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Molecular Endocrinology, doi:10.1210/me.2003-0133
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Molecular Endocrinology 18 (11): 2700-2713
Copyright © 2004 by The Endocrine Society

Mitogenic Activity of Estrogens in Human Breast Cancer Cells Does Not Rely on Direct Induction of Mitogen-Activated Protein Kinase/Extracellularly Regulated Kinase or Phosphatidylinositol 3-Kinase

Anne-Marie Gaben, Cécile Saucier, Monique Bedin, Gérard Redeuilh and Jan Mester

Institut National de la Santé et de la Recherche Médicale, Unité 482, 75012 Paris, France

Address all correspondence and requests for reprints to: Anne-Marie Gaben, Institut National de la Santé et de la Recherche Médicale, Unité 482, 184 rue du Faubourg Saint Antoine, 75012 Paris, France. E-mail: gaben{at}st-antoine.inserm.fr.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
We have addressed the question of rapid, nongenomic mechanisms that may be involved in the mitogenic action of estrogens in hormone-dependent breast cancer cells. In quiescent, estrogen-deprived MCF-7 cells, estradiol did not induce a rapid activation of either the MAPK/ERK or phosphatidylinositol-3 kinase (PI-3K)/Akt pathway, whereas the entry into the cell cycle was documented by the successive inductions of cyclin D1 expression, hyperphosphorylation of the retinoblastoma protein (Rb), activity of the promoter of the cyclin A gene, and DNA synthesis. However, pharmacological inhibitors of the src family kinases, 4-amino-5-(4-methylphenyl)-7-(t-butyl) pyrazolo[3,4-d] pyrimidine (PP1) or of the PI-3K (LY294002) did prevent the entry of the cells into the cell cycle and inhibited the late G1 phase progression, whereas the inhibitor of MAPK/ERK activation (U0126) had only a partial inhibitory effect in the early G1 phase. In agreement with these results, small interfering RNA targeting Akt strongly inhibited the estradiolinduced cell cycle progression monitored by the activation of the promoter of the cyclin A gene. The expression of small interfering RNA targeting MAPK 1 and 2 also had a clear inhibitory effect on the estradiol-induced activation of the cyclin A promoter and also antagonized the estradiol-induced transcription directed by the estrogen response element. Finally, transfection of the estrogen receptor into NIH3T3 fibroblasts did not confer to the cells sensitivity to a mitogenic action of estradiol. We conclude that the induction of the cell cycle by estradiol does not require a direct activation of MAPK/ERK or PI-3K signaling protein kinase cascades, but that these kinases appear to have a permissive role in the cell cycle progression.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
IN MAMMALS, ESTROGEN hormones regulate the development and function of numerous organs, and in particular those of the female reproductive system (uterus and mammary glands). A role of estrogens has also been demonstrated in the cardiovascular system, the skeleton (osteoblast/osteoclast equilibrium), and the central nervous system. In terms of the molecular mechanism of action, estrogens induce gene expression and synthesis of specific proteins, activation of specific enzymes, and proliferation in certain cell types. All of these actions appear to require the binding of the hormone to a specific receptor protein. The expression of the estrogen receptor (ER) as well as dependence on estrogens are maintained in a subset of breast cancers.

ER isoforms {alpha} and ß have been shown to act as ligand-regulated transcription factors. (In breast cancer, the isoform {alpha} is responsible for the estrogen dependence of the tumor, and we shall further use the abbreviation ER to denote this isoform.) Additional factors named coactivators and corepressors participate in the regulation of transcription by the ER, allowing a fine modulation of the level of gene expression as a function of the cellular context as well as of the ligand (see Refs.1 and 2 for reviews). According to the cell type, a given ER ligand can induce or not the expression of a particular gene. In addition, several synthetic molecules that bind to the ER have been designed, but they do not allow its transcriptional activity and thus act as pure antiestrogens. Transcriptional regulation does not account for all of the effects of estrogens. For instance, estrogen-induced vasodilatation is rapid and relies on the activation of nitric oxide synthase by a nongenomic mechanism that appears to involve trimeric G proteins (3) and Akt (4, 5). As a matter of fact, direct interaction between the ER and phosphatidylinositol 3-kinase (PI-3K) has been demonstrated (6, 7, 8). Upon activation by products of PI-3K, Akt phosphorylates downstream targets that stimulate growth and inhibit apoptosis. The antiapoptotic action of estrogens (and androgens, too) in neurons (9) as well as osteoblasts and osteocytes (10) has also been reported to proceed via nongenomic mechanisms requiring the ligand-binding domain of the ER molecule and limited to extranuclear cell compartments.

As far as the induction of cell proliferation by estrogens is concerned, it has been shown that the expression of several genes with important functions in the cell cycle is induced directly (c-fos;c-myc) or indirectly (cyclin D1) by estradiol, through the interaction of the ligand-activated ER with specific sequences in the promoters (11, 12, 13). On the other hand, several groups reported that estradiol induces a rapid activation of MAPK/ERK in breast cancer cells (14, 15, 16), putting in doubt the initial consensus postulating that the mitogenic effects of estrogens rely on transcriptional mechanisms. Similarly, a rapid, nontranscriptional activation of PI-3K by estradiol in breast cancer cells has been reported (17, 18).

The induction of MAPK/ERK activity by estradiol in breast cancer cells has been questioned by Caristi et al. (19), who reported that the activation of this enzyme by estradiol is a poorly reproducible event and can be observed also in mock-stimulated cells. Lobenhofer et al. (20, 21) also failed to detect any activation of MAPK by estradiol in the MCF-7 cells. These authors have also addressed the question of the activation of the PI-3K in this experimental model, with a negative result: there was no phosphorylation of Akt after estradiol treatment.

