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EMBRYONAL GROWTH FACTORS
OLAGBAYE, Babakayode Abel
Dept of Anatomy
University of Ilorin
7/12/2017 1
OUTLINE
OVERVIEW
• What are growth factors
• What do they do
GFs
SPECIFICITY
• Families of growth factors
• And their receptors
REGULATORY
ROLES Of GFs
• Regulation of Proliferation & Differentiation
• Regulation of cell migration and path finding
• Regulation of cell death and apoptosis
COMPLEXITY &
DYSFUNCTION
• The complex signalling pathways of GFs
• Implication of some GFs deficiency
GF s IN
EXPERIMENTAL
EMBRYOLOGY
• The use of GFs in Embryological researches
• Problems and Pitfalls in embryonal growth factor
researches7/12/2017 2
What are Growth Factors
They are regulatory molecules that reach cells by
an extracellular route, they promote and guide
virtually every step of embryogenesis i.e
proliferation, differentiation,
migration/pathfinding and survival/death
How Do They Work
They communicate with cells from the extracellular
space and influence intracellular events by
binding to specific Transmembrane Receptors
that in turn transduce such interactions by
activating intracellular signalling pathways.
7/12/2017 3
Growth factor families and their
receptors
• EGF - EPIDERMAL GROWTH FACTOR
• FGF - FIBROBLAST GROWTH FACTOR
• NGF - NERVE GROWTH FACTOR
• TGFβ - TRANSFORMING GROWTH FACTOR
BETA
• INSULIN & IGF’S (INSULIN-LIKE GROWTH
FACTORS)
• PDGF- PLATELET DERIVED GROWTH FACTOR
• Thomas et al., 2007
7/12/2017 4
GFs Family Cont’d
• HEDGEHOG PROTEINS
• WNT’S
• INTERLEUKINS
• SLIT’S
• NETRINS
• EPHRINS
• TUMOR NECROSIS α FAMILY (TNFα’S)
• Thomas et al., 2007
7/12/2017 5
GFs - Receptor Interactions
• Four basic modes
1. Long-range dispersion via the circulation (e.g., IGFs)
2. “Paracrine” mechanisms of release by local sources
(e.g., TGFβ, FGFs, EGFs),
3. “autocrine”: mechanisms in which a cell responds to
growth factors that it produces itself (e.g., WNTs)
4. “juxtacrine”: direct cell-cell interactions in which the
growth factor is itself presented as a transmembrane
protein (e.g., Ephrins, Notch, Hippo)
7/12/2017 6
GFs RECEPTORS
• There are cases in which more than one family
member binds to a single receptor and cases
in which a given family member binds to
multiple receptors.
• There are also just 4 FGF receptors for the 22
members of the FGF superfamily.
7/12/2017 7
7/12/2017 8
• Using Neural Crest cell formation as a case study
GROWTH FACTOR as regulators of
cell migration/pathfinding
• WNT blocks Adipocytes proliferation and maturation
GROWTH FACTOR as negative
regulator of Differentiation
• As in the case of Insulin dependent growth factor
GROWTH FACTOR as overall growth
regulator
Growth Factors as positive and Negative
regulators
7/12/2017 9
7/12/2017 10
In some cases, growth factors can also
block cell proliferation
7/12/2017 11
Epidermal growth factors (EGF, amphiregulin, neuregulin and
transforming growth factor-α)
• 15% of patients with non-small
cell lung cancer have
mutations to the EGFR. The
type of mutation to EGFR may
predict whether certain types
of drugs (tyrosine kinase
inhibitors TKIs), can help treat
lung cancer.
Produced in the
fibroblast cells of the
dermal layer, and it
works to stimulate
cells
to produce collagen
Skin cell proliferation; eyelid
development, teeth
eruptionoverall
development and growth.
(Ishiwata et al., 2000)
7/12/2017 12
Transforming growth factors (TGFs)
Includes TGF-β, activin
and bone
morphogenetic/
proteins (BMP).
• Dorsoventral
patterning, cell fate
decision and formation
of specific organs
including the nervous
system, kidney,
skeleton and blood
(Ishiwata et al., 2000).
