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Atlas of Genetics and Cytogenetics in Oncology and Haematology INIST-CNRS OPEN ACCESS JOURNAL Gene Section Short Communication IGFBP6 (insulin-like growth factor binding protein 6) Leon A Bach Department of Endocrinology and Diabetes, Alfred Hospital and Department of Medicine (Alfred), Monash University, Melbourne 3004, Australia (LAB) Published in Atlas Database: April 2014 Online updated version : http://AtlasGeneticsOncology.org/Genes/IGFBP6ID40933ch12q13.html DOI: 10.4267/2042/55372 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2015 Atlas of Genetics and Cytogenetics in Oncology and Haematology Abstract Review on IGFBP6, with data on DNA/RNA, on the protein encoded and where the gene is implicated. Identity Other names: IBP6 HGNC (Hugo): IGFBP6 Location: 12q13.13 DNA/RNA Description Structure of the C-terminal domain of human IGFBP-6 (Headey et al., 2004; Bach et al., 2013). The size of the IGFBP6 gene is 4.91 kb and it contains 4 exons (Thierry-Mieg and Thierry-Mieg, 2006). It consists of 3 domains: the N- and C-terminal domains, which contain internal disulfide bonds, are joined by a linker domain. It contains 8 disulfide bonds, 5 in the N-terminal IGFBP domain and 3 in the C-terminal domain (Neumann et al., 1998; Neumann and Bach, 1999). Of these, the first 3 N-terminal disulfides are unique, whereas the remaining 2 N-terminal and 3 C-terminal disulfides are homologous with other IGFBPs. A peptide based on the N-terminal subdomain is largely unstructured (Chandrashekaran et al., 2007), whereas the IGF binding subdomain is conserved with other IGFBPs. Human IGFBP-6 is Oglycosylated on 5 Ser/Thr residues within the linker domain, which has a distinct sequence from other IGFBPs (Bach et al., 1992; Neumann et al., 1998). The C-terminal domain contains a thyroglobulin Transcription One 1175 bp transcript encodes the full-sized 240 amino acid protein. Smaller transcripts sized 597, 705 and 463 bp may be incomplete and putatively encode fragments containing 51-140 amino acids (Thierry-Mieg and Thierry-Mieg, 2006). Protein Description IGFBP-6 belongs to the insulin-like growth factor binding protein family. It is expressed as a 240 amino acid proprotein, and processed to a 213-216 amino acid mature protein. Atlas Genet Cytogenet Oncol Haematol. 2014; 19(1) 15 IGFBP6 (insulin-like growth factor binding protein 6) Bach LA other proteins containing a thyroglobulin type 1 fold. IGFBP-6 is found in mammalian species including man, cow, rat and mouse, as well as trout and salmon. The IGFBP6 gene is duplicated in zebrafish, and each gene has a distinct expression pattern; however, overexpression of either gene inhibits embryonic growth and development (Wang et al., 2009). type 1 fold (Headey et al., 2004), which is also true for other IGFBPs, and a functional nuclear localization sequence (Iosef et al., 2008). Expression IGFBP6 is widely expressed in human tissues, with low levels of transcripts found in most tissues. Expression is highest in smooth muscle, olfactory bulb, ganglia, retina and the atrioventricular node (Wu et al., 2013). IGFBP6 is also found in many body fluids, including serum, cerebrospinal fluid, amniotic fluid, and follicular fluid (Baxter and Saunders, 1992; Bach, 1999; Kolker et al., 2012). IGFBP6 expression is regulated in a cell-specific manner by cAMP, IGFs, retinoic acid, vitamin D, glucocorticoids, p53, beta-catenin, hedgehog, TGFbeta and SEMA3B (Bach et al., 2013). Implicated in Various cancers Note In many studies, IGFBP-6 expression is lower in (1) malignant vs normal cells; and (2) metastatic vs primary tumors, suggesting that it has an inhibitory effect on tumor development, at least in part by inhibiting IGF actions. Examples include rhabdomyosarcoma, head and neck cancer, lung cancer and gastric cancer (Bach et al., 2013). Exogenously added or overexpressed IGFBP-6 inhibits rhabdomyosarcoma and neuroblastoma xenograft growth in mice (Grellier et al., 1998; Gallicchio et al., 2001). IGFBP6 has been implicated as a tumor suppressor in nasopharyngeal cancer by its role as a transcription factor for EGR1 (Kuo et al., 2010). Localisation Predominantly