Abstract
The insulin-like growth factors, IGF-I and IGF-II are a familyof mitogenic polypeptides with important roles in growth and differentiation. The biological actions of the IGFs are mediated by the IGF-I receptor (IGF-IR), a cell-surface tyrosine kinase, whose activation by serum IGF-I seems to be a key step in breast cancer initiation. Evidence accumulated indicates that estrogens stimulate the expression and activity of IGF axis components. The aim of our study was to examine the transcriptional mechanisms involved in regulation of IGF-IR gene expression by the estrogen receptor (ER). For this purpose, transient transfections using an IGF-IR promoter-luciferase reporter plasmid were performed in breast cancer-c derived ER-positive MCF-7 cells and isogenic ER-negative C4 cells. To examine the potential involvement of zinc-finger nuclear proteins in the transactivating effect of estrogens, chromatin immunoprecipitation (ChIP) experiments were performed using an Sp1 antibody, along with the Sp1-family-binding inhibitor Mithramycin A. The results obtained indicate that basal IGF-IR promoter activity was 5.8-fold higher in MCF-7 than in C4 cells. Estradiol treatment significantly activated the IGF-IR promoter in MCF-7, but not in C4 cells. Furthermore, the estrogen responsive region in the IGF-IR promoter was mapped to a GC-rich sequence located between nucleotides −40 and −188 in the 5′ flanking region. ChIP experiments revealed that at least part of the estrogen effect on IGF-IR expression was mediated through activation of the Sp1 transcription factor. In summary, our studies demonstrate that IGF-IR gene transcription in breast cancer cells is controlled by interactions between ERα and Sp1. Dysregulated expression of the IGF-IR gene may have pathologic consequences with relevance in breast cancer etiology.
Introduction
The insulin-like growth factors, IGF-I and IGF-II, are a family of mitogenic polypeptides with important roles in growth and differentiation. The biological actions of the IGFs are mediated by the IGF-I receptor (IGF-IR), a trans-membrane tyrosine kinase structurally and evolutionarily related to the insulin receptor (LeRoith et al. 1995, Baserga et al. 1997, Werner & LeRoith 2000). The IGF-IR axis has a central role in cell cycle progression, as demonstrated by the fact that receptor overexpression in fibroblasts abrogates all requirements for additional growth factors in order to promote cellular proliferation (Pietrzkowski et al. 1992). In addition, evidence is mounting for a pivotal role for the IGF-IR in tumorigenesis (Werner & LeRoith 1996, Baserga 1999). Essentially, all components of the IGF system are expressed in breast tumors, including ligands, receptors, and binding proteins (IGFBPs) (Yee et al. 1989, Schnarr et al. 2000, Surmacz 2000). The central role of the IGF-IR as a mediator of both IGF-I and IGF-II action in breast cancer is illustrated by the results of several groups showing that blockage of the IGF-IR by a variety of methods, including anti-IGF-IR antibodies, antisense oligonucleotides against IGF-IR mRNA, and IGFBPs significantly inhibited cellular proliferation (Arteaga et al. 1989, Van der Burg et al. 1990, Surmacz et al. 1998). Further evidence in support of an important role for the IGF system in breast carcinogenesis is also provided by epidemiological studies, showing a positive correlation between circulating IGF-I concentrations and relative risk of breast cancer (Hankinson et al. 1998).