7/12/2017 13
Activin enhances FSH biosynthesis and secretion, metabolism,
homeostasis, immune response, wound repair, and endocrine
function (Chen et al., 2006).
Fibroblast Growth Factors (FGFs)
FGF plays a minor role in homeostasis, inflammation and remodeling
and a major role in granulation tissue formation.
FGF-1 induce endothelial cell proliferation, and is chemotactic for
both endothelial cells and fibroblasts.
FGF-2 stimulates myeloid progenitors. They also stimulates stromal
growth directly or by inducing differentiation of a common stem cell
into stromal-type cells.
FGF-5 in the embryo is notable for its highly specific pattern of
expression.
FGF-6 appears to play a major role in skeletal muscle development.
FGF-7 expression is markedly increased in fibroblasts underlying the
epidermal layer. (Baird and Bohlen, 1990).
7/12/2017 14
(FGFs) Signaling pathway
7/12/2017 15
Iseki et al., 1999
7/12/2017 16
Insulin-like growth factors (IGFs)
• The insulin family comprises somatemedins A and C, insulin,
insulin like growth factor and multiplication-stimulating factor
(MSF).
• They are mitogenic stimulating the fetal metabolism and
coordinating the feto-placental metabolism.
• IGF-II regulates early embryonic development while IGF-I is
responsible for the general growth of the newborn.
(Butler and LeRoith, 2001).
7/12/2017 17
IGF signalling pathway
7/12/2017 18
7/12/2017 19
PDGF signalling pathway
consists of
dimers of
either
A (17 kDa),
B (16 kDa) or
AB chains
linked via
disulphides
• PDGF is regarded as an initiating factor in the cell cycle
in that it stimulates the advance of quiescent cells
Platelet-derived growth factor
7/12/2017 20
Nerve Growth Factor (NGF)
Nerve growth
factor (NGF) is a
neurotrophin
released by
muscles that
promotes the
survival and growth
of axons, survival of
neurons, and in the
innervations of
target tissues.
7/12/2017 21
Other Embryonal Growth Factors
• Transforming growth factor alpha (TGFα): act to stimulate cell
growth as well as inhibit cell growth, depending upon the situation.
• Tumor Necrosis Factor (TNF): Inhibits growth of tumor and other
cells by initiating programmed cell death.
• Inhibin down regulates FSH synthesis and inhibits FSH secretion
(16-18 weeks).
(Chen
et al., 2006).
7/12/2017 22
7/12/2017 23
Now let’s see some
Growth
factors in
Embryological
researches
Therapeutic
use of GFs and
their pitfalls
7/12/2017 24
Role of GFs in Cancer Progression by Witsch et al., 2009
7/12/2017 25
EGF and IGF1 support the consequent
expansion of mutation-bearing clones
clonal expansion
Invasion refers to the migration and
penetration by cancer cells into
neighboring tissues TGF, FGF, EGF
Cancer cells disseminate
lymphatic and blood vessels to
Angiogenesis by VEGF FGF establishes
secondary tumors larger than 1ml
Chemotherapy/Radiotherapy can
help acquire new mutations and the
ability of cancer cells to produce GFs
(TGFalpha, NRG) to propel the
outgrowth of resistant clones
Therapeutic
targeting of
growth
factor
signaling
pathway in
solid tumors
Maitland et al., 2010
7/12/2017 26
Tumor suppressing activity of TGFβ
7/12/2017 27
All immune cell lineages, including B-Cell, T-Cell and dendritic cells as well as
macrophages secrete TGF-Beta, which negatively regulates their proliferation,
differentiation and activation by other cytokines. Thus, TGF-Beta is a potent
immunosuppressor and perturbation of TGF-Beta signaling is linked to autoimmunity,
inflammation and cancer
Perrimon et al., 2012 examined signalling pathways that
determine cell fate and embryonic patterning
7/12/2017 28
Lateral cell inhibition of NOTCH DSL ligands
This mechanism is used
widely in research to
pattern tissues
containing initially
identical cells.
