Abstract
Previously, we investigated the induction effect of LRP16 expression by estrogen (17β-estradiol, E2) and established a feed-forward mechanism that activated estrogen receptor α (ERα) transactivation in estrogen-dependent epithelial cancer cells. LRP16 is required for ERα signaling transduction by functioning as an ERα coactivator. In this study, we demonstrated that LRP16 expression was upregulated in E2-responsive BG-1 ovarian cancer cells, but was downregulated in estrogen-resistant SKOV3 ovarian cancer cells. Pure estrogen antagonist ICI 182 780 did not affect LRP16 expression in SKOV3 cell. The unliganded ERα upregulated LRP16 expression and enhanced LRP16 promoter activity in SKOV3 cells; however, this induction was blocked by estrogen stimulation. Results from chromatin immunoprecipitation experiment revealed a strong recruitment of the unliganded ERα at LRP16 promoter in the absence of estrogen; however, ERα was largely released from the DNA upon E2 stimulation. Modulation in LRP16 expression level did not significantly change the proliferation rate of SKOV3 cells and the growth responsiveness of cells to E2. Knockdown of LRP16 by RNA interference in SKOV3 cells markedly attenuated estrogen response element-dependent ERα reporter gene activity and E2-induced c-Myc expression. Our study suggests a novel mechanism of estrogen resistance of ovarian cancer by which estrogen-repressed signaling pathway antagonizes estrogen-activated signaling transduction.
Introduction
Estrogen plays a crucial role in the control of development, sexual behavior, and reproductive functions. Its effects have been linked to the onset and progression of gynecological malignancies including breast cancer and endometrial cancer (Shang 2006, Yager & Davidson 2006, Eliassen & Hankinson 2008). Estrogen, a major steroidal product of the ovary, has also been associated with increased ovarian cancer risk (Bai et al. 2000, Rodrigez et al. 2001, Riman et al. 2002). The biological effects of estrogens are mediated by two forms of estrogen receptor, ERα and ERβ. Classically, ERα is activated by estrogen binding, which leads to receptor phosphorylation, dimerization, and recruitment of coactivators to the estrogen-bound receptor complex. This complex then binds promoter regions of target genes via direct interaction with DNA binding sites referred to as estrogen response elements (ERE) and initiate transcriptional activity (McDonnell & Norris 2002). Estrogen-bound ERα can also transactivate additional target genes through interacting with other transcriptional factors such as Ap1, Sp1 or nuclear factor κB (Safe 2001, Shang & Brown 2002, DeNardo et al. 2005). The activation of an ER results in an altered expression of its direct transcriptional targets, thereby affecting downstream secondary biological activities. Estrogen regulation of protein expression has been well-documented in breast cancer models but till date little is known about estrogen-regulated gene expression in ovarian cancer.
Epithelial ovarian carcinoma, which represents about 90% of ovarian cancer (Auersperg et al. 2001), is one of the most frequently occurring cancers among women and the leading cause of gynecological cancer deaths (Boente et al. 1993, Greenlee et al. 2000). Approximately two-thirds of all ovarian cancers express ERα at the time of diagnosis (Slotman & Rao 1988). The significance of estrogen in the etiology of ovarian carcinoma has been emphasized by the fact that anti-estrogenic intervention will inhibit the growth of ovarian carcinoma in vivo and in vitro (Langdon et al. 1990, 1994a), and that estrogen replacement therapy induces ovarian cancer (Gompel & Plu-Bureau 2007, Zhou et al. 2008). Cell-based studies have shown that estrogen-driven growth of epithelial ovarian carcinoma is mediated by activation of ERα-mediated but not ERβ-mediated transcription (O'Donnell et al. 2005). Although estrogens are believed to be major regulators of growth in the development and progression of ovarian carcinoma, ERα-positive ovarian cancer is often unresponsive to estrogen and refractory to antiestrogen therapy (Smyth et al. 2007, Wagner et al. 2007). The ERα signaling pathway in estrogen-resistant ovarian cancer cells is poorly understood. Hence, characterizing ERα-mediated gene expression in estrogen-insensitive ovarian cancer cells might underlie the unresponsiveness of ovarian cancer to estrogen and resistance to hormonal therapy. The SKOV3 human ovarian carcinoma cells, which have functional ERα but are growth-resistant to estrogen and antiestrogens (Langdon et al. 1994b, Hua et al. 1995), were commonly used as an in vitro model for estrogen and antiestrogen resistant ovarian cancer (Havrilesky et al. 2001, O'Donnell et al. 2005).