The most intriguing data are those of Auricchio’s group (Ref.17 and references therein). An extensive series of studies of this group led to the conclusion that in fact the mitogenic activity of estrogens is exclusively nongenomic, resulting from the activation of the PI-3K/Akt pathway, both in breast cancer cells and in fibroblasts (NIH3T3) transiently transfected with ER. This radical conclusion is in contrast with the observations made in several stable transfection models that have shown that introduction of ER into nonestrogen target cells does not confer inducibility of the cell cycle by estrogens (22, 23, 24, 25) and renders irrelevant the transcriptional regulation of cell cycle-related genes by estrogens. In the experiments described here, we have reexamined the mechanisms of the mitogenic action of estrogens.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
1. Estradiol Does Not Induce Rapid Activation of MAPK/ERK in ER-Expressing Breast Cancer Cells
We have carried out experiments in which quiescent MCF-7 cells maintained in the presence of the antiestrogen ICI 182780 were submitted to different manipulations involving or not the change of the culture medium and/or of the ER ligand (ICI 182780 vs. estradiol), before incubation at 37 C for different periods of time (Fig. 1AGo). The activating phosphorylation of MAPK/ERK was evaluated by Western blotting with the antibody against the phosphoThr202/Tyr204 epitope. The results showed that the MAPK/ERK phosphorylation observed at early time points was not due to the action of estradiol per se but rather to the fact that cells were placed in a fresh culture medium; indeed, the same phospho-MAPK/ERK signal was detected at 5 min when cells were placed in fresh medium with or without estradiol or ICI 182780 (compare lanes 2, 4, and 8). In contrast, there was no rapid effect on the phosphorylation of the MAPK/ERK when estradiol in excess was added directly into the culture medium with the antiestrogen. The addition of phorbol 12-myristate 13-acetate used as a positive control caused a rapid and transient induction of the MAPK/ERK phosphorylation (lane 12).



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Fig. 1. Induction of MAPK/ERK Phosphorylation

Cells (A, MCF-7; B, ZR-75-1 and T47D) were preincubated during 48 h in phenol red-free DMEM containing 10 nM antiestrogen ICI 182780. At time t = 0 they were stimulated by estradiol (E2) either in fresh medium (10 nM E2) or without changing the medium (100 nM E2). Other dishes were left untreated or were placed in fresh medium containing the antiestrogen as indicated. As positive control, phorbol 12-myristate 13-acetate was added to the cells to a concentration of 160 nM (without changing the medium). The cells were harvested as indicated and lysates were analyzed by Western blotting for their contents of total (Erk 1,2) and phosphorylated (P-Erk 1,2) forms of MAPK/ERK 1 and 2.

 
At the long time interval (6 h), replacement of the culture medium (lanes 3 and 5), as well as direct addition of estradiol (lane 11), each produced a marked phosphorylation of MAPK/ERK. These effects appeared to be additive (lane 9).

We have then verified the effects of estradiol in two other breast cancer cell lines positive for ER, ZR-75.1, and T47D (Fig. 1BGo). Estradiol did not induce a rapid phosphorylation of MAPK/ERK in the T47D cells. In the ZR-75.1 cells, phosphorylation of MAPK/ERK was rapidly and transiently induced by manipulation of the dishes, irrespective of whether estradiol (lane 3) or vehicle was added (lanes 2 and 4). In both T47D and ZR-75.1 cell lines, phorbol myristrate acetate induced MAPK/ERK phosphorylation as early as after 5 min (lanes 8 and 16). Flow cytometry of propidium iodide-stained nuclei showed that the cell cycle of the T47D cells was less markedly inhibited by estrogen deprivation than the MCF-7 cells, and that there was no inhibition in the ZR-75.1 cell line used in our experiments despite the presence of a functional ER in both these cell lines (data not shown).

The absence of rapid induction of MAPK/ERK phosphorylation by estradiol was also confirmed in the MCF-7, ZR-75.1, and T47D cells preincubated in phenol red-free DMEM without antiestrogen (data not shown).

2. Estradiol Does Not Induce PI-3K
The same type of experiments as those described for MAPK were carried out to evaluate the activation of PI-3K by estradiol.

Akt and S6 kinases (p70 and p85), downstream targets of PI-3K, were used as indicators of the activity of PI-3K. When MCF-7 cells were treated with insulin (agonist ligand of the insulin receptor as well as IGF receptor type I, activators of PI-3K), a strong signal of phosphorylated Akt was visualized with the anti-phosphoSer473Akt antibody at 5 min (Fig. 2AGo, lane 5) as well as at long time intervals (Fig. 2AGo, lanes 8 and 12). In quiescent cells, this antibody revealed a doublet, probably nonspecific because it was not eliminated when cells were incubated with LY294002, a powerful inhibitor of PI-3K (Fig. 2BGo, lane 1 vs. 3). The S6 kinases (p70 and p85) in quiescent MCF-7 cells were predominantly in their unphosphorylated, fast-migrating form. This form was the only one detected after incubation with LY294002 (Fig. 2BGo). When cells were exposed to estradiol for 5 min, there was no effect on the phosphorylation of Akt or of S6 kinases (Fig. 2AGo, lanes 2 and 3). At longer time periods (1–6 h), estradiol induced phosphorylation of S6 kinases (Fig. 2AGo, lanes 6, 7, 9, and 10), whereas Akt remained unphosphorylated. As expected, insulin caused a rapid and lasting phosphorylation of S6 kinases. The mitogenic action of estradiol (Fig. 2AGo, lanes 9 and 10) and of insulin, to a lesser extent (lane 12), was confirmed by the accumulation of cyclin D1 at t = 6 h.



