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1 Division of Nutritional Sciences,
2 Department of Animal Sciences, and
3 Beckman Institute for Advanced Science and Technology, University of Illinois, Urbana 61801
Corresponding author: S. M. Donovan; e-mail: sdonovan{at}uiuc.edu.
| ABSTRACT |
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Key Words: IGF-I intestine lactase piglet transgenic
Abbreviation key: BB-LPH = insertion of the active enzyme into the brush border membrane, IGFBP = insulin-like growth factor binding proteins, LPH = lactase phlorizin hydrolase, Na+-K+-ATPase = sodium-potassium adenosine triphosphatase, proLPH = precursor isoforms of lactase, triphosphatase, Tg = transgenic
| INTRODUCTION |
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It has been proposed that hormones and growth factors present in colostrum and milk may be in part responsible for the trophic effects observed in response to feeding (Donovan and Odle, 1994; Blum and Baumrucker, 2002). The complex nature of the growth factor composition of colostrum and milk, including the presence of factors that could conceivably potentiate or inhibit each others actions, has limited our ability to define the roles of individual milk growth factors on neonatal intestinal development. Thus, a number of investigators have taken the approach of supplementing recombinant growth factors to milk replacer formulas to delineate the roles of specific growth factors in milk in intestinal development (Table 1
). A second approach has been to develop transgenic animals that overexpress a single growth factor in milk and assess the intestinal development of neonates suckling the transgenic animals (Burrin et al., 1999). The growth factor that has received a considerable amount of study in this regard is IGF-I.
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IGF-I in the Mammary Gland and Milk
Insulin-like growth factor-I is a regulator of mammary growth and differentiation (Cohick, 1998). It stimulates cellular growth and DNA synthesis in cultured bovine (Shamay et al., 1988) and ovine (Winder et al., 1989) mammary tissues. In addition, IGF-I is an inhibitor of mammary apoptosis (Neuenschwander et al., 1996; Rosfjord and Dickson, 1999). Insulin-like growth factor-I is also thought to mediate a portion of the effects of GH on lactation (Cohick, 1998). Administration of GH to lactating animals increases circulating IGF-I concentrations, and the presence of IGF receptors within the mammary gland would provide a site of action for the peptide (Cohick 1998). Indeed, a galactopoietic effect of circulating IGF-I was demonstrated in goats infused with IGF-I (Prosser et al., 1990), although a similar effect has not been shown in cattle (Cohick, 1998).
Insulin-like growth factor-I is present in the milk of all mammals and is higher in colostrum than in mature milk (Donovan and Odle, 1994). Insulin-like growth factor-I concentrations range from 0.7 to 0.10 mg/L in porcine colostrum and from 0.01 to 0.04 mg/L in mature milk (Donovan et al., 1994). Insulin-like growth factor-II is also present in porcine colostrum and milk. Colostral IGF-II concentrations range from 0.10 to 0.165 mg/L and from 0.01 to 0.04 mg/L in mature milk (Donovan et al., 1994). Despite the high concentrations of IGF-II in porcine milk, only one study to date has assessed the role of orally administered IGF-II in piglet intestinal development (Xu et al., 1994). In addition, porcine milk contains IGFBP-1, -2, -3, and -4 (Donovan et al., 1994). How milk IGFBP modulate the actions of IGF-I and -II within the neonatal intestine is unknown. A recent study suggests that association of IGF-I with IGFBP-3 does not protect IGF-I from in vitro digestion by adult rat gastrointestinal secretions (Xian et al., 1995).
