Our previous studies found that
insulin-like growth factor-I receptor (IGF1R) signaling blockade caused
cardiac hypertrophy, and that apoptosis is required for upregulating the
IGF-II and the
IGF-II/
mannose 6-phosphate receptor (IGF2R) gene. However, the role of
IGF-II in the regulation of cell apoptosis through IGF2R is little known. In this study, we hypothesized that
IGF-II may induce cell apoptosis through IGF2R but is dependent on IGF1R activity. Western blots and TUNEL assay revealed that in the presence of IGF1R, exogenous
IGF-II acts, like
IGF-I, would increase phospho-Akt through IGF1R, but does not affect the
caspase 3 activation and apoptotic induction in H9c2 cardiomyoblast cells. Conversely,
AG1024, an inhibitor of IGF1R activity, causes cell apoptosis, and the treatment with
IGF-II further enhances this process, implying that it occurs through IGF2R. Moreover, immunoprecipitation assay revealed that treatment with
IGF-II could enhance the interaction of IGF2R with Galphai and Galphaq but reduce its binding with Galphas, resulting in the reduction of phospho-PKA and the activation of
PLC-beta. Taken together, these data provide new insight into the dual role of
IGF-II in the control of IGF1R dependent cell apoptosis and involved activation of IGF2R signaling. Improving IGF1R activity and suppressing IGF2R may be a good strategy to prevent the progression of
heart disease with cardiomyocyte apoptosis.