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Fig. 2. Phosphorylation of PI-3K Targets

A, Quiescent MCF-7 cells were stimulated either with 10 nM estradiol (E2) in fresh medium, or with 100 nM estradiol in unchanged medium containing 10 nM ICI 182780. B, Quiescent MCF-7 cells were stimulated with 10 nM E2 in the presence or absence of LY294002 (20 µM). C, ZR-75–1 and T47D cells were preincubated during 48 h in phenol red-free DMEM containing 10 nM ICI 182780 and then exposed to estradiol for the time periods as shown. Insulin (1 µM) was used as positive control in all three experiments. Cells were harvested at times as indicated and cell lysates were analyzed by Western blot with specific antibodies.

 
Under all conditions, LY294002 totally abolished the phosphorylation of S6 kinases, in agreement with the notion that PI-3K activity is critical for the phosphorylation of these targets. It is paradoxical that estradiol does not activate the PI-3K (as judged by the absence of phosphorylation of Akt) but induces the phosphorylation of S6 kinases. However, S6 kinases can become phosphorylated without activation of PI-3K: this phenomenon is apparent when cells are treated with inhibitors of protein synthesis (Ref.26 and references therein) or of transcription (actinomycin D; data not shown), and results probably from reduced activity of phosphatases, in the presence of basal PI-3K activity.

In the two other ER-positive breast cancer cell lines, T47D and ZR-75.1, estradiol failed to induce the phosphorylation of Akt (Fig. 2CGo), indicating that the absence of effect of estradiol on the activity of PI-3K is not restricted to the MCF-7 cell line studied in this work. There was a strong cyclin D1 signal in the ZR-75.1 cell line, irrespective of the treatment; in the T47D cells exposed to ICI 182780, cyclin D1 level was low and weakly induced by estradiol.

The absence of rapid induction by estradiol of the phosphorylation of Akt was also confirmed when cells (MCF-7, ZR-75.1, T47D) were preincubated in phenol red-free DMEM without antiestrogen (data not shown).

3. Pharmacological Inhibitors of Kinase Cascades Interfere with the G1 Phase Progression
To determine whether the activities of protein kinases known for their cell cycle regulatory activities are involved in the estrogen-stimulated G1 phase progression in breast cancer cells, we used inhibitors of src (PP1), PI-3K (LY294002), and MAPK (U0126). When added simultaneously with estradiol to quiescent MCF-7 cells, PP1 and LY294002 strongly inhibited the phosphorylation of the retinoblastoma protein (Rb) as well as the induction of the expression of cyclin D1 in early- and mid-G1 phase. U0126 caused only a partial inhibition of Rb phosphorylation and had little or no effect on the induction of cyclin D1 (Fig. 3Go). As expected, U0126 blocked the phosphorylation of Erk1 and Erk2, whereas LY294002 as well as PP1 had little effect. In agreement with the inhibition of phosphorylation of Rb, LY294002 and PP1 blocked the entry of the cells into S-phase, whereas U0126 inhibited approximately 50% of the effect of estradiol (Fig. 4Go).



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Fig. 3. Effects of Pharmacological Inhibitors of Signaling Kinases on Cellular Targets

Quiescent MCF-7 cells were stimulated with estradiol (10 nM) in the presence or absence of LY294002 (20 µM), PP1 (10 µM) or U0126 (10 µM). The cells were harvested at the different times as indicated and analyzed by Western blotting with specific antibodies. The slower- and faster-migrating species of Rb represent, respectively, the hypo- and hyper-phosphorylated forms; the phosphorylated ERK1 and ERK2 isoforms (P-Erk1/2) were revealed with the anti-phospho (P-Ser473)MAPK/ERKP antibody.

 


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Fig. 4. Effects of Pharmacological Inhibitors of Signaling Kinases on the Cell Cycle in Synchronized Cells

Quiescent MCF-7 cells were stimulated at time t = 0 with estradiol (E2; 10 nM). The kinase inhibitors LY294002 (20 µM), PP1 (10 µM) or U0126 (10 µM) were added either at t = 0 or at t = 12 h (arrow). The cells were harvested for analysis of their DNA contents by flow cytometry at t = 0, 12 h, 15 h, 18 h and 24 h as shown. The data are plotted as percent of cells in the G1 phase (upper panel), S phase (middle panel) and G2/M phase (lower panel). When cells were induced with estradiol during 12 h and then placed in a fresh medium containing the antiestrogen ICI 182780 (10 nM), their subsequent progression through the cell cycle phases was indistinguishable from that of cells left in the estradiol-containing medium (data not shown).

 
In asynchronously growing cells, the kinase antagonists caused a decreased S-phase fraction after 24 h (Table 1Go). This effect was not observed within the shorter time interval (8 h), indicating that late G1-phase cells were not prevented from entering S-phase. It is important to note at this point that the evaluation of S-phase cells by [3H]thymidine pulses led to artifactual data, indicating that the pharmacological kinase inhibitors interfered with processes required for the incorporation of thymidine, and not only with the G1-phase progression. This conclusion was verified in experiments with synchronized cells (data not shown).