LRP16 is a special member of macro domain superfamily, the structure of which is simple in contrast to other macro domain protein members, composed of only a stand-alone macro module at its C-terminal region (Han et al. 2002, Aguiar et al. 2005). LRP16 was previously identified as an estrogen-responsive target gene. Estrogen-induced upregulation of LRP16 expression is mediated by ERα, but not by ERβ (Han et al. 2003). In cell culture, it has been shown that the expression level of LRP16 is strongly dependent on the estrogen actions in ERα-positive breast and endometrial cancer cell lines (Han et al. 2007, Meng et al. 2007). A proximal region of −676 to −24 bp of the human LRP16 promoter, in which a 1/2 ERE/Sp1 site and multiple GC-rich elements that confer estrogen responsiveness have been recognized, is essential for estrogen action (Zhao et al. 2005, Han et al. 2008). Interestingly, estrogen-upregulated LRP16 can interact with ERα and enhance the receptor's transcriptional activity in a ligand-dependent manner, thus establishing a positive feedback regulatory loop between LRP16 and ERα signal transduction in estrogen-responsive breast cancer cells (Han et al. 2007). Overexpression of LRP16 can stimulate the proliferation of MCF-7 human breast cancer cells by enhancing estrogen-activated ERα transcriptional function (Han et al. 2007). In addition, inhibition of LRP16 gene expression significantly suppresses the invasive capacity of estrogen-responsive breast and endometrial cancer cells by upregulating E-cadherin expression via ERα mediation (Meng et al. 2007). Consistent with the findings from cell culture, the mRNA level of LRP16 was observed to be positively linked to the progression of primary breast cancers (Liao et al. 2006). These data implied that LRP16 may play an important role in carcinogenesis and/or progression of hormone-dependent cancers by a feed-forward mechanism that activated ERα transactivation. In addition, we recently demonstrated that LRP16 can be upregulated by androgen in the androgen-sensitive LNCaP prostate cancer cells and that LRP16 serves as an essential coactivator of androgen receptor (Yang et al. 2009). Although the regulatory mechanism of LRP16 expression by estrogen and the functional role of LRP16 in estrogen-sensitive epithelial tumor cells are relatively well documented, the estrogen induction and the functional significance of LRP16 gene in estrogen-unresponsive epithelial ovarian cancer cells are not clear so far.
In this study, we investigated the regulatory effects of estrogen, estrogen antagonist, and the unliganded-ERα on LRP16 gene expression and gene promoter activity in SKOV3 human ovarian cancer cells, with the aim to determine whether LRP16 is an estrogen-responsive gene in estrogen-unresponsive SKOV3 ovarian cancer cells. We also surveyed the effect of LRP16 expression on ERα-mediated transcriptional activity by ERE-based reporter assay and the proliferation of SKOV3 cells to determine whether disruption of the ERα-LRP16 feed-forward pathway in estrogen-resistant ovarian cancer cells can change the cell response to estrogen.
Materials and Methods
Chemicals and cell lines
17β-Estradiol (E2) was purchased from Sigma. Pure estrogen antagonist ICI 182 780 was provided by Dr Qinong Ye at the College of Military Medicine Scientific Institute of China. Human ovarian epithelial adenocarcinoma cell line SKOV3 was originally purchased from American Type Culture Collection (ATCC, Rockville, MD, USA) and maintained as monolayer cultures in RPMI 1640 medium (Gibco) supplemented with 10% (v/v) fetal bovine serum (FBS; Hyclone, Logan, UT, USA). BG-1 human ovarian epithelial cancer cell line was cultured as previously described (Geisinger et al. 1989). Steroid-deprived serum was prepared as previously described (Zhao et al. 2005).