It is also used to select
myoblast founder cells
in the mesoderm
DYSFUNCTION OF NOTCH
Allagille and CADASIL
syndromes, as well as
cancer, where it promotes
tumor growth in some
contexts but can prevent it
in others
7/12/2017 29
Side effect of BMP-2 therapy by James
et al., 2016
• Bone morphogenetic protein-2 (BMP-2) is currently the only
Food and Drug Administration (FDA)-approved osteoinductive
growth factor used as a bone graft substitute
• SIDE EFFECTs
• Postoperative inflammation and associated adverse effects,
• Ectopic bone formation,
• osteoclast-mediated bone resorption,
• Inappropriate adipogenesis.
• Tumorigenesis (controversial).
• potential molecules to mitigate the adverse effects of BMP-2
are currently being reviewed.
7/12/2017 30
Pitfalls of using GFs in Embryological
researches (Kane et al., 1997)
• The ‘bandwagon’ problem
• Problems in the use of gene knockout to
study growth factor requirements
• The problem of the mouse embryo as a
model
7/12/2017 31
References• Butler AA, LeRoith D Minireview: tissue-specific versus generalized gene targeting of the igf1 and igf1r genes and
their roles in insulin-like growth factor physiology. Endocrinology. 2001 May ;142(5):1685-8.
• Tiedemann H, Asashima M, Grunz H, Knochel W. Dev Growth Differ. 2001 Pluripotent cells (stem cells) and their
determination and differentiation in early vertebrate embryogenesisOct ;43(5):469-502.
• Nakae J, Kido Y, Accili D . Endocr Rev. 2001 Distinct and Overlapping Functions of Insulin and IGF-I ReceptorsDec 1
;22(6):818-835.
• Sullivan LC, Orgeig S, Wood PG, Daniels CB .The ontogeny of pulmonary surfactant secretion in the embryonic
green sea turtle (Chelonia mydas).. Physiol Biochem Zool. 2001 Jul-Aug ;74(4):493-501.
• Ishiwata I, Tokieda Y, Kiguchi K, Sato K, Ishikawa H. Hum Cell. 2000 Effects of embryotrophic factors on the
embryogenesis and organogenesis of mouse embryos in vitroDec ;13(4):185-95
• Cui Y, Tian Q, Christian JL. Dev Biol. 1996 Synergistic effects of Vg1 and Wnt signals in the specification of dorsal
mesoderm and endoderm. Nov 25 ;180(1):22-34.
• Beau C, Vivian N, Munsterberg A, Dresser DW, Lovell-Badge R, Guerrier D. Mol Reprod Dev. 2001 In vivo analysis of
the regulation of the anti-Mullerian hormone, as a marker of Sertoli cell differentiation during testicular
development, reveals a multi-step processJul ;59(3):256-64.
• Baird, A. and P. Bohlen (1990) "Fibroblast Growth Factors" in Peptide Growth Factors and Their Receptors I, Sporn,
M.B. and A.B. Roberts, eds. Springer-Verlag, New York, p. 369.
For Listening
You
Thank
7/12/2017 33

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Olagbaye B.A Embryonal gf

  • 1. EMBRYONAL GROWTH FACTORS OLAGBAYE, Babakayode Abel Dept of Anatomy University of Ilorin 7/12/2017 1
  • 2. OUTLINE OVERVIEW • What are growth factors • What do they do GFs SPECIFICITY • Families of growth factors • And their receptors REGULATORY ROLES Of GFs • Regulation of Proliferation & Differentiation • Regulation of cell migration and path finding • Regulation of cell death and apoptosis COMPLEXITY & DYSFUNCTION • The complex signalling pathways of GFs • Implication of some GFs deficiency GF s IN EXPERIMENTAL EMBRYOLOGY • The use of GFs in Embryological researches • Problems and Pitfalls in embryonal growth factor researches7/12/2017 2
