Overexpression of insulin-like growth factor binding protein-6 inhibits rhabdomyosarcoma growth in vivo
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Updated: Aug 14, 2026

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
M A Gallicchio1, M Kneen, C Hall
1Department of Medicine, University of Melbourne, Austin and Repatriation Medical Centre (Austin Campus) Heidelberg, Victoria, Australia.
Abstract:
Rhabdomyosarcoma is the most common soft-tissue sarcoma of childhood. Rhabdomyosarcoma cell lines overexpress insulin-like growth factor-II (IGF-II), an autocrine growth factor that is inhibited by insulin-like growth factor binding protein-6 (IGFBP-6). IGFBP-6 is associated with myoblast quiescence, and expression in rhabdomyosarcoma cells is low. The effect of IGFBP-6 on 2 rhabdomyosarcoma cell lines, RD and Rh30, was studied. IGFBP-6 inhibited anchorage-dependent growth of RD and Rh30 cells in a dose-dependent manner (p < 0.0001). IGFBP-6 also inhibited anchorage-independent growth of RD cells in soft agar in a dose-dependent manner (p < 0.01). Anchorage-independent growth of RD cells on polyhydroxyethylmethacrylate-coated plates was decreased to a minimum of 48% of control after treatment with IGFBP-6 (p < 0.001). In this system, IGFBP-6 increased apoptosis 4-fold (p < 0.001). IGF-II partially reversed the IGFBP-6-induced decrease in growth and increase in apoptosis. Rh30 cells were stably transfected with an IGFBP-6 cDNA and subcutaneous xenografts established in BALB/c nude mice. After 18 days, sizes of 2 independent clones of IGFBP-6-overexpressing Rh30 cells were reduced to 12% and 26% of vector control-transfected tumors (p = 0.0006 and 0.002, respectively). IGFBP-6 therefore inhibits proliferation and promotes apoptosis of rhabdomyosarcoma in vitro and dramatically inhibits xenograft growth in vivo, at least in part by inhibiting IGF-II. Low expression of IGFBP-6 may therefore contribute to rhabdomyosarcoma growth and metastasis.
Insights
Insulin-like growth factor binding protein-6 (IGFBP-6) inhibits rhabdomyosarcoma growth by reducing proliferation and increasing apoptosis. This protein significantly reduces tumor size in vivo, suggesting its therapeutic potential for this childhood cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Rhabdomyosarcoma, a common pediatric soft-tissue sarcoma, exhibits overexpression of insulin-like growth factor-II (IGF-II).
- IGF-II acts as an autocrine growth factor, while IGFBP-6 inhibits its activity and is linked to myoblast quiescence.
- Low IGFBP-6 expression is observed in rhabdomyosarcoma cells, potentially contributing to tumor growth.
Purpose of the Study:
- To investigate the effects of IGFBP-6 on rhabdomyosarcoma cell lines (RD and Rh30).
- To determine IGFBP-6's impact on proliferation, apoptosis, and tumor growth in vitro and in vivo.
- To elucidate the role of IGF-II in mediating IGFBP-6's effects on rhabdomyosarcoma.
Main Methods:
- Treatment of RD and Rh30 rhabdomyosarcoma cell lines with varying doses of IGFBP-6.
- Assays for anchorage-dependent and anchorage-independent growth, including soft agar and polyhydroxyethylmethacrylate-coated plates.
- Stable transfection of Rh30 cells with IGFBP-6 cDNA and establishment of subcutaneous xenografts in nude mice.
Main Results:
- IGFBP-6 significantly inhibited anchorage-dependent and anchorage-independent growth of rhabdomyosarcoma cells in a dose-dependent manner.
- IGFBP-6 treatment led to a 4-fold increase in apoptosis in RD cells, partially reversed by IGF-II.
- Subcutaneous xenografts of IGFBP-6-overexpressing Rh30 cells showed dramatic size reduction (up to 88%) compared to controls.
Conclusions:
- IGFBP-6 effectively inhibits rhabdomyosarcoma proliferation and promotes apoptosis in vitro.
- IGFBP-6 significantly suppresses rhabdomyosarcoma xenograft growth in vivo, partly via IGF-II inhibition.
- Restoration of IGFBP-6 expression may represent a potential therapeutic strategy for rhabdomyosarcoma.
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