Cell adhesion: Promotes weak adhesion to endothelial cells and type IV collagen .
Angiogenesis modulation: Inhibits VEGF-induced endothelial tube formation in HUVECs by suppressing ERK1/2 and COX-2 pathways .
Senescence induction: Upregulates p16, p21, and p53 in cardiomyocytes and epithelial cells, accelerating cellular aging .
IGFBP7 exhibits context-dependent roles in disease:
Heart Failure: Plasma IGFBP7 levels correlate with senescence markers (e.g., p16) and adverse cardiac remodeling .
Cancer: Downregulated in HCC and upregulated in senescent epithelial cells, suggesting dual roles .
Antibody-mediated neutralization: Reverses IGFBP7-driven suppression of DNA repair pathways in HF models .
Proteolytic cleavage: Cleavage at K97 enhances cell attachment but abolishes IGF binding, altering therapeutic outcomes .
Structural dynamics: How editing at residues 78 (Arg→Gly) and 98 (Lys→Arg) impacts heparin binding and senescence .
Microenvironment-specific roles: Contradictory effects in MSC senescence (protective vs. pro-senescent) .
Diagnostic utility: Standardization of IGFBP7 measurement in diverse body fluids (serum, urine, CSF) .
IGFBP7 serves as a regulatory protein that helps control the bioavailability of insulin-like growth factors (IGFs) in body fluids and tissues. It modulates the binding of IGFs to their receptors, thus influencing cell signaling processes . Unlike other IGF binding proteins, IGFBP7 is particularly active in the vascular endothelium where it helps regulate BRAF signaling pathways involved in cell growth .
At the molecular level, IGFBP7 exhibits a unique characteristic among the IGFBP family - it has higher binding affinity for insulin than for IGF-1 or IGF-2 . This distinctive binding profile suggests a specialized role in insulin regulation beyond typical IGF modulation.
IGFBP7 expression varies significantly across pancreatic cell types, with notable differences between normal and diabetic states:
Cell Type | Normal Donors | Type 2 Diabetes Donors | Change in T2D |
---|---|---|---|
α-cells | Baseline expression | Increased by ~30% | ↑ |
β-cells | Baseline expression | Marginally increased (significant) | ↑ |
Ductal cells | High but variable expression | Reduced by ~70% | ↓ |
This distinctive expression pattern suggests cell-type specific functions of IGFBP7 in pancreatic physiology . The protein has been found to co-localize with both insulin in β-cells (Mander's overlap coefficient: 0.86) and glucagon in α-cells (Mander's overlap coefficient: 0.85), indicating enrichment in large dense-core vesicles that also contain the primary islet hormones .
Research using immunostaining and image processing with guided machine learning has revealed that IGFBP7 is present in both α-cells and β-cells of pancreatic islets . Subcellular localization studies show IGFBP7 is enriched in, and possibly released from, large dense-core vesicles together with primary islet hormones . This vesicular localization suggests IGFBP7 may be secreted alongside insulin or glucagon, supporting a potential autocrine/paracrine signaling role within islets.
IGFBP7 has been identified as a negative regulator of insulin secretion with increased expression in Type 2 Diabetes (T2D). The protein reduces insulin secretion through several mechanisms:
Mitochondrial impairment: IGFBP7 treatment significantly reduces oxygen consumption rate (OCR), ATP production, and maximal respiration in β-cells .
PAK1 downregulation: IGFBP7 reduces the expression of p21-activated kinase 1 (PAK1), a protein essential for normal insulin secretion and mitochondrial function .
Stimulus-secretion coupling disruption: IGFBP7 affects processes in the stimulus-secretion coupling pathway upstream of the KATP channel, as evidenced by unaltered depolarization-induced insulin secretion after IGFBP7 treatment .
Importantly, knockdown of IGFBP7 in islets from T2D donors improves insulin secretion, suggesting IGFBP7 could be a potential therapeutic target for improving β-cell function in diabetes .
A specific mutation in the IGFBP7 gene has been identified in individuals with retinal arterial macroaneurysm with supravalvular pulmonic stenosis (RAMSVPS), a disorder affecting blood vessels in the eyes and heart . The mutation, designated as 830-1G>A, is a splice-site mutation that results in the production of an abnormally shortened, non-functional IGFBP7 protein .
This loss of function leads to increased BRAF signaling, as IGFBP7 normally helps regulate this pathway. The specificity of symptoms to the retinal and pulmonary arteries may be explained by tissue-specific differences in normal IGFBP7 levels or the presence of functionally similar proteins in unaffected tissues .