  • 3. What are Growth Factors They are regulatory molecules that reach cells by an extracellular route, they promote and guide virtually every step of embryogenesis i.e proliferation, differentiation, migration/pathfinding and survival/death How Do They Work They communicate with cells from the extracellular space and influence intracellular events by binding to specific Transmembrane Receptors that in turn transduce such interactions by activating intracellular signalling pathways. 7/12/2017 3
  • 4. Growth factor families and their receptors • EGF - EPIDERMAL GROWTH FACTOR • FGF - FIBROBLAST GROWTH FACTOR • NGF - NERVE GROWTH FACTOR • TGFβ - TRANSFORMING GROWTH FACTOR BETA • INSULIN & IGF’S (INSULIN-LIKE GROWTH FACTORS) • PDGF- PLATELET DERIVED GROWTH FACTOR • Thomas et al., 2007 7/12/2017 4
  • 5. GFs Family Cont’d • HEDGEHOG PROTEINS • WNT’S • INTERLEUKINS • SLIT’S • NETRINS • EPHRINS • TUMOR NECROSIS α FAMILY (TNFα’S) • Thomas et al., 2007 7/12/2017 5
  • 6. GFs - Receptor Interactions • Four basic modes 1. Long-range dispersion via the circulation (e.g., IGFs) 2. “Paracrine” mechanisms of release by local sources (e.g., TGFβ, FGFs, EGFs), 3. “autocrine”: mechanisms in which a cell responds to growth factors that it produces itself (e.g., WNTs) 4. “juxtacrine”: direct cell-cell interactions in which the growth factor is itself presented as a transmembrane protein (e.g., Ephrins, Notch, Hippo) 7/12/2017 6
  • 7. GFs RECEPTORS • There are cases in which more than one family member binds to a single receptor and cases in which a given family member binds to multiple receptors. • There are also just 4 FGF receptors for the 22 members of the FGF superfamily. 7/12/2017 7
  • 9. • Using Neural Crest cell formation as a case study GROWTH FACTOR as regulators of cell migration/pathfinding • WNT blocks Adipocytes proliferation and maturation GROWTH FACTOR as negative regulator of Differentiation • As in the case of Insulin dependent growth factor GROWTH FACTOR as overall growth regulator Growth Factors as positive and Negative regulators 7/12/2017 9
  • 11. In some cases, growth factors can also block cell proliferation 7/12/2017 11
  • 12. Epidermal growth factors (EGF, amphiregulin, neuregulin and transforming growth factor-α) • 15% of patients with non-small cell lung cancer have mutations to the EGFR. The type of mutation to EGFR may predict whether certain types of drugs (tyrosine kinase inhibitors TKIs), can help treat lung cancer. Produced in the fibroblast cells of the dermal layer, and it works to stimulate cells to produce collagen Skin cell proliferation; eyelid development, teeth eruptionoverall development and growth. (Ishiwata et al., 2000) 7/12/2017 12
  • 13. Transforming growth factors (TGFs) Includes TGF-β, activin and bone morphogenetic/ proteins (BMP). • Dorsoventral patterning, cell fate decision and formation of specific organs including the nervous system, kidney, skeleton and blood (Ishiwata et al., 2000). 7/12/2017 13 Activin enhances FSH biosynthesis and secretion, metabolism, homeostasis, immune response, wound repair, and endocrine function (Chen et al., 2006).
