Following tissue injury, a fibrin network formed at the wound site serves a
s a scaffold supporting the early migration of stromal cells needed for wou
nd hearing. Growth factors such as insulin-like growth factor-I (IGF-I) con
centrate in wounds to stimulate stromal cell function and proliferation. Th
e ability of IGF-binding proteins (IGFBPs) such as IGFBP-3 to reduce the ra
te of IGF-I clearance from wounds suggests that IGFBP-3 might bind directly
to fibrinogen/fibrin. Studies presented here show that IGFBP-3 does indeed
bind to fibrinogen and fibrin immobilized on immunocapture plates, with K-
d values = 0.67 and 0.70 nM, respectively, and competitive binding studies
suggest that the IGFBP-3 heparin binding domain may participate in this bin
ding. IGF-I does not compete for IGFBP-3 binding; instead, IGF-I binds immo
bilized IGFBP-3 fibrinogen and IGFBP-3 fibrin complexes with affinity simil
ar to that of IGF-I for the type I IGF receptor. In the presence of plasmin
ogen, most IGFBP-3 binds directly to fibrinogen, although 35-40% of the IGF
BP-3 binds to fibrinogen-bound plasminogen, IGFBP-3 also binds specifically
to native fibrin clots, and addition of exogenous IGFBP-3 increases IGF-I
binding. These studies suggest that IGF-I can concentrate at wound sites by
binding to fibrin-immobilized IGFBP-3, and that the lower IGF affinity of
fibrin-bound IGFBP-3 allows IGF-I release to type I IGF receptors of stroma
l cells migrating into the fibrin clot.