extracellular. Nuclear localization via a C-domain nuclear localization signal that binds importin-a has also been reported (Iosef et al., 2008). Function Unlike other IGFBPs, IGFBP-6 has a ~50-fold binding preference for IGF-II over IGF-I. It therefore is a relatively specific inhibitor of IGF-II actions (Bach, 1999; Bach, 2005; Bach et al., 2013). It is antiproliferative and proapoptotic in a number of cell lines in vitro (Bach, 1999; Bach, 2005; Bach et al., 2013). At least some of its actions in regulating cell fate are mediated by interaction with Ku80, a DNA-end binding protein (Iosef et al., 2010). IGFBP-6 has also been reported to have IGF-independent actions, such as promotion of cancer cell migration an IGFindependent mechanism that involves binding prohibitin-2 (Fu et al., 2007; Fu et al., 2013) and angiogenesis (Zhang et al., 2012). It has been reported to be a tumor suppressor in nasopharyngeal cancer through regulation of EGR1 expression (Kuo et al., 2010). As well as binding IGFs with high affinity, IGFBP6 also binds other unrelated proteins, including importin-α, prohibitin-2 and Ku80 as described above. Other proteins that bind IGFBP-6 inhibits osteoblast differentiation, which may be mediated by binding to LIM mineralization protein-1 (LMP1) (Strohbach et al., 2008), the vitamin D receptor (Cui et al., 2011), and the thyroid hormone-α receptor (Qiu et al., 2012). Global deletion of IGFBP6 expression does not result in a major phenotype, presumable because of functional redundancy with other IGFBPs. Chronic renal failure Note Circulating IGFBP-6 levels are increased in patients with chronic renal failure (Powell et al., 1997; Van Doorn et al., 1999) and this, together with increased levels of other IGFBPs, may contribute to impaired IGF action in these patients. Proliferative vitreoretinopathy Note IGFBP-6 levels are increased in serum and vitreous from patients with this condition, and serum levels decreased after vitrectomy (Yu et al., 2014). Non islet-cell tumor hypoglycemia Note This rare condition is due to overexpression by tumors of a partially processed form of IGF-II that does not form normal serum complexes with IGFBPs and the acid-labile subunit and therefore has increased bioavailability. IGFBP-6 levels are increased in this condition (Van Doorn et al., 1999). References Homology Bach LA, Thotakura NR, Rechler MM. Human insulin-like growth factor binding protein-6 is O-glycosylated. Biochem Biophys Res Commun. 1992 Jul 15;186(1):301-7 IGFBP-6 shares homology with IGFBPs 1-5 in its N-terminal IGF binding domain and its C-terminal domain. It shares homology in its C-domain with Baxter RC, Saunders H. Radioimmunoassay of insulin-like growth factor-binding protein-6 in human serum and other body fluids. J Endocrinol. 1992 Jul;134(1):133-9 Atlas Genet Cytogenet Oncol Haematol. 2014; 19(1) 16 IGFBP6 (insulin-like growth factor binding protein 6) Bach LA Powell DR, Liu F, Baker BK, Hintz RL, Durham SK, Brewer ED, Frane JW, Tonshoff B, Mehls O, Wingen AM, Watkins SL, Hogg RJ, Lee PD. Insulin-like growth factor-binding protein-6 levels are elevated in serum of children with chronic renal failure: a report of the Southwest Pediatric Nephrology Study Group. J Clin Endocrinol Metab. 1997 Sep;82(9):2978-84 Strohbach C, Kleinman S, Linkhart T, Amaar Y, Chen ST, Mohan S, Strong D. Potential involvement of the interaction between insulin-like growth factor binding protein (IGFBP)-6 and LIM mineralization protein (LMP)-1 in regulating osteoblast differentiation. J Cell Biochem. 2008 Aug 1;104(5):1890-905 Wang X, Lu L, Li Y, Li M, Chen C, Feng Q, Zhang C, Duan C. Molecular and functional characterization of two distinct IGF binding protein-6 genes in zebrafish. Am J Physiol Regul Integr Comp Physiol. 2009 May;296(5):R1348-57 Grellier P, De Galle B, Babajko S. Expression of insulinlike growth factor-binding protein 6 complementary DNA alters neuroblastoma cell growth. Cancer Res. 1998 Apr 15;58(8):1670-6 Iosef C, Vilk G, Gkourasas T, Lee KJ, Chen BP, Fu P, Bach LA, Lajoie G, Gupta MB, Li SS, Han VK. Insulin-like growth factor binding protein-6 (IGFBP-6) interacts with DNA-end binding protein Ku80 to regulate cell fate. Cell Signal. 