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[Cancer Research 60, 867-872, February 15, 2000]
© 2000 American Association for Cancer Research


Advances in Brief

The Glucocorticoid Receptor Mediates a Survival Signal in Human Mammary Epithelial Cells1

Timothy J. Moran, Stacy Gray, Christina A. Mikosz and Suzanne D. Conzen2

Department of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, Illinois 60637


    ABSTRACT
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Complex autocrine and paracrine signaling pathways control the multiple cycles of epithelial cell proliferation and involution characteristic of the human mammary gland. Activation of these pathways can lead to cell division, cell cycle arrest, apoptosis, or survival; their aberrant regulation often contributes to malignant transformation. In this report, we show that glucocorticoid signals a potent survival pathway in the immortalized human mammary epithelial cell line MCF10A. Withdrawal of glucocorticoid from defined media triggers apoptosis, despite the presence of epidermal growth factor and insulin. Apoptosis is accelerated by ectopic expression of c-Myc and blocked by overexpression of Bcl2. Although MCF10A cells can undergo apoptosis after CD95/Fas receptor activation, cell death caused by glucocorticoid withdrawal is independent of CD95/Fas receptor signaling. The mechanism through which glucocorticoid inhibits apoptosis is also independent of phosphatidylinositol 3-kinase activity and its downstream target Akt, thus establishing the existence of a novel epithelial cell survival pathway mediated by glucocorticoids.


    Introduction
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
MECs3 line the luminal surface of intramammary ducts and can give rise to the most common type of human breast cancer, infiltrating ductal carcinoma. When cultured in serum-free media, MECs absolutely require glucocorticoids, EGF, and insulin for efficient growth (1) . Although the requirements for optimal growth and plating efficiency of finite life span and immortalized human MECs have been thoroughly investigated (reviewed in Ref. 2 ), the ability of specific growth factors to inhibit apoptosis in these cells has been studied less extensively (3) . In fibroblasts, a detailed study of the ability of individual growth factors to inhibit c-Myc-accelerated apoptosis demonstrated that IGF-I, insulin, and platelet-derived growth factor transmit potent antiapoptotic signals, whereas EGF treatment does not protect cells from death (4) . Despite the fact that c-Myc is frequently amplified and overexpressed in primary human breast tumors (5) , the role of c-Myc in accelerating apoptosis in human MECs has not been described previously.

Recently, much progress has been made toward identifying survival mechanisms counteracting apoptosis in mammalian cells subjected to stressful environments such as DNA-damaging agents, hypoxia, and growth factor deprivation (reviewed in Ref. 6 ). For example, activation of Akt, a downstream mediator of PI-3-K, has been demonstrated to inhibit apoptosis in many cell types including fibroblasts (7) , neurons (8) , epithelial cells (9) , and hematopoietic cells (10) . PI-3-K-dependent phosphorylation of Akt can be triggered by cell-specific survival factors such as insulin, IGF-I, platelet-derived growth factor, and interleukin 3; there is also some evidence in mammary cells that EGF (11) and the extracellular matrix (12) can initiate Akt-dependent survival signaling. However, the existence of an alternative survival pathway has been suggested by the recent discovery, in the LNCaP prostate cancer cell line, of a potent antiapoptotic signal that is triggered by androgen, EGF, or serum and yet is functionally independent of both PI-3-K and Akt activation (13) .

In this report, we have used serum-free media and specific growth factor supplementation to study antiapoptotic pathways in MCF10A and derivative cells overexpressing c-Myc (MCF10A-Myc). When plated at a subconfluent density in serum-free conditions for 48 h, ~35% of MCF10A cells and 45% of MCF10A-Myc cells undergo cell death, characterized by nuclear condensation and pyknosis. By culturing MCF10A cells in a defined media containing specific combinations of hydrocortisone, EGF, and insulin, we observed that the presence of hydrocortisone provides the most potent antiapoptotic signal. Furthermore, our results demonstrate that the apoptosis induced by hydrocortisone withdrawal is not associated with changes in FasL or CD95/FasR expression levels, nor is it inhibited by an anti-CD95/FasR blocking antibody. Finally, we show that glucocorticoid treatment protects mammary cells from apoptosis independently of the antiapoptotic PI-3-K and Akt/protein kinase B signaling pathways, suggesting the existence of a novel survival pathway triggered by GR activation.


