Differential induction of LRP16 by liganded and unliganded estrogen receptor α in SKOV3 ovarian carcinoma cells

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Liyuan Tian Molecular Biology, Endocrinology, Departments of

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Zhiqiang Wu Molecular Biology, Endocrinology, Departments of

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Yali Zhao Molecular Biology, Endocrinology, Departments of

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Yuanguang Meng Molecular Biology, Endocrinology, Departments of

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Yiling Si Molecular Biology, Endocrinology, Departments of

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Xiaobing Fu Molecular Biology, Endocrinology, Departments of

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Yiming Mu Molecular Biology, Endocrinology, Departments of

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Weidong Han Molecular Biology, Endocrinology, Departments of

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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.

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, NM_014067) and 267 bp of GAPDH (543–809 bp, NM_002046).

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.

Figure 1
Figure 1

E2 regulation of LRP16 expression in BG-1 and SKOV3 cells. (A) BG-1 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with E2 at 10−8 M/l for the indicated time points. The total RNA was extracted and the expression level of LRP16 mRNA was determined by northern blot analysis. Total RNA was used as the loading control. (B) SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with various concentrations of E2 from 10−9 to 10−6 M/l for 24 h. LRP16 mRNA level was determined by northern blot analysis. Total RNA was used as the loading control. Western blots were probed for LRP16 and GAPDH. N, cells were cultured in medium containing FBS without steroid deprivation. (C and D) SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with E2 at 10−8 M/l for the indicated time points. Immunoblots were probed for LRP16, ERα and GAPDH. (E) SKOV3 cells were cultured in routine culture medium and were treated with ICI 182 780 for the indicated times (left panel). SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, treated with E2 and ICI 182 780, and then were cultured for the indicated time points (right panel). Immunoblots were probed for LRP16 and GAPDH. The experiments shown in A–E were repeated at least thrice.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

Figure 2
Figure 2

ERα regulation of LRP16 expression in SKOV3 cells. (A) SKOV3 cells were first cultured in steroid-stripped medium for at least 3 days, and then were transiently transfected with ERα expression vector or empty vector. Thirty-six hours after transfection, cells were treated with or without E2 (10−8 M/l) and cultured for an additional 12 h. Immunoblots were probed for ERα, LRP16 and GAPDH. (B) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days, and then were transfected with the ERα-specific siRNA or the control-siRNA oligonucleotides. Forty-eight hours after transfection, total protein was extracted and subjected to immunoblotting analysis using the indicated antibodies. The experiments shown in A and B were repeated at least thrice.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

Figure 3
Figure 3

Unliganded and liganded ERα regulation of LRP16 gene promoter activity in SKOV3 cells. (A) The graphic illustration of luciferase reporters driven by different LRP16 promoter fragments. (B) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days, and then were cotransfected with the indicated vectors. pRL-SV40 was also transfected to assess the transfection efficiency. Thirty hours after transfection, cells were treated with E2 (10−8M) or dimethyl sulfoxide (DMSO) for an additional 12 h and underwent luciferase assay. The relative luciferase activity levels were normalized in all cases by mock effector transfection and arbitrarily assigned a value of 1. All experiments were performed in triplicate and were repeated at least thrice; results are expressed as mean±s.e.m. Two-way ANOVA followed by the Student-Newman-Keuls test were performed for assessing significant differences between groups *P<0.05, **P<0.01, comparison between ERα transduction-induced activity with respective basal activity. #P<0.05, ##P<0.01, comparison between ERα transduction-induced activity with ERα transduction and E2 treatment-induced activity.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

Figure 4
Figure 4

E2 inhibition of ERα recruitment to LRP16 gene promoter in SKOV3 cells. (A) SKOV3 cells were transiently cotransfected with ERα and pGL3-S5. Forty hours after transfection, the cells were treated with E2 (10−8 M/l) or DMSO for 3 h and were subjected to immunoprecipitation and PCR as described in ‘Materials and Methods’. (B) SKOV3 cells were treated with E2 (10−8 M/l) or DMSO for 3 h and were subjected to immunoprecipitation and PCR as described in A. The experiments shown in A and B were repeated thrice.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

Figure 5
Figure 5

Effect of overexpression of LRP16 in SKOV3 cells on cell proliferation. (A) SKOV3 cells were stably transfected with LRP16 or pcDNA3.1 empty vector. Immunoblots were probed for LRP16 and DAPDH within 30 days after transfection. (B) SKOV3 cells expressing ectopic LRP16 or empty vector were cultured in steroid-deprived medium for at least 3 days and treated with E2 (10−7 or 10−8 M/l) or DMSO. The cell number was determined by Trypan Blue exclusion method. Each data point represents the mean±s.e.m. number of cells counted in triplicate dishes from at least three independent experiments. Student's t-test was performed between values. No significant difference was observed at each data point between the indicated two cell groups (P>0.05).