2010 Jul;22(7):1033-43 Neumann GM, Marinaro JA, Bach LA. Identification of Oglycosylation sites and partial characterization of carbohydrate structure and disulfide linkages of human insulin-like growth factor binding protein 6. Biochemistry. 1998 May 5;37(18):6572-85 Bach LA. Insulin-like growth factor binding protein-6: the "forgotten" binding protein? Horm Metab Res. 1999 FebMar;31(2-3):226-34 Kuo YS, Tang YB, Lu TY, Wu HC, Lin CT. IGFBP-6 plays a role as an oncosuppressor gene in NPC pathogenesis through regulating EGR-1 expression. J Pathol. 2010 Nov;222(3):299-309 Neumann GM, Bach LA. The N-terminal disulfide linkages of human insulin-like growth factor-binding protein-6 (hIGFBP-6) and hIGFBP-1 are different as determined by mass spectrometry. J Biol Chem. 1999 May 21;274(21):14587-94 Cui J, Ma C, Qiu J, Ma X, Wang X, Chen H, Huang B. A novel interaction between insulin-like growth factor binding protein-6 and the vitamin D receptor inhibits the role of vitamin D3 in osteoblast differentiation. Mol Cell Endocrinol. 2011 May 16;338(1-2):84-92 Van Doorn J, Ringeling AM, Shmueli SS, Kuijpers MC, Hokken-Koelega AC, van Buul-Offers SC, Jansen M. Circulating levels of human insulin-like growth factor binding protein-6 (IGFBP-6) in health and disease as determined by radioimmunoassay. Clin Endocrinol (Oxf). 1999 May;50(5):601-9 Kolker E, Higdon R, Haynes W, Welch D, Broomall W, Lancet D, Stanberry L, Kolker N. MOPED: Model Organism Protein Expression Database. Nucleic Acids Res. 2012 Jan;40(Database issue):D1093-9 Qiu J, Ma XL, Wang X, Chen H, Huang BR. Insulin-like growth factor binding protein-6 interacts with the thyroid hormone receptor α1 and modulates the thyroid hormoneresponse in osteoblastic differentiation. Mol Cell Biochem. 2012 Feb;361(1-2):197-208 Gallicchio MA, Kneen M, Hall C, Scott AM, Bach LA. Overexpression of insulin-like growth factor binding protein-6 inhibits rhabdomyosarcoma growth in vivo. Int J Cancer. 2001 Dec 1;94(5):645-51 Zhang C, Lu L, Li Y, Wang X, Zhou J, Liu Y, Fu P, Gallicchio MA, Bach LA, Duan C. IGF binding protein-6 expression in vascular endothelial cells is induced by hypoxia and plays a negative role in tumor angiogenesis. Int J Cancer. 2012 May 1;130(9):2003-12 Headey SJ, Keizer DW, Yao S, Brasier G, Kantharidis P, Bach LA, Norton RS. C-terminal domain of insulin-like growth factor (IGF) binding protein-6: structure and interaction with IGF-II. Mol Endocrinol. 2004 Nov;18(11):2740-50 Bach LA, Fu P, Yang Z. Insulin-like growth factor-binding protein-6 and cancer. Clin Sci (Lond). 2013 Feb;124(4):215-29 Bach LA. IGFBP-6 five years on; not so 'forgotten'? Growth Horm IGF Res. 2005 Jun;15(3):185-92 Thierry-Mieg D, Thierry-Mieg J. AceView: a comprehensive cDNA-supported gene and transcripts annotation. Genome Biol. 2006;7 Suppl 1:S12.1-14 Fu P, Yang Z, Bach LA. Prohibitin-2 binding modulates insulin-like growth factor-binding protein-6 (IGFBP-6)induced rhabdomyosarcoma cell migration. J Biol Chem. 2013 Oct 11;288(41):29890-900 Chandrashekaran IR, Yao S, Wang CC, Bansal PS, Alewood PF, Forbes BE, Wallace JC, Bach LA, Norton RS. The N-terminal subdomain of insulin-like growth factor (IGF) binding protein 6. Structure and interaction with IGFs. Biochemistry. 2007 Mar 20;46(11):3065-74 Wu C, Macleod I, Su AI. BioGPS and MyGene.info: organizing online, gene-centric information. Nucleic Acids Res. 2013 Jan;41(Database issue):D561-5 Yu J, Peng R, Chen H, Cui C, Ba J, Wang F. Kininogen 1 and insulin-like growth factor binding protein 6: candidate serum biomarkers of proliferative vitreoretinopathy. Clin Exp Optom. 2014 Jan;97(1):72-9 Fu P, Thompson JA, Bach LA. Promotion of cancer cell migration: an insulin-like growth factor (IGF)-independent action of IGF-binding protein-6. J Biol Chem. 2007 Aug 3;282(31):22298-306 This article should be referenced as such: Iosef C, Gkourasas T, Jia CY, Li SS, Han VK. A functional nuclear localization signal in insulin-like growth factor binding protein-6 mediates its nuclear import. Endocrinology. 2008 Mar;149(3):1214-26 Atlas Genet Cytogenet Oncol Haematol. 2014; 19(1) Bach LA. IGFBP6 (insulin-like growth factor binding protein 6). Atlas Genet Cytogenet Oncol Haematol. 2015; 19(1):15-17. 17