IGF-2 mediates intestinal mucosal hyperplasia in retinoblastoma protein (Rb)-deficient mice

J Pediatr Surg. 2013 Jun;48(6):1340-7. doi: 10.1016/j.jpedsurg.2013.03.042.

Abstract

Purpose: We have previously demonstrated a hyperplastic phenotype when Rb expression was disrupted within the intestinal epithelium. These findings mimic resection-induced adaptation suggesting a possible mechanistic role for Rb during adaptation. The purpose of the present study was to elucidate a mechanism for how Rb deficiency induces intestinal hyperplasia.

Methods: Enterocytes isolated from intestine-specific Rb knockout mice (Rb-IKO) underwent a microarray to elucidate their gene expression profile. IGF2 expression was significantly elevated, which was subsequently confirmed by RT-PCR and in situ mRNA hybridization. Mice with deficient expression of IGF2 or its receptor IGF1R were therefore crossed with Rb-IKO mice to determine the significance of IGF2 in mediating the Rb-IKO intestinal phenotype.

Results: Expression of IGF2 was significantly elevated in villus enterocytes of Rb-IKO mice. The mucosal hyperplasia in Rb-IKO mice was reversed when either IGF2 or IGF1R expression was genetically disrupted in Rb-IKO mice.

Conclusion: IGF-2 expression is significantly elevated in villus enterocytes and is required for the hyperplastic intestinal mucosal phenotype of Rb-IKO mice. The trophic effects of IGF2 require intact IGF1R signaling within the intestinal epithelium. These findings reveal novel regulatory roles for Rb in expanding intestinal mucosal surface area.

Keywords: Insulin-like growth factor 1 receptor; Insulin-like growth factor-2; Retinoblastoma protein; Small bowel adaptation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomarkers / metabolism
  • Blotting, Western
  • Cell Proliferation
  • Enterocytes / metabolism
  • Enterocytes / pathology
  • Gene Expression Profiling
  • Hyperplasia
  • In Situ Hybridization
  • Insulin-Like Growth Factor II / metabolism*
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology*
  • Mice
  • Mice, Knockout
  • Oligonucleotide Array Sequence Analysis
  • Real-Time Polymerase Chain Reaction
  • Receptor, IGF Type 1 / metabolism
  • Retinoblastoma Protein / deficiency*
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Biomarkers
  • Retinoblastoma Protein
  • Insulin-Like Growth Factor II
  • Receptor, IGF Type 1