The potent growth-promoting activity of
insulin-like growth factor-II (
IGF-II) is highly regulated during development but frequently up-regulated in
tumors. Increased expression of the normally monoallelic (paternally expressed) mouse (Igf2) and human (IGF2) genes modify progression of intestinal
adenoma in the Apc(Min/+) mouse and correlate with a high relative risk of human
colorectal cancer susceptibility, respectively. We examined the functional consequence of Igf2 allelic dosage (null, monoallelic, and biallelic) on intestinal
adenoma development in the Apc(Min/+) by breeding with mice with either disruption of Igf2 paternal allele or H19 maternal allele and used these models to evaluate an
IGF-II-specific therapeutic intervention. Increased allelic Igf2 expression led to elongation of intestinal crypts, increased
adenoma growth independent of systemic growth, and increased
adenoma nuclear
beta-catenin staining. By introducing a transgene expressing a soluble form of the full-length
IGF-II/
mannose 6-phosphate receptor (sIGF2R) in the intestine, which acts as a specific inhibitor of
IGF-II ligand bioavailability (
ligand trap), we show rescue of the Igf2-dependent intestinal and
adenoma phenotype. This evidence shows the functional potency of allelic dosage of an epigenetically regulated gene in
cancer and supports the application of an
IGF-II ligand-specific therapeutic intervention in
colorectal cancer.