Pregnancy-Associated Plasma Protein-A (
PAPP-A) proteolyses
insulin-like growth factor binding protein-4 (IGFBP-4), thereby regulating local IGF availability. Reduced
PAPP-A mRNA expression has been reported in
ovarian cancer specimens compared to normal ovarian surface epithelial cells (OSE). To characterize
PAPP-A expression and proteolytic activity in OSE, we developed a lifespan-extended human cell model using a temperature-sensitive mutant of the SV40
large T antigen (SV40LT). These OSE(tsT) cells proliferate at 34 degrees C (i.e., when SV40LT-positive), but not at 39 degrees C, a temperature at which the SV40LT is unstable (SV40LT-negative). Proteolysis of radiolabeled
IGFBP-4 in
conditioned media from OSE(tsT) lines was IGF-dependent and blocked by anti-
PAPP-A antisera. Temperature shifts that eliminated stable SV40LT induced a 7-fold increase in
PAPP-A mRNA and a 4-fold increase in
protein. The converse experiment (shifting to SV40LT-positive conditions) resulted in decreased levels of
PAPP-A mRNA but little change in
PAPP-A protein. Nevertheless, there was a marked reduction in IGF-BP-4 proteolytic activity in medium of SV40LT-positive OSE-(tsT) cells. This decreased
PAPP-A activity coincided with a nearly 20-fold increase in
mRNA encoding a physiological inhibitor of
PAPP-A, the precursor form of
eosinophil Major Basic Protein (proMBP), and 4- to 5-fold increases in proMBP
protein. Primary cultures of unmodified OSE expressed high levels of
PAPP-A and undetectable proMBP, and therefore produced abundant
IGFBP-4 protease activity. Short-term ovarian
tumor cell cultures expressed variable levels of
PAPP-A and high levels of proMBP, and consequently secreted little or no
IGFBP-4 protease activity. The concurrent regulation of
PAPP-A and its inhibitor, proMBP, suggests that
IGFBP-4 proteolysis and local regulation of IGF availability may be altered in malignant ovarian epithelial cells.