1 ,25-Dihydroxyvitamin D3 Down-Regulates Estrogen Receptor Abundance and Suppresses Estrogen Actions in MCF-7 Human Breast Cancer Cells1
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Vol. 6, 3371–3379, August 2000 Clinical Cancer Research 3371 ␣ 1 ,25-Dihydroxyvitamin D3 Down-Regulates Estrogen Receptor Abundance and Suppresses Estrogen Actions in MCF-7 Human Breast Cancer Cells1 Srilatha Swami, Aruna V. Krishnan, and increase in breast cancer susceptibility gene (BRCA1) pro- 2 David Feldman tein is reduced by 1,25(OH)2D3 treatment. Overall, these Department of Medicine, Stanford University School of Medicine, results suggest that the antiproliferative effects of Stanford, California 94305 1,25(OH)2D3 and its analogues on MCF-7 cells could par- tially be mediated through their action to down-regulate ER levels and thereby attenuate estrogenic bioresponses, includ- ABSTRACT ing breast cancer cell growth. ␣ 1 ,25-Dihydroxyvitamin D3 [1,25(OH)2D3], the active metabolite of vitamin D, is a potent inhibitor of breast cancer cell growth. Because the estrogen receptor (ER) plays INTRODUCTION a key role in breast cancer progression, we have studied the Breast cancer is the most commonly diagnosed cancer and effects of 1,25(OH)2D3 on the regulation of ER in the estro- the second leading cause of cancer-related deaths among women gen-responsive MCF-7 human breast cancer cell line, which in the United States (1). Because breast cancer is generally ␣ is known to predominantly express ER . 1,25(OH)2D3 characterized by estrogen-dependent growth, the abundance of 3 causes significant inhibition of MCF-7 cell growth, and it ERs in these cells assumes critical importance (2). E2 acts via also decreases the growth-stimulatory effect of 17-estradiol the ER, a member of the steroid/thyroid/retinoid receptor super- (E2). Treatment of MCF-7 cells with 1,25(OH)2D3 reduces family (3). The factors and mechanisms that control the level of ER levels in a dose-dependent manner, as shown by ligand ER expression are important in determining the amplitude of binding assays and Western blot analysis. The 1,25(OH)2D3 E2-mediated actions on the breast cancer cells (2). analogues EB-1089, KH-1060, Ro 27-0574, and Ro 23-7553 1,25(OH)2D3, the biologically active form of vitamin D, is are more potent than 1,25(OH)2D3 in both their antiprolif- a major regulator of calcium and phosphate homeostasis in the erative actions as well as ER down-regulation. There is a body (4, 5). The regulatory effects of 1,25(OH)2D3 are mediated /between the growth-inhibi- via the VDR, which is also a member of the steroid/thyroid (0.98 ؍ striking correlation (R2 tory actions of 1,25(OH)2D3 or analogues and their ability to retinoid receptor superfamily (4–6). In addition to its effects on down-regulate ER levels. Treatment with 1,25(OH)2D3 calcium and phosphate homeostasis, 1,25(OH)2D3 is an impor- shows that the reduction in ER is accompanied by a signif- tant modulator of cellular proliferation and differentiation in a icant decrease in the steady-state levels of ER mRNA. The number of normal and malignant cells (4, 7–9). In breast cancer decrease in ER mRNA is not abolished by the protein syn- cells, 1,25(OH)2D3 has potent growth-inhibitory actions (10– thesis inhibitor cycloheximide. Inhibition of mRNA synthe- 13). Although the growth-inhibitory effects of 1,25(OH)2D3 on sis with actinomycin D reveals no significant differences breast cancer cells have been well established, the effects of between ER mRNA half-life in control and 1,25(OH)2D3- 1,25(OH)2D3 on ER expression are less well documented. Stud- treated cells. Nuclear run-on experiments demonstrate sig- ies on ER␣ in human breast cancer cell lines have reported nificant decreases in ER gene transcription at the end of 17 h minor decreases (14) or no change (15) in ER expression with of treatment with 1,25(OH)2D3. These findings indicate that 1,25(OH)2D3 treatment. A more recent study reported signifi- 1,25(OH)2D3 exerts a direct negative effect on ER gene cant decreases in ER protein levels in the MCF-7 cells treated transcription. Coincident with the decrease in ER levels with EB-1089, a potent analogue of 1,25(OH)2D3 (13). Studies there is an attenuation of E2-mediated bioresponses after have also been conducted to indicate that the E2-mediated 1,25(OH)2D3 treatment. Induction of progesterone receptor bioresponses are attenuated by 1,25(OH)2D3 treatment (16, 17). by E2 is suppressed by 1,25(OH)2D3, and the E2-mediated Although the above-mentioned reports have suggested potential cross-talk between 1,25(OH)2D3 and estrogen signaling path- ways, the extent of the interaction and the mechanism by which 1,25(OH)2D3 causes down-regulation of ER are still not clarified. Received 2/14/00; revised 5/5/00; accepted 5/11/00. The purpose of the present investigation is to study the The costs of publication of this article were defrayed in part by the effects of 1,25(OH)2D3 on ER and E2-mediated effects in payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 Supported by NIH Grant DK42482 and Department of the Army Grant DAMD 17-98-8556. 