Plasmids
The pGL3-Basic and pRL-SV40 were originally purchased from Promega. The pcDNA3.1–LRP16 expression vector containing human LRP16 full-length cDNA was previously constructed (Han et al. 2003). Mammalian expression plasmid for ERα (pS5G–hERα) was provided by Prof. Hajime Nawata at Kyushu University, and the reporter 3×ERE-TATA-Luc was provided by Prof. Donald P McDonnell at Duke University Medical Center (Norris et al. 1998). The luciferase reporter constructs pGL3-S0, pGL3-S2, pGL3-S4, pGL3-S5, and pGL3-SB1, containing the fragment of −2623 to −24 bp, −1775 to −24 bp, −1064 to −24 bp, −676 to −24 bp, −213 to −24 bp of the LRP16 upstream regulatory region respectively, have been previously described (Zhao et al. 2005, Han et al. 2008).
Cell transfection
SKOV3 cells were seeded in 60 mm culture dishes before transfection. When the cell confluence reached 40–60%, 5 μg pcDNA3.1–LRP16 was stably transfected using the Superfect transfection reagent (Qiagen), according to the manufacturer's instructions. The empty vector was used as a negative control. Two days post-transfection, the SKOV3 cells were treated with 1 mg/ml G418 (Gibco) for 10–14 days and then were continuously cultured with 400 μg/ml G418.
For siRNA transfection, SKOV3 cells were seeded in 60 mm culture dishes and grown to 80% confluence before transfection. SiRNA duplexes were transfected using Lipofectamine 2000 according to the manufacturer's recommendations (Invitrogen). SiRNA oligonucleotides were chemically synthesized by Shanghai GeneChem Co., Ltd (Shanghai, China). The sequences of LRP16-siRNA374 and LRP16-siRNA668 were previously reported (Han et al. 2007). The siRNA sequence against ERα was referred as previously described (Cheng et al. 2007). The unrelated siRNA sequence (sense strand, 5′-TTCTCCGAACGTGCACGT-3′) was used as a control. The siRNA duplex was transfected in each dish with a final concentration of 50 nM.
Luciferase reporter assays
SKOV3 cells were cultured with RPMI 1640 supplemented with 5% (v/v) steroid-deprived FBS for at least 3 days, then were plated in 35 mm culture dishes. Cells that had reached a 50% confluency rate were transiently cotransfected using Superfect reagent. 0.5 μg luciferase reporters were cotransfected with or without 0.5 μg ERα expression vector into cells. pRL-SV40 (10 ng), a renilla luciferase control vector, was added to each dish as an internal control to assess the transfection efficiency. The total DNA was adjusted to 2 μg/dish with pBSK+empty plasmid. Thirty hours after transfection, cells were treated with E2 (10−8 M) or dimethyl sulfoxide (DMSO) for an additional 12 h. The cells were lysed and harvested using the dual-luciferase reporter assay system. Luciferase activity was measured using TD-20/20n Luminometry System (Promega). All experiments were performed in triplicate and repeated at least thrice.
Cell proliferation assay
A total of 1×104 viable cells were seeded in 24-well plates. After cell attachment, the medium was replaced with 1 ml fresh RPMI 1640 supplemented with 1% (v/v) steroid-stripped FBS and were treated with E2 (10−7 or 10−8 M/l) or DMSO in the same fresh medium and the medium was changed every 2 days. Cell number was counted by Trypan Blue exclusion method using a hemocytometer. Cell proliferation rate was quantified using CellTiter 96 Aqueous One Solution Cell Proliferation Assay (Promega). Each experiment was performed in triplicate and repeated on three occasions.