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

Figure 6
Figure 6

Effect of LRP16 knock-down in SKOV3 cells on cell proliferation. (A) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days and transfected with LRP16-siRNA 374, LRP16-siRNA668 or control-siRNA. Forty-eight hours after transfection, total protein was extracted and subjected to immunoblotting analysis using the indicated antibodies. (B) SKOV3 cells were cultured in medium supplemented with steroid-stripped FBS (5%, v/v) for 3 days and then transiently transfected with LRP16-siRNA374 or control-siRNA. Forty-eight hours after transfection, cells were treated with E2 at different concentrations for the indicated times. Cell proliferation rate was quantified by CellTiter 96 AQueous assay. Each data point represents the mean±s.e.m. of at least three independent experiments. Student's t-test was performed between values. No significance difference was observed at each data point between the indicated two cell groups (P>0.05). (C) SKOV3 cells transfected with the indicated siRNAs were cultured in steroid-deprived medium for 7 days. Immunoblots were probed for LRP16 and GAPDH.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

Figure 7
Figure 7

Effect of LRP16 knock-down on ERα-activated ERE-dependent transactivation and E2-induced c-Myc expression in SKOV3 cells. (A) SKOV3 cells were grown in media stripped of steroids for at least 3 days, then cotransfected with 3×ERE-TATA-Luc reporter and the effector molecule ERα and LRP16-siRNAs or control-siRNA oligonucleotides. The relatively normalized luciferase activity level for control-siRNA transfections were arbitrarily assigned a value of 1. All experiments were performed in triplicate and were repeated at least three times; results are expressed as mean±s.e.m. Two-way ANOVA followed by the Student-Newman-Keuls test were used to assess significant differences between groups. *P<0.05, comparison between E2-induced activity with respective basal activity. #P<0.05, comparison between E2-induced activity with only ERα-transducted activity. (B) SKOV3 cells were cultured in steroid-stripped medium for at least 3 days, then transiently transfected with the indicated siRNA oligonucleotides. Forty-eight hours after transfection, cells were treated with E2 or DMSO for an additional 3 h. Immunoblots were probed for c-Myc and GAPDH.

Citation: Journal of Endocrinology 202, 1; 10.1677/JOE-09-0054

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.

References

  • Aguiar RCT, Takeyama K, He C, Kreinbrink K & Shipp MA 2005 B-aggressive lymphoma family protein have unique domains that modulate transcription and exhibit poly(ADP-ribose) polymerase activity. Journal of Biological Chemistry 280 3375633765.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ammann P, Rizzoli R, Bonjour JP, Bourrin S, Meyer JM, Vassalli P & Garcia I 1997 Transgenicmice expressing soluble tumor necrosis factor-receptor are protected against bone loss caused by estrogen deficiency. Journal of Clinical Investigation 99 16991703.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Auersperg N, Wong AS, Choi KC, Kang SK & Leung PC 2001 Ovarian surface epithelium: biology, endocrinology, and pathology. Endocrine Reviews 22 255288.

  • Bai W, Oliveros-Saunders B, Wang Q, Acevedo-Duncan ME & Nicosia SV 2000 Estrogen stimulation of ovarian surface epithelial cell proliferation. In Vitro Cellular & Developmental Biology. Animal 36 657666.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Boente MP, Hurteau J, Rodriguez GC, Bast RC Jr & Berchuck A 1993 The biology of ovarian cancer. Current Opinion in Oncology 5 900907.

  • Charpentier AH, Bednarek AK, Daniel RL, Hawkins KA, Laflin KJ, Gaddis S, MacLeod MC & Aldaz CM 2000 Effects of estrogen on global gene expression: identification of novel targets of estrogen action. Cancer Research 60 59775983.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheng JW, Yu DV, Zhou JH & Shapiro DJ 2007 Tamoxifen induction of CCAAT enhancer-binding protein α is required for tamoxifen-induced apoptosis. Journal of Biological Chemistry 282 3053530543.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheskis BJ, Greger JG, Nagpal S & Freedman LP 2007 Signaling by estrogens. Journal of Cellular Physiology 213 610617.

  • Cvoro A, Tzagarakis-Foster C, Tatomer D, Paruthiyil S, Fox MS & Leitman DC 2006 Distinct roles of unliganded and liganded estrogen receptors in transcriptional repression. Molecular Cell 21 555564.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • DeNardo DG, Kim HT, Hilsenbeck S, Cuba V, Tsimelzon A & Brown PH 2005 Global gene expression analysis of estrogen receptor transcription factor cross talk in breast cancer: identification of estrogen-induced/activator protein-1-dependent genes. Molecular Endocrinology 19 362378.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Eliassen AH & Hankinson SE 2008 Endogenous hormone levels and risk of breast, endometrial and ovarian cancers: prospective studies. Advances in Experimental Medicine and Biology 630 148165.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Foster JS, Henley DC, Ahamed S & Wimalasena J 2001 Estrogens and cell-cycle regulation in breast cancer. Trends in Endocrinology and Metabolism 12 320327.

  • Geisinger KR, Kute TE, Pettenati MJ, Welander CE, Dennard Y, Collins LA & Berens ME 1989 Characterization of a human ovarian carcinoma cell line with estrogen and progesterone receptors. Cancer 63 280288.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gompel A & Plu-Bureau G 2007 Ovarian cancer and hormone replacement therapy. Lancet 370 932933.

  • Greenlee RT, Murray T, Bolden S & Wingo PA 2000 Cancer statistics. CA: A Cancer Journal for Clinicians 5 733.