Solid evidence accumulated in recent years indicating that the biological activity of the IGF system is strongly associated with estrogen status (Lee et al. 1999, Yee & Lee 2000). Estrogens were shown to increase IGF-I binding and IGF-IR mRNA levels in MCF-7 cells by sevenfold, suggesting that the potential mechanism by which estrogens stimulate breast cancer cell proliferation involves sensitization to the mitogenic effects of IGFs by enhancing IGF-IR concentration (Stewart et al. 1990). In addition, estrogens can modulate IGF signaling by regulating the expression of other members of the IGF family, including ligands, IGFBPs, and insulin receptor substrate (IRS)-1 (Osborne et al. 1989, McGuire et al. 1992, Salerno et al. 1999). Using MCF-7-derived sublines that have been selected for loss of estrogen receptor α (ERα) by long-term estrogen withdrawal, it was previously demonstrated that the loss of ERα caused reduced expression of IGF-signaling molecules and failure to proliferate in response to IGF-I or estrogen. Re-expression of ERα restored the IGF-responsive phenotype, suggesting that ERα is a crucial regulator of the IGF mitogenic loop (Oesterreich et al. 2001).
The IGF-IR promoter is a TATA-less, CAAT-less, and initiator type of promoter. The region flanking the transcription start site is extremely GC-rich, and contains numerous potential binding sites for transcription factor Sp1, a zinc-finger-containing nuclear protein that has been shown to strongly transactivate the IGF-IR promoter (Beitner-Johnson et al. 1995). Given the involvement of ERα in control of IGF-IR gene expression and IGF-I action, and in view of the fact that the transcriptional mechanisms involved in regulation of the IGF-IR gene by ERα have not yet been characterized, the present study was designed to analyze the molecular mechanisms responsible for regulation of the IGF-IR gene by ERα. Specifically, we hypothesized that ERα regulates IGF-IR gene expression through interaction with transcription factor Sp1. The results obtained prove that ERα is a potent transactivator of the IGF-IR gene and that GC-rich sequences in the proximal IGF-IR promoter region are required for this effect. Impaired interactions between ERα and zinc-finger proteins may lead to aberrant IGF-IR expression in breast cancer cells.
Materials and Methods
Cell cultures
The MCF-7 human breast cancer cell line was maintained in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 2 mM glutamine, and 50 μg/ml gentamicin sulfate. C4 cells were generated by clonal selection of MCF-7 cells, cultured in estrogen-free medium for 9 months (Oesterreich et al. 2001). C4 cells were kindly provided by Dr Wade V Welshons (University of Missouri, Columbia, MO, USA). The C4 cell line was maintained in DMEM without phenol red supplemented with 10% charcoal-stripped FBS, 2 mM glutamine, and 50 μg/ml gentamicin sulfate.
Western immunoblots
Cells were serum-starved overnight and then incubated with increasing concentrations of β-estradiol (Sigma-Aldrich Corp.) for 24 h. Following incubation, cells were harvested and lysates were prepared as described previously (Idelman et al. 2002). Samples (50 μg) were subjected to 8% SDS-PAGE, followed by electrophoretic transfer of the proteins to nitrocellulose membranes. After blocking with 3% bovine serum albumin or milk in T-TBS (20 mM Tris–HCl, pH 7.5, 135 mM NaCl, and 0.1% Tween-20), blots were incubated with polyclonal antibodies against IGF-IR β subunit, Sp1 and ERα (C-20, PEP-2, and MC-20 respectively; Santa Cruz Biotechnology, Santa Cruz, CA, USA), and against actin or tubulin, followed by incubation with a horseradish peroxidase-conjugated secondary antibody. Proteins were detected using the SuperSignal West Pico Chemiluminescent Substrate (Pierce, Rockford, IL, USA). In selected experiments, the Sp1-family inhibitor Mithramycin A (Sigma-Aldrich Corp.) was added at a concentration of 500 nM 1 h before the estradiol treatment.