RNA isolation and northern analysis
Total RNA was isolated by the acid guanidinium thiocyanate–phenol–chloroform method using Triblue reagent (Biotec Co., Beijing, China). The procedure of the northern blot analysis was previously described (Han et al. 2007). Briefly, 20 μg total RNA was electrophoresed through a 1% (w/v) agrose gel containing formaldehyde and was transferred to a Hybond N+ membrane (Amersham). The membranes were hybridized using the following probes labeled with [α-32P]dCTP by random priming: 550 bp fragment of LRP16 (432–981 bp,
Western blot and antibodies
The expression of LRP16, ERα and GAPDH proteins were examined by western blot analysis as previously described (Han et al. 2007). Briefly, cell lysates were electrophoresed by SDS-PAGE using 12% (w/v) acrylamide gels and blotted onto PVDF membranes (Amersham). Blots were probed with the primary antibodies, washed and then incubated with HRP-labeled secondary antibodies (Santa Cruz Biotechnology, Santa Cruz, CA, USA), and binding was detected using enhanced chemiluminesence. The rabbit anti-LRP16 antibody (1:3000) was used as previously described (Han et al. 2007). Rabbit anti-ERα (1:500) and c-Myc (1:200) were purchased from Santa Cruz. Mouse anti-GAPDH antibody (1:500) was purchased from Abcam (Cambridge, MA, USA).
Chromatin immunoprecipitation assays
SKOV3 cells (1×106) were grown in 10 cm tissue culture plates in RPMI 1640 supplemented with 10% (v/v) steroid-depleted FBS. After 24 h, the cells were transfected with 10 μg plasmid DNA mixture (1:1 for pGL3-S5 and pS5G-hERα) using Superfect reagent. Forty hours later, the transfected cells were treated with E2 (10−8 M/l) for 3 h and were subjected to chromatin immunoprecipitation (ChIP) assays. In addition, SKOV3 cells (1×107) treated with E2 (10−8 M/l) were also used for ChIP assays, which were performed as previously described (Meng et al. 2007). Briefly, immunoprecipitation was carried out overnight at 4 °C with ERα (Santa Cruz) antibody or non-specific IgG. DNA fragments were purified with a QIAquick Spin Kit (Qiagen). The presence of the target gene promoter sequences in both the input and the recovered DNA immunocomplexes was detected by PCR. The proximal promoter (−476 to −241 bp) of LRP16 was amplified using the following primer set: forward primer, 5′-GCGCCAGGCTCTCCCAGCTCG-3′, and reverse primer, 5′-CCCAGTGTCGCGGATGGAGC-3′.
Statistical analyses
Experiments were performed in triplicate and repeated at least thrice, and the results were expressed as the mean±s.e.m. Statistical analysis was performed using Statview 5.0 software. Paired Student's t-tests or two-way ANOVA followed by the Student-Newman-Keuls test were used where applicable to assess significant differences between groups. P<0.05 was considered to be statistically significant.
Results
LRP16 expression is upregulated by E2 in BG-1 cells, but is downregulated in SKOV3 cells
Previously published work from our laboratory demonstrated that E2 upregulated the level of the human LRP16 gene through ERα activation in several E2-responsive human breast and endometrial cancer cells (Han et al. 2007, Meng et al. 2007). Here, to address whether LRP16 can be induced by E2 in ERα-positive human ovarian cancer BG-1 and SKOV3 cells, we performed northern blot analysis. As seen in Fig. 1A, the mRNA expression level of LRP16 was upregulated by E2 (10−8 M/l) in BG-1 cells as it was in MCF-7 and Ishikawa cells (Han et al. 2003, Meng et al. 2007). However, in SKOV3 cells, LRP16 expression was not upregulated by E2 treatment; conversely, it was down-regulated by E2 in a does-dependent fashion (Fig. 1B). Compared with the LRP16 expression level in cells cultured under steroid-deprived culture conditions (Fig. 1B lane 1), a dramatic decrease was observed in cells under normal conditions (FBS without steroid deprivation) (Fig. 1B, lane 6), indicating that the endogenous estrogen in culture medium is enough to suppress LRP16 expression after a long-term exposure of cells to it. To confirm that the LRP16 mRNA levels were indicative of protein levels, the expression level of LRP16 protein was examined in E2-treated SKOV3 cells using western blot analysis and the results showed the consistent change with that observed at the mRNA level (Fig. 1B). Next, we performed western blot analysis to determine the time course for the effect of E2 (10−8 M/l) on the expression level of LRP16 protein in SKOV3 cells, over a 72 h time-period (Fig. 1C). A more than twofold decrease in LRP16 protein level was observed as early as 6 h after addition of E2, and this was continued to 48 h. At 72 h after treatment of E2, the expression of LRP16 protein decreased to a much lower level. To rule out the possibility that E2-induced LRP16 decrease resulted from altered ERα expression, we measured the ERα protein levels in E2-treated cells. As shown in Fig. 1D, E2 treatment (10−8 M/l) did not significantly change the expression of ERα protein during the 72 h time course. These results demonstrated that LRP16 is not an estrogen upregulated target gene in estrogen-insensitive SKOV3 ovarian carcinoma cells as it is in estrogen-responsive epithelial cancer cells, but is an estrogen downregulated gene which exhibits a sensitive and continuous response to E2 treatment.