    Materials and Methods
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Cell Culture and Viral Infection.
All cell lines were cultured in MEBM with hydrocortisone (0.5 µg/ml), human recombinant EGF (10 ng/ml), and bovine insulin (5.0 µg/ml; Clonetics, San Diego, CA). Retroviruses were made by transient transfection of retroviral vectors into amphotropic Phoenix cells (a gift of Dr. Gary Nolan, Stanford University, Palo Alto, CA) using Effectene Transfection Reagent (Qiagen, Valencia, CA; Ref. 14 ). The retroviral vectors used were pMV7-human c-Myc (15) , pBabePuro MyrAkt (16) , MyrAkt cDNA cloned into the EcoRI site of the pBabePuro retrovirus, pMV12-Bcl2 (15) , pMV12-DN-FADD (truncated cDNA encoding amino acids 80–208 of human FADD cloned into the HindIII site of pMV12), as well as the respective empty vectors pMV7, pMV12, and pBabePuro.

Western Analysis.
Cells (4 x 105 ) were cultured in 3-cm wells and then washed twice with ice-cold PBS, followed by the immediate addition of 500 µl of 2x Laemmli buffer. Cell lysates were then collected by scraping cells in Laemmli buffer with a rubber spatula and further homogenized by multiple passes through an 18-gauge needle. Lysates were then boiled for 5 min and electrophoresed either in 8, 10, or 12% SDS-PAGE gels. After electrophoresis, proteins were blotted onto nitrocellulose membranes (Osmonics, Minnetonka, MN), and equal protein loading was verified with Ponceau S staining. Nitrocellulose was then rinsed with Tris buffered saline (TBS)/0.1% Tween and incubated with one of the following antibodies: rabbit polyclonal anti-Akt or anti-phospho-Akt (recognizing phosphorylated serine 473; New England Biolabs, Beverly, MA); mouse monoclonal 124 anti-Bcl2 oncoprotein (Dako Corp., Carpenteria, CA); mouse monoclonal 9E10 anti-c-Myc, rabbit polyclonal N-18 anti-CD95/FasR, C-20 anti-CD95/FasR, N-20 anti-Fas-L, C-178 anti-Fas-L (Santa Cruz Biotechnology, Santa Cruz, CA), or mouse anti-FADD (Transduction Laboratories, Lexington, KY). After incubation with the primary antibody and washing in TBS/0.1% Tween, the appropriate secondary antibody, either antimouse IgG-horseradish peroxidase or anti-rabbit IgG-horseradish peroxidase (Zymed, San Francisco, CA) was added. The nitrocellulose was then rinsed extensively with TBS/0.1% Tween, incubated in ECL substrate according to the manufacturer’s directions (Amersham, Arlington Heights, IL), exposed to film, and developed.

Growth Factor Deprivation-induced Apoptosis.
Cells were trypsinized and then plated overnight in MEBM containing 0.5% FCS (Atlanta Biologicals, Norcross, GA); 24 h later, the medium was changed to serum-free MEBM with hydrocortisone (0.5 µg/ml), EGF (10 ng/ml), and insulin (5.0 µg/ml) added. For apoptosis assays, cells were trypsinized and then seeded subconfluently at 2.0 x 105 cells/3-cm-diameter plate. Twenty-four h later, cells were rinsed twice in PBS and cultured for 24, 48, or 72 h in the presence of either hydrocortisone, dexamethasone, EGF, insulin, or combinations of these growth factors at the concentrations listed above. RU486 (5 x 10-7 M), a potent GR antagonist, was also used in selected experiments as indicated (Sigma Chemical Co., St. Louis, MO). After growth factor incubation, the cells were fixed with 37% formaldehyde and stained with DAPI as described previously (7) . Using a Zeiss Axioskop microscope with UV illumination at x400, an average of 250 DAPI-stained cells/well was scored to determine the percentage of apoptotic cells per experimental population. Experiments were repeated at least three times to calculate averages and SEs.

Anti-CD95/FasR Antibody-induced Apoptosis.
To investigate the role of the CD95/FasR in apoptosis, cells were plated as described above. Mouse monoclonal anti-CD95/FasR stimulating antibody CH11 (1 µg/ml; Upstate Biotechnology, Inc., Lake Placid, NY) was cultured in the presence of all three growth factors with or without pretreatment with an optimal blocking concentration (4 µg/ml) of ZB4 Fas neutralizing antibody (Upstate Biotechnology, Inc., Lake Placid, NY). In the experimental groups, mouse monoclonal ZB4 anti-Fas neutralizing antibody was added to media lacking glucocorticoid or all growth factors for 48 h to determine whether blockade of CD95/FasR signaling inhibited MEC apoptosis. Control cells were treated with an equivalent concentration of isotype-matched mouse IgG. All cells were subsequently fixed, stained with DAPI, and scored for apoptosis.