IGF-IR promoter activity measurements
For transient transfection experiments, luciferase reporter constructs p(−2350/+640)LUC, p(−476/+640)LUC, p(−188/+640)LUC, and p(−40/+640)LUC (nucleotide 1 corresponds to the transcription start site) were employed. These plasmids include 2350, 476, 188, or 40 nucleotides of the 5′-flanking region, linked to 640 bp of the 5′-untranslated region of the rat IGF-IR gene. The basal promoter activities of these constructs were previously reported (Maor et al. 2000). The ERα expression vector was generated by subcloning the human ERα cDNA into the pSG5 vector using EcoRI sites. The ERα vector was provided by Dr Yitzhak Koch, Weizmann Institute of Science, Rehovot, Israel. An Sp1 expression vector (pPacSp1), under the control of an actin promoter in the pPac0 vector, was provided by Dr Robert Tjian (University of California, Berkeley, CA, USA). Cells were seeded in six-well plates 48 h before transfection, and transfected with 0.5 μg of the indicated IGF-IR promoter reporter plasmids, along with 1.3 μg ERα expression vector (or empty pSG5 vector), 1 μg pPacSp1 (or empty pPac0 vector), and 0.2 μg β-galactosidase expression plasmid (pCMVβ, Clontech, Palo Alto, CA, USA), using the jetPEI reagent (Polyplus Transfection, Illkirch, France). Twenty-four hours after transfection, cells were treated with estradiol (1, 10 and 100 nM) or left untreated. Cells were harvested after an additional 24 h, and luciferase and β-galactosidase activities were measured as previously described (Maor et al. 2000). In addition, some experiments included Mithramycin A. Mithramycin A was added 1 h before estradiol treatment at a concentration of 500 nM.
Chromatin immunoprecipitation (ChIP) studies
Estradiol-treated and untreated cultures were incubated with formaldehyde (1% final concentration) for 10 min at room temperature. At the end of the incubation period, cells were washed twice and harvested using ice-cold phosphate-buffered saline. Pelleted cells were resuspended in 1% SDS-containing buffer, incubated on ice for 10 min, and sonicated for 3 min. Cell extracts were then immunoprecipitated with anti-Sp1 or anti-ERα for 18 h at 4 °C. For PCR analysis of Sp1/ERα-immunoprecipitated chromatin, a set of primers encompassing the IGF-IR proximal promoter region (nt −458 to +53) was employed, using the following primers: sense, 5′-CTTTCCAGCCGCGCTGTTGTTG-3′; anti-sense, 5′-GGTAAACAAGAGCCCCAGCCTC-3′. Sequencing analyzes revealed the presence of cis-acting elements for transcription factor Sp1 in this particular region (Cooke et al. 1991). PCR was performed using the TermalAce DNA polymerase (InVitrogen).
Results
Effect of ER status on IGF-IR expression
To evaluate the potential role of ER on IGF-IR levels, we employed the human breast cancer-derived MCF-7 (ER-positive) and MCF-7-derived C4 (ER-negative) cell lines. C4 cells were generated by clonal selection of MCF-7 cells that were maintained for 9 months in estrogen-free culture medium (Oesterreich et al. 2001). Although C4 cells exhibited certain variability in ER expression, the passages used in the present study displayed consistently low levels of ERα (Fig. 1a). Results of western immunoblots using an anti-IGF-IR β-subunit antibody showed that IGF-IR levels in ERα-depleted C4 cells were 13.6% of those in control MCF-7 cells (Fig. 1a). These results replicate previously reported results (Reizner et al. 2005). To address the responsiveness of MCF-7 and C4 cells to estradiol treatment, cells were serum-starved overnight and then stimulated with increasing concentrations of estradiol for 24 h, after which cell lysates were prepared. Western blot analysis revealed that estradiol stimulated precursor and mature IGF-IR levels in MCF-7 cells in a dose-dependent manner (Fig. 1b and c), whereas no changes were seen in C4 cells (Fig. 1b). Maximal stimulation was achieved at a dose of 100 nM estradiol (3.3-and 7-fold increase in mature and pre-IGF-IR levels respectively).