To assess the effect of antiestrogen on the expression level of LRP16 in SKOV3 cells, the selective estrogen antagonist, ICI 182 780 (100 nM) was used to treat proliferating cells. Total protein over a 72 h time course was extracted and western blot analysis was used to determine the LRP16 protein level. As shown in Fig. 1E (left panel), there was no significant increase of LRP16 protein level in cells after ICI 182 780 addition. The LRP16 protein level was downregulated by the addition of E2 (10−8 M/l E2) even in the presence of ICI 182 780 (Fig. 1E, right panel), indicating that antiestrogen treatment can not effectively antagonize the E2 suppression of LRP16 expression in estrogen-resistant ovarian cancer cells.
Unliganded ERα up-regulates LRP16 gene expression/gene promoter activity in SKOV3 cells
To determine whether the inhibitory effect of LRP16 expression by E2 in SKOV3 cells is mediated by ERα, we investigated the induction effects of unliganded ERα on LRP16 expression by performing western blot analysis in ERα-transfected SKOV3 cells. As illustrated in Fig. 2A, ERα protein level was dramatically increased in ERα-transfected cells. The protein level of LRP16, but not GAPDH, was markedly increased by the ectopic ERα expression in cells; however, this elevation was reduced by E2 treatment (Fig. 2A). To further address the regulatory effect of unliganded ERα on LRP16 expression, we also measured the LRP16 expression in ERα-inhibited SKOV3 cells. Results from immunoblotting analysis showed that not only the endogenous ERα was largely repressed by ERα-specific siRNA transfection, but also the endogenous LRP16 (Fig. 2B). These findings confirmed that the non-E2 bound ERα efficiently induces LRP16 expression in SKOV3 cells, but this induction can be blocked by E2 binding.
To further address the regulatory roles of liganded and unliganded ERα on the transcriptional activities of LRP16 gene in SKOV3 cells, we performed luciferase reporter assays with a series of LRP16 promoter-driving luciferase constructs. Transfection of SKOV3 cells with reporter alone revealed background luciferase activities (Fig. 3). Cotransfection of ERα did not significantly change the luciferase activities for pGL3-SB1 and the control vector pGL3-Basic, but indeed resulted in a two- to fourfold increase of reporter gene activities for pGL3-S0, pGL3-S2, pGL3-S4 and pGL3-S5 constructs (Fig. 3). However, the unliganded ERα activation of LRP16 promoter constructs was effectively blocked by E2 treatment (10−8 M/l). These findings further confirmed the distinct regulation of unliganded and liganded ERα on the transcriptional activity of LRP16 gene and suggested that this regulation may be mainly conferred by the fragment from −676 to −214 bp of LRP16 upstream region.
E2 inhibits the recruitment of ERα to LRP16 gene promoter
To analyze whether the increased promoter activity of LRP16 by unliganded ERα is the direct result of recruitment of ERα, we performed ChIP assays. The LRP16 promoter containing construct pGL3-S5, which was authenticated to be activated by ERα in the absence of E2 as illustrated in Fig. 3, together with ERα expression vector was cotransfected into SKOV3 cells. The cells were then treated with or without E2 (10−8 M/l) for 3 h, and the recruitment of ERα was analyzed by ChIP (Fig. 4A). In the absence of E2 treatment, we repeatedly detected a high level of ERα binding at the promoter of LRP16. However, ERα was apparently lost from the LRP16 promoter after estrogen treatment. As a control experiment, the fragment of −476 to −241 bp was not detected in the non-specific IgG group. Next, we performed ChIP-analyses of the endogenous LRP16-promoter (−476 to −241 bp) and the results showed that binding of unliganded ERα occurs at the natural, endogenous promoter in the estrogen-resistant SKOV3 cells, and that this is lost after E2 treatment (Fig. 4B). These results indicated that LRP16 is a primary target gene of the unliganded ERα in SKOV3 cells.
