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[Cancer Research 59, 5892-5895, December 1, 1999]
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[Cancer Research 59, 5892-5895, December 1, 1999]
© 1999 American Association for Cancer Research

Advances in Brief

Resveratrol Inhibits the Expression and Function of the Androgen Receptor in LNCaP Prostate Cancer Cells1

Susan H. Mitchell, Wen Zhu and Charles Y. F. Young2

Departments of Urology [S H M., C Y F Y.] and Biochemistry and Molecular Biology [W Z.], Mayo Graduate School, Mayo Foundation, Rochester, Minnesota 55905


   ABSTRACT
Top
 ABSTRACT
Introduction
 Materials and Methods
 Results and Discussion
 REFERENCES
 
Androgens via their receptor (AR) may play a role in prostate cancer etiology. This study focuses on the inhibitory effects of resveratrol on androgen action in the LNCaP prostate cancer cell line. We found that resveratrol represses different classes of androgen up-regulated genes at the protein or mRNA level including prostate-specific antigen, human glandular kallikrein-2, AR-specific coactivator ARA70, and the cyclin-dependent kinase inhibitor p21. This inhibition is likely attributable to a reduction in AR contents at the transcription level, inhibiting androgen-stimulated cell growth and gene expression. This study suggests that resveratrol may be a useful chemopreventive/chemotherapeutic agent for prostate cancer.


   Introduction
Top
 ABSTRACT
 Introduction
Materials and Methods
 Results and Discussion
 REFERENCES
 
Prostate cancer is the most commonly diagnosed cancer in the United States, and it is the second leading cause of cancer death in American men. Androgens play an important role in the proliferation, differentiation, maintenance, and function of the prostate (1) . Evidence shows that androgens are also involved in the development and progression of prostate cancer (2) . The AR3 is the essential mediator for androgen action and a ligand-dependent transcription factor belonging to the nuclear steroid hormone receptor superfamily (3) . Thus, the AR has a critical role in the development of prostate cancer. A new strategy in the fight against cancer is chemoprevention, which is the prevention or reduction of cancer risk by ingestion of natural or synthetic chemicals with low toxicity that are able to suppress, delay, or reverse carcinogenesis (4) . Recently, the phytoalexin resveratrol has been shown to inhibit cancer initiation, promotion, and progression (5) . This is partly attributable to its antioxidant activities and its inhibition of Cox 1 and 2 (5 , 6) . Resveratrol is found in a multitude of dietary plants including grapes and peanuts (5) . The high levels of resveratrol in grape skin are synthesized in response to fungal infections. Resveratrol is also able to forestall these infections. Grape juice is a good source of resveratrol as well as wine, which has some particularly high concentrations (1.5 to 3.0 mg/l; Ref. 5 ). We wanted to explore whether resveratrol has the ability to inhibit the development of prostate cancer and to elucidate its mechanism for prostate cancer prevention. We found that the growth of androgen-responsive prostate cancer cells can be inhibited by resveratrol, attributable at least in part to a decrease in the expression and function of the AR.


   Materials and Methods
Top
 ABSTRACT
 Introduction
 Materials and Methods
Results and Discussion
 REFERENCES
 
Growth Response.
LNCaP cells were seeded at 4 x 104 cells/well in 24-well plates. After 2 days, they were treated with varying amounts of resveratrol with or without 1 nM Mib. Mib is a nonmetabolizable, synthetic androgen. One study removes the spent media after 24 h and replenishes the wells with fresh, untreated media. Then after 24 h, an MTS [3-(4,5-dimethyl-2-yl)-5-(3carboxymethoxyphinyl)-2-(4-sulphophenyl)-2H-tetrazolium] assay is performed (Promega Corp., Madison, WI) as per manufacturer’s instructions. In other studies, 6 days after treatment 400 µl of spent medium were collected and sent to the Mayo Immunochemical Core facility and assayed for total hK2 and PSA levels. Then an MTT assay was performed (Sigma Chemical Co., St. Louis, MO) for measuring cell viability. Four wells/treatment were used, and it was repeated twice.