Interestingly, within the non-diabetic population (with glycemic levels in the normal range), no significant correlation was found between IGFBP7 expression and HbA1c levels, even after adjusting for age, sex, and BMI . This suggests that IGFBP7 upregulation may be associated with the diabetic state rather than being a direct response to elevated blood glucose.
Several complementary techniques have proven effective for localizing IGFBP7 in pancreatic tissue:
Immunohistochemistry with machine learning analysis:
Subcellular localization studies:
Single-cell RNA-seq (scRNA-seq):
This multi-modal approach enables comprehensive characterization of IGFBP7 distribution across different cell types and subcellular compartments.
Several strategic approaches have been validated for experimental modulation of IGFBP7:
siRNA knockdown:
Exogenous IGFBP7 administration:
Measurement of secreted IGFBP7:
Each approach offers unique advantages for investigating different aspects of IGFBP7 biology in β-cell function.
When studying IGFBP7's impact on insulin secretion, researchers should consider these methodological approaches:
Glucose-stimulated insulin secretion (GSIS) assays:
C-peptide secretion measurement:
Depolarization-induced secretion tests:
Insulin content quantification:
The molecular basis of IGFBP7-insulin interaction involves specific amino acid residues that have been identified through computational simulations validated by experimental methods:
Key binding residues:
Mutation effects on binding:
These findings provide structural insights that could inform the design of therapeutic agents targeting the IGFBP7-insulin interaction. The methodological approach combining computational simulations with experimental validation represents a powerful strategy for investigating protein-protein interactions in insulin signaling .
IGFBP7 has significant negative effects on mitochondrial function in β-cells, which helps explain its inhibitory effect on insulin secretion:
Oxygen consumption: IGFBP7 treatment reduces the oxygen consumption rate in EndoC-βH1 cells, consistent with impaired mitochondrial respiration .
ATP production: Oligomycin-linked respiration, a measure of ATP production, is significantly decreased following IGFBP7 exposure .
Maximal respiratory capacity: IGFBP7 reduces maximal respiration in β-cells, indicating compromised mitochondrial reserve capacity .
Molecular mechanism: These effects are likely mediated through IGFBP7's ability to reduce p21-activated kinase 1 (PAK1) protein levels, as PAK1 is known to be essential for normal mitochondrial function .
These findings establish mitochondrial dysfunction as a key mechanism by which IGFBP7 impairs insulin secretion in pancreatic β-cells.
Several lines of evidence support IGFBP7's role as an autocrine/paracrine signaling molecule in pancreatic islets:
Vesicular localization: IGFBP7 co-localizes with insulin and glucagon in secretory granules of β-cells and α-cells, respectively, suggesting it may be co-secreted with these hormones .
Secretion into medium: Knockdown of IGFBP7 in EndoC-βH1 cells leads to decreased IGFBP7 levels in the culture medium, confirming it is actively secreted .
Local concentration effects: While circulating IGFBP7 levels (low nanomolar range) may be insufficient to affect β-cells directly, locally secreted IGFBP7 within islets could reach concentrations high enough to influence neighboring cells .
Functional response to manipulation: Both exogenous administration and knockdown of IGFBP7 affect insulin secretion, suggesting sensitivity to local IGFBP7 levels .
This evidence collectively suggests that IGFBP7 released within the islet microenvironment contributes to the regulation of insulin secretion and β-cell function, representing a potentially important autocrine/paracrine signaling pathway in normal and diabetic conditions.
Insulin-Like Growth Factor Binding Protein-7 (IGFBP7) is a member of the IGFBP family, which plays a crucial role in modulating the activity of insulin-like growth factors (IGFs). IGFBP7 is a secreted protein that binds IGF-1, insulin, vascular endothelial growth factor A (VEGFA), and activin A . It is involved in various physiological and pathological processes, including cell proliferation, apoptosis, migration, and tumor progression .
IGFBP7 is expressed in various tissues and has been linked to different physiological and pathological conditions. For instance, its expression is associated with poor prognosis in multiple myeloma but may protect against bone disease . The expression of IGFBP7 is regulated by methylation, and high levels of IGFBP7 are associated with adverse survival outcomes in multiple myeloma patients .
IGFBP7 has multifaceted roles in both normal physiology and disease states:
The regulatory effects of IGFBP7 are mediated through various mechanistic pathways. It antagonizes bone morphogenetic proteins and is involved in the tumor propagation of both solid and hematological malignancies . Additionally, IGFBP7 overcomes activin A-induced osteoblast suppression and promotes osteogenesis .
The clinical significance of IGFBP7 is evident in its role as a prognostic marker and potential therapeutic target. High expression of IGFBP7 is associated with adverse chromosomal aberrations and higher myeloma cell proliferation . Conversely, higher IGFBP7 expression is linked to a lower probability of myeloma bone disease .