Effect of estradiol on IGF-IR promoter activity
To establish whether the differences in IGF-IR gene expression between ER-positive and ER-negative cells are mediated at the level of transcription, MCF-7 and C4 cell lines were transiently transfected with a luciferase reporter construct under the control of the proximal IGF-IR promoter region (p(−476/+640)LUC). Transfected cells were incubated in the absence or presence of estradiol (100 nM) during the last 24 h of the incubation period. Forty-eight hours after transfection, cells were harvested and luciferase and β-galactosidase activities were measured. The results obtained indicated that basal IGF-IR promoter activity was 5.8-fold higher in MCF-7 than in C4 cells. In addition, estradiol activated IGF-IR promoter in MCF-7 cells (1.9-fold), whereas it had no effect in C4 cells (Fig. 2a). Furthermore, coexpression of C4 cells with an ERα expression vector did not confer upon the cells the ability to respond to estradiol (Fig. 2b).
Mapping the promoter region responsible for induction of IGF-IR gene expression by estradiol
To define the IGF-IR promoter regions responsible for mediating the observed transcriptional activity of ERα in MCF-7 cells, cotransfections were performed using a series of IGF-IR promoter deletion constructs containing different portions of 5′-flanking and 5′-untranslated regions (Fig. 3a), along with the ERα expression vector. Twenty-four hours after transfection cells were treated with estradiol for an additional 24 h (or left untreated) and, after an additional 24 h cells were harvested and luciferase and β-galactosidase values were measured. Results of deletion analysis showed that estrogen-stimulated promoter activity of the p(−476/+ 640)LUC and p(−188/+640)LUC constructs by 2.8- and 2.4-fold respectively. The basal promoter activity of the full-length p(−2350/+640)LUC construct was twofold lower than that of the proximal p(−476/+640)LUC plasmid, but was still responsive to estradiol stimulation. Removal of the promoter fragment located between −188 and −40 completely abrogated the stimulatory effect of estradiol, suggesting that the estrogen responsive region in the IGF-IR promoter was mapped to a fragment located between nucleotides −188 and −40 in the 5′ flanking region (Fig. 3b).
Estimation of Sp1 levels in MCF-7 and C4 cells
Previous studies have identified a number of Sp1-binding sites in the IGF-IR promoter region (Beitner-Johnson et al. 1995). To begin to examine the potential involvement of transcription factor Sp1 in the ER-induced IGF-IR expression, we measured Sp1 levels in MCF-7 and C4 cells. To this end, cells were serum-starved overnight and then stimulated with increasing concentrations of estradiol for 24 h, after, which cell lysates were prepared. Western blot analysis revealed that basal Sp1 levels in MCF-7 cells were twofold higher than in C4 cells. No starvation-induced decrease in Sp1 levels was seen at 24 h (data not shown). As shown in Fig. 4a, no change in Sp1 levels was seen after estradiol treatment. To more directly evaluate whether Sp1 is involved in ER action, we cotransfected C4 cells with an Sp1 expression vector (or empty pPac0), in the presence of the ERα expression vector (or empty pSG5) and the p(−476/+640)LUC reporter construct. Luciferase measurements revealed that, in the presence of Sp1, ERα-stimulated IGF-IR promoter activity by 2.2-fold compared with cells transfected with Sp1 or ERα alone (Fig. 4b).
To further corroborate the role of Sp1 on the stimulatory effect of estradiol, we employed the Mithramycin A inhibitor. Mithramycin A has been shown to block the activity of Sp1-family members by binding GC-rich sequences in target promoters. Addition of Mithramycin A abrogated the estradiol-stimulated increase in IGF-IR promoter activity in cultures transfected with both the p(−476/+640)LUC and p(−188/+640) constructs (Fig. 5a).
ChIP analysis of the physical interactions between Sp1, ERα, and the IGF-IR promoter
Next, the potential physical interactions between Sp1, ERα, and the IGF-IR promoter region were assessed using ChIP assays. Untransfected MCF-7 and C4 cells were incubated with estradiol (100 nM) for 24 h (or left untreated, for control purposes), after which cells were processed as described under Materials and Methods. Cell lysates were immunoprecipitated with anti-Sp1 or anti-ERα and the precipitated chromatin was amplified by PCR using primers encompassing nt −458 to +53 of the IGF-IR promoter. Results of ChIP assays showed that estradiol treatment enhanced Sp1 binding to the IGF-IR promoter region in MCF-7 cells by 194% and ERα binding by 187% (Fig. 5b and c). No ERα binding to the IGF-IR promoter was detected in C4 cells (data not shown).
