Department of Molecular Carcinogenesis, The University of Texas MD Anderson Cancer Center, Smithville, Texas 78957, USA.
J Clin Invest. 2012 Jan;122(1):192-204. doi: 10.1172/JCI42204. Epub 2011 Dec 19.
Insulin like growth factor-1 (IGF-1) stimulates increased proliferation and survival of mammary epithelial cells and also promotes mammary tumorigenesis. To study the effects of IGF-1 on the mammary gland in vivo, we used BK5.IGF-1 transgenic (Tg) mice. In these mice, IGF-1 overexpression is controlled by the bovine keratin 5 promoter and recapitulates the paracrine exposure of breast epithelium to stromal IGF-1 that is seen in women. Studies have shown that BK5.IGF-1 Tg mice are more susceptible to mammary tumorigenesis than wild-type littermates. Investigation of the mechanisms underlying increased mammary cancer risk, reported here, revealed that IGF-1 preferentially activated the PI3K/Akt pathway in glands from prepubertal Tg mice, resulting in increased cyclin D1 expression and hyperplasia. However, in glands from postpubertal Tg mice, a pathway switch occurred and activation of the Ras/Raf/MAPK pathway predominated, without increased cyclin D1 expression or proliferation. We further showed that in prepubertal Tg glands, signaling was mediated by formation of an ERα/IRS-1 complex, which activated IRS-1 and directed signaling via the PI3K/Akt pathway. Conversely, in postpubertal Tg glands, reduced ERα expression failed to stimulate formation of the ERα/IRS-1 complex, allowing signaling to proceed via the alternate Ras/Raf/MAPK pathway. These in vivo data demonstrate that changes in ERα expression at different stages of development direct IGF-1 signaling and the resulting tissue responses. As ERα levels are elevated during the prepubertal and postmenopausal stages, these may represent windows of susceptibility during which increased IGF-1 exposure maximally enhances breast cancer risk.
胰岛素样生长因子-1(IGF-1)刺激乳腺上皮细胞的增殖和存活,并促进乳腺肿瘤发生。为了研究 IGF-1 对体内乳腺的影响,我们使用了 BK5.IGF-1 转基因(Tg)小鼠。在这些小鼠中,IGF-1 的过表达受牛角蛋白 5 启动子的控制,并再现了女性乳腺上皮细胞对间质 IGF-1 的旁分泌暴露。研究表明,BK5.IGF-1 Tg 小鼠比野生型同窝仔更容易发生乳腺肿瘤形成。本研究报告了对增加乳腺癌风险的机制的研究,结果表明 IGF-1 优先激活了青春期前 Tg 小鼠乳腺中的 PI3K/Akt 通路,导致 cyclin D1 表达增加和增生。然而,在青春期后 Tg 小鼠的乳腺中,发生了途径转换,Ras/Raf/MAPK 途径的激活占主导地位,而 cyclin D1 表达或增殖没有增加。我们进一步表明,在青春期前 Tg 乳腺中,信号转导是通过形成 ERα/IRS-1 复合物介导的,该复合物激活 IRS-1 并通过 PI3K/Akt 途径指导信号转导。相反,在青春期后 Tg 乳腺中,由于 ERα 表达减少,无法刺激 ERα/IRS-1 复合物的形成,从而允许通过替代的 Ras/Raf/MAPK 途径进行信号转导。这些体内数据表明,在不同发育阶段 ERα 表达的变化指导 IGF-1 信号转导和由此产生的组织反应。由于 ERα 水平在青春期前和绝经后阶段升高,这些阶段可能代表易感性增加的时期,在此期间,IGF-1 暴露的增加最大限度地增加了乳腺癌风险。