Enterally Administered Recombinant Human IGF-I or -II and Piglet Intestinal Development
Both IGF-I and IGF-II receptors are present throughout the intestine (Heinz-Erian et al., 1991; Morgan et al., 1996). Both receptors are more concentrated on the proliferative cells within the crypt vs. the fully differentiated cells located on the villus, supporting a role in intestinal growth. In addition, receptor binding is higher in newborn animals and declines with age. Since the mid-1990s, over 20 studies have been performed in adult and neonatal rats, fetal sheep, and suckling piglets to investigate the impact of orally or systemically administered IGF-I on intestinal development (MacDonald, 1999). Beneficial effects of orally administered IGF-I have been reported in neonatal piglets (Table 1
). In these studies, the IGF-I doses administered ranged from physiological doses of 0.1 to 1.0 mg/kg for 14 d (Houle et al., 1997, 2000) to a supraphysiological dose of 3.5 mg/kg for 4 d (Burrin et al., 1996, 2001; Alexander and Carey, 1999, 2001, 2002). In general, no effects of oral IGF-I on serum IGF-I concentrations, overall BW, or growth of tissues other than the intestine were reported. The lack of systemic effects supports our observation that milk-borne IGF-I is absorbed only to a limited extent by the neonatal piglet (Donovan et al., 1997). Insulin-like growth hormone-I is rapidly degraded within the adult gastrointestinal tract (Xian et al., 1995; Rao et al., 1998), but it appears to survive digestion and exert effects within the neonatal intestine. Rao et al. (1998) found that the proteolytic degradation of both peptides was less when the peptides were exposed to luminal secretions from neonatal vs. adult rats (Rao et al., 1998). In addition, IGF-II was more resistant to proteolytic degradation than was IGF-I (Rao et al., 1998).
Summarized in Table 2
are the results of the studies in which recombinant human IGF-I has been administered to neonatal piglets. Not all studies have shown similar effects of oral IGF-I on intestinal development, even when a similar dose of IGF-I was administered (Table 1
). For example, studies conducted by Alexander and Cary (1999, 2001, 2002) reported no effect on mucosal growth despite the fact that the IGF-I dose (3.5 mg/kg BW) and timing of exposure (4 d) was the same as in Burrin et al. (1996). However, the manner in which the IGF-I was administered differed between the two laboratories. Alexander and Cary (1999, 2001, 2002) administered the IGF-I dose by oral gavage three times daily in 2 mL of formula. In contrast, Burrin et al. (1996) dissolved the IGF-I in the full volume of formula, which was the same approach used by Houle et al. (1997, 2000). It is possible that the high concentration of IGF-I administered by oral gavage led to an internalization of IGF-I receptors and a less sustained response to IGF-I than would be achieved by a more continuous exposure to lower concentrations of IGF-I in the formula. Unfortunately, IGF-I receptor binding was not assessed in the studies by either Burrin (1996) or Alexander and Cary (1999, 2001, 2002). Another possibility for the differences observed between the studies is the timing of sample collection relative to the feeding (Table 1
). We have preliminary data showing that short-term food restriction (6 to 12 h) increases villus height as much as 40% relative to samples obtained in the fed state (Harke et al., 2003). Thus, postabsorptive state must be considered when comparing the studies.
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In the pig, several precursor isoforms of lactase (proLPH) are produced prior to the final insertion of the active enzyme into the brush border membrane (BB-LPH). The processing of the proLPH includes glycosylation and proteolytic cleavage. In piglets, <100% of proLPH appears in the brush border membrane (Dudley et al., 1998). To investigate the effect of oral IGF-I on the synthesis of proLPH and its efficiency of transfer to the brush border membrane, Burrin et al. (2001) utilized a stable isotope protocol involving an overlapping infusion of six AA isotopes that allows for detailed kinetic analysis within a single sample (Dudley et al., 1998). Piglets were fed a formula containing 0.5 or 12 mg of IGF-I/L for 14 d. Oral IGF-I decreased the synthesis of proLPH, but increased the synthesis of BB-LPH in the ileum. Because the rate of proLPH synthesis was not increased by IGF-I, the increase in BB-LPH synthesis reflected a two- to threefold higher efficiency of processing newly synthesized pro-LPH to BB-LPH in piglets fed formula with IGF-I vs. formula alone (Burrin et al., 2001). It was postulated that the increased efficiency of processing was a consequence of a suppression of intracellular proteolysis in the IGF-I-treated piglets.