LRP16 does not significantly modulate the growth responsiveness of SKOV3 cells to E2
Previous reports from our laboratory demonstrated that overexpression of LRP16 promotes proliferation of estrogen sensitive MCF-7 breast cancer cells (Han et al. 2003). To investigate the effect of LRP16 on SKOV3 cell growth, we stably transfected pcDNA3.1–LRP16 or pcDNA3.1 empty vector into SKOV3 cells and performed cell proliferation assays. After 10 to 14-day G418 screening, the drug-resistant clones appeared and were mixed for amplified culture. All of the parental cells were killed by G418 within this period. The expression level of LRP16 was measured within 30 days after transfection by western blot analysis and the results showed that the ectopic transfection markedly increased the LRP16 expression (Fig. 5A). As shown in Fig. 5B, LRP16 overexpression did not significantly promote SKOV3 cell proliferation either in the absence or presence of E2 treatment. Next, we transiently transfected LRP16 specific siRNAs or control-siRNA into SKOV3 cells to evaluate the effect of LRP16 knock-down on cell proliferation. Compared with the control-siRNA, both LRP16-siRNA374 and LRP16-siRNA668 caused a specific reduction of LRP16 expression at protein level, but did not change the expression level of the GAPDH gene (Fig. 6A). Consistent with our previous report (Han et al. 2007), LRP16-siRNA374 was reproducibly better than LRP16-siRNA668 and was used more frequently in later experiments. Significant difference of cell growth between LRP16-siRNA and control-siRNA transfected cell groups was not observed at any time point during the culture period when the cells were cultured without E2 stimulation. Similarly, the growth rate of SKOV3 cells was not markedly altered by LRP16 knockdown when the cells were treated with E2 (Fig. 6B). By immunoblotting analysis, we observed that the endogenous LRP16 in SKOV3 cells still can be partially inhibited by LRP16-siRNA 374 at day 7 after transfection (Fig. 6C). These findings suggested that LRP16 does not significantly modulate the growth responsiveness of the estrogen-resistant ovarian cancer cells to estrogen.
LRP16 modulates ERα-mediated signaling transduction in SKOV3 cells
Although the growth of SKOV3 cells is insensitive to E2 stimulation, the normal estrogen regulation of an ERE-driven reporter gene activity and a few ERα target genes such as c-Myc and c-fos in E2-sensitive breast cancer cells can still be observed in SKOV3 cells (Hua et al. 1995). To determine whether LRP16 functions as an active ERα coactivator in SKOV3 cells as it does in estrogen-dependent ERα-positive epithelial cancer cells, we tested the effect of LRP16 expression on ERα-mediated transcription by using a 3×ERE-TATA-Luc reporter construct. SKOV3 cells were cultured in steroid-stripped medium for at least 3 days, and then were cotransfected with 3×ERE-TATA-Luc, ERα and LRP16-siRNA374, LRP16-siRNA668 or control-siRNA. As shown in Fig. 7A, E2 (10−8 M/l) stimulation elicited a twofold increase of ERα-mediated reporter gene activity in control-siRNA expressing cells, which was in agreement with the previous report (Hua et al. 1995). However, only a 1.5-fold increase of the reporter gene activity by E2 stimulation was observed in LRP16-siRNA668 transfected cells, and a 0.1-fold increase in LRP16-siRNA374 transfected cells. Next, we measured the E2 induction of c-Myc protein in LRP16-inhibited SKOV3 cells. As illustrated in Fig. 7B, E2 induced an increase of c-Myc protein expression in control-siRNA expressing SKOV3 cells, which is consistent with that in MCF-7 cells as reported previously (Han et al. 2007); however, this induction was blocked by LRP16 knockdown. These results suggested that LRP16 is required for E2-stimulated ERα signaling transduction and inhibition of LRP16 expression can efficiently suppress ERα-mediated transcription activity and target gene expression.