Inhibition of PI-3-kinase Signaling.
The specific PI-3-kinase inhibitor wortmannin (Sigma Chemical Co., St. Louis, MO) was used to investigate the role of PI-3-kinase in glucocorticoid-induced protection from apoptosis. Cells were deprived of all growth factors for 24 h and then stimulated with hydrocortisone, EGF, or insulin after a 30-min pretreatment with wortmannin (100 ng/ml in 0.01% DMSO/PBS) or vehicle alone (0.01% DMSO/PBS). Cell lysates were harvested 2 h later, and phosphorylation of Akt was assessed by Western analysis using a phosphospecific anti-Akt serine 473 antibody; duplicate cultures were scored for apoptosis at 8, 24, and 48 h.


    Results
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
The GR Delivers a Potent Survival Signal to MECs.
Previous studies have shown that apoptosis in fibroblasts (4 , 17 , 18) , neuronal cells (8) , and hematopoietic cells (10) can be triggered by withdrawal of either serum or cell type-specific survival factors; conversely, cells can be rescued from apoptotic cell death by the replacement of individual growth factors. In MCF10A cells plated subconfluently in serum-free, growth factor-enriched media, withdrawal of essential growth factors (hydrocortisone, EGF, and insulin) for 48 h resulted in ~35% of cells undergoing apoptosis, as characterized by nuclear blebbing and chromatin condensation (Fig. 1ACitation , left panel). When added to serum-free media, neither insulin nor EGF treatment inhibited apoptosis >15% (Fig. 1B)Citation ; however, either hydrocortisone (Fig. 1B)Citation or the synthetic glucocorticoid dexamethasone (Fig. 1ACitation , right panel) provided potent inhibition of cell death. Cells were observed for up to 1 week after treatment with glucocorticoid and remained protected from apoptosis (data not shown). Thus, glucocorticoids provide a potent survival signal to MCF10A cells grown under serum-free conditions.



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Fig. 1. Analysis of proliferation and apoptosis in MCF10A and MCF10A-Myc cells. A, DAPI staining of MCF10A cells cultured in the absence (left panel) or presence (right panel) of dexamethasone for 48 h. White arrows, apoptotic cells in media lacking glucocorticoid. B, percentage of apoptosis of MCF10A cells cultured in the absence or presence of hydrocortisone, EGF, or insulin for time periods indicated. Bars, SE. C, population doubling curve of MCF10A and MCF10A-Myc cells cultured in media with all three growth factors. D, percentage of apoptotic MCF10A and MCF10A-Myc cells treated with various combinations of hydrocortisone, EGF, and/or insulin. Bars, SE.

 
Because previous reports have revealed the ability of c-Myc to accelerate apoptotic cell death in fibroblasts subjected to growth factor deprivation, we next investigated the effect of c-Myc overexpression on apoptosis after glucocorticoid withdrawal in MCF10A cells. Western analysis of MCF10A cells transduced with the pMV7-cMyc-encoded retrovirus confirmed overexpression of c-Myc (Fig. 1CCitation , inset). Ectopic expression of c-Myc resulted in an accelerated growth rate compared with the parent cell line (Fig. 1C)Citation . Overexpression of c-Myc also accelerated apoptosis induced by hydrocortisone, insulin, and/or EGF withdrawal (Fig. 1D)Citation . However, only 10–20% of cells underwent apoptosis after insulin or EGF withdrawal, whereas >40% of MCF10A-Myc cells underwent programmed cell death after glucocorticoid deprivation. In summary, overexpression of c-Myc accelerates both proliferation and apoptosis in MCF10A cells, whereas glucocorticoid treatment provides a potent survival signal in both c-Myc-overexpressing and the parent MCF10A cells.

We next investigated the GR specificity of glucocorticoid action using the GR antagonist RU486. Although the progesterone receptor can also be antagonized by RU486, we could not detect any progesterone receptor expression in MCF10A cells by Western analysis (data not shown). We therefore treated MCF10A or MCF10A-Myc cells with glucocorticoid (10-6 M) in the presence or absence of RU486 (5 x 10-7 M). At this concentration, RU486 has been shown previously to antagonize downstream transcriptional regulatory effects of the GR, presumably through competition with glucocorticoid for GR binding (19) . As shown in Fig. 2A,Citation RU486 cotreatment effectively blocked the antiapoptotic effects of glucocorticoid treatment. Furthermore, increasing concentrations of dexamethasone (Fig. 2B)Citation could out compete the proapoptotic effects of RU486. These results strongly suggest that the glucocorticoid-induced survival pathway of MCF10A cells is mediated specifically through activation of the GR.



