A variety of human
malignancies overexpresses
isoform A of the
insulin receptor (IR-A) and produces IGFs (
IGF-I and/or
IGF-II). IR-A binds
IGF-II with high affinity (although 4-fold lower than that for
insulin), whereas it binds
IGF-I with low affinity (approximately 30-fold lower than that for
insulin). However, in engineered cells expressing only the IR-A, but not
IGF-I receptor (R(-)/IR-A cells),
IGF-II is a more potent
mitogen than
insulin. Herein, we investigated downstream signaling of
IGF-II,
IGF-I, and
insulin in R(-)/IR-A cells to better understand their role in cell growth. We found that despite inducing a lower IR-A autophosphorylation than
insulin,
IGF-II was more potent than
insulin for activating p70S6
kinase (
p70S6K) and approximately equally potent in activating the early peaks of ERK1/2 and Akt. However, ERK1/2 activation persisted longer after
IGF-II, whereas Akt activation persisted longer after
insulin. Therefore, cells stimulated with
IGF-II had a higher
p70S6K/Akt activation ratio than cells stimulated with
insulin. Remarkably,
IGF-I also elicited a similar signaling pattern as
IGF-II, despite inducing minimal IR-A autophosphorylation. ERK1/2 and
protein kinase C seem to be involved in the preferential stimulation of
p70S6K by IGFs. In conclusion, our study has identified a novel complex role of IR-A, which not only elicits a unique signaling pattern after
IGF-II binding but also induces substantial downstream signaling upon binding to the low-affinity
ligand IGF-I. These results underline the role of IR-A in physiology and disease.