Abstract

Insulin-like growth factor-binding protein-3 (IGFBP-3) is a multifunctional protein known for modulating mitogenic and metabolic actions of IGFs as well as exerting a variety of biological actions not involving IGFs. Here, we show that IGFBP-3 blocks specific physiological consequences of asthma in an IGF-independent manner in vitro and in vivo. IGFBP-3 treatment effectively reduced all physiological manifestations of asthma examined in vivo (airway hyper-responsiveness, cellular and pathological changes in bronchoalveolar lavage fluid and lung tissue, and expression of numerous proinflammatory molecules). These unique IGFBP-3 effects were further confirmed in IGFBP-3-transgenic mice, thus strengthening the notion of IGFBP-3 actions within the respiratory system. Using human epithelial cells, we demonstrated the following: 1) IGFBP-3 blocks TNF-α-induced expression of proinflammatory molecules; 2) IGFBP-3 attenuates the TNF-α-induced migratory response of eosinophils; and 3) IGFBP-3 negatively regulates TNF-α-induced expression of the key NF-κB regulatory molecules IκBα and p65-NF-κB at the post-translational level. We identified that IGFBP-3 degrades IκBα and p65-NF-κB proteins through IGFBP-3 receptor (IGFBP-3R)-mediated activation of caspases thereby inhibiting TNF-α-induced activation of NF-κB signaling cascades. This unique IGFBP-3/IGFBP-3R action was further confirmed by demonstrating complete inhibition of IGFBP-3 action in the presence of caspase inhibitors as well as IGFBP-3R siRNAs. Non-IGF-binding IGFBP-3 mutants further proved the IGF-independent action of IGFBP-3. Our findings indicate that IGFBP-3 inhibits airway inflammation and hyper-responsiveness via an IGF-independent mechanism that involves activation of IGFBP-3R signaling and cross-talk with NF-κB signaling. The IGFBP-3/IGFBP-3R system therefore plays a pivotal role in the pathogenesis of asthma and can serve as a newly identified potential therapeutic target for this debilitating disease.

Highlights

  • Bronchial asthma is one of the most common chronic inflammatory diseases in modern society, and yet, despite the availability of current drugs, its incidence is increasing [16]

  • Effect of IGFBP-3 and IGFBP-3GGG Mutant on Pathological Changes of OVA-induced Asthma—Because inflammatory cell recruitment is a hallmark phenomenon of all inflammatory diseases, including asthma [30], we assessed the population of total cells, lymphocytes, neutrophils, and eosinophils in Bronchoalveolar lavage (BAL) fluids obtained from normal (Fig. 2A) and IGFBP-3 transgenic mice (Fig. 2B)

  • Recent clinical studies suggested a role for IGFBP-3 on the pathogenesis of inflammatory diseases by demonstrating that serum IGFBP-3 was significantly decreased in patients with a variety of inflammatory diseases, including juvenile idiopathic arthritis, rheumatoid arthritis, pulmonary sarcoidosis, cystic fibrosis, Crohn disease, and inflammatory bowel disease [35,36,37,38,39,40], and when disease was in remission, the serum IGFBP-3 reached normal levels [39, 40]

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Summary

Introduction

Bronchial asthma is one of the most common chronic inflammatory diseases in modern society, and yet, despite the availability of current drugs, its incidence is increasing [16]. IGFBP-3 did not induce any change in mRNA levels of I␬B␣ and p65-NF-␬B in bronchial epithelial cells, suggesting posttranscriptional effects (supplemental Fig. S4).

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