Elsevier

Peptides

Volume 24, Issue 1, January 2003, Pages 163-177
Peptides

Review
VIP as a trophic factor in the CNS and cancer cells

https://doi.org/10.1016/S0196-9781(02)00290-5Get rights and content

Abstract

The effects of vasoactive intestinal peptide (VIP) on the proliferation of central nervous system (CNS) and cancer cells were investigated. VIP has important actions during CNS development. During neurogenesis, VIP stimulates the proliferation and differentiation of brain neurons. Addition of VIP to embryonic mouse spinal cord cultures increases neuronal survival and activity dependent neurotrophic factor (ADNF) secretion from astroglial cells. VIP is an integrative regulator of brain growth and development during neurogenesis and embryogenesis. Also, VIP causes increased proliferation of human breast and lung cancer cells in vitro. VIP binds with high affinity to cancer cells, elevates the cAMP and increases gene expression of c-fos, c-jun, c-myc and vascular endothelial cell growth factor. The effects of VIP on cancer cells are reversed by VIPhybrid, a synthetic VPAC1 receptor antagonist. VIPhyb inhibits the basal growth of lung cancer cells in vitro and tumors in vivo and potentiates the ability of chemotherapeutic drugs to kill cancer cells. Due to the high density of VPAC1 receptors in cancer cells, VIP has been radiolabeled with 123I, 18F and 99mTc to image tumors. It remains to be determined if radiolabeled VIP analogs will be useful agents for early detection of cancer in patients.

Introduction

VIP is a 28 amino acid peptide initially isolated on its ability to cause vasodilation of blood vessels [147]. It is structurally similar to the 27 amino acid pituitary adenylate cyclase activating polypeptide (PACAP) [2], [109]. Both VIP and PACAP bind with high affinity to VPAC1 receptors, which are present in high densities (100,000/cell) on the surface of breast and lung cancer cells [43], [90], [150]. VIP stimulates, whereas the VPAC1 receptor blocker VIPhybrid (VIPhyb) inhibits the clonal growth of breast and lung cancer cells [117], [186].

VIP is biologically active in the central nervous system. VIP neurons are present in the cortex where they colocalize with the neurotransmitter acetylcholine [4], [103]. VIP elevates cAMP levels and stimulates adenylyl cyclase in the cortex, striatum, hypothalamus, hippocampus, thalamus and midbrain of the rat [25], [33], [140]. VIP caused glycogenolysis in the cortex, and causes vasodilation of isolated cerebral arteries [31], [104], [105]. VIP enhances survival of embryonic mouse spinal cord neurons in culture [9]. VIP produced neuroprotection as a result of secretion of activity dependent neurotrophic factor (ADNF) and other cytokines from astroglia [10]. PACAP can rescue neurons from apoptotic death and glutamate toxicity [29]. In particular, PACAP inhibits the activation of caspase-3 in cerebellar granule cells [172]. It remains to be determined if the neuroprotective effects of VIP-like peptide may be useful in the treatment of neurodegenerative diseases such as Alzheimer’s and/or Parkinson’s disease [51], [56], [130].

The actions of VIP and PACAP are mediated by G-protein coupled receptors [73]. The human VPAC1 receptor is a 457 amino acid glycoprotein which crosses the plasma membrane seven times [79]. It is structurally similar to the VPAC2 and PAC1 receptors which bind VIP with high and low affinity respectively [1], [66], [101], [138], [154]; in contrast PACAP binds with high affinity to VPAC1, VPAC2 and PAC1 receptors (Table 1). Fig. 1 shows that the activated VPAC1 receptor may interact with a stimulatory guanine nucleotide binding protein (Gs), which activates adenylyl cyclase [32], [86], [163]. The addition of 10 nM VIP to human breast or lung cancer cells increases the cAMP 10–30-fold. The elevated cAMP may activate protein kinase A resulting in increased phosphorylation of protein substrates such as CREB [75]. When CREB is phosphorylated in the nucleus, it alters gene expression [181]. VIP causes increased expression of c-fos, c-jun and c-myc oncogenes. After translation, the c-fos and c-jun proteins may form heterodimers and activate AP-1 sites on the 5′ regulatory region of growth factor genes. VIP alters expression of microtubule associated proteins [87] and increases expression of the vascular endothelial cell growth factor (VEGF) gene in lung cancer cell line NCI-H157 [17]. Also, VIP caused secretion of VEGF from lung cancer cells and increased proliferation of lung cancer cells. Here the trophic effects of VIP in the CNS and cancer cells are reviewed.