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Table 1. Effects of Pharmacological Inhibitors of Signaling Kinases on the Cell Cycle in Asynchronous Cells

 
When quiescent cells were stimulated by estradiol during 12 h and then exposed to the pharmacological antagonists of src or PI-3K, we observed a partial, progressive dephosphorylation of Rb (Fig. 5Go), indicating that the activity of the respective protein kinases is required for the mitogenic signaling processes also in late G1 phase. However, under these conditions there was only a weak effect in terms of G1/S transition (Fig. 4Go). The replacement of estradiol by the antiestrogen ICI 182780 in the culture medium after 12 h of stimulation resulted in a similar partial dephosphorylation of Rb (Fig. 5Go), without any effect on the entry into S-phase (data not shown). In contrast, the MAPK kinase (MAPKK) antagonist U0126 had little or no effect at this stage, either on Rb phosphorylation or on the G1/S transition (Figs. 4Go and 5Go).



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Fig. 5. Effects of Pharmacological Inhibitors of Signaling Kinases on Rb Phosphorylation in Late G1 Phase

Quiescent MCF-7 cells were stimulated with estradiol (E2; 10 nM) at time t = 0. At t = 12 h, LY294002 (20 µM), PP1 (10 µM) or U0126 (10 µM) were added and the incubation was continued during the following 3 h or 6 h. In another series of dishes, the cells were placed at t = 12 h in fresh medium containing ICI 182780 (10 nM) instead of estradiol for 3 h or 6 h. The cells were harvested for Western blotting with anti-Rb antibody.

 
4. Effects of Small Interfering RNA (siRNA) Expression Vectors Targeting Akt and MAPK/ERK
To verify the role of early protein kinase cascade in the estrogen-induced cell cycle progression in MCF-7 cells, we have used the RNA interference approach. First, the siRNA targeting Akt1 and 2 expressed from a RNA polymerase III U6 promoter (27) was tested. The activation of the promoter of the cyclin A gene was used as end-point criterion; this promoter is activated in late G1 phase, as a consequence of the liberation of E2F-dependent transcription (28). The siRNA against PI-3K {alpha} and ß, alone or combined, failed to alter the activity of the estrogen-induced activity of the cyclin A promoter (data not shown). However, the siRNA targeting Akt 1 and 2 had a powerful inhibitory action (~80%) (Fig. 6AGo). The estrogen-dependent transcription directed by the vitellogenin estrogen response element (ERE) element used as a control was not modified by the expression of this siRNA vector (Fig. 6BGo).



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Fig. 6. Effects of siRNA Expression Vectors Targeting Akt and MAPK/ERK on the G1 Phase Progression

MCF-7 cells were incubated during 24 h in phenol red-free DMEM supplemented with 10% charcoal-stripped FBS and then transfected with either cyclin A-luciferase (0.5 µg/dish; A) or ERE-Tk-luciferase (B) indicator plasmid, together with 1.5 µg/dish of Akt1,2 siRNA or MAPK/ERK 1,2 siRNA expression vectors as indicated, and ß-galactosidase vector (0.1 µg/dish) as a transfection control. Subsequently the cells were placed in serum- and phenol red-free DMEM containing 10 nM ICI 182780. After 36 h, the cells were stimulated with estradiol (E2; 10 nM) harvested and assayed for luciferase activity. The data are standardized by ß-galactosidase and presented in terms of fold induction related to nonstimulated controls. The data are means ± SEM of three independent experiments carried out in duplicate. C, The cells were transfected by electroporation with the siRNA expression vectors as indicated and treated as described in Materials and Methods. They were harvested 72 h after electroporation and analyzed by Western blotting with MAPK/ERK and Akt antibodies. Hsp90 was used as control.

 
Second, we have identified a siRNA sequence conserved in MAPK/ERK 1 and 2 and cloned it in the pSilencer vector, downstream of the U6 promoter. Transfection of the MAPK/ERK siRNA vector also produced a clear inhibition (~65%) of the activation of the cyclin A promoter in the estradiol-stimulated MCF-7 cells (Fig. 6AGo). Remarkably, the ERE-directed expression of the indicator gene was also inhibited by the MAPK/ERK siRNA (by ~70%; Fig. 6BGo). The activity of ß-galactosidase (used as indicator of transfection efficiency) was not altered by cotransfection of the siRNA vector (data not shown).

As expected, a decreased level of Akt and MAPK/ERK1,2 proteins was observed in cells electroporated with specific siRNA expression plasmids (Fig. 6CGo). This decrease was related to the fraction of ß-galactosidase-positive cells (~40%).

Preincubation of MCF-7 cells with the antiestrogen ICI 182780 leads to a strong depletion of the ER (29). The experiment shown in Fig. 6BGo indicated that this depletion of the receptor did not preclude the ERE-dependent transcriptional activation by estradiol, manifestly because a sufficient level of ER remains present. This fact is further documented by our data obtained earlier with the MELN cell line derived from the MCF-7 cells by stable transfection with the ERE-luciferase expression vector. When the MELN cells were preincubated with ICI 182780 and subsequently stimulated by estradiol, the expression of the transgene was rapidly induced (30). We compared the preincubation of MELN cells in media containing ICI 182780, 4-OH-tamoxifen, another antiestrogen that does not deplete the ER but causes its subcellular redistribution (31) and inhibits a part of its transcriptional activities (32), or without any added drug (Table 2Go). The cells were then placed in the presence of the same drug as during preincubation, or in a medium containing estradiol (in the absence of antiestrogen). The results showed that 1) the presence of antiestrogens strongly reduced (4-OH-tamoxifen) or abolished (ICI 182780) the residual activity of the ERE promoter; 2) the expression of the indicator gene after stimulation with estradiol was reduced by approximately 30% in cells preincubated with ICI 182780, and practically unaltered by preincubation with 4-OH-tamoxifen. We conclude that, despite the depletion of the receptor by ICI 182780, estradiol induces a near-maximal transcriptional activation of estrogen regulated genes.