Discussion
The IGF system performs multiple functions in mammary gland biology. IGF-I and IGF-II, working through the IGF-IR, were shown to promote proliferation, inhibit cell death, and stimulate transformation of breast cancer cells (Sachdev & Yee 2001). Immunohistochemical and in situ hybridization assays revealed that the IGF-IR and ER are coexpressed in breast cancer cells, while biochemical and genetic analyzes identified a complex crosstalk between both pathways (Yee & Lee 2000). This crosstalk is of particular relevance since ER status is an important prognostic factor in breast cancer, whereas anti-estrogens such as tamoxifen are widely used in the treatment of the disease (Sachdev & Yee 2001). Several reports have shown that estrogens can affect IGF action in breast cancer cells by altering expression of various members of the IGF family. Specifically, estrogens can modulate the expression of IGF ligands, receptors, IGFBPs, and downstream signaling mediators such as IRS-1 and others (Osborne et al. 1989, Stewart et al. 1990, McGuire et al. 1992, Lee et al. 1999, Salerno et al. 1999). In the present study we investigated the transcriptional mechanisms involved in estrogen regulation of IGF-IR gene expression.
The results obtained show that ER status is strongly correlated with IGF-IR levels and that estradiol is a potent inducer of IGF-IR expression. Furthermore, results of transient transfection experiments show that the effect of estradiol on IGF-IR levels is mediated at the transcriptional level. In addition, deletion analysis using a series of IGF-IR promoter constructs containing different portions of 5′-flanking and 5′-untranslated regions shows that removal of the promoter fragment located between −188 and −40 completely abrogated the stimulatory effect of estradiol, suggesting that the estrogen responsive region in the IGF-IR promoter was mapped to a proximal promoter fragment located between nucleotides −40 and −188. Taken together, our results are consistent with those of Bartucci et al.(2001) showing that IGF-IR growth-related functions in breast cancer cells depend on ER expression. Interestingly, the basal activity of the full-length IGF-IR promoter (p(−2350/+640)LUC) is significantly lower than that of proximal promoter fragments (p(−476/+640)LUC and p(−188/+640)LUC). These results are consistent with the existence of still unidentified silencer element/s in the distal promoter region. However, the biological role of these elements as well as their potential interactions with ERα and Sp1 are yet to be elucidated.
The classical estrogen response element (ERE) consensus sequence was originally defined as GGTCANNNTGACC and shown to be directly bound by ERα. However, several estrogen-responsive genes have been identified that utilize divergent EREs, or even other transcription factor DNA-binding sites as the target sequence for ERα action. This family of genes includes those in which the effect of ERα is mediated through activating protein-1, zinc-finger protein Sp1, or nuclear factor-κB (NF-κB), and others in, which ERα is thought to act through as yet unidentified protein/s (Zou et al. 1999).