  • Han WD, Lou FD, Yu L, Han XP, Wang QS, Li N & Zhou CX 2002 Bioinformatic analysis and subcellular distribution of LRP16 protein. Academic Journal of PLA Postgraduate Medical School 23 277279.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Mu YM, Lu XC, Xu ZM, Li XJ, Yu L, Song HJ, Li M, Lu JM & Zhao YL et al. 2003 Up-regulation of LRP16 mRNA by 17β-estradiol through activation of estrogen receptor α (ERα), but not estrogen receptor β (ERβ), and promotes human breast cancer MCF-7 cell proliferation: a preliminary report. Endocrine-Related Cancer 10 217224.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Zhao YL, Meng YG, Zang L, Wu ZQ, Li Q, Si YL, Huang K, Ba JM & Morinaga H et al. 2007 Estrogenically regulated ERα target gene LRP16 interacts with ERα and enhances the receptor's transcriptional activity. Endocrine-Related Cancer 14 741753.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Si YL, Zhao YL, Li Q, Wu ZQ, Hao HJ & Song HJ 2008 GC-rich promoter elements maximally confer estrogen-induced transactivation of LRP16 gene through ERα/Sp1 interaction in MCF-7 cells. Journal of Steroid Biochemistry and Molecular Biology 109 4756.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Havrilesky LJ, McMahon CP, Lobenhofer EK, Whitaker R, Marks JR & Berchuck A 2001 Relationship between expression of coactivators and corepressors of hormone receptors and resistance of ovarian cancers to growth regulation by steroid hormones. Journal of the Society for Gynecologic Investigation 8 104113.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Heldring N, Pike A, Andersson S, Matthews J, Cheng G, Hartman J, Tujahue M, Ström A, Treuter E & Warner M et al. 2007 Estrogen receptors: how do they signal and what are their targets. Physiological Reviews 87 905931.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hong CY, Suh JH, Kim K, Gong EY, Jeon SH, Ko M, Seong RH, Kwon HB & Lee K 2005 Modulation of androgen receptor transactivation by the SWI3-related gene product (SRG3) in multiple ways. Molecular and Cellular Biology 12 48414152.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hua W, Christianson T, Rougeot C, Rochefort H & Clinton GM 1995 SKOV3 ovarian carcinoma cells have functional estrogen receptor but are growth-resistant to estrogen and antiestrogens. Journal of Steroid Biochemistry and Molecular Biology 55 279289.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Hawkes MM, Lawrie SS, Hawkins RA, Resdale AL, Crew AJ, Miller WR & Smyth JF 1990 Oestrogen receptor expression and the effects of oestrogen and tamoxifen on the growth of human ovarian carcinoma cell lines. British Journal of Cancer 62 213216.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Crew AJ, Ritchie AA, Muir M, Wakeling A, Smyth JF & Miller WR 1994a Growth inhibition of oestrogen receptor-positive human ovarian carcinoma by antiestrogens in vitro and in a xenograft model. European Journal of Cancer 30A 682686.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Hirst GL, Miller EP, Hawkins RA, Tesdale AL, Smyth JF & Miller WR 1994b The regulation of growth and protein expression by estrogen in vitro: a study of 8 human ovarian carcinoma cell lines. Journal of Steroid Biochemistry and Molecular Biology 50 131135.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lauritsen KJ, List HJ, Reiter R, Wellstein A & Riegel AT 2002 A role for TGF-beta in estrogen and retinoid mediated regulation of the nuclear receptor coactivator AIB1 in MCF-7 breast cancer cells. Oncogene 21 71477155.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liao DX, Han WD, Zhao YL, Pu YD, Mu YM, Luo CH & Li XH 2006 The expression and clinical significance of LRP16 gene in human breast cancer. Ai Zheng 25 866870.

  • McDonnell DP & Norris JD 2002 Connections and regulation of the human estrogen receptor. Science 296 16421644.

  • Meng YG, Han WD, Zhao YL, Huang K, Si YL, Wu ZQ & Mu YM 2007 Induction of LRP16 gene by estrogen promotes the invasive growth of Ishikawa human endometrial cancer cells through down-regulation of E-cadherin. Cell Research 17 869880.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mercier I, Colombo F, Mader S & Calderone A 2002 Ovarian hormones induce TGF-beta(3) and fibronectin mRNAs but exhibit a disparate action on cardiac fibroblast proliferation. Cardiovascular Research 53 728739.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Norris JD, Fan D, Stallcup MR & McDonnell DP 1998 Enhancement of estrogen receptor transcriptional activity by the coactivator GRIP-1 highlights the role of activation function 2 in determining estrogen receptor pharmacology. Journal of Biological Chemistry 273 66796688.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • O'Donnell AJM, Macleod KG, Burns DJ, Smyth JF & Langdon SP 2005 Estrogen receptor-α mediates gene changes and growth response in ovarian cancer cells exposed to estrogen. Endocrine-Related Cancer 12 851866.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Oesterreich S, Deng W, Jiang S, Cui X, Ivanova M, Schiff R, Kang K, Hadsell DL, Behrens J & Lee AV 2003 Estrogen-mediated downregulation of E-cadherin in breast cancer cells. Cancer Research 63 52035208.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pai JK, Pischon T, Ma J, Manson JE, Hankinson SE, Joshipura K, Curhan GC, Rifai N, Cannuscio CC & Stampfer MJ et al. 2004 Inflammatory markers and the risk of coronary heart disease in men and women. New England Journal of Medicine 351 25992610.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pfeilschifter J, Koditz R, Pfohl M & Schatz H 2002 Changes in proinflammatory cytokine activity after menopause. Endocrine Reviews 23 90119.