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Table 2. Effect of the Presence of Antiestrogen during Preincubation on the ERE Promoter Activity

 
5. Estradiol Does Not Induce Entry into S-Phase in ER-Transfected NIH3T3 Cells
Finally, we have decided to study the mitogenic effects of estradiol in ER-naive cells transfected with exogenous ER. In the first series of experiments, we analyzed the effect of estradiol in NIH3T3 cells transfected with expression vectors of the ER together with indicator gene (luciferase) placed under the control of the cyclin A promoter. After transfection, the cells were rendered quiescent by incubation in low-serum medium [0.5% newborn bovine serum (NBBS), with or without 1 µM insulin] and then stimulated either with serum (positive control) or with estradiol. When cells were transfected with the wild-type ER, estradiol failed to induce the expression of the indicator gene. In fact, incubation with estradiol caused a further decrease of the baseline expression (Fig. 7AGo). The presence of insulin in the low-serum culture medium led to a high basal cyclin A promoter activity, and in these conditions, estradiol caused a strong inhibition of luciferase expression (Fig. 7BGo). When cells were transfected with the ER mutant without a functional DNA binding domain, estradiol had no effect on the activity of the cyclin A promoter. The functional activity of the wild-type ER was confirmed by the induction of the ERE-directed luciferase expression (Fig. 7AGo, inset).



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Fig. 7. Effect of Estradiol on the Cyclin A Promoter in ER-Transfected NIH3T3 Fibroblasts

NIH3T3 cells were transfected with the cyclin A-luciferase indicator plasmid together with the wild-type (HEGO) or DNA binding-deficient mutant (HE251) of the human ER and ß-galactosidase vector as a transfection control. The cells were then placed in phenol red-free DMEM containing 0.5% NBBS without (A) or with (B) insulin (1 µM). After 24 h, the cells were stimulated with estradiol (E2) or with 10% NBBS during 24 h, harvested and assayed for luciferase activity. The data are standardized by ß-galactosidase. Inset, Transcriptional activity of the ER was verified in cells transfected with the wild-type or DNA binding-deficient mutant of ER together with ERE-Luc and ß-galactosidase, and the cells were induced with E2.

 
In the second series of experiments, we evaluated the proportion of S-phase cells by 5-bromo-2'-deoxyuridine (BrdU) incorporation among cells transfected with the ER. NIH3T3 cells were transfected with the wild-type or DNA binding-deficient mutant of the ER, serum starved, and stimulated with estradiol or with serum as described above. Pulses of BrdU were carried out between 13 and 15 h of stimulation. This time period was found to be optimal in preliminary experiments in which the incorporation of [3H]thymidine was determined in serum-stimulated cells (data not shown). The ER-positive cells were revealed by immunofluorescence. Control cells (kept in antiestrogen-containing medium; Fig. 8AGo) showed a mixed cytoplasmic/nuclear staining. In cells transfected with the wild-type receptor and stimulated with estradiol, the staining was exclusively nuclear (Fig. 8BGo), whereas in cells transfected with the DNA binding-deficient mutant the receptor remained distributed between the cytoplasm and nucleus also in the presence of estradiol (data not shown). In a sharp contrast with the data published by the group of Auricchio (17), we have failed to observe any induction of BrdU incorporation by estradiol in NIH3T3 cells transfected with the ER (Fig. 8Go, A vs. B). Cells deprived of serum in the presence of insulin showed a higher baseline incorporation of BrdU (~20%; data not shown) than those kept in the absence of insulin (~10%). This percentage was not increased in cells positive for the ER, wild-type or DNA binding-deficient, treated or not with estradiol. On the contrary, among cells positive for ER, less than 10% incorporated BrdU, irrespective of stimulation or not with estradiol. Positive control cells, transfected with empty vector and stimulated with 10% NBBS, entered massively into S-phase as detected by BrdU incorporation (40% positive cells during the 2-h pulse; Fig. 8CGo).



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Fig. 8. Effect of Estradiol on BrdU Incorporation in ER-Transfected NIH3T3 Fibroblasts

NIH3T3 cells were transfected with the human ER and then placed for 24 h in phenol red-free DMEM containing 0.5% NBBS and 10 nM ICI 182780. The cells were then placed in phenol red-free DMEM containing 0.5% NBBS containing either ICI182780 (A), or estradiol (10 nM; B), or 10% NBBS (C). To identify cells in S-phase, pulses of BrdU were carried out during 2 h at 13 h after stimulation. The ER (red) and the incorporated BrdU (green) were revealed by immunofluorescence.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Two alternative mechanisms of action have been proposed to account for the mitogenic effects of estrogens. One possible mechanism relies on the transcriptional induction of gene expression. Indeed, promoters of genes such as c-fos and c-myc, involved in the G1 phase progression, contain EREs and their direct induction by estradiol in breast cancer cells has been demonstrated. There is no ERE in the promoter of the gene coding for cyclin D1, but indirect transcriptional activation of this gene by estrogens has been established (13). Importantly, the expression of cyclin D1 is sufficient to trigger the cell cycle in the breast cancer cell line MCF-7 (33). In this way, estrogens would short-circuit the classical mitogenic pathways that characterize the action of peptide growth factors: activation of protein tyrosine kinases and transduction of the signal by the cascades Ras/Raf/MAPKK/MAPK and PI-3K/Akt/S6K, before the expression of G1-phase cyclins and the cdk cascade.