Western Blot Analysis.
LNCaP cells were plated in 10-cm dishes at 9 x 105 cells/dish in RPMI 1640 (Mediatech, Herndon, VA) and 5% FCS (Biofluids, Rockville, MD). After 48 h, the cells were treated with 1.0 nM Mib and varying concentrations of resveratrol. After 24 h, cells were collected according to Santa Cruz Biotechnology research applications. Protein levels were measured with a DC protein assay (Bio-Rad, Hercules, CA). Ten µg of protein were loaded into precast 4–12% NuPage gels (Novex, San Diego, CA), run with 4-morpholinepropanesulfonic acid buffer and transferred according to the manufacturer’s instructions onto a nitrocellulose membrane (Bio-Rad, Hercules, CA). A Ponceau S stain was performed for total protein staining and visualized on a digital camera. The membranes were blocked overnight at 4°C in TBST [20 mM Tris-HCl (pH 8.0), 137 mM NaCl, and 0.1% Tween 20] and 5% dry milk. The membranes were washed three times for 10 min each with TBST. Primary antibody for AR and p21 (PharMingen, San Diego, CA) at a 1:2000 dilution was incubated at room temperature for 1 h. The membranes were washed three times for 10 min each with TBST. Antimouse horseradish peroxidase secondary antibody (Amersham, Piscataway, NJ) used at a 1:10,000 dilution was also incubated for 1 h at room temperature. The membranes were washed again, and Renaissance chemiluminescence (DuPont NEN, Boston, MA) was used according to the manufacturer’s instructions.

Transient Transfections.
LNCaP cells were plated in 60-mm dishes until they reached a confluency of 50–70%. Cells were transiently transfected as described previously with the appropriate constructs (7) . After 24 h, the cells were treated with 50, 100, or 150 µM resveratrol with or without Mib. Whole-cell extracts were prepared, and a luciferase assay was performed according to the manufacturer’s instructions (Promega) for the PSA promoter/luciferase or AR promoter/luciferase transfection. The hK2 ARE/minimal thymidine kinase promoter/CAT transfection used the CAT ELISA from Boehringer Mannheim as per the instructions. CMV-{beta}-gal expression vector and parental vectors (pGL3 and pBLCAT2) as controls were also included in the above transfections. {beta}-gal activity was assayed for normalization purposes (7) . Each transfection was done three times, and SDs were calculated.

Northern Blots.
LNCaP cells were treated with varying amounts of resveratrol, 1 nM Mib as indicated, and RNA was collected by the guanidine isothiocyanate method (8) . An RNA gel was run and transferred onto a nylon membrane according to the GeneScreen protocol by New England Nuclear. Fifteen µg of total RNA were loaded in each lane. cDNAs for ARA70 and glyceraldehyde-3-phosphate dehydrogenase were used as probes labeled with [32P]dCTP by random priming. The hybridization was performed according to Clontech protocols with ExpressHyb hybridization solution. The films were autoradiographed at -70°C.

Hoechst 33258 Staining for Apoptosis.
LNCaP cells were seeded at 9 x 105 cells/10-cm dish for 48 h. Cells were then treated with 1 nM Mib and 0, 50, 100 or 200 µM of resveratrol for 24 and 32 h. Then the plates were treated with Hoechst 33258 (15 µg/ml in PBS) for 5 min at 37°C. Cells were washed carefully in PBS twice and visualized by fluorescence microscopy using an Axioplan II microscope (Zeiss, Inc.). An appropriate excitation filter was used (365 nm excitation; 420 nm emission). The number of apoptotic cells per 500 total cells were counted and expressed as a percentage of the total. A cell was counted as being apoptotic if nuclear fragmentation and chromatin condensation was observed (9) .


   Results and Discussion
Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results and Discussion
REFERENCES
 
The LNCaP cell line is a well-established, androgen-responsive prostate cancer cell line obtained from a lymph node metastasis of a prostate cancer patient (10) . LNCaP cells express an AR and a number of androgen-inducible genes (e.g., PSA and hK2), and their growth is stimulated by androgens. We first examined the effects of resveratrol on androgen-stimulated growth and gene expression in LNCaP cells. It was observed that resveratrol-treated cells showed a decrease in the cell number, indicating decreased cell growth with a statistically significant P < 0.05 (Fig. 1)Citation . Spent medium was collected for assays of total PSA and hK2 proteins. The normalized data in Fig. 1bCitation shows the dramatic decrease in both PSA and hK2 in the presence of androgens and resveratrol.



