Identification of the IGF-1 processing product human Ec/rodent Eb
peptide in various tissues: Evidence for its differential regulation after
exercise-induced muscle damage in humans
George Vassilakos, Anastassios Philippou, Michael Koutsilieris ⁎
Department of Experimental Physiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece
abstract article info
Article history:
Received 13 June 2016
Received in revised form 16 August 2016
Accepted 2 November 2016
Available online 4 November 2016
Objective: Insulin-like growth factor-1 (IGF-1) is a pleiotropic factor expressed in various tissues and plays a critical
role in skeletal muscle physiology. Alternative splicing of the IGF-1 gene gives rise to different precursor polypep-
tides (isoforms) which could undergo post-translational cleavage, generating the common mature IGF-1 peptide
and different carboxyl terminal extension (E-) peptides, with the fate of the latter being, so far, unknown. The ob-
jective if this study was to identify the IGF-1Ec forms or processing product(s), other than mature IGF-1, generated
in different human and rodent tissues and particularly in human skeletal muscle after exercise-induced damage.
Design: Protein lysates from a wide range of human and rodent tissues were immunoblotted with a rabbit anti-
human Ec polyclonal antibody raised against the last 24 amino acids of the C-terminal of the Ec peptide. This anti-
body can recognize the Ec peptide, both as part of IGF-1Ec and alone, and also the corresponding rodent forms, due
to the high homology that the human Ec shares with the rodent Eb.
Results: We were able to confirm, for the first time, that the human Ec peptide and its rodent homologous Eb peptide
are produced simultaneously with their precursor protein (pro-IGF-1Ec/Eb) in vivo, in a wide range of tissues (e.g.
muscle, liver, heart). Proprotein convertase furin digestion of human muscle and liver protein lysates confirmed that
the higher molecular form, pro-IGF-1Ec, can be cleaved to produce the free Ec peptide. Furthermore, initial evidence
is provided that Ec peptide is differentially regulated during the process of muscle regeneration after exercise-
induced damage in humans.
Conclusions: The findings of this study possibly imply that the post-translational modification of the IGF-1Ec pro-
peptide may regulate the bioavailability and activity of the processing product(s).
© 2016 Published by Elsevier Ltd.
Keywords:
Ec/Eb peptide
IGF-1Ec forms
Post-translational processing
Pro-protein cleavage
Muscle damage
1. Introduction
Insulin-like growth factor (IGF-1) is a pleiotropic factor regulating
homeostasis in multiple tissues via its endocrine, autocrine and para-
crine actions [1]. The induction of variable cellular responses via IGF-1,
such as proliferation [2], differentiation [3] and protein synthesis [4]
has placed it as a key player in the physiological processes of body
growth and development [5], and metabolism [6]. IGF-1 is expressed lo-
cally in various tissues (e.g. heart, lung, placenta, and kidney) [7], never-
theless liver [8] and skeletal muscle [9] are considered as the primary
pools of its production and secretion in the circulation.
IGF-1 gene is comprised of 6 exons in humans and rodents and spans
a DNA region of approximately 80 kb [10]. Its regulation is complex and
involves the usage of multiple promoters [11], different transcription
initiation sites [12], alternative splicing and multiple polyadenylation
sites [13–15]. Specifically, transcription initiation from either exon 1
or exon 2 generates transcripts referred as class I or II, respectively
[16], while alternative splicing at the 3′-end gives rise to three mRNA
transcripts in humans (IGF-1Ea, IGF-1Eb and IGF-1Ec) and two in ro-
dents (IGF-1Ea and IGF-1Eb) [16,17].
The various IGF-1 transcripts encode several precursor (pre-pro-
IGF-1) peptides, thus different IGF-1 products can be derived from var-
ious tissues and under different conditions or stimuli [16]. IGF-1 precur-
sor polypeptides can undergo post-translational modifications, to
produce the mature IGF-1 peptide and variable amino- and carboxyl-
terminal peptides, termed as signal and extension (E-) peptides, respec-
tively [18]. It is believed that the signal peptide is removed after facilitat-
ing the passage of the polypeptide into the endoplasmic reticulum and
the secretory pathway [16]. Conversion of pro-IGF-1 to mature peptide
cleaves the E-peptides and this cleavage can occur by pro-protein
convertases, such as furin, which processes pro-proteins at highly con-
served, unique pentabasic motif [16,19,20],(Fig. 1A).
Growth Hormone & IGF Research 32 (2017) 22–28
⁎ Corresponding author at: Department of Experimental Physiology, Medical School,
National and Kapodistrian University of Athens, 75 Micras Asias, Goudi, Athens 115 27,
Greece.
E-mail address: mkoutsil@med.uoa.gr (M. Koutsilieris).
http://dx.doi.org/10.1016/j.ghir.2016.11.001
1096-6374/© 2016 Published by Elsevier Ltd.
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