A second mechanism proposed for the mitogenic effects of estrogens is nontranscriptional. A series of reports in the course of the last years has led to the affirmation that the mitogenic action of estrogens is in fact entirely independent of their transcription-promoting activity, and relies on the activation of MAPK/ERK and PI-3K/Akt. The demonstration of nontranscriptional actions of estrogens in vascular endothelial cells gives an incidental support to this hypothesis.

Our data do not support the nontranscriptional mechanisms of the mitogenic action of estradiol. In the breast cancer cells MCF-7, estradiol is a powerful mitogen but fails to rapidly induce the phosphorylation of MAPK/ERK. The induction observed at long time intervals (hours of treatment) is in accordance with a possible indirect mechanism (34, 35). Overall, our results suggest that kinases of the early cascade (MAPK/ERK, PI-3K/Akt, src) play a role in the G1 phase progression in hormone-dependent breast cancer cells, but are not induced by estradiol. Lobenhofer et al. (20, 21) reached similar conclusions. Our experiments show that a total block of the activating phosphorylation of MAPK/ERK by U0126, however, did not prevent but only partially inhibited the mitogenic actions of estradiol. We also confirm the report of Caristi et al. (19) who pointed out the sensitivity of MAPK/ERK to incidental manipulations such as changes of temperature. In addition, we note that during estrogen and serum starvation the cells deplete the culture medium of certain nutrients, and simple replacement of the medium can lead to MAPK/ERK phosphorylation, possibly through cellular sensors of essential amino acids. The activation of MAPK by refeeding the cells does not lead to G1 phase progression as detected for instance by expression of cyclin D1 or phosphorylation of Rb.

We also did not detect phosphorylation of Akt within minutes of stimulation with estradiol, in contrast to the powerful effect of insulin used as a positive control of direct PI3-K activation. It has been reported that, although ER forms complexes with PI-3K (7, 8), this binding is ligand independent and can lead to the activation of ER transcription-regulating function rather than the opposite, the activation of PI-3K by the ER. At longer times, estradiol did induce the phosphorylation of S6 kinases p70 and p85. This delayed effect of estradiol can be indirect, for instance transmitted by an estrogen-induced autocrine factor (35, 36, 37), or could result from alterations in the activities of the phosphatases responsible for the dephosphorylation of S6 kinases. The question is not definitively settled as inhibitors of translation (cycloheximide) and transcription (actinomycin D) themselves induce phosphorylation of S6 kinases.

In this context, it should be noted that paradoxical observations concerning enzymes such as MAPK/ERK and PI-3K are abounding. For instance, Tsai et al. (38) have reported Akt activation by estrogen in ER-negative breast cancer cells. Observations of this sort are clearly without physiological significance: estrogens and antiestrogens are (unfortunately) devoid of any activity on the proliferation of ER-negative breast cancer cells.

As the studies on the mitogenic effects of estradiol presented in this work were carried out with cells preincubated with the antiestrogen ICI 182780, known to down-regulate the ER, one may suspect that the low level of the receptor was responsible for the absence of observable effects on MAPK/ERK and Akt phosphorylation. Two points are to be noted in this context. First, we have verified that estradiol does not induce rapid MAPK/ERK and Akt phosphorylations in cells preincubated in the absence of ICI 182780. Second, despite the down-regulation of the receptor, estradiol induces rapidly and efficiently the transcription of its target genes (Fig. 6BGo; Table 2Go; and Ref.30). Incidentally, our experiments (Table 2Go) indicate that estrogen deprivation is not easily achieved by a simple incubation of cells in estrogen-free medium: estradiol tends to remain associated with cell structures (ER or other) and can only be efficiently dislodged by exchange for an antiestrogen molecule.

The fact that estrogens do not induce the enzymes of the early kinase cascade by a direct, nontranscriptional mechanism does not imply that these enzymes are dispensable for the progression through the G1 phase in estrogen-stimulated cells. Chemical inhibitors of src and PI-3K inhibited the phosphorylation of Rb and G1/S transition, even when added as late as 12 h after stimulation of quiescent MCF-7 cells with estradiol. Note that, at this time, arrest of estrogenic stimulation by replacement of estradiol by ICI 182780 did not prevent the subsequent entry into S-phase. Blocking the MAPK/ERK pathway by the MAPK kinase inhibitor U0126 in late G1 phase was, however, without effect on the G1/S transition. Moreover, U0126 had little effect in terms of Rb phosphorylation. These observations support the notion that the early cascade kinases may play a permissive role throughout the G1-phase progression of breast cancer cells. Our experiments with siRNA vectors targeting Akt and MAPK/ERK support this possibility. The inhibition of the estradiol-induced activation of the cyclin A promoter by MAPK/ERK siRNA can be related to the fact that a basal phosphorylation of MAPK/ERK is present in the quiescent cells (Figs. 1Go and 3Go). This does not appear to be the case for Akt: no phosphorylation of the Ser 473 residue could be detected at quiescence (Fig. 2Go). One can speculate that either a very low level of phosphorylation escapes detection by Western blotting or that nonphosphorylated Akt can display activity, kinase, or other (biological activity of unphosphorylated Akt has been recently demonstrated in a different context (39, 40).

An unexpected result seen in these experiments was the inhibition by MAPK siRNA of the ERE-directed transcription in estradiol-stimulated cells. At the same time, the expression of unrelated genes [exogenous ß-galactosidase; endogenous heat shock protein (hsp) 90] was not altered by this siRNA vector, indicating that depletion of MAPK/ERK1,2 did not reduce gene expression in a nonspecific manner. It is possible that MAPK/ERK proteins are involved in ER-dependent transcription, and that inhibition of MAPK/ERK activity, by a pharmacological drug or by depletion of the MAPK/ERK proteins, interfere with the cell cycle progression in hormone-dependent breast cancer cells through the inhibition of estrogen-induced gene expression.