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Fig. 2. The glucocorticoid receptor antagonist RU486 inhibits glucocorticoid-mediated survival but can be outcompeted with increasing amounts of dexamethasone. A, percentage of apoptotic MCF10A cells with or without RU486 cultured in media with all growth factors, no growth factors, or glucocorticoids for 48 h. Bars, SE. B, declining percentages of apoptotic MCF10A cells after 48 h of incubation with RU486 (10-7 M) and increasing concentrations of glucocorticoid.

 
Apoptosis Induced by Glucocorticoid Withdrawal in Both MCF10A Cells Is Independent of CD95/FasR Signaling.
We next examined the role of the CD95/FasR in apoptosis induced by hydrocortisone withdrawal in both MCF10A and MCF10A-Myc cells. MCF10A and MCF10A-Myc cells underwent apoptosis after incubation with an activating anti-CD95/FasR antibody, CH11 (Fig. 3A)Citation . Furthermore, CH11-induced apoptosis was inhibited after pretreatment with an anti-FasR blocking antibody, ZB4 (Fig. 3A)Citation . However, cells incubated with the ZB4 blocking antibody and then subjected to hydrocortisone withdrawal were not inhibited from cell death (Fig. 3A)Citation , suggesting that glucocorticoid withdrawal triggers apoptosis through a CD95/FasR-independent mechanism.



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Fig. 3. Analysis of the function of CD95/FasR and FasL activity in glucocorticoid withdrawal-mediated apoptosis. A, percentage of apoptosis of MCF10A and MCF10A-Myc cells in the presence of both CD95/FasR activating antibody (CH11 1 µg/ml) and the neutralizing antibody (ZB4, 4 µg/ml) at 48 h. Bars, SE. B, representative results of Western analysis of FasL. Note that the withdrawal of hydrocortisone or all growth factors (conditions that lead to an increase in apoptosis) do not increase FasL expression. C, the FasR and glycosylated Fas (FasR*) levels do not change with growth factor deprivation. D, pMV12-DN-FADD was transduced into MCF10A and MCF10A-Myc cells (see inset for Western verification), and G418-selected cell pools were cultured in defined media. The percentage of apoptotic cells was then scored for both MCF10A-DN-FADD and MCF10A-Myc-DN-FADD cells after 48 h of growth factor deprivation. Bars, SE.

 
Because glucocorticoids can suppress NF-{kappa}B activity (20) and FasL has been identified as a NF-{kappa}B transcriptional target (21) , we next examined whether glucocorticoid withdrawal increases either FasL or CD95/FasR expression levels. Although both MCF10A and MCF10A-Myc cell lines expressed detectable baseline levels of FasL (Fig. 3B)Citation and its receptor CD95/FasR (Fig. 3C)Citation , expression of these proteins did not change after glucocorticoid withdrawal and induction of apoptosis. Therefore, cell death triggered by glucocorticoid withdrawal does not appear to correlate with either cell surface activation of the FasR or changes in expression levels of receptor or ligand.

The CD95/FasR and the other tumor necrosis factor receptor homologues that contain a death domain in their cytoplasmic region (DR3 and TRAIL receptors DR4 and DR5) use the FADD protein for signaling. Because FADD has previously been implicated in the pathway of Myc-accelerated apoptosis in fibroblasts subjected to serum deprivation (22) , it remained possible that glucocorticoid withdrawal activates apoptosis through activation of a FADD-dependent mechanism. Expression of DN-FADD failed to inhibit MCF10A cell death from glucocorticoid withdrawal (Fig. 2D)Citation ; however, a consistent inhibition of accelerated apoptosis was seen in MCF10A-Myc cells overexpressing DN-FADD. Thus, growth factor deprivation-induced apoptosis appears to be independent of CD95/FasR signaling in MCF10A cells; however, c-Myc-mediated acceleration of apoptosis in these cells is inhibited by DN-FADD.