  • Prall OW, Rogan EM, Musgrove EA, Watts CK & Sutherland RL 1998 c-Myc or Cyclin D1 mimics estrogen effects on Cyclin E-Cdk2 activation and cell cycle reentry. Molecular and Cellular Biology 18 44994508.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Riman T, Dickman PW, Nilsson S, Correia N, Nordlinder H, Magnusson CM, Weiderpass E & Persson IR 2002 Hormone replacement therapy and the risk of invasive epithelial ovarian cancer in Swedish women. Journal of the National Cancer Institute 94 497504.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Rodrigez C, Patel AV, Calle EE, Jacob EJ & Thun MJ 2001 Estrogen replacement therapy and ovarian cancer mortality in a large prospective study of US women. Journal of the American Medical Association 285 14601465.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Safe S 2001 Transcriptional activation of genes by 17β-estrodial through estrogen receptor–Sp1 interactions. Vitamins and Hormones 62 231252.

  • Sampath D, Winneker RC & Zhang Z 2001 Cyr61, a member of the CCN family, is required for MCF-7 cell proliferation: regulation by 17beta-estradiol and overexpression in human breast cancer. Endocrinology 142 25402548.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Shang YF 2006 Molecular mechanisms of oestrogen and SERMs in endometrial carcinogenesis. Nature Reviews. Cancer 6 360368.

  • Shang Y & Brown M 2002 Molecular determinants for the tissue specifity of SERMs. Science 295 24652468.

  • Shi Y, Downes M, Xie W, Kao HY, Ordentlich P, Tsai CC, Hon M & Evans RM 2001 Sharp, an inducible cofactor that integrates nuclear receptor repression and activation. Genes and Development 15 11401151.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Slotman BJ & Rao BR 1988 Ovarian cancer: etiology, diagnosis, prognosis, surgery, radiotherapy, chemotherapy and endocrine therapy. Anticancer Research 8 417434.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Smyth JF, Gourley C, Walker G, MacKean MJ, Stevenson A, William AR, Nafussi AA, Rye T, Rye R & Stewart M et al. 2007 Antiestrogen therapy is active in selected ovarian cancer cases: the use of letrozole in estrogen receptor-positive patients. Clinical Cancer Research 13 36173622.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Stossi F, Likhite VS, Katzenellenbogen JA & Katzenellenbogen BS 2006 Estrogen-occupied estrogen receptor represses cyclin G2 gene expression and recruits a repressor complex at the cyclin G2 promoter. Journal of Biological Chemistry 281 1627216278.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Syed FA, Modder UIL, Fraser DG, Spelsberg TC, Rosen CJ, Krust A, Chambon P, Jameson JL & Khosla S 2005 Skeletal effects of estrogen are mediated by opposing actions of classical and non-classical estrogen receptor pathways. Journal of Bone and Mineral Research 20 19922001.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Syed FA, Fraser DG, Spelsberg TC, Rosen CJ, Krust A, Chambon P, Jameson JL & Khosla S 2007 Effects of loss of classical estrogen response element signaling on bone in male mice. Endocrinology 148 19021910.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wagner U, du Bios A, Pfisterer J, Huober J, Loibl S, Lück HJ, Sehouli J, Gropp M, Stähle A & Schmalfeldt B et al. 2007 Gefitinib in combination with tamoxifen in patients with ovarian cancer refractory or resistant to platinum-taxane based therapy – a phase II trial of the AGO Ovarian Cancer Study Group (AGO-OVAR 2.6). Gynecologic Oncology 105 132137.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Woodward TL, Mienaltowski AS, Modi RR, Bennett JM & Haslam SZ 2001 Fibronectin and the alpha(5)beta(1) integrin are under developmental and ovarian steroid regulation in the normal mouse mammary gland. Endocrinology 142 32143222.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yager JD & Davidson NE 2006 Estrogen carcinogenesis in breast cancer. New England Journal of Medicine 354 270282.

  • Yang J, Zhao YL, Wu ZQ, Si YL, Meng YG, Fu XB, Mu YM & Han WD 2009 The single-macro domain protein LRP16 is an essential cofactor of androgen receptor. Endocrine-Related Cancer 16 139153.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao YL, Han WD, Li Q, Mu YM, Lu XC, Yu L, Song HJ, Li X, Lu JM & Pan CY 2005 Mechanisms of transcripitional regulation of LRP16 gene expression by 17β-estradiol in MCF-7 human breast cancer cells. Journal of Molecular Endocrinology 34 7789.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhou B, Sun Q, Cong R, Gu H, Tang N, Yang L & Wang B 2008 Hormone replacement therapy and ovarian cancer risk: a meta-analysis. Gynecologic Oncology 108 641651.

