), also binds insulin with high affinity and blocks insulin action. IGFBPs with enhanced affinity for insulin might contribute to the insulin resistance of pregnancy, type II diabetes mellitus, and other pathological conditions.Insulin-like growth factors (IGFs)-I 1 and -II are structurally related to insulin, sharing approximately 50% amino acid homology with insulin in the A-and B-chain regions but retaining a connecting peptide, as well as a carboxyl-terminal extension (1). The anabolic and mitogenic actions of IGFs are mediated largely through the type 1 IGF receptor, which, like the insulin receptor, is a heterotetrameric, membrane-spanning tyrosine kinase (2).It has been accepted dogma that, unlike insulin, the IGFs bind to a family of binding proteins (IGFBPs) with high affinity and specificity (3-5). The six well characterized IGFBPs have significant sequence homology, including a GCGCCXXC motif as part of 10 -12 conserved cysteines at the amino terminus and six conserved cysteines at the carboxyl terminus. We have recently characterized two additional secreted proteins with lower affinity for IGFs (IGFBP-7/mac25 and IGFBP-8/CTGF) and two additional potential members of the IGFBP superfamily (6 -9). The structure of IGFBP-7 revealed the presence of amino-terminal conserved sequences, including 11 cysteines, but lower sequence homology in the normally well-conserved COOH terminus. IGFBPs 1-6 are believed to function as carrier proteins for IGFs, delaying degradation of IGF peptides and increasing their half-lives and inhibiting IGF access to receptors (10 -14).Proteolysis of IGFBPs, as observed during pregnancy, results in IGFBP fragments with decreased affinity for IGFs and, thereby, promotes enhanced access of IGFs to their receptors (15,16). Recent studies have demonstrated that several of these IGFBPs, especially IGFBP-3, may also be capable of directly inhibiting cell growth in an IGF-independent manner (17-23). Both intact IGFBP-3 and IGFBP-3 proteolytic fragments have been shown to be capable of blocking the mitogenic effect of insulin (24,25). Whether these effects reflect inhibition of insulin signaling pathways or a direct effect of IGFBP-3 and its fragments on cell growth remains unclear.We have, therefore, reevaluated the ability of IGFBPs 1-6, IGFBP-7, and IGFBP-3 proteolytic fragments to bind insulin and have demonstrated that IGFBP-7 and NH 2 -terminal fragment of IGFBP-3 (IGFBP-3 ) not only bind insulin specifically but also modulate insulin binding to its receptor and subsequently inhibiting insulin-stimulated autophosphorylation of the insulin receptor  subunit and phosphorylation of IRS-1.
EXPERIMENTAL PROCEDURESMaterials-High performance liquid chromatography-purified hIG-FBP-1 from human amniotic fluid was kindly provided by Dr. D. R. Powell (Baylor College of Medicine, Houston, TX) (26). Recombinant human IGFBP-3 (rhIGFBP-3), a nonglycosylated 29 kDa core protein expressed in Escherichia coli cells, was the generous gift of Celtrix, Inc. (Santa Clara, CA) (27). Recombinant human IG...