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  		Fig. 1. Growth response and the expression of PSA and hK2 proteins affected by resveratrol in LNCaP cells. a, growth response of LNCaP cells with treatment of resveratrol as indicated. After 6 days, an MTT assay was performed in quadruplicate; bars, SD. Total PSA (b) and total hK2 (c) assays were performed to quantitate specific protein levels in spent medium from a. These protein levels were then normalized to the above MTT measurements

 
Given the large decrease in two androgen-inducible proteins, we transfected a construct containing a 6-kb PSA promoter fragment in front of a luciferase reporter gene into LNCaP cells with or without Mib to test whether resveratrol can directly affect androgen-mediated transcriptional activity of the PSA gene. Mib is a synthetic androgen that is not metabolized in cell culture. The upper panel of Fig. 2Citation shows the fold of androgenic induction of empty control vector, pGL3 basic, versus the 6-kb PSA promoter. As is usually seen in Mib-treated cells, the PSA promoter gives a strong androgenic induction of the luciferase activity. However, resveratrol treatment abolishes the androgenic induction of the PSA promoter (P > 0.05). To further examine whether the AR binding site, referred to as an ARE, is the actual target in androgen-inducible genes, the lower panel shows a transfection with a construct that contains three copies of an ARE inserted in front of a minimal thymidine kinase promoter with a CAT reporter gene. LNCaP cells were treated with or without Mib, and fold androgen induction is depicted compared with the empty control vector CAT2. Once again, treatment with resveratrol is sufficient to completely abolish androgen induction.



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  		Fig. 2. Transcriptional regulation of PSA and hK2 genes by resveratrol. Top panel, a transient transfection in LNCaP cells using a 6-kb PSA promoter with or without Mib. Lower panel, a transient transfection in LNCaP cells with a plasmid containing three copies of an ARE with or without Mib. Results were normalized with {beta}-gal activities. The result is given as the activity with androgen divided by the activity without androgen and presents as the fold androgenic induction for each concentration of resveratrol used. Each transfection was performed three times; bars, SD

 
The above transfections suggest that the AR must be involved in resveratrol inhibition of LNCaP cells. Therefore, a Western blot was performed to see whether AR protein levels changed with resveratrol treatment (Fig. 3a)Citation . Fig. 3aCitation shows that AR protein levels are decreased in a dose- and time-dependent manner with resveratrol treatment.



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  		Fig. 3. Effects of resveratrol on AR action. a, Western blot of the AR from LNCaP cells treated with varying amounts of resveratrol at 24- and 72-h treatments. The Ponceau S-stained protein band was used for normalization. The graph shows the normalized densitometric results as a percentage of control (no resveratrol treatment). b, transient transfection in LNCaP cells with the AR promoter region. The cells were treated with the indicated amounts of resveratrol for 24 h. Luciferase activities were normalized by {beta}-gal activities and presented as relative light units/milliunits of {beta}-gal. The transfection was repeated three times; bars, SD. c, Northern blot analysis of the AR coactivator ARA70 in LNCaP cells treated with resveratrol and Mib. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used for normalization, as depicted in the graph

 
A recent study showed that resveratrol can affect gene expression at the transcriptional level (11) . The above results demonstrate that is the case for the androgen-regulated genes. To determine whether resveratrol can also affect the AR at the transcriptional level, gene transfer assays were performed with an AR promoter. Transient transfections of an AR promoter luciferase construct (Fig. 3b)Citation show a significant decrease in the transcription activity of the AR promoter by resveratrol treatments (P < 0.05).

We have demonstrated that resveratrol can inhibit the expression of the AR and its functions, including gene induction and cell proliferation. To further ascertain that resveratrol has a broad effect on androgen-regulated genes, Northern or Western analysis was performed to see whether different classes of the androgen-regulated genes are affected. Fig. 3cCitation shows that the AR-specific coactivator ARA70 mRNA level is decreased with resveratrol treatment. The graph shows the normalization data as a percentage of the Mib-treated control. It seems that the maximal reduction of ARA70 mRNA is achieved at 100 µM resveratrol. It has been suggested that the decrease in ARA70 could affect AR-mediated gene expression and cellular processes (12, 13, 14) . Therefore, it is possible that the repression of the expression of ARA70 may further enhance the inhibitory effects of resveratrol on androgen action.