Previous studies have identified transcription factor Sp1 as a critical transactivator of the IGF-IR gene (Beitner-Johnson et al. 1995). The IGF-IR promoter region includes multiple Sp1-binding sites, whose presence is crucial for Sp1 transactivation. Interestingly, Sp1 levels in ER-positive MCF-7 cells were significantly higher than in ER-negative C4 cells. No change in Sp1 levels, however, was seen following estradiol treatment. Expression of Sp1 in conjunction with ERα, but not ERα alone, in C4 cells, induced a strong stimulation of IGF-IR promoter activity. These results are consistent with a crucial role for Sp1 in the ER-induced IGF-IR gene transactivation. The important role of Sp1 is further corroborated by results of experiments showing that Mithramycin A treatment abrogated the estradiol-stimulated increase in IGF-IR promoter activity. In addition, estradiol enhanced both Sp1 and ERα binding to the IGF-IR promoter region in MCF-7 cells, whereas no ERα binding was detected in C4 cells. Additional genes shown to be regulated by ERα/Sp1 include IGFBP-4, cyclin D1, adenosine deaminase, retinoic acid receptor α1, c-fos, cathepsin D, E2F1, transforming growth factor α, progesterone receptor, epidermal growth factor receptor, vascular endothelial growth factor, and others (Duan et al. 1998, Sun et al. 1998, Qin et al. 1999, Wang et al. 1999, 2001, Xie et al. 1999, Petz & Nardulli 2000, Salvatori et al. 2000, Vyhlidal et al. 2000, Castro-Rivera et al. 2001, Safe 2001, Khan et al. 2003, Kim et al. 2005, Koos et al. 2005). Interestingly, results of fluorescence resonance energy transfer assays are consistent with in vitro studies on ERα/Sp1 interactions and transactivation, and confirmed that ERα and Sp1 interact in living breast cancer cells (Kim et al. 2005). Of notice, Oesterreich et al.(2001) reported that expression of ERα in C4 cells restored estrogen inducibility of the IGF-IR, whereas in the present study we were able to restore estrogen responsiveness in C4 cells only by coexpression of an Sp1 vector, in addition to ERα. The discrepancy between the results can be most probably explained by the fact that in the present study we employed transient transfection assays, whereas Oesterreich et al.(2001) used stable transfected clones.
Our bioinformatic analyzes, as well as a report by Scheidegger et al.(2000), indicate that there is no consensus EREs in the IGF-IR promoter. Consistently, using EMSA assays Scheidegger et al.(2000) were unable to demonstrate direct binding of ER to sequences in the IGF-IR promoter in rat aortic smooth muscle cells. It is conceivable, however, that half-EREs, which are present in this region, might be involved in this interaction (Vyhlidal et al. 2000, Koos et al. 2005). The results of ChIP experiments using an ERα antibody in the present study suggest that ER binds to the IGF-IR promoter via Sp1, and that both proteins can form a DNA-binding high molecular weight complex. We have previously demonstrated that transcription of the IGF-IR gene in breast cancer cells is negatively regulated by breast cancer susceptibility gene, BRCA1 (Maor et al. 2000). The mechanism of action of BRCA1 was shown to involve specific binding to Sp1, thus preventing this zinc-finger protein from binding to, and transactivating, the IGF-IR promoter (Abramovitch & Werner 2003). We speculate that Sp1 is a central player in transcriptional regulation of the IGF-IR gene that mediates the actions of both proliferative agents (e.g. estrogens) as well as tumor suppressors (e.g. BRCA1). Furthermore, the estrogen-induced downregulation of IGF-IR expression in vascular smooth muscle cells was also shown to involve binding of ER to Sp1, thus preventing Sp1 binding to the IGF-IR promoter (Scheidegger et al. 2000).
In summary, our results demonstrate that estradiol activates the IGF-IR promoter in an ER-dependent manner. The estrogen responsive region in the IGF-IR promoter was mapped to a GC-rich sequence located between nucleotides −40 and −188 in the 5′ flanking region. In addition, activation of the Sp1 transcription factor is a critical step in estrogen-induced IGF-IR gene expression. Dysregulation of the IGF-IR gene may constitute a key step in breast cancer initiation and progression.
This work was performed in partial fulfilment of the requirements for a PhD degree by S M in the Sackler Faculty of Medicine, Tel Aviv University. We thank Drs RTjian, W V Welshons, and Y Koch for providing cell lines and reagents. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
Funding This work was supported by the Cooperation Program in Cancer Research of the Deutsches Krebsforschungszentrum (DKFZ) and Israel’s Ministry of Science and Technology (MOST) (to H W, D M and M Z P).
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