There remains the question of why the results of our experiments are diametrically opposed to those of Auricchio’s group (17). The work published by these authors is coherent and well reasoned, and the experiments are convincing. However, we were unable to confirm their essential results, namely, the rapid induction by estradiol of PI-3K activity in the MCF-7 breast cancer cells (as detected by Akt phosphorylation) and of BrdU incorporation in NIH3T3 fibroblasts transiently transfected with the ER. It is possible that these disagreements may be due to the use of different sublines of the cells. The divergence of cell lines in the course of culture in different laboratories is well known. For instance, among several NIH3T3 lines we tested, only a minority became quiescent by serum starvation and responded to serum by the resumption of the cell cycle. However, we feel that the conclusion proposed, according to which the mitogenic action of estrogens in breast cancer cells is exclusively nongenomic, is untenable, and could lead to neglecting important research on the relationship between the transcriptional effects of estrogens and hormone-dependent cancer.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Cell Culture
Breast cancer-derived cell lines (MCF-7, MELN, ZR-75.1, and T47D) were propagated in DMEM supplemented with 10% fetal bovine serum (FBS). For cell cycle experiments, these cells were seeded at a density of approximately 35.103/cm2, allowed to attach overnight, and incubated during 48 h in phenol red-free, serum-free DMEM supplemented with the antiestrogen ICI 182780. The MCF-7 cells and the derived MELN cells were synchronized in G0/early G1 phase by this treatment. Estradiol stimulation was carried out either by replacing the medium with fresh phenol red-free DMEM containing 10 nM estradiol, or by adding estradiol directly to the dish to a final concentration of 100 nM (to overcome the antiestrogenic action of ICI 182780). Insulin stimulation was carried out at a 1 µM concentration sufficient to activate the IGF receptor type 1, and in the presence of ICI 182780 to prevent the possible activation of the ER via phosphorylation by signaling kinases.

The NIH3T3 cells were treated similarly except that NBBS had to be used instead of FBS, to render the cells quiescent in low serum conditions (0.5% NBBS), and able to reinitiate the cell cycle upon refeeding with high-serum containing medium. For some experiments, the serum was rendered estrogen-free by treatment with active charcoal (0.5%) during 30 min at 65 C, then centrifuged and filtered through a 0.22-µm membrane.

The distribution of cells among the phases of the cell cycle was evaluated by staining with propidium iodide and flow cytometry. In some experiments, we used the incorporation of [3H]thymidine (1 µCi/ml) to evaluate the proportion of S-phase cells. At the end of the incubation with labeled thymidine, the cells were fixed by acidification with ascorbic acid (1 M, 3 drops/ml) and washed twice with PBS and twice with 5% trichloroacetic acid. The incorporated radioactivity was determined after dissolving the residual material in 0.1 N NaOH. To identify individual cells that had entered S-phase, BrdU (10 µM) incorporation was evaluated during 2-h pulses.

Pharmacological Inhibitors of Signaling Kinases
The inhibitors used in this study, U0126 (inhibitor of MAPK kinase/MAPKK, enzyme required for the activating phosphorylation of MAPK/ERK; Promega, Madison, WI), LY294002 (inhibitor of the PI-3K; Calbiochem, San Diego, CA) and PP1 (inhibitor of the src family of kinases; Biomol Research Laboratories, Plymouth Meeting, PA), all compete for the ATP binding to their respective enzyme targets (41, 42, 43, 44).

Western Blotting
Cells were harvested at 4 C in a Tris (50 mM, pH 7.4) buffer containing EDTA (20 mM) Nonidet P-40 (0.5%), NaCl (150 mM), dithiothreitol (1 mM), aprotinin (1 µg/ml), leupeptine (1 µg/ml), phenylmethylsulfonyl fluoride (0.3 mM), NaF (1 mM), and sodium orthovanadate (1 mM). The lysates were clarified by centrifugation (10,000 x g for 5 min). The total protein concentration was determined by Bio-Rad assay (Bio-Rad, Hercules, CA) Sodium dodecyl sulfate (1% final concentration) and 2-mercaptoethanol (100 mM) were added and the solutions were boiled for 2 min before fractionation by electrophoresis in a polyacrylamide gel (8% for Rb and S6 kinase, 10% for cyclin D1). The proteins were then electrotransferred onto a Hybond membrane and incubated with the appropriate antibodies followed by the peroxidase-tagged secondary antibody. The primary antibodies used were from Cell Signaling Technology (Beverly, MA) for total and phospho(Ser 473) Akt and for total ERK1/2 as well as phospho(Thr 202/Tyr 204) ERK1, ERK2; Santa Cruz Biotechnology, Inc. (Santa Cruz, CA) for S6K and hsp90, CLONTECH (Palo Alto, CA) for cyclin D1, and Pharmingen (Le Pont de Claix, France) for Rb. The detection of the signal was carried out with the enhanced chemiluminescence kit (Amersham Biosciences, Saclay, France).

Expression Vectors
Expression vectors of the ER were: HEGO, wild-type ER; HE 251G, ER mutated in the DNA binding domain (45, 46).

The indicator plasmids used were: ERE-Tk-Luc (luciferase cDNA cloned downstream of two palindromes of the ERE from the Xenopus vitellogenin gene (47); pCA-Luc (luciferase cDNA cloned downstream of the cyclin A promoter (48). The pCH110 plasmid, ß-galactosidase cDNA driven by the cytomegalovirus promoter (Sigma-Aldrich, St. Louis, MO) was used to normalize the data for transfection efficiency.

