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[Cancer Research 60, 3175-3182, June 15, 2000]
© 2000 American Association for Cancer Research


Endocrinology

Expression of Estrogen Receptor (ER)-{alpha} and ER-ß in Normal and Malignant Prostatic Epithelial Cells: Regulation by Methylation and Involvement in Growth Regulation1

Kin-Mang Lau, Mark LaSpina2, John Long and Shuk-Mei Ho3

Division of Urology, Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts 01655 [K-M. L., S-M. H.], Department of Biology, Tufts University, Medford, Massachusetts 02155 [K-M. L., M. L.] and Urological Clinic, New England Medical Center, Boston, Massachusetts 02111 [J. L.]

The aim of the current study is to demonstrate normal and malignant prostatic epithelial cells (PrECs) as targets for receptor-mediated estrogenic and antiestrogenic action. Using an improved protocol, we have successfully isolated and maintained highly enriched populations of normal PrECs from ultrasound-guided peripheral zone biopsies, individually determined to be morphologically normal. Semiquantitative reverse transcription-PCR analyses were used to determine whether transcripts of estrogen receptor (ER)-{alpha} and those of ER-ß were expressed in our normal PrEC primary cultures, in a commercially available PrEC preparation (PrEC; Clontech), in an immortalized PrEC line established from a benign prostatic hyperplasia specimen (BPH-1), and in three prostatic cancer cell lines (LNCaP, PC-3, and DU145). Expression levels of ER-{alpha} and ER-ß transcripts were related to those of two estrogen-responsive genes [progesterone receptor (PR) and pS2], at the message levels, to gain insights into the functionality of the ER subtypes in PrECs. Interestingly, only transcripts of ER-ß, but not those of ER-{alpha}, were found in our primary cultures of normal PrECs, along with both PR and pS2 mRNA. These data strongly suggest that estrogen action was signaled exclusively via ER-ß in normal human PrECs. In contrast, PrEC (Clontech) and BPH-1 cells expressed both ER-{alpha} and ER-ß transcripts and no PR nor pS2 mRNA in PrEC and only a minimal level of PR mRNA in BPH-1. Among the three prostate cancer cell lines, LNCaP expressed ER-ß mRNA along with transcripts of PR and pS2, DU145 expressed messages of ER-ß and PR, and PC-3 cells exhibited ER-{alpha}, ER-ß, and pS2 mRNA. Thus, unlike normal PrECs, expression patterns of these genes in malignant PrECs are more variable.

Treatment of prostate cancer cells with demethylation agents effectively reactivated the expression of ER-{alpha} mRNA in LNCaP and DU145 and that of pS2 message in DU145. These findings provide experimental evidence that ER-{alpha} gene silencing in prostate cancer cells, and perhaps also in normal PrECs, are caused by DNA hypermethylation.

To evaluate the potential of using antiestrogens as prostate cancer therapies, we have assessed the growth-inhibitory action of estrogens (estradiol and diethylstilbestrol) and antiestrogens (4-hydroxy-tamoxifen and ICI-182,780) on PC-3 and DU-145 cells. In PC-3 cells, which express both ER subtypes, estrogens as well as antiestrogens are effective inhibitors. In contrast, in DU145 cells, which express only ER-ß, antiestrogens, but not estrogens, are growth inhibitors. By comparison, ICI 182,780 is the more effective cell growth inhibitor. Importantly, the ICI 182,780-induced antiproliferative effects were reversed by cotreatment of DU145 cells with an ER-ß antisense oligonucleotide, hence lending additional support to a central role played by ER-ß in mediating growth-inhibitory action of antiestrogens.




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