The role of insulin-like growth factor binding protein-3 in the breast cancer cell response to DNA-damaging agents
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Updated: May 16, 2026

Two- and Three-Dimensional Live Cell Imaging of DNA Damage Response Proteins
Published on: September 28, 2012
M Z Lin1, K A Marzec1, J L Martin1
1Hormones and Cancer Division, Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, Australia.
Abstract:
Following exposure to radiation and chemotherapeutic agents, the epidermal growth factor receptor (EGFR) can modulate the repair of DNA double-strand breaks (DSB) by forming protein complexes that include the catalytic subunit of DNA-dependent protein kinase (DNA-PKcs). This is one of the key mechanism by which tumors become resistant to DNA-damaging therapies. Our previous studies have shown that insulin-like growth factor binding protein-3 (IGFBP-3) is a substrate for DNA-PKcs, and can transactivate EGFR. We therefore questioned whether IGFBP-3 might interact with the EGFR-DNA-PK complex that regulates the DNA damage response. The aim of this study was to delineate the role of IGFBP-3 in the response of breast cancer cells to DSB-inducing chemotherapeutic agents. In the estrogen receptor-negative breast cancer cell lines MDA-MB-468 and Hs578T, which express IGFBP-3 highly, nuclear localization of EGFR and IGFBP-3 was enhanced by treatment with cytotoxic drugs etoposide or doxorubicin and reduced by the EGFR kinase inhibitor gefitinib. Enhanced association among IGFBP-3, EGFR and DNA-PKcs, following the exposure to DNA-damaging drugs was supported by both co-immunoprecipitation analysis and direct visualization by proximity ligation assay. The activation of DNA-PKcs at Ser2056, DNA repair as measured by a nonhomologous end-joining assay, and the increase in EGFR and DNA-PKcs interaction induced by DNA-damaging agents, were all decreased by IGFBP-3 silencing, suggesting that IGFBP-3 has an obligatory role in the DNA repair response to DNA-damaging therapy. In conclusion, IGFBP-3 co-translocation to the nucleus of breast cancer cells and its formation of a complex with DNA-PKcs and EGFR in response to DNA damage shows its potential involvement in the regulation of DNA repair. This suggests the possibility of a therapeutic approach for sensitizing breast cancer to chemo- or radiotherapy by targeting the DNA repair function of IGFBP-3.
Insights
Insulin-like growth factor binding protein-3 (IGFBP-3) plays a key role in breast cancer cell DNA repair following chemotherapy. Targeting IGFBP-3 may sensitize tumors to DNA-damaging cancer therapies.
Area of Science:
- Molecular Biology
- Cancer Research
- Cellular Biology
Background:
- Epidermal growth factor receptor (EGFR) modulates DNA double-strand break (DSB) repair via DNA-dependent protein kinase catalytic subunit (DNA-PKcs) complexes.
- Tumor resistance to DNA-damaging therapies is often linked to EGFR-mediated DSB repair mechanisms.
- Insulin-like growth factor binding protein-3 (IGFBP-3) is a DNA-PKcs substrate and can transactivate EGFR.
Purpose of the Study:
- To investigate the role of IGFBP-3 in the DNA damage response of breast cancer cells.
- To determine if IGFBP-3 interacts with the EGFR-DNA-PK complex.
- To explore IGFBP-3's function in breast cancer cell response to chemotherapeutic agents inducing DSBs.
Main Methods:
- Utilized estrogen receptor-negative breast cancer cell lines (MDA-MB-468, Hs578T).
- Administered cytotoxic drugs (etoposide, doxorubicin) and EGFR kinase inhibitor (gefitinib).
- Performed co-immunoprecipitation, proximity ligation assay, and nonhomologous end-joining assays.
- Conducted IGFBP-3 silencing experiments.
Main Results:
- Cytotoxic drugs enhanced nuclear localization of EGFR and IGFBP-3, an effect reduced by gefitinib.
- Enhanced association of IGFBP-3, EGFR, and DNA-PKcs was observed post-drug exposure.
- IGFBP-3 silencing decreased DNA-PKcs activation, DNA repair, and EGFR-DNA-PKcs interaction.
Conclusions:
- IGFBP-3 translocates to the nucleus and forms a complex with DNA-PKcs and EGFR in response to DNA damage.
- IGFBP-3 plays an essential role in the DNA repair response to DNA-damaging therapy in breast cancer.
- Targeting IGFBP-3's DNA repair function presents a potential therapeutic strategy for sensitizing breast cancer to chemo- or radiotherapy.
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