Short inhibitory RNA oligonucleotide directed to a conserved sequence of MAPK/ERK 1 and 2 was designed using the Target Finder Program (Ambion, Austin, TX). The following sequence was introduced into siRNA pSilencer vector (Ambion): 5'-GATCCC aag caa tga cca tat ctg cta TTCAAGAGA tag cag ata tgg tca ttg ctt TTTTTTGGAAA-3', downstream of the U6 polymerase III promoter.

siRNA-Akt 1,2 as well as PI-3K {alpha} and ß expression plasmids were a generous gift of Dr. F. Czauderna (AtuGen, Frankfurt, Germany). Control cells were transfected with the empty U6-containing vector.

Transfection
a) Lipofection.
Cells were seeded in 35-mm dishes at approximately 20.103/cm2 and allowed to attach overnight. The transfection was carried out by the Lipofectamine method (Invitrogen Life Technologies, Carlsbad, CA) according to the manufacturers’ protocol. After a 3-h incubation with the DNA-containing liposomes, the cells were placed for a minimum of 6 h in phenol red-free medium containing charcoal-treated serum. MCF-7 cells were then synchronized in G0/early G1 phase by a 24 h incubation in phenol red-free, serum-free DMEM containing 10 nM ICI 182780, before stimulations as described in Results. In the case of NIH3T3 cells, the synchronization was carried out in phenol red-free DMEM supplemented with 0.5% charcoal-treated NBBS, with or without insulin (1 µM).

b) Electroporation.
Cell suspensions (5 x 106 cells) in 500 µl of Cytomix buffer [120 mM KCl, 0.15 mM CaCl2, 10 mM K2HPO4/KH2PO4, 25 mM HEPES, 2 mM EGTA, 5 mM MgCl2 (pH 7.6)] with DNA were transferred to a 0.4-cm electroporation cuvette (Bio-Rad) and pulsed with a gene pulser apparatus (960 µF, 350 V). The transfections were carried out with 1.5 µg of MAPK/ERK 1,2 or Akt 1,2-siRNA expression vectors. Electroporation of 1.5 µg of the vector without insert was used as a control in these experiments. The ß-galactosidase expression plasmid pCH110 was included to allow the determination of the fraction of cells expressing exogenous DNA. The total amount of DNA was adjusted with salmon sperm DNA to 40 µg per transfection. After overnight incubation in phenol-red-free medium containing 10% charcoal-treated serum, the cells were incubated in serum- and phenol red-free medium supplemented with 10 nM antiestrogen ICI182780 during 48 h, then harvested and cell lysates analyzed by Western blotting for total MAPK/ERK and Akt proteins as described above. Hsp90, a constitutively expressed cellular protein, was revealed as an indicator of loading. To determine the transfection efficiency, cells in separate dishes were stained for ß-galactosidase. Approximately 50% of cells were viable after electroporation, and the fraction of cells positive for ß-galactosidase was between 30 and 40%.

Immunofluorescence
Cells were washed twice with PBS and fixed in an ethanol buffered by glycine (pH 2) during at least 20 min at –80 C. Cells were then permeabilized with Triton X-100 (0.1%, 10 min) and incubated for 30 min in a blocking solution of 10% skimmed milk in PBS. To reveal the ER, the cells were incubated for 2 h at room temperature with the rabbit polyclonal anti-ER{alpha} antibody (Santa Cruz, clone HC-20, 1 µg/ml) in the blocking solution, washed twice with PBS and then incubated with the Texas red-conjugated goat antirabbit secondary antibody (Jackson ImmunoResearch, West Grove, PA) diluted 1:100 in the blocking solution. To detect cells that had incorporated BrdU, the labeling and detection kit (Roche, catalog no. 1296736) was used, following the manufacturer’s instructions. Cell nuclei were stained with 4',6-diamino-2'-phenylindol hydrochloride (Roche Molecular Biochemicals, Mannheim, Germany); 1 µg/ml).

The red (ER), green (BrdU), and blue fluorescence was observed under a Leica fluorescence microscope (Rueil-Malmaison, France). Positive cells were counted visually.


    ACKNOWLEDGMENTS
 
We thank Dr. F. Czauderna (AtuGen, Frankfurt, Germany) for the siRNA vectors directed against PI3-K and Akt.


    FOOTNOTES
 
G.R. and J.M. are members of the Centre National pour la Recherche Scientifique.

Abbreviations: BrdU, 5-Bromo-2'-deoxyuridine; ER, estrogen receptor; ERE, estrogen response element; FBS, fetal bovine serum; hsp, heat shock protein; MAPKK, MAPK kinase; NBBS, newborn bovine serum; PI-3K, phosphatidylinositol 3-kinase; PP1, 4-amino-5-(4-methylphenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine; Rb, retinoblastoma protein; siRNA, small interfering RNA.

Received for publication April 10, 2003. Accepted for publication July 26, 2004.


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NURSA Molecule Pages Link:

Nuclear Receptors:   ERα  |  ERβ
Coregulators:   Cyclin A1
Ligands:   17β-Estradiol



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J. H. Gutzman, S. E. Nikolai, D. E. Rugowski, J. J. Watters, and L. A. Schuler
Prolactin and Estrogen Enhance the Activity of Activating Protein 1 in Breast Cancer Cells: Role of Extracellularly Regulated Kinase 1/2-Mediated Signals to c-fos
Mol. Endocrinol., July 1, 2005; 19(7): 1765 - 1778.
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