The role of IGF binding protein 2 (IGFBP2) in cell growth is intriguing and largely undefined. Previously we identified IGFBP2 as an extrinsic factor that supports ex vivo expansion of hematopoietic stem cells (HSCs). Here we showed that IGFBP2-null mice have fewer HSCs than wild-type mice. While IGFBP2 has little cell-autonomous effect on HSC function, we found decreased in vivo repopulation of HSCs in primary and secondary transplanted IGFBP2-null recipients. Importantly, bone marrow stromal cells that are deficient for IGFBP2 have significantly decreased ability to support the expansion of repopulating HSCs. To investigate the mechanism by which IGFBP2 supports HSC activity, we demonstrated that HSCs in IGFBP2-null mice had decreased survival and cycling, down-regulated expression of antiapoptotic factor Bcl-2, and up-regulated expression of cell cycle inhibitors p21, p16, p19, p57, and PTEN. Moreover, we found that the C-terminus,
IntroductionThe number of hematopoietic stem cells (HSCs) is determined by the balance among different cell fates-self-renewal, differentiation, apoptosis, and migration-which are regulated by the intrinsic factors and environmental cues in vivo or in vitro. 1,2 We have identified several growth factors and secreted proteins that support the repopulation of HSCs and have developed an efficient serumfree system to support ex vivo expansion of mouse and human HSCs. [3][4][5] Insulin-like growth factor binding protein 2 (IGFBP2) is one of these secreted proteins; we isolated IGFBP2 from a cancer line that supports ex vivo expansion of HSCs. 6,7 IGFBP2 is a member of the IGFBP family that is found in all vertebrates; it modulates the biologic effects of IGFs by controlling the distribution, function, and activity of IGF-1 and IGF-2. 8 IGFBP2 is expressed in the fetus and in several adult tissues and biologic fluids. It is also overexpressed in many tumors and in some cases its expression level correlates with grade of malignancy. [9][10][11] The level of IGFBP2 appears to be low in well-differentiated tumors but high in poorly differentiated tumors. 12 The known functions of IGFBP2 are very interesting. IGFBP2 displays IGF-dependent inhibitory effects on normal somatic cell growth. However, several studies demonstrated that IGFBP2 has intrinsic bioactivities that are independent of IGF-1 or IGF-2. IGFBP2 stimulates proliferation, survival, differentiation, and motility of various types of cells. 9,[13][14][15][16][17][18][19][20] Multiple mechanisms for these IGF-independent actions of IGFBP2 have been proposed. One line of studies supported the concept that intracellular IGFBP2 binds integrin and supports cell survival. 13 A second line of studies suggested that IGFBP2 acts as secreted proteins and binds to cell surface receptors. For example, when bound to the cell surface integrin, extrinsic IGFBP2 influences cell mobility and proliferation. [9][10][11]21 IGFBP2 also binds to Frizzled 8 and LDL receptorrelated protein 6 and is proposed to antagonize Wnt signaling in heart cells. 22...