  • Zubairy S & Oesterreich S 2005 Estrogen-repressed genes-key mediators of estrogen action? Breast Cancer Research 7 163164.

  • Zwijsen RM, Wientjens E, Klompmaker R, van der Sman J, Bernards R & Michalides RJ 1997 CDK-independent activation of estrogen receptor by cyclin D1. Cell 88 405415.

*

(L Tian, Z Wu and Y Zhao contributed equally to this work)

 

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  • E2 regulation of LRP16 expression in BG-1 and SKOV3 cells. (A) BG-1 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with E2 at 10−8 M/l for the indicated time points. The total RNA was extracted and the expression level of LRP16 mRNA was determined by northern blot analysis. Total RNA was used as the loading control. (B) SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with various concentrations of E2 from 10−9 to 10−6 M/l for 24 h. LRP16 mRNA level was determined by northern blot analysis. Total RNA was used as the loading control. Western blots were probed for LRP16 and GAPDH. N, cells were cultured in medium containing FBS without steroid deprivation. (C and D) SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, and then were treated with E2 at 10−8 M/l for the indicated time points. Immunoblots were probed for LRP16, ERα and GAPDH. (E) SKOV3 cells were cultured in routine culture medium and were treated with ICI 182 780 for the indicated times (left panel). SKOV3 cells were cultured in medium containing steroid-stripped FBS for at least 3 days, treated with E2 and ICI 182 780, and then were cultured for the indicated time points (right panel). Immunoblots were probed for LRP16 and GAPDH. The experiments shown in A–E were repeated at least thrice.

  • ERα regulation of LRP16 expression in SKOV3 cells. (A) SKOV3 cells were first cultured in steroid-stripped medium for at least 3 days, and then were transiently transfected with ERα expression vector or empty vector. Thirty-six hours after transfection, cells were treated with or without E2 (10−8 M/l) and cultured for an additional 12 h. Immunoblots were probed for ERα, LRP16 and GAPDH. (B) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days, and then were transfected with the ERα-specific siRNA or the control-siRNA oligonucleotides. Forty-eight hours after transfection, total protein was extracted and subjected to immunoblotting analysis using the indicated antibodies. The experiments shown in A and B were repeated at least thrice.

  • Unliganded and liganded ERα regulation of LRP16 gene promoter activity in SKOV3 cells. (A) The graphic illustration of luciferase reporters driven by different LRP16 promoter fragments. (B) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days, and then were cotransfected with the indicated vectors. pRL-SV40 was also transfected to assess the transfection efficiency. Thirty hours after transfection, cells were treated with E2 (10−8M) or dimethyl sulfoxide (DMSO) for an additional 12 h and underwent luciferase assay. The relative luciferase activity levels were normalized in all cases by mock effector transfection and arbitrarily assigned a value of 1. All experiments were performed in triplicate and were repeated at least thrice; results are expressed as mean±s.e.m. Two-way ANOVA followed by the Student-Newman-Keuls test were performed for assessing significant differences between groups *P<0.05, **P<0.01, comparison between ERα transduction-induced activity with respective basal activity. #P<0.05, ##P<0.01, comparison between ERα transduction-induced activity with ERα transduction and E2 treatment-induced activity.

  • E2 inhibition of ERα recruitment to LRP16 gene promoter in SKOV3 cells. (A) SKOV3 cells were transiently cotransfected with ERα and pGL3-S5. Forty hours after transfection, the cells were treated with E2 (10−8 M/l) or DMSO for 3 h and were subjected to immunoprecipitation and PCR as described in ‘Materials and Methods’. (B) SKOV3 cells were treated with E2 (10−8 M/l) or DMSO for 3 h and were subjected to immunoprecipitation and PCR as described in A. The experiments shown in A and B were repeated thrice.

  • Effect of overexpression of LRP16 in SKOV3 cells on cell proliferation. (A) SKOV3 cells were stably transfected with LRP16 or pcDNA3.1 empty vector. Immunoblots were probed for LRP16 and DAPDH within 30 days after transfection. (B) SKOV3 cells expressing ectopic LRP16 or empty vector were cultured in steroid-deprived medium for at least 3 days and treated with E2 (10−7 or 10−8 M/l) or DMSO. The cell number was determined by Trypan Blue exclusion method. Each data point represents the mean±s.e.m. number of cells counted in triplicate dishes from at least three independent experiments. Student's t-test was performed between values. No significant difference was observed at each data point between the indicated two cell groups (P>0.05).

  • Effect of LRP16 knock-down in SKOV3 cells on cell proliferation. (A) SKOV3 cells were cultured in steroid-deprived medium for at least 3 days and transfected with LRP16-siRNA 374, LRP16-siRNA668 or control-siRNA. Forty-eight hours after transfection, total protein was extracted and subjected to immunoblotting analysis using the indicated antibodies. (B) SKOV3 cells were cultured in medium supplemented with steroid-stripped FBS (5%, v/v) for 3 days and then transiently transfected with LRP16-siRNA374 or control-siRNA. Forty-eight hours after transfection, cells were treated with E2 at different concentrations for the indicated times. Cell proliferation rate was quantified by CellTiter 96 AQueous assay. Each data point represents the mean±s.e.m. of at least three independent experiments. Student's t-test was performed between values. No significance difference was observed at each data point between the indicated two cell groups (P>0.05). (C) SKOV3 cells transfected with the indicated siRNAs were cultured in steroid-deprived medium for 7 days. Immunoblots were probed for LRP16 and GAPDH.

