Insulin-like growth factor I (IGF-I) is a peptidic growth factor implicated
in the proliferation of a wide variety of cell types, and especially endom
etrial epithelial cells. Its action is modulated by the presence of IGF-bin
ding proteins (IGFBPs) which are secreted by IGF-I target cells. The partit
ion of IGFBPs between cell-associated and soluble form determines the poten
tiation or the inhibition of IGF-I action. It is commonly accepted that cel
l-associated IGFBPs potentiate the IGF-I action while the soluble form of I
GFBPs has an inhibitory effect. In endometrial adenocarcinoma, IGF-I is inv
olved in tumoral progression and IGFBPs may be key modulators of the IGF I-
induced cell proliferation. Here we showed that the responsiveness of human
endometrial adenocarcinoma cells (HEC-1A cell line) to the mitogenic activ
ity of IGF-I was dependent on the pie-incubation conditions. This responsiv
eness to IGF-I was conditioned by a differential expression of the IGF syst
em components (GFBPs and IGF-I receptor) and particularly of the IGFBPs. In
deed, the IGF-I-induced proliferation of the HEC-1A cells was attenuated by
the presence of cell-associated IGFBPs. Moreover, the IGF-I incubation ind
uced a release of IGFBP-3 in the culture media as the consequence of an int
eraction between IGF-I and the cell-associated IGFBP-3. This effect was dos
e-dependent and was associated with the attenuation of the IGF-I action on
cellular proliferation. Thus, IGFBP-3 might be initially expressed as a cel
l associated form and then released in the interstitial fluid after a direc
t interaction with IGF-I. Therefore, in HEC-1A endometrial adenocarcinoma c
ells responsive to IGF-I, the IGFBP-3 is the main binding protein expressed
and both soluble and cell-associated forms act as inhibitors of IGF-I-indu
ced cellular proliferation.