A recent series of studies by Alexander and Carey (1999, 2001, 2002) suggested that oral IGF-I might also improve nutrient absorptive function within the piglet small intestine. Piglets receiving oral IGF-I at 3.5 mg/kg for 4 d had significantly increased net Na+ and Cl transport. Tissues mounted in Ussing chambers also exhibited increased total ion transport and active ion transport (Alexander and Carey 1999, 2002). There was greater Na+-dependent glucose, glutamine and alanine transport in the intestines of piglets fed formula with IGF-I (Alexander and Carey (1999, 2002). The increases in nutrient transport were independent of changes in mucosal mass or surface area (Alexander and Carey 1999, 2002). The protein abundance of the sodium-linked glucose transporter was similar in control and IGF-I treated piglets, indicating that the mechanism of action was not via increased number of glucose transporters (Alexander and Carey, 2001).
Small intestinal sodium-potassium adenosine triphosphatase (Na+ -K+-ATPase) activity was higher in piglets receiving IGF-I, although no difference in Na+-K+-ATPase protein abundance was observed (Alexander and Carey, 2001). The activity of Na+-K+-ATPase on the basolateral surface of intestinal epithelial cells is thought to "drive" the transport of Na+ and Na+-coupled nutrient transport on the apical surface of the cells. The increases in Na+-K+-ATPase activity and Na+-coupled glucose transport were abolished by co-incubating the tissues with wortmannin to inhibit the phosphatidylinositol 3-kinase signaling cascade. These data implicate that IGF-I signaling through enterocyte type-I IGF receptor is critical for IGF-I-induced nutrient uptake (Alexander and Carey, 2001).
Mammary-Specific Overexpression of IGF-I
Previous researchers have utilized the promoter and regulatory elements of milk proteins to develop transgenic rabbits and mice that overexpress IGF-I in milk (Hadsell et al., 2002). Brem et al. (1994) used 
1-casein to drive the expression of human IGF-I in rabbits and achieved very high levels of expression (approximately 1 g of IGF-I/L) and elevated milk IGFBP-2 concentrations. Milk yield was increased by approximately 10% (P = 0.08), although milk protein content was not affected (Wolf et al., 1997). Subsequent studies with this line of transgenic rabbits demonstrated that IGF-I production was stable over 6 generations, increased with parity, and was greater in homozygous than in heterozygous animals (Zinovieva et al., 1998). Animals did not exhibit clinical symptoms of altered function or pathology of the mammary gland, although detailed examinations were not performed (Wolf et al., 1997). Two groups have developed transgenic mice using the promoter elements of whey acidic protein to drive the expression of human IGF-I (LeRoith et al., 1995; Neuenschwander et al., 1996) or the IGF-I analog des(1-3) IGF-I (Hadsell et al., 1996). Insulin-like growth factor-I overexpression inhibited apoptosis and altered mammary gland histology during involution so as to maintain lobular-alveolar structures that were involuting in control glands (Neuenschwander et al., 1996). Although involution was delayed, no cytologic abnormalities or neoplastic features were seen in IGF-I transgenic (Tg) mice (Neuenschwander et al., 1996). The mammary gland of mice overexpressing des(1-3) IGF-I also demonstrated incomplete involution. Additionally, distinct alterations in mammary structure were noted including ductile hypertrophy, increased deposition of collagen and loss of secretory lobules (Hadsell et al., 1996). Increased IGFBP-2 expression was also observed in Tg animals (Hadsell et al., 1996; Neuenschwander et al., 1996). However, des(1-3) IGF-I does not bind to low-molecular-weight IGFBP, including IGFBP-2 (Ballard et al., 1996). Therefore, it is likely that the upregulation of IGFBP-2 in response to IGF-I overexpression modulates the bioactivity of IGF-I, but not bioactivity of des(1-3) IGF-I, so that mammary hypertrophy and structural alterations result (Hadsell et al., 1996).
