The goal of this study was to identify and characterize the IGFBPs in normal vitreous that are likely to be biologically active, defined in this case by demonstrable affinity for one or more of the IGF ligands. In this our results are relatively straightforward. Western ligand blot analysis performed with IGF-II detected two major IGFBP species that were identified in subsequent experiments as IGFBP-2 and IGFBP-3. Based on their observed affinity for IGF-II, both these vitreous binding proteins have the capacity to modulate the pool of free growth factor and thus impact net vitreous biological activity. Because there is no evidence of substantial quantities of any other similarly functional IGFBPs, it seems reasonable to conclude that IGFBP-2 and IGFBP-3 are the major binding proteins in vitreous and are the only proteins whose growth factor affinities can be considered part of the normal control mechanism of vitreous IGF biological activity.
Another potentially important observation is that IGFBP-3 in normal human and porcine vitreous exists as a biologically active fragment derived from the N terminus of intact IGFBP-3. Although the ligand blots and affinity chromatography demonstrate that this protein still has affinity for IGF ligands, how this compares with the intact protein is uncertain. We expended considerable effort comparing the physical characteristics of the vitreous and serum fragments and found them to be similar in every respect, including size, isoelectric point, and N-linked glycosylation. In light of these obvious similarities, we speculate that the two fragments have similar biological activities. Ahlsen et al.
33 compared to intact IGFBP-3 and the plasma fragment's affinities for IGF-I and IGF-II and reported decreases of 11-fold and 4-fold, respectively, that were largely attributed to an increased off rate. Along this same line, Yan et al.
34 demonstrated that the plasma IGFBP-3 fragment retains the ability to assemble into the tertiary complex with a ligand and the acid-labile subunit provided that the C-terminal fragment is also available for assembly. Under these conditions, the fragment also retains the ability to inhibit IGF transport across endothelial layers and IGF ligand receptor phosphorylation. These results suggest that the net effect of the IGFBP-3 fragment is to reduce vitreous IGF biological activity. However, it also seems unlikely that the IGFBP-3 fragment has the high capacity to attenuate IGF-I and IGF-II biological activity through sequestration as we reported for the intact protein.
28 On the other hand, it is possible that the IGFBP-3 fragment, like the parent molecule, has cell-direct activities that must be considered in determining this protein's role in vitreous biochemistry. To our knowledge, IGFBP-2, IGFBP-3, or the IGFBP-3 fragment's direct effects, have not been studied on any IGF-responsive ocular cells relevant to proliferative vitreoretinopathies, making this an important area for future study.
These results are consistent with many of the observations, but not necessarily the conclusions, of previously published studies in this field. Several laboratories reported vitreous levels of IGFBP-2 and IGFBP-3 in surgical samples from diabetic and nondiabetic patients using immune assays such as ELISA and RIA.
15,18,20 These assays might have been influenced by the knowledge that they were, in part, measuring an IGFBP-3 fragment rather than an intact protein. Depending on the specificity of the antibody used in these assays, the size differences in an equally reactive protein core could lead to protein concentration overestimates by as much as 35%. Alternatively, immunoreactivity involving the missing C-terminal portion of the core would have caused a gross underestimation of protein abundance. Given that we have not yet determined whether IGFBP-3 in pathologic vitreous is truncated to the same degree as normal vitreous, the influence of these findings are still uncertain. One study of direct relevance examined vitreous binding protein abundance in cadaveric controls, reporting IGFBP-2 and IGFBP-3 at approximately 85 ng/mL and 91 ng/mL, respectively.
15 Although our findings have no impact on the IGFBP-2 estimates, the IGFBP-3 assays may be problematic and should be interpreted with caution until the issue of fragment immunoreactivity is revisited experimentally.
Another study with similar observations but different and mechanistically important conclusions was that of Schoen et al.,
29 who reported the presence of an IGFBP-3–specific protease in normal vitreous that is responsible for cleaving intact 46-kDa binding protein to an approximately 30-kDa form that was “undetectable by Western ligand blot analysis.” Our studies revealed that normal vitreous is incapable of degrading intact IGFBP-3. The differences in our conclusions appear to be related to the experimental approach because their assay system combined vitreous with small amounts of serum as a source of intact IGFBP-3. We were able to duplicate their primary observation and demonstrated that both serum and vitreous are necessary for rapid IGFBP-3 cleavage. It is reasonably certain that their conclusions were based on a synergistic process involving enzymes or other factors from both sources. We also consistently demonstrated IGFBP-3 fragment detection by ligand blot analysis and bound the fragment to an IGF-II affinity column during purification, leading us to conclude that the fragment retains ligand affinity. It is our speculation that the ligand blots performed in the Schoen et al.
29 study focused mainly on loss of the 46-kDa protein and that they were less sensitive to changes in the abundance of the ∼29-kDa species. As a result, increases in the IGFBP-3 fragment resulting from proteolytic cleavage of the intact protein went undetected.
Finally, and most intriguing, are the functional implications raised by the absence of an active IGFBP-3 protease in normal vitreous. Where does the vitreous IGFBP-3 fragment come from and, if not generated locally, how does it get there? Our observations led us to speculate that the vitreous IGFBP-3 fragment originates in plasma and crosses the blood-vitreous barrier in much the same manner as other plasma proteins, such as albumin. Interestingly, the normal mechanism through which plasma proteins gain access to vitreous are still poorly understood, which is surprising considering that changes in this system may play major roles in the progression of several vitreoretinal pathologies involving changes in the IGF system. These observations should provide the necessary impetus for studies on blood vitreous barrier mechanism and functional characteristics.
Supported by National Institutes of Health Grant EY13258, EyeSight Foundation (Birmingham, Alabama), and a departmental award from Research to Prevent Blindness.
The authors thank Christine Curcio, Lan Wang, and Martin Rudolf for their assistance obtaining the human vitreous specimens used in this study.