Discussion
The mechanisms underlying the estrogen-independent, antiestrogen-resistant ovarian cancer are poorly understood despite being a major problem in endocrine therapy. In estrogen-sensitive BG-1 and estrogen-insensitive SKOV3 ovarian carcinoma cells, we demonstrate the inverse regulation of LRP16 expression by E2. Consistent with our previous report (Han et al. 2007), E2 can induce LRP16 expression in estrogen-sensitive BG-1 cells, whereas LRP16 was repressed in SKOV3 cells. As a functioning ERα coactivator, decreased expression of LRP16 in SKOV3 cells is capable of attenuating estrogen-activated ERE-dependent reporter gene activity and gene expression such as c-Myc. Our observations suggest an estrogen-repressed signaling pathway in estrogen-resistant ovarian cancer cells, which in turn antagonizes the ‘classical’ ERα-activated signaling transduction. The antagonism between these two parallel estrogen signaling pathways underscores a novel mechanism of estrogen unresponsiveness of ovarian cancer.
Recently, it has been revealed that estrogen action is mediated by complex signaling pathways. Although it is believed that estrogen exerts most of its effects through direct activation of ER-regulated gene expression, this being the genomic or classical action of ERα (Cheskis et al. 2007, Heldring et al. 2007), several lines of evidence demonstrate the existence of an estrogen-repressed signaling pathway in various estrogen target cells and it is possibly linked to the pathogenesis of some diseases (Zubairy & Oesterreich 2005, Cheskis et al. 2007). For example, transcriptional activation of proliferative genes by estrogen is associated with breast cancer (Foster et al. 2001) and transcriptional repression of cytokine genes by estrogen underlines an important mechanism whereby estrogen prevents inflammatory diseases associated with menopause (Ammann et al. 1997, Pfeilschifter et al. 2002, Pai et al. 2004). Even in estrogen-sensitive MCF-7 breast cancer cells and PEO-1 ovarian cancer cells, the number of estrogen downregulated genes is nearly equal to that of estrogen up-regulated genes (Charpentier et al. 2000, O'Donnell et al. 2005). The observation of estrogen repression of LRP16 gene expression in SKOV3 cells suggests the existence of an estrogen-repressed signaling pathway in estrogen-resistant ovarian cancer cells. Moreover, the involvement of LRP16 in the classic estrogen-activated signaling suggests crosstalk between estrogen-repressed and estrogen-activated pathways in estrogen-insensitive ovarian cancer cells. The crosstalk between different ERα-mediated signaling pathways was also observed in other cases. For instance, results from the analysis of a non-classical ERα knock-in mice model suggested crosstalk between ERE-dependent and independent ERα signaling pathways and their alterations can result in a markedly aberrant response to estrogen (Syed et al. 2005, 2007).
Some genes, identified as being estrogen-regulated in estrogen-sensitive cells, have previously been shown to be estrogen targets in estrogen-insensitive cells. For example, estrogen can induce expression of the early growth response genes c-Myc and c-fos in both MCF-7 and SKOV3 cells (Hua et al. 1995, Prall et al. 1998). However, several genes are differentially regulated by estrogen in different cell contexts. For instance, Cyr61 is upregulated by estrogen in PEO-1 ovarian cancer cells (O'Donnell et al. 2005), but is downregulated in MCF-7 cells (Sampath et al. 2001). FN1 is downregulated in PEO-1 cells (O'Donnell et al. 2005) yet is upregulated in other cell types (Woodward et al. 2001, Mercier et al. 2002). In this study, the effects of estrogen on LRP16 expression observed in estrogen-sensitive cancer cells opposed the effect observed in estrogen-insensitive SKOV3 cells. The differential induction of LRP16 expression by liganded and unliganded ERα in SKOV3 cells revealed a completely different regulatory mechanism compared with that in estrogen-sensitive cancer cells. A proximal region of −676 to −24 bp of the human LRP16 promoter was previously identified to be essential for estrogen induction of LRP16 expression in MCF-7 cells (Han et al. 2008). Estrogen induces LRP16 gene transactivation by stimulating the interaction and recruitment of ERα and Sp1 transcription factor at a 1/2 