Our group developed Tg swine that overexpress IGF-I in milk under the control of the 5'-regulatory elements of the bovine
-LA gene (Donovan et al., 2001) to investigate how IGF-I overexpression affects swine mammary gland development and the intestinal development of piglets. The
-LA/IGF-I gene construct was designed by inserting exon 4 of the human IGF-I gene, which contains the coding sequence for the mature peptide into exon 1 of a bovine
-LA gene construct (Bleck et al., 1998; Donovan et al., 2001). The protein product of the human IGF-I gene is identical to that of the porcine IGF-I gene (Tavakkol et al., 1988). The IGF-I content of colostrum produced by IGF-I Tg sows ranged from 0.6 to 1.4 mg/L, compared with 0.15 mg/L in milk from full-sib non-Tg sows. The IGF-I content of mature milk produced by IGF-I Tg sows was maintained at approximately 0.6 mg/L throughout lactation, which was approximately 60-fold higher than the milk IGF-I content of non-Tg sows (Donovan et al., 2001). Consistent with previous studies (Hadsell et al., 1996; Neuenschwander et al., 1996), mammary IGF-I overexpression increased milk IGFBP. The primary IGFBP that was increased in the milk of IGF-I Tg sows was immunologically identified as IGFBP-2. The IGFBP-5 was also elevated in the milk produced by IGF-I Tg sows. Flint et al. (2000) reported that mammary IGFBP-5 expression increases during weaning and involution and proposed that IGFBP-5 functions to sequester IGF-I from its receptor, thereby allowing for the initiation of involution. Supporting this hypothesis, mammary apoptosis 4 d postweaning, assessed by the terminal deoxynucleotidyl transferase biotin-UTP nick and labeled assay, was lower in IGF-I Tg than in non-Tg sows (Monaco et al., 2003). We are currently assessing whether the increases in IGFBP-2 and -5 observed in the milk of the IGF-I Tg sows was produced within the mammary gland or was transferred from maternal circulation. In either case, the increased presence of IGFBP within the mammary gland of IGF-I Tg sows likely modulated IGF-I bioactivity.
Intestinal Development of Neonates Suckling des(1-3) human IGF-I Transgenic Mice
Using the des(1-3) human IGF-I transgenic mice developed by Hadsell et al. (1996), Burrin et al. (1999) tested the hypothesis that chronic ingestion of milk with increased concentrations of des(1-3) human IGF-I stimulates gastrointestinal growth and development of suckling mice. Pups were allowed to suckle either des(1-3) human IGF-I Tg dams or non-Tg dams. Milk des(1-3) IGF-I concentrations ranged from 11.9 to 68.8 mg/L (values 40- to 200-fold higher than for native mouse milk). Blood and tissue samples were collected on d 4, 8, 12, 16, and 29 postpartum. Despite the extremely high milk des(1-3) IGF-I concentrations, BW gain or serum IGF-I concentrations were similar in pups suckling des(1-3) IGF-I Tg and non-Tg dams. Small intestinal weight, protein and DNA content were greater on d 8 and 16 in pups suckling des(1-3) IGF-I Tg dams vs. non-Tg dams. The fractional rate of protein synthesis in the small intestine was also greater in pups suckling des(1-3) IGF-I Tg dams on d 8. Total intestinal lactase activity tended (P < 0.1) to be higher on d 8 and 12 of lactation and total intestinal sucrase activity was greater (P < 0.05) on d 16 in pups suckling des(1-3) IGF-I Tg dams vs. non-Tg dams. Although some significant differences were observed between pups suckling des(1-3) IGF-I Tg and non-Tg dams, the authors concluded that hypersecretion of des(1-3) IGF-I into milk had limited effects on mouse pup intestinal growth and maturation (Burrin et al., 1999).