GR Signaling Acts through an Akt- and PI-3-K-independent Pathway.
Because Akt activation has proven to be a common survival signaling end point, we tested the hypothesis that expression of an activated Akt would protect against glucocorticoid withdrawal-induced apoptosis. Myristylated Akt (MyrAkt-pBabePuro), a constitutively active form of membrane-bound Akt (16 , 23) , was introduced into MCF10A and MCF10A-Myc cells. Control cells were transduced with the empty pBabePuro retrovirus and selected in puromycin. Alternatively, cells were transduced with Bcl2-pMV12, and hygromycin-resistant cells were selected. Overexpression of MyrAkt or Bcl2 was verified by Western analyses (Fig. 4A)Citation . Cell lines were then evaluated for inhibition of apoptosis induced by glucocorticoid withdrawal. Expression of constitutively active MyrAkt in either MCF10A-Myc (Fig. 4B)Citation or MCF10A cells (data not shown) did not inhibit apoptosis (Fig. 4B)Citation . However, ectopic overexpression of Bcl2 dramatically inhibited apoptosis in response to survival factor withdrawal (Fig. 4B)Citation . Endogenous protein levels of Bcl2, or the Bcl2 family member Bcl-XL, did not change after glucocorticoid or serum withdrawal (data not shown). Thus, glucocorticoid-induced survival signaling appears to act through an Akt-independent pathway that is distal or parallel to the site of the antiapoptotic function of Bcl2.



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Fig. 4. The GR-mediated survival mechanism is independent of both PI-3-K and Akt. A, both myristylated Akt and Bcl2 were overexpressed in MCF10A and MCF10A-Myc cells. B, the percentage of apoptosis in both MCF10A-Myc-Akt and MCF10A-Myc-Bcl2 cells cultured in defined media was scored after 48 h. Bars, SE. C, Western analysis of phosphorylated Akt and total Akt after various growth factor stimulation with or without pretreatment with the PI-3-K inhibitor wortmannin (100 nm). D, the lack of effect of wortmannin treatment on apoptosis in MCF10A cells grown in the presence of individual growth factors, dexamethasone, EGF, insulin, or IGF-I. Bars, SE.

 
Because the PI-3-K pathway may have alternative targets in addition to Akt, we next determined whether glucocorticoid-induced survival is PI-3-K-dependent using the PI-3-K inhibitor wortmannin. Initially, the expected biochemical activities of PI-3-K and wortmannin were verified in MCF10A cells by documenting induction of Akt phosphorylation after growth factor stimulation and abrogation of phosphorylation after pretreatment with wortmannin. Growth factor-deprived MCF10A cells were stimulated with serum, hydrocortisone, insulin, or EGF, with or without pretreatment with wortmannin. Cells were then analyzed either for Akt phosphorylation by Western analysis or for apoptosis by DAPI staining. As expected, pretreatment with wortmannin prevented phosphorylation of Akt by serum, insulin, or EGF (Fig. 4C)Citation , suggesting that PI-3-K activity could be inhibited effectively in these cells. Glucocorticoid treatment alone did not induce Akt phosphorylation. Furthermore, wortmannin pretreatment of glucocorticoid, insulin, EGF, or IGF-I-treated cells did not inhibit cell survival at 24 h (Fig. 4D)Citation or up to 72 h (data not shown). These results suggest that the GR-mediated survival pathway functions independently of both PI-3-K and Akt signaling.


    Discussion
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
The identification of epithelial cell survival mechanisms is essential for understanding the multistep process of malignant transformation. In this study, we demonstrate that glucocorticoids, operating through a GR-specific mechanism, mediate a potent survival pathway in the immortalized, nonmalignant MCF10A and MCF10A-Myc cells. Interestingly, the role of glucocorticoids in promoting survival in MECs is opposite to its well-described proapoptotic function in lymphocytes (11) but consistent with the potent inhibition of apoptosis observed in glioma cell lines treated with dexamethasone (12) . We have also found that glucocorticoids are more effective than either of the mitogenic growth factors EGF or insulin in delivering an antiapoptotic signal to serum-deprived MCF10A cells. Furthermore, glucocorticoid treatment can inhibit apoptosis due to serum withdrawal in the immortalized cell lines 184B5 and 184 Myc (a gift of Dr. Martha Stampfer) as well as in a subset of breast cancer cell lines.4

In our experiments with MCF10A cells, the relatively slight inhibition of apoptosis (~10%) observed with the addition of either insulin or EGF is consistent with previous studies (3) conducted with confluent samples of MCF10A cells. Glucocorticoid treatment alone, however, could potently block apoptosis. Glucocorticoids also blocked the accelerated apoptosis seen in MCF10A cells overexpressing c-Myc. These findings are consistent with an earlier report in which overexpression of another breast cancer-associated oncogene, ErbB-2, sensitized the immortalized MEC line HB4A to apoptosis from serum withdrawal; apoptosis could also be inhibited by glucocorticoids, although the GR specificity or the mechanism of action was not investigated (24) . Together, these observations suggest that initially oncogene overexpression may sensitize MECs to apoptosis and that glucocorticoids may inhibit cell death through a central mechanism. In support of this hypothesis