2 3  To whom requests for reprints should be addressed, at Division of The abbreviations used are: ER, estrogen receptor; E2,17 -estradiol; ␣ Endocrinology, SUMC, Room S-005, Stanford, CA 94305-5103. Phone: 1,25(OH)2D3,1 ,25-dihydroxyvitamin D3; VDR, vitamin D receptor; (650) 725-2910; Fax: (650) 725-7085. E-mail: feldman@cmgm. nVDRE, negative vitamin D response element; ERE, estrogen response stanford.edu. element; CSS, charcoal-stripped serum; PR, progesterone receptor. Downloaded from clincancerres.aacrjournals.org on October 1, 2021. © 2000 American Association for Cancer Research. 3372 1,25(OH)2D3 Regulates ER in MCF-7 Cells MCF-7 breast cancer cells. As discussed below, the MCF-7 cells Lincoln Park, NJ) at a density of 50,000 cells/well in 3 ml of used in this study do not express ER, as measured by reverse RPMI 1640 containing 10% calf serum. Twenty-four h later, transcription-PCR. Therefore, in these studies the effect is lim- fresh medium was added. Cells were grown in RPMI 1640 ited to ER␣. For simplicity, we refer to the ER␣ in these cells as medium with 10% calf serum or CSS and were treated with ER. To achieve our goal of investigating the effect of various doses of 1,25(OH)2D3 or its analogues in the presence or M 1,25(OH)2D3 on breast cancer cells, we have studied the rela- absence of 10 n E2. Fresh medium and hormones were added tionship between changes in MCF-7 growth rate, levels of ER every other day. At the end of 6 days, cell monolayers were protein, steady-state ER mRNA, and gene transcription in cells processed as described earlier (19), and DNA contents were determined by the method of Burton (20). treated with 1,25(OH)2D3 or its analogues. We have also as- Ligand Binding Assays. MCF-7 cells growing in CSS- sessed the correlation between the effects of 1,25(OH)2D3 and its analogues KH-1060, EB-1089, Ro 27-0574, and Ro 23-7553 containing medium were treated with either E2 (10 nM)or on the growth of MCF-7 cells and the changes elicited in ER 1,25(OH)2D3 or analogues (1, 10, or 100 nM) for 2 days. Cells levels. Furthermore, we have investigated how changes in ER were then harvested, and high salt cell extracts were made as described previously (21). The protein concentration of the abundance induced by 1,25(OH)2D3 and its analogues alter the extracts was measured by the method of Bradford (22). Aliquots functional responses to E2 in MCF-7 cells. We have established of the extracts were incubated overnight at 4°C with either 10 that the 1,25(OH)2D3-mediated effect on ER gene expression is 3 3 at the transcriptional level. nM [ H]E2 or 10 nM [ H]progesterone for ER and PR measure- ments, respectively. Two hundred-fold excess of nonradioactive hormone was used to correct for nonspecific binding. Bound and MATERIALS AND METHODS free hormones were separated using hydroxylapatite, and spe- 3 Materials. [ H]Estradiol-17-D-glucuronide (specific cific binding was calculated as described earlier (21). activity, 40 Ci/mmol) and [3H]progesterone (specific activity, Western Blot Analysis. Aliquots of cell extracts pre- 54.1 Ci/mmol) were purchased from DuPont NEN (Wilmington, pared as described above were mixed with 3ϫ SDS sample DE). Radioinert steroids were obtained from Steraloids, Inc. buffer, boiled for 5 min, and subjected to 10% SDS-PAGE. (Wilton, NH). Nonradioactive 1,25(OH)2D3 and its analogues After transfer to nitrocellulose membranes, immunoblotting 1,25-dihydroxy-16-ene-23-yne-cholecalciferol (Ro 23-7553) with either the antimouse monoclonal antibody to human ER and 1,25-dihydroxy-23-yne-26,27-hexafluoro-20-cyclopropyl- (H222; 1:500 dilution in 1% Carnation nonfat milk; a gift from 19-nor-cholecalciferol (Ro 27-0574) were generous gifts Abbott laboratories) or antimouse monoclonal antibody to the from Dr. M. Uskokovic (Hoffmann La-Roche Co., Nutley, human BRCA1 protein (C-20; 2 g/ml in 1% Carnation nonfat NJ). 1␣,25-Dihydroxy-22,24-diene-24,26,27-trihomovitamin milk; from Santa Cruz Biotechnology) was carried out as de- ␣ D3 (EB-1089) and 1 ,25-dihydroxy-20-epi-22-ene-24,26,27- scribed previously (19).