  • Effect of LRP16 knock-down on ERα-activated ERE-dependent transactivation and E2-induced c-Myc expression in SKOV3 cells. (A) SKOV3 cells were grown in media stripped of steroids for at least 3 days, then cotransfected with 3×ERE-TATA-Luc reporter and the effector molecule ERα and LRP16-siRNAs or control-siRNA oligonucleotides. The relatively normalized luciferase activity level for control-siRNA transfections were arbitrarily assigned a value of 1. All experiments were performed in triplicate and were repeated at least three times; results are expressed as mean±s.e.m. Two-way ANOVA followed by the Student-Newman-Keuls test were used to assess significant differences between groups. *P<0.05, comparison between E2-induced activity with respective basal activity. #P<0.05, comparison between E2-induced activity with only ERα-transducted activity. (B) SKOV3 cells were cultured in steroid-stripped medium for at least 3 days, then transiently transfected with the indicated siRNA oligonucleotides. Forty-eight hours after transfection, cells were treated with E2 or DMSO for an additional 3 h. Immunoblots were probed for c-Myc and GAPDH.

  • Aguiar RCT, Takeyama K, He C, Kreinbrink K & Shipp MA 2005 B-aggressive lymphoma family protein have unique domains that modulate transcription and exhibit poly(ADP-ribose) polymerase activity. Journal of Biological Chemistry 280 3375633765.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ammann P, Rizzoli R, Bonjour JP, Bourrin S, Meyer JM, Vassalli P & Garcia I 1997 Transgenicmice expressing soluble tumor necrosis factor-receptor are protected against bone loss caused by estrogen deficiency. Journal of Clinical Investigation 99 16991703.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Auersperg N, Wong AS, Choi KC, Kang SK & Leung PC 2001 Ovarian surface epithelium: biology, endocrinology, and pathology. Endocrine Reviews 22 255288.

  • Bai W, Oliveros-Saunders B, Wang Q, Acevedo-Duncan ME & Nicosia SV 2000 Estrogen stimulation of ovarian surface epithelial cell proliferation. In Vitro Cellular & Developmental Biology. Animal 36 657666.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Boente MP, Hurteau J, Rodriguez GC, Bast RC Jr & Berchuck A 1993 The biology of ovarian cancer. Current Opinion in Oncology 5 900907.

  • Charpentier AH, Bednarek AK, Daniel RL, Hawkins KA, Laflin KJ, Gaddis S, MacLeod MC & Aldaz CM 2000 Effects of estrogen on global gene expression: identification of novel targets of estrogen action. Cancer Research 60 59775983.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheng JW, Yu DV, Zhou JH & Shapiro DJ 2007 Tamoxifen induction of CCAAT enhancer-binding protein α is required for tamoxifen-induced apoptosis. Journal of Biological Chemistry 282 3053530543.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheskis BJ, Greger JG, Nagpal S & Freedman LP 2007 Signaling by estrogens. Journal of Cellular Physiology 213 610617.

  • Cvoro A, Tzagarakis-Foster C, Tatomer D, Paruthiyil S, Fox MS & Leitman DC 2006 Distinct roles of unliganded and liganded estrogen receptors in transcriptional repression. Molecular Cell 21 555564.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • DeNardo DG, Kim HT, Hilsenbeck S, Cuba V, Tsimelzon A & Brown PH 2005 Global gene expression analysis of estrogen receptor transcription factor cross talk in breast cancer: identification of estrogen-induced/activator protein-1-dependent genes. Molecular Endocrinology 19 362378.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Eliassen AH & Hankinson SE 2008 Endogenous hormone levels and risk of breast, endometrial and ovarian cancers: prospective studies. Advances in Experimental Medicine and Biology 630 148165.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Foster JS, Henley DC, Ahamed S & Wimalasena J 2001 Estrogens and cell-cycle regulation in breast cancer. Trends in Endocrinology and Metabolism 12 320327.

  • Geisinger KR, Kute TE, Pettenati MJ, Welander CE, Dennard Y, Collins LA & Berens ME 1989 Characterization of a human ovarian carcinoma cell line with estrogen and progesterone receptors. Cancer 63 280288.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gompel A & Plu-Bureau G 2007 Ovarian cancer and hormone replacement therapy. Lancet 370 932933.

  • Greenlee RT, Murray T, Bolden S & Wingo PA 2000 Cancer statistics. CA: A Cancer Journal for Clinicians 5 733.