  • 14. Fibroblast Growth Factors (FGFs) FGF plays a minor role in homeostasis, inflammation and remodeling and a major role in granulation tissue formation. FGF-1 induce endothelial cell proliferation, and is chemotactic for both endothelial cells and fibroblasts. FGF-2 stimulates myeloid progenitors. They also stimulates stromal growth directly or by inducing differentiation of a common stem cell into stromal-type cells. FGF-5 in the embryo is notable for its highly specific pattern of expression. FGF-6 appears to play a major role in skeletal muscle development. FGF-7 expression is markedly increased in fibroblasts underlying the epidermal layer. (Baird and Bohlen, 1990). 7/12/2017 14
  • 16. Iseki et al., 1999 7/12/2017 16
  • 17. Insulin-like growth factors (IGFs) • The insulin family comprises somatemedins A and C, insulin, insulin like growth factor and multiplication-stimulating factor (MSF). • They are mitogenic stimulating the fetal metabolism and coordinating the feto-placental metabolism. • IGF-II regulates early embryonic development while IGF-I is responsible for the general growth of the newborn. (Butler and LeRoith, 2001). 7/12/2017 17
  • 20. PDGF signalling pathway consists of dimers of either A (17 kDa), B (16 kDa) or AB chains linked via disulphides • PDGF is regarded as an initiating factor in the cell cycle in that it stimulates the advance of quiescent cells Platelet-derived growth factor 7/12/2017 20
  • 21. Nerve Growth Factor (NGF) Nerve growth factor (NGF) is a neurotrophin released by muscles that promotes the survival and growth of axons, survival of neurons, and in the innervations of target tissues. 7/12/2017 21
  • 22. Other Embryonal Growth Factors • Transforming growth factor alpha (TGFα): act to stimulate cell growth as well as inhibit cell growth, depending upon the situation. • Tumor Necrosis Factor (TNF): Inhibits growth of tumor and other cells by initiating programmed cell death. • Inhibin down regulates FSH synthesis and inhibits FSH secretion (16-18 weeks). (Chen et al., 2006). 7/12/2017 22
  • 24. Now let’s see some Growth factors in Embryological researches Therapeutic use of GFs and their pitfalls 7/12/2017 24
  • 25. Role of GFs in Cancer Progression by Witsch et al., 2009 7/12/2017 25 EGF and IGF1 support the consequent expansion of mutation-bearing clones clonal expansion Invasion refers to the migration and penetration by cancer cells into neighboring tissues TGF, FGF, EGF Cancer cells disseminate lymphatic and blood vessels to Angiogenesis by VEGF FGF establishes secondary tumors larger than 1ml Chemotherapy/Radiotherapy can help acquire new mutations and the ability of cancer cells to produce GFs (TGFalpha, NRG) to propel the outgrowth of resistant clones
  • 26. Therapeutic targeting of growth factor signaling pathway in solid tumors Maitland et al., 2010 7/12/2017 26
  • 27. Tumor suppressing activity of TGFβ 7/12/2017 27 All immune cell lineages, including B-Cell, T-Cell and dendritic cells as well as macrophages secrete TGF-Beta, which negatively regulates their proliferation, differentiation and activation by other cytokines. Thus, TGF-Beta is a potent immunosuppressor and perturbation of TGF-Beta signaling is linked to autoimmunity, inflammation and cancer
  • 28. Perrimon et al., 2012 examined signalling pathways that determine cell fate and embryonic patterning 7/12/2017 28
  • 29. Lateral cell inhibition of NOTCH DSL ligands This mechanism is used widely in research to pattern tissues containing initially identical cells. It is also used to select myoblast founder cells in the mesoderm DYSFUNCTION OF NOTCH Allagille and CADASIL syndromes, as well as cancer, where it promotes tumor growth in some contexts but can prevent it in others 7/12/2017 29
  • 30. Side effect of BMP-2 therapy by James et al., 2016 • Bone morphogenetic protein-2 (BMP-2) is currently the only Food and Drug Administration (FDA)-approved osteoinductive growth factor used as a bone graft substitute • SIDE EFFECTs • Postoperative inflammation and associated adverse effects, • Ectopic bone formation, • osteoclast-mediated bone resorption, • Inappropriate adipogenesis. • Tumorigenesis (controversial). • potential molecules to mitigate the adverse effects of BMP-2 are currently being reviewed. 7/12/2017 30
  • 31. Pitfalls of using GFs in Embryological researches (Kane et al., 1997) • The ‘bandwagon’ problem • Problems in the use of gene knockout to study growth factor requirements • The problem of the mouse embryo as a model 7/12/2017 31
  • 32. References• Butler AA, LeRoith D Minireview: tissue-specific versus generalized gene targeting of the igf1 and igf1r genes and their roles in insulin-like growth factor physiology. Endocrinology. 2001 May ;142(5):1685-8. • Tiedemann H, Asashima M, Grunz H, Knochel W. Dev Growth Differ. 2001 Pluripotent cells (stem cells) and their determination and differentiation in early vertebrate embryogenesisOct ;43(5):469-502. • Nakae J, Kido Y, Accili D . Endocr Rev. 2001 Distinct and Overlapping Functions of Insulin and IGF-I ReceptorsDec 1 ;22(6):818-835. • Sullivan LC, Orgeig S, Wood PG, Daniels CB .The ontogeny of pulmonary surfactant secretion in the embryonic green sea turtle (Chelonia mydas).. Physiol Biochem Zool. 2001 Jul-Aug ;74(4):493-501. • Ishiwata I, Tokieda Y, Kiguchi K, Sato K, Ishikawa H. Hum Cell. 2000 Effects of embryotrophic factors on the embryogenesis and organogenesis of mouse embryos in vitroDec ;13(4):185-95 • Cui Y, Tian Q, Christian JL. Dev Biol. 1996 Synergistic effects of Vg1 and Wnt signals in the specification of dorsal mesoderm and endoderm. Nov 25 ;180(1):22-34. • Beau C, Vivian N, Munsterberg A, Dresser DW, Lovell-Badge R, Guerrier D. Mol Reprod Dev. 2001 In vivo analysis of the regulation of the anti-Mullerian hormone, as a marker of Sertoli cell differentiation during testicular development, reveals a multi-step processJul ;59(3):256-64. • Baird, A. and P. Bohlen (1990) "Fibroblast Growth Factors" in Peptide Growth Factors and Their Receptors I, Sporn, M.B. and A.B. Roberts, eds. Springer-Verlag, New York, p. 369.