There are several potential explanations for the limited intestinal response in this model. First, chronic ingestion of a clearly pharmacological dose of IGF-I could lead to adaptations within the gut to limit the trophic response to the peptide, including receptor downregulation or upregulation of IGFBP. Unfortunately, neither IGF receptor or IGFBP expression were measured in the study. Second, the fact that des(1-3) IGF-I does not bind to low-molecular-weight IGFBP circumvents the normal physiological response to reduce the bioactivity of IGF-I by sequestering it with IGFBP. Whereas in the short term, this lack of binding to IGFBP potentiates the bioactivity of des(1-3)IGF-I by increasing its binding to the IGF receptor, in the long term, it could lead to a greater degree of receptor downregulation.
We have begun to characterize the intestinal development of piglets suckling IGF-I transgenic swine (Hartke et al., 2003). Intestinal samples were obtained from piglets throughout lactation (d 3, 7, 14, and 21 postpartum). Preliminary data suggest that, with the exception of increased mucosal mass and associated increases in protein and DNA content and digestive enzyme activity, the intestinal development of young, healthy sow-reared piglets is not markedly impacted by ingestion of sow milk with elevated IGF-I concentrations (Hartke et al., 2003). These results are consistent with the hypothesis put forth by Burrin (1997). However, observed improvements in intestinal structure and digestive enzyme activity of piglets on d 21 support the hypothesis that piglets suckling IGF-I Tg sows may have improved intestinal health and performance during the weaning transition (Hartke et al., 2003).
| CONCLUSIONS |
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The development of Tg lines of mice and swine that overexpress IGF-I in milk has allowed for investigation of actions related to elevated concentrations of IGF-I in milk on intestinal development of normal neonates. Future studies with IGF-I transgenic animals should investigate the potential benefit of milk-borne IGF-I in compromised neonates. For example, studies conducted in experimentally induced animal models of intestinal disease or genetically modified mice have supported a therapeutic role for IGF-I in promoting recovery and repair processes in a number of gastrointestinal disorders. These disorders include damage resulting from radiation enteritis, chemotherapy, and inflammatory bowel disease (Reviewed by Howarth, 2003). Insulin-like growth factor-I augments the beneficial effects of limited enteral nutrition on reversing intestinal atrophy and stimulating lactase activity (Park et al., 1999). In our studies, intestinal atrophy was induced by placing piglets on total parenteral nutrition (Park et al., 1999), but intestinal atrophy is also observed in pigs during the weaning transition (McCracken et al., 1999). Improving villus morphology and mucosal mass, protein, and DNA content prior to weaning by ingestion of milk-borne IGF-I may result in better intestinal health and function. Another potential application of IGF-I is to improve intestinal structure following pathogenic injury, as has been shown for epidermal growth factor (Zijlstra et al., 1994) or transforming growth factor-
(Rhoads et al., 1995) following rotavirus infection in artificially reared piglets.
In conclusion, it is now feasible to use Tg technology for the introduction of value-added characteristics into livestock, including swine. For example, targeted mammary Tg overexpression of bovine
-LA significantly improved economically important traits (e.g., milk production and piglet growth; Noble et al., 2000). Additionally, Tg livestock can be used as models to address questions pertinent to animal health and disease.
| ACKNOWLEDGEMENTS |
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| FOOTNOTES |
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Supported by the Cooperative Research Council, Education and Extension Service, USDA under project No. 00-35206 and the Illinois Council for Food and Agricultural Research Sentinel Program. ![]()
Received for publication September 9, 2003. Accepted for publication November 24, 2003.
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-lactalbumin in the milk of transgenic pigs. J. Anim. Sci. 76:30723078.
-lactalbumin and human insulin-like growth factor-I in porcine mammary gland. J. Dairy Sci. 84(E. Suppl.):E216E222.
-lactalbumin in their milk. J Anim Sci. 80:10901096.
enhances jejunal mucosal recover and electrical resistance in piglet rotavirus enteritis. Pediatr. Res. 38:173181.[Medline]
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