  • Han WD, Lou FD, Yu L, Han XP, Wang QS, Li N & Zhou CX 2002 Bioinformatic analysis and subcellular distribution of LRP16 protein. Academic Journal of PLA Postgraduate Medical School 23 277279.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Mu YM, Lu XC, Xu ZM, Li XJ, Yu L, Song HJ, Li M, Lu JM & Zhao YL et al. 2003 Up-regulation of LRP16 mRNA by 17β-estradiol through activation of estrogen receptor α (ERα), but not estrogen receptor β (ERβ), and promotes human breast cancer MCF-7 cell proliferation: a preliminary report. Endocrine-Related Cancer 10 217224.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Zhao YL, Meng YG, Zang L, Wu ZQ, Li Q, Si YL, Huang K, Ba JM & Morinaga H et al. 2007 Estrogenically regulated ERα target gene LRP16 interacts with ERα and enhances the receptor's transcriptional activity. Endocrine-Related Cancer 14 741753.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Han WD, Si YL, Zhao YL, Li Q, Wu ZQ, Hao HJ & Song HJ 2008 GC-rich promoter elements maximally confer estrogen-induced transactivation of LRP16 gene through ERα/Sp1 interaction in MCF-7 cells. Journal of Steroid Biochemistry and Molecular Biology 109 4756.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Havrilesky LJ, McMahon CP, Lobenhofer EK, Whitaker R, Marks JR & Berchuck A 2001 Relationship between expression of coactivators and corepressors of hormone receptors and resistance of ovarian cancers to growth regulation by steroid hormones. Journal of the Society for Gynecologic Investigation 8 104113.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Heldring N, Pike A, Andersson S, Matthews J, Cheng G, Hartman J, Tujahue M, Ström A, Treuter E & Warner M et al. 2007 Estrogen receptors: how do they signal and what are their targets. Physiological Reviews 87 905931.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hong CY, Suh JH, Kim K, Gong EY, Jeon SH, Ko M, Seong RH, Kwon HB & Lee K 2005 Modulation of androgen receptor transactivation by the SWI3-related gene product (SRG3) in multiple ways. Molecular and Cellular Biology 12 48414152.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hua W, Christianson T, Rougeot C, Rochefort H & Clinton GM 1995 SKOV3 ovarian carcinoma cells have functional estrogen receptor but are growth-resistant to estrogen and antiestrogens. Journal of Steroid Biochemistry and Molecular Biology 55 279289.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Hawkes MM, Lawrie SS, Hawkins RA, Resdale AL, Crew AJ, Miller WR & Smyth JF 1990 Oestrogen receptor expression and the effects of oestrogen and tamoxifen on the growth of human ovarian carcinoma cell lines. British Journal of Cancer 62 213216.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Crew AJ, Ritchie AA, Muir M, Wakeling A, Smyth JF & Miller WR 1994a Growth inhibition of oestrogen receptor-positive human ovarian carcinoma by antiestrogens in vitro and in a xenograft model. European Journal of Cancer 30A 682686.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Langdon SP, Hirst GL, Miller EP, Hawkins RA, Tesdale AL, Smyth JF & Miller WR 1994b The regulation of growth and protein expression by estrogen in vitro: a study of 8 human ovarian carcinoma cell lines. Journal of Steroid Biochemistry and Molecular Biology 50 131135.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lauritsen KJ, List HJ, Reiter R, Wellstein A & Riegel AT 2002 A role for TGF-beta in estrogen and retinoid mediated regulation of the nuclear receptor coactivator AIB1 in MCF-7 breast cancer cells. Oncogene 21 71477155.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liao DX, Han WD, Zhao YL, Pu YD, Mu YM, Luo CH & Li XH 2006 The expression and clinical significance of LRP16 gene in human breast cancer. Ai Zheng 25 866870.

  • McDonnell DP & Norris JD 2002 Connections and regulation of the human estrogen receptor. Science 296 16421644.

  • Meng YG, Han WD, Zhao YL, Huang K, Si YL, Wu ZQ & Mu YM 2007 Induction of LRP16 gene by estrogen promotes the invasive growth of Ishikawa human endometrial cancer cells through down-regulation of E-cadherin. Cell Research 17 869880.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mercier I, Colombo F, Mader S & Calderone A 2002 Ovarian hormones induce TGF-beta(3) and fibronectin mRNAs but exhibit a disparate action on cardiac fibroblast proliferation. Cardiovascular Research 53 728739.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Norris JD, Fan D, Stallcup MR & McDonnell DP 1998 Enhancement of estrogen receptor transcriptional activity by the coactivator GRIP-1 highlights the role of activation function 2 in determining estrogen receptor pharmacology. Journal of Biological Chemistry 273 66796688.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • O'Donnell AJM, Macleod KG, Burns DJ, Smyth JF & Langdon SP 2005 Estrogen receptor-α mediates gene changes and growth response in ovarian cancer cells exposed to estrogen. Endocrine-Related Cancer 12 851866.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Oesterreich S, Deng W, Jiang S, Cui X, Ivanova M, Schiff R, Kang K, Hadsell DL, Behrens J & Lee AV 2003 Estrogen-mediated downregulation of E-cadherin in breast cancer cells. Cancer Research 63 52035208.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pai JK, Pischon T, Ma J, Manson JE, Hankinson SE, Joshipura K, Curhan GC, Rifai N, Cannuscio CC & Stampfer MJ et al. 2004 Inflammatory markers and the risk of coronary heart disease in men and women. New England Journal of Medicine 351 25992610.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pfeilschifter J, Koditz R, Pfohl M & Schatz H 2002 Changes in proinflammatory cytokine activity after menopause. Endocrine Reviews 23 90119.

