East Lansing, MI 48824. Phone:
(517) 353-5161; Fax: (517) 353-8957; E-mail: conrad{at}msu.edu 
3 The abbreviations used are: IGF-I, insulin-like
growth factor I, IGF-IR, insulin-like growth factor I receptor; IRS-1,
insulin receptor substrate 1; ER, estrogen receptor; E,
17ß-estradiol; MAPK, mitogen-activated protein kinase; PI3K,
phosphatidylinositol 3-kinase; ERK, extracellular signal-regulated
kinase; pRb, retinoblastoma protein; Cdk, cyclin-dependent kinase; SFM,
serum-free media; HA, hemagglutinin; BrdUrd, bromodeoxyuridine; ICI,
ICI 182,780; FBS, fetal bovine serum; SRE, serum response element; CMV,
cytomegalovirus; luc, luciferase. 
Received 1/ 4/02.
Accepted 5/ 6/02.
 |
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