Section snippets

VIP/PACAP-like peptides

VIP is synthesized as a high molecular weight precursor protein [49]. The 170 amino acid preproVIP is metabolized by a signal peptidase in the endoplasmic reticulum to yield the 148 amino acid proVIP. ProVIP is cleaved by prohormone convertases to VIP-GKR (preproVIP125–155) and PHM-GKR (preproVIP81–110) [6]. VIP-GKR and PHM-GKR is then cleaved by carboxypeptidase-B like enzymes to VIP-G and PHM-G [80]. The VIP-G and PHM-G can then be metabolized by PAM enzymes to VIP and PHM which have an

VIP receptors

VIP and related peptides can interact with six classes of receptors including the glucagon-like peptide I (GLP-I), GRF, PAC1, secretin, VPAC1 and VPAC2 receptors [1], [66], [77], [101], [138], [154], [165], [166], [168], [170], [175]. The human VPAC1 receptor contains 457 and is a member of the G-protein-coupled seven transmembrane superfamily. Numerous amino acids in the receptor have been identified which are essential for high affinity VIP binding including Lys195, Gln207, Cys208, Gly211 and

Second messengers

Addition of 100 nM VIP to VPAC1 receptor containing cells elevates the cAMP 10–30-fold within a minute. Fig. 1 shows that the cAMP increase caused by VIP activates protein kinase A leading to phosphorylation of protein substrates. When CREB is phosphorylated, nuclear oncogene expression is increased. Addition of VIP to NCI-H1299 cells increases c-fos mRNA expression three-fold after 1 h. Also, there is a two-fold increase in c-myc mRNAs and 1.5-fold increase in c-jun mRNAs. After translation the

Cancer growth

VIP and PACAP stimulate the growth of lung cancer cells. VIP (1 μM) slightly and 10 nM VIP strongly increased colony formation of SCLC and NSCLC cells. In contrast, higher doses of VIP e.g. 100 nM were ineffective, possibly due to receptor desensitization and/or down-regulation [118].Because VIP and PACAP are autocrine growth factors for breast and lung cancer cells, addition of VIP receptor antagonists inhibits basal cellular proliferation. Using VIPhyb, which blocks both VPAC1, VPAC2 and PAC1

Neuronal development

Similar to other neurotrophic molecules, the neuropeptide VIP exhibits dual roles in the CNS. VIP-like peptides have important actions during CNS development, but also has potent neuroprotective actions and is up-regulated in neuronal injury [53], [82], [110]. During neurogenesis, VIP can stimulate the proliferation, differentiation, neurite outgrowth and survival of neurons. In addition, VIP has been shown to be an integrative regulator of growth and development during embryogenesis [173].

In

Embyonic growth

VIP has been shown to be an important regulator of embryonic growth in the early post-implantation period of rodent embryogenesis [27], [61], [62], [63], [64], [65], [68], [69], [71], [72], [155], [184]. Treatment of whole cultured embryonic day (E) 9.5 mice with VIP resulted in a dose-related increase in growth as measured by somite number, DNA and protein contents and cross sectional area [61]. The growth stimulatory effects of VIP are attributed to a shortening of the G1 and S phases of the

Summary

VIP is a trophic factor in the CNS and cancer cells. In lung and breast cancer, VIP and PACAP function as autocrine growth factors. The cancer cells have mRNA for preproVIP as well as VIP and PACAP-like immunoreactivity. VIP binds with high affinity to VPAC1 receptors on lung and breast cancer cells and stimulates adenylyl cyclase. PACAP binds with high affinity to VPAC1 as well as PAC1 receptors on lung cancer cells and stimulates adenylyl cyclase as well as MAP kinase activity. Both VIP and

Acknowledgements

The authors thank the many researchers who participated in these studies over the years including Drs. D. Brenneman, I. Gozes, Y. Gozes, J. Leyton and F. Zia.

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