  • Prall OW, Rogan EM, Musgrove EA, Watts CK & Sutherland RL 1998 c-Myc or Cyclin D1 mimics estrogen effects on Cyclin E-Cdk2 activation and cell cycle reentry. Molecular and Cellular Biology 18 44994508.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Riman T, Dickman PW, Nilsson S, Correia N, Nordlinder H, Magnusson CM, Weiderpass E & Persson IR 2002 Hormone replacement therapy and the risk of invasive epithelial ovarian cancer in Swedish women. Journal of the National Cancer Institute 94 497504.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Rodrigez C, Patel AV, Calle EE, Jacob EJ & Thun MJ 2001 Estrogen replacement therapy and ovarian cancer mortality in a large prospective study of US women. Journal of the American Medical Association 285 14601465.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Safe S 2001 Transcriptional activation of genes by 17β-estrodial through estrogen receptor–Sp1 interactions. Vitamins and Hormones 62 231252.

  • Sampath D, Winneker RC & Zhang Z 2001 Cyr61, a member of the CCN family, is required for MCF-7 cell proliferation: regulation by 17beta-estradiol and overexpression in human breast cancer. Endocrinology 142 25402548.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Shang YF 2006 Molecular mechanisms of oestrogen and SERMs in endometrial carcinogenesis. Nature Reviews. Cancer 6 360368.

  • Shang Y & Brown M 2002 Molecular determinants for the tissue specifity of SERMs. Science 295 24652468.

  • Shi Y, Downes M, Xie W, Kao HY, Ordentlich P, Tsai CC, Hon M & Evans RM 2001 Sharp, an inducible cofactor that integrates nuclear receptor repression and activation. Genes and Development 15 11401151.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Slotman BJ & Rao BR 1988 Ovarian cancer: etiology, diagnosis, prognosis, surgery, radiotherapy, chemotherapy and endocrine therapy. Anticancer Research 8 417434.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Smyth JF, Gourley C, Walker G, MacKean MJ, Stevenson A, William AR, Nafussi AA, Rye T, Rye R & Stewart M et al. 2007 Antiestrogen therapy is active in selected ovarian cancer cases: the use of letrozole in estrogen receptor-positive patients. Clinical Cancer Research 13 36173622.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Stossi F, Likhite VS, Katzenellenbogen JA & Katzenellenbogen BS 2006 Estrogen-occupied estrogen receptor represses cyclin G2 gene expression and recruits a repressor complex at the cyclin G2 promoter. Journal of Biological Chemistry 281 1627216278.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Syed FA, Modder UIL, Fraser DG, Spelsberg TC, Rosen CJ, Krust A, Chambon P, Jameson JL & Khosla S 2005 Skeletal effects of estrogen are mediated by opposing actions of classical and non-classical estrogen receptor pathways. Journal of Bone and Mineral Research 20 19922001.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Syed FA, Fraser DG, Spelsberg TC, Rosen CJ, Krust A, Chambon P, Jameson JL & Khosla S 2007 Effects of loss of classical estrogen response element signaling on bone in male mice. Endocrinology 148 19021910.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wagner U, du Bios A, Pfisterer J, Huober J, Loibl S, Lück HJ, Sehouli J, Gropp M, Stähle A & Schmalfeldt B et al. 2007 Gefitinib in combination with tamoxifen in patients with ovarian cancer refractory or resistant to platinum-taxane based therapy – a phase II trial of the AGO Ovarian Cancer Study Group (AGO-OVAR 2.6). Gynecologic Oncology 105 132137.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Woodward TL, Mienaltowski AS, Modi RR, Bennett JM & Haslam SZ 2001 Fibronectin and the alpha(5)beta(1) integrin are under developmental and ovarian steroid regulation in the normal mouse mammary gland. Endocrinology 142 32143222.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yager JD & Davidson NE 2006 Estrogen carcinogenesis in breast cancer. New England Journal of Medicine 354 270282.

  • Yang J, Zhao YL, Wu ZQ, Si YL, Meng YG, Fu XB, Mu YM & Han WD 2009 The single-macro domain protein LRP16 is an essential cofactor of androgen receptor. Endocrine-Related Cancer 16 139153.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao YL, Han WD, Li Q, Mu YM, Lu XC, Yu L, Song HJ, Li X, Lu JM & Pan CY 2005 Mechanisms of transcripitional regulation of LRP16 gene expression by 17β-estradiol in MCF-7 human breast cancer cells. Journal of Molecular Endocrinology 34 7789.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhou B, Sun Q, Cong R, Gu H, Tang N, Yang L & Wang B 2008 Hormone replacement therapy and ovarian cancer risk: a meta-analysis. Gynecologic Oncology 108 641651.

  • Zubairy S & Oesterreich S 2005 Estrogen-repressed genes-key mediators of estrogen action? Breast Cancer Research 7 163164.

  • Zwijsen RM, Wientjens E, Klompmaker R, van der Sman J, Bernards R & Michalides RJ 1997 CDK-independent activation of estrogen receptor by cyclin D1. Cell 88 405415.