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(American Journal of Pathology. 2006;169:1550-1566.)
© 2006 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2006.051068

Growth Regulation via Insulin-Like Growth Factor Binding Protein-4 and -2 in Association with Mutant K-ras in Lung Epithelia

Hanako Sato*, Takuya Yazawa*, Takehisa Suzuki*, Hiroaki Shimoyamada*, Koji Okudela{dagger}, Masaichi Ikeda*, Kenji Hamada{ddagger}, Hisafumi Yamada-Okabe{ddagger}, Masayuki Yao§, Yoshinobu Kubota§, Takashi Takahashi, Hiroshi Kamma|| and Hitoshi Kitamura*

From the Departments of Pathobiology* and Urology,§ Yokohama City University Graduate School of Medicine, Kanagawa; the Department of Pathology 1,{dagger} Hamamatsu Medical University, Shizuoka; the Pharmaceutical Research Department 4,{ddagger} Kamakura Research Laboratories, Chugai Pharmaceutical Company Limited, Kanagawa; the Department of Molecular Oncology, Nagoya University Graduate School of Medicine, Nagoya; and the Department of Pathology,|| Kyorin University School of Medicine, Tokyo, Japan

Gain-of-function point mutations in K-ras affect early events in pulmonary bronchioloalveolar carcinoma. We investigated altered mRNA expression on K-Ras activation in human peripheral lung epithelial cells (HPL1A) using oligonucleotide microarrays. Mutated K-Ras stably expressed in HPL1A accelerated cell growth and induced the expression of insulin-like growth factor (IGF)-binding protein (IGFBP)-4 and IGFBP-2, which modulate cell growth via IGF. Other lung epithelial cell lines (NHBE and HPL1D) revealed the same phenomena as HPL1A by mutated K-ras transgene. Lung cancer cell growth was also accelerated by mutated K-ras gene transduction, whereas IGFBP-4/2 induction was weaker compared with mutated K-Ras-expressing lung epithelial cells. To understand the differences in IGFBP-4/2 inducibility via K-Ras-activated signaling between nonneoplastic lung epithelia and lung carcinoma, we addressed the mechanisms of IGFBP-4/2 transcriptional activation. Our results revealed that Egr-1, which is induced on activation of Ras-mitogen-activated protein kinase signaling, is crucial for transactivation of IGFBP-4/2. Furthermore, IGFBP-4 and IGFBP-2 promoters were often hypermethylated in lung carcinoma, yielding low basal expression/weak induction of IGFBP-4/2. These findings suggest that continuous K-Ras activation accelerates cell growth and evokes a feedback system through IGFBP-4/2 to prevent excessive growth. Moreover, this growth regulation is disrupted in lung cancers because of promoter hypermethylation of IGFBP-4/2 genes.








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