Editor's Notes

  1. (Note that there are a variety of non-proteinaceous extracellular regulators such as retinoic acid, peptides, thyroid hormone and neurotransmitters that also influence development, but that will not be covered in this presentation, also some juxtacrine signalling molecule will not be covered as they have been discussed as morphogens
  2. Classically, the ability of one group of cells to affect the fate of another is called “induction.” The cells that produce the signals are referred to as “inducing cells,” whereas the receiving cells are termed “responders” (Spemann and Mangold 1924). The ability of cells to respond to the inducers, referred to as “competence” (Waddington 1940), usually reflects the presence of a receptor at the top of a pathway that regulates the expression of specific transcription factors in the responding cells. The responding cells, in turn, can become inductive and change the fate of their neighbors by producing newsignals, thus generating sequential inductive events that increase cell-fate diversity in tissues.
  3. For instance, the fibroblast growth factor (FGF) superfamily contains at least 22 distinct members. The TGFβ superfamily contains at least 35 known members that fall into about 10 subfamilies. One of these subfamilies, the bone morphogenic proteins (BMP’s) is comprised of at least 15 different gene products. The neurotrophin superfamily contains but 4 members....like that
  4. Epidermal growth factor receptor (EGFR) also known as ErbB1/HER1 is a member of the ErbB family of receptor tyrosine kinaseswhich also includes ErbB2 (Neu, HER2), ErbB3 (HER3) and ErbB4 (HER4)
  5. Regulation of the timing of neural crest cell emigration by growth factors in the avian embryo. Dorsal neural tube underlying the neural crest secretes bone morphogenic factor 4 (BMP4) even at the segmental plate stage. At this stage, BMP4 stimulates the dorsal neural tube to synthesize noggin, a BMP4 antagonist. Consequently, BMP4 activity is neutralized and there is no effect on overlying crest cells. When the somites form (lower panel), these secrete a factor that shuts off noggin synthesis in the neural tube. This permits BMP4 to act on neural crest cells and to stimulate their emigration
  6. Example of negative regulation of differentiation by Wnt 10a. Wnt10a blocks the differentiation of cultured preadipocyte into mature adipocytes. When Wnt levels are high, cells retain the morphology of pre-adipocytes (upper left) and do not stain for lipid accumulation (lower left). When Wnt is absent or at low levels, cells attain the morphology of mature adipocytes (upper right) and begin to accumulate lipid (as shown by red stain; lower right)
  7. Cell proliferation in somatic tissues, specification of cell fate during embryogenesis, differentiation and cell death are controlled by a multitude of cell–cell signals and loss of this control has devastating consequences. Prominent among these regulatory signals is the TGF-Beta (Transforming Growth Factor) super family, which comprises a large and diverse group of polypeptide morphogens including the prototype of the family–the TGF-Beta themselves as well as the BMPs (Bone Morphogenetic Proteins), and the GDFs (Growth and Differentiation Factors) (Ref.1). The members of the TGF-Beta family are expressed in distinct temporal and tissue-specific patterns and therefore play an important role in the development, homeostasis and repair of most tissues in organisms. (Ref.2).