Recently, it has been reported that p21Waf1/Cip1, a cyclin-dependent kinase inhibitor, is also an androgen up-regulated gene (15) . p21 has been reported as a powerful cell proliferation inhibitor or cell death facilitator (16) . On the other hand, in many cases it has been shown that this protein can protect cells from death (17) , and reducing its intact protein levels may enhance apoptosis (16) . The authors of the above report (15) suggested that the increase in p21 by androgens may facilitate LNCaP cell proliferation. A Western blot of LNCaP cells treated with 0, 100, or 200 µM resveratrol for p21 protein was performed. Fig. 4aCitation shows that resveratrol indeed decreases p21 in a dose-dependent manner. Our study seems to suggest that the reduction of p21 by resveratrol may be at least in part because of the repression of AR. Moreover, the higher the concentrations of resveratrol, the more profound effects it has on p21 levels. This may not solely be from the repression effect on the AR. Also, it will be interesting to determine whether any other factors can be affected by resveratrol that subsequently reduce the expression of p21.



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  		Fig. 4. Resveratrol action on p21. a, decrease in p21 protein levels in a Western blot. The lower band is the Ponceau S for normalization purposes, and the graph shows the normalized results. In b, LNCaP cells were treated with varying amounts of resveratrol for 24 and 32 h and then incubated with Hoescht dye. The number of apoptotic bodies were counted as a percentage of total cells and graphed. A total of 500 cells were counted. c, growth response of LNCaP cells treated with resveratrol. After 24 h, the medium was removed, and fresh medium was added for another 24 h; then a Cell Titer 96 AQueous nonradioactive cell proliferation assay was performed. The experiment was performed in quadruplicate; bars, SD

 
We further examined the growth-inhibitory effect of resveratrol on LNCaP cells after 24 h treatment. We found that a 100 µM treatment of resveratrol caused inhibition of cell growth in the presence of androgens with little detection of apoptosis, whereas 200 µM resveratrol induced massive apoptotic cell death (Fig. 4b)Citation . Thus, from the study we intend to suggest that the reduction of p21 may be related to negative growth effects of resveratrol, and that the occurrence of either growth inhibition or apoptosis depends on the degree of the extent of p21 reduction. Further study of whether and how the reduction of p21 by resveratrol indeed can negatively affect the growth of prostate cancer cells will be needed to clarify our points.

To study whether the effects of resveratrol are reversible, LNCaP cells were treated with resveratrol for 24 h, and then the treated medium was removed and fresh medium was added. Fig. 4cCitation shows that with up to the 100 µM concentration of resveratrol, the growth-inhibitory effects on the cells can be reversed (P = 0.06). However, at 150 µM, the cells are still inhibited and similar to effects without medium removal (P < 0.05). Because these studies were conducted without Mib, it shows that at high concentrations, resveratrol could inhibit cell growth.

Androgens are important regulators of the prostate gland. Androgens are so essential in the carcinogenesis of prostate cancer that it does not develop unless a man produces and uses androgens (18 , 19) . One important question not yet addressed is whether resveratrol is able to accumulate in tissues such as the prostate at concentrations as high as 100 and 200 µM. No conclusive human studies have been executed. Other chemically related compounds, such as green tea polyphenols, appear in the blood stream at relatively low concentrations after oral administration (20) . Their in vitro concentrations to achieve biological effects are often much higher than those in plasma. However, their in vivo administration seems to be able to show certain biological effects, as predicated in the in vitro system. For example, in a very recent report (21) , green tea polyphenols seem to show a repressive effect on androgen action in mice. Further study of in vivo effects of resveratrol on the expression of the AR and subsequent androgen action will clarify this question. Nevertheless, in this study we have shown a novel aspect of resveratrol that presents as a potent inhibitor for androgen action in prostate cancer cells. We showed that the inhibition of androgen action by resveratrol is mediated via the reduced expression of several important genes such as AR, ARA70, and p21. This study strongly suggests that resveratrol can modulate AR-mediated action in the prostate. It has the potential to become a chemopreventive and/or chemotherapeutic agent for prostate cancer.


   FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 This study is supported in part by NIH Grant CA70892 and United States Army Medical Research and Material Command Grant DMAD 17-98-107-523 Back

2 To whom requests for reprints should be addressed, at Department of Urology and Biochemistry/Molecular Biology, Mayo Clinic/Foundation, Guggenheim Building 1742B, 200 First Street SW, Rochester, MN 55905. Phone: (507) 284-9247; Fax: (507) 284-2384. Back

3 The abbreviations used are: AR, androgen receptor; Mib, mibolerone; hK2, human glandular kallikrein-2; PSA, prostate-specific antigen; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; ARE, androgen response element; CAT, chloramphenicol acetyltransferase; {beta}-gal, {beta}-galactosidase. Back

Received 7/21/99. Accepted 10/18/99.


   REFERENCES
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 ABSTRACT
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 Materials and Methods
 Results and Discussion
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W. Zhu, J.-S. Zhang, and C. Y.F. Young
Silymarin inhibits function of the androgen receptor by reducing nuclear localization of the receptor in the human prostate cancer cell line LNCaP
Carcinogenesis, September 1, 2001; 22(9): 1399 - 1403.
[Abstract] [Full Text] [PDF]

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 CarcinogenesisHome page
I. Bieche, B. Parfait, S. Tozlu, R. Lidereau, and M. Vidaud
Quantitation of androgen receptor gene expression in sporadic breast tumors by real-time RT-PCR: evidence that MYC is an AR-regulated gene
Carcinogenesis, September 1, 2001; 22(9): 1521 - 1526.
[Abstract] [Full Text] [PDF]

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 CarcinogenesisHome page
J. Gusman, H. Malonne, and G. Atassi
A reappraisal of the potential chemopreventive and chemotherapeutic properties of resveratrol
Carcinogenesis, August 1, 2001; 22(8): 1111 - 1117.
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 Cancer Res.Home page
K. P. L. Bhat and J. M. Pezzuto
Resveratrol Exhibits Cytostatic and Antiestrogenic Properties with Human Endometrial Adenocarcinoma (Ishikawa) Cells
Cancer Res., August 1, 2001; 61(16): 6137 - 6144.
[Abstract] [Full Text] [PDF]

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 Mol. Pharmacol.Home page
R. Yu, V. Hebbar, D. W. Kim, S. Mandlekar, J. M. Pezzuto, and A.-N. T. Kong
Resveratrol Inhibits Phorbol Ester and UV-Induced Activator Protein 1 Activation by Interfering with Mitogen-Activated Protein Kinase Pathways
Mol. Pharmacol., July 1, 2001; 60(1): 217 - 224.
[Abstract] [Full Text]

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 Clin. Cancer Res.Home page
N. Ahmad, V. M. Adhami, F. Afaq, D. K. Feyes, and H. Mukhtar
Resveratrol Causes WAF-1/p21-mediated G1-phase Arrest of Cell Cycle and Induction of Apoptosis in Human Epidermoid Carcinoma A431 Cells
Clin. Cancer Res., May 1, 2001; 7(5): 1466 - 1473.
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 CarcinogenesisHome page
N. Xing, Y. Chen, S. H. Mitchell, and C. Y.F. Young
Quercetin inhibits the expression and function of the androgen receptor in LNCaP prostate cancer cells
Carcinogenesis, March 1, 2001; 22(3): 409 - 414.
[Abstract] [Full Text] [PDF]

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 Pharmacol. Rev.Home page
S. C. Dixon, K. B. Knopf, and W. D. Figg
The Control of Prostate-Specific Antigen Expression and Gene Regulation by Pharmacological Agents
Pharmacol. Rev., March 1, 2001; 53(1): 73 - 92.
[Abstract] [Full Text] [PDF]

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 J. Immunol.Home page
S. K. Manna, A. Mukhopadhyay, and B. B. Aggarwal
Resveratrol Suppresses TNF-Induced Activation of Nuclear Transcription Factors NF-{kappa}B, Activator Protein-1, and Apoptosis: Potential Role of Reactive Oxygen Intermediates and Lipid Peroxidation
J. Immunol., June 15, 2000; 164(12): 6509 - 6519.
[Abstract] [Full Text] [PDF]

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