ERE/GC-rich site and multiple GC-rich sites present in −676 to −24 bp of the upstream regulatory region of LRP16 gene (Zhao et al. 2005, Han et al. 2008). By promoter analysis, we demonstrate that the fragment from −676 to −214 bp of the LRP16 upstream regulatory region mainly confers estrogen-repressed effect of LRP16 expression (Fig. 3). The observation that ERα is able to bind to this region in the absence of estrogen stimulation by ChIP analysis revealed that LRP16 is a primary target of ERα. Similarly, estrogen-repressed cyclin G2, tumour necrosis factor α (TNFα) and E-cadherin genes are also ERα primary target genes (Oesterreich et al. 2003, Cvoro et al. 2006, Stossi et al. 2006). Similar to the binding of unliganded ERα to the promoter region of LRP16 gene, the unliganded ERα can bind to the AP1/NF-κB element of TNFα promoter region and enhance its transcription; however, it will be removed from TNFα promoter region as in the case of LRP16 gene after estrogen treatment (Cvoro et al. 2006). Unliganded ERα can enhance cyclin G2 transcription by binding to a 1/2 ERE/Sp1 site within its promoter, or enhance E-cadherin transcription by binding to the most proximal region of its promoter, which does not contain any classical ERE but three E-boxes. Similarly, ERα will be removed from the binding sites of cyclin G2 and E-cadherin genes upon estrogen stimulation (Oesterreich et al. 2003, Stossi et al. 2006). By computer-based analysis, three sites including a 1/2 ERE/GC-rich Sp1 site, a NF-κB response element and an E-box site within the fragment from −676 to −214 bp of LRP16 upstream regulatory region were found, which may be the possible estrogen response sites. The detailed molecular mechanism of estrogen repression of LRP16 expression in SKOV3 cells is under investigation in our laboratory.
Increasing evidence revealed the existence of a self-feedback regulation loop in steroid nuclear receptor-mediated signaling pathway (Zwijsen et al. 1997, Shi et al. 2001, Lauritsen et al. 2002, Hong et al. 2005). LRP16 is upregulated by estrogen in estrogen-sensitive epithelial cancer cells, and in turn, it enhances ERα-activated signaling transduction in a ligand-dependent manner by interacting with the receptor (Han et al. 2007). As a coactivator, we have previously demonstrated that LRP16 is required for ERα-mediated transactivation and involved in proliferation of estrogen-responsive breast cancer cells (Han et al. 2007). This feed-forward mechanism for ERα activation may reflect the self-maintaining nature of ERα signaling in estrogen-sensitive target cells and may be involved in the progression of estrogen-dependent cancers. So, disruption of ERα feed-forward activation pathway such as by blocking estrogen-induced LRP16 upregulation may predispose estrogen-sensitive cells to insensitive cells. This opinion was supported by our previous observation that knock-down of LRP16 in estrogen-dependent MCF-7 cells impaired estrogen-stimulated growth (Han et al. 2007). However, as we demonstrated in this study (Figs 5 and 6), the ectopic modulation of LRP16 expression in estrogen-insensitive SKOV3 cells did not significantly change cell proliferation rate and the growth response to E2 treatment. This observation suggested that the estrogen repression of LRP16 expression in SKOV3 cells may not sufficiently induce the resistance of cells to estrogen.
In general, these findings clearly verified that LRP16 is an estrogen-repressed target in estrogen-resistant SKOV3 human ovarian cancer cells. As we previously demonstrated, LRP16 can also exert its enhanced effect on the classical ERα-mediated transcription by functioning as an ERα coactivator in SKOV3 cells.
Declaration of interest
All authors declare that there is no conflict of interest.
Funding
This study was supported by the National Natural Science Foundation of China (grants 30670809, 30572096), partially supported by a grant from the Ministry of Science and Technology of China (2005CB522603).
Acknowledgements
We thank Prof. Donald P McDonnell from Duke University Medical Center for providing 3×ERE-TATA-Luc plasmid and thank Dr Hajime Nawata at Kyushu University of Japan for his kind donation of the ERα expression vector.
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(L Tian, Z Wu and Y Zhao contributed equally to this work)