  8. The two IGFs, IGF-I and IGF-II, have structural homology with proinsulin. Each member of the family binds to its own specific cell surface receptor and also with reduced affinity to the heterologous receptors. Thus, there is a considerable degree of overlap of function in that insulin and IGF can mimic each other’s actions to a certain extent. The insulin and IGF-I receptors are similar to receptor tyrosine kinases, but a tyrosine kinase domain is lacking in the IGF-II receptor type which is identical to the mannose-6-phosphate receptor (Nissley et al., 1993). Insulin promotes glucose uptake by cells and is also a mitogen. IGF-I stimulates uptake of both amino acids and glucose and acts as progression factor in the cell cycle; in its absence cell cycle length may be prolonged (Rozengurt, 1986; Lowe, 1991). The primary function of IGF-II may be to control growth rate during fetal development
  9. The stepwise progression of cancer and roles for growth factors The process is instigated by a somatic mutation, which confers considerable survival and growth advantages to the initiated cell (1). GFs like EGF and IGF1 support the consequent expansion of mutation-bearing clones (2), often leading to intraluminal lesions (3), such as carcinoma in situ or intraepithelial neoplasia, which are surrounded by the basal membrane. Invasion (4) refers to the migration and penetration by cancer cells into neighboring tissues. This process involves loss of epithelial polarity, acquisition of a motile, mesenchymal-like phenotype, and secretion of proteases. Both oncogenes and tumor suppressors, along with a large group of GFs, control this critical phase of tumor development. Cancer cells enter (extravasation) and exit (intravasation) lymphatic and blood vessels to disseminate (5) and metastasize to distant organs. Extra- and intravasation entail the supporting functions of macrophages, platelets, and endothelial cells. The resulting micrometastases (6) usually display sensitivity to chemotherapy and radiotherapy. However, the acquisition of new mutations and the ability of cancer cells to produce GFs (autocrine loops) propel the outgrowth of resistant clones (7). Angiogenesis (8) is essential for the establishment of secondary tumors larger than 1 ml. Both sprouting of existing vessels and recruitment of bone marrow-derived endothelial progenitor cells are stimulated by GFs secreted by tumor and stromal cells. In the final phase, relatively large metastases (9) populate a distinct set of target organs. Note that a latency period of several years may precede this final phase. CSF-1, colony stimulating factor 1; EGF, epidermal growth factor; FGF, fibroblasts growth factor; HB-EGF, heparin-binding EGF; NRG, neuregulin; TGF, transforming growth factor; VEGF, vascular endothelial growth factor.
  10. Depending on the nature of the target cells, TGF-b may inhibit or stimulate cell proliferation and induce a variety of other cellular effects in many tissues. These additional diverse biological functions include tissue remodelling, extracellular matrix formation, control of cell surface molecules and immunomodulation.
  11. The response to signaling-pathway activation is usually complex and involves the regulation of many processes, such as control of cell fate, apoptosis, cell proliferation, cytoskeletal reorganization, cell polarity, adhesion, and cell migration. Importantly, each pathway does not specifically regulate a single biological process but can elicit diverse effects, depending on the state of the cell at the time the pathway is activated. Furthermore, because few pathways exist, there are no unique signals for induction of each cell type. Instead, the response of a given cell to a signal depends on its amplitude, duration, interactions between pathways, and integration of transcription factor effectors at promoters and enhancers of target genes. Itmay also be predetermined by the set of transcription factors expressed in the cell at the time the signal is received.
  12. Therefore, it is not surprising that its dysfunction has been implicated in many heritable developmental diseases, including Allagille and CADASIL syndromes, as well as cancer, where it promotes tumor growth in some contexts but can prevent it in others
  13. The problem that arises here is that while inhibition of preimplantation development by a gene knockout of a growth factor or its receptor indicates that the growth factor in question is essential for preimplantation development, failure to inhibit development is not proof that the growth factor is unimportant for preimplantation embryo growth. There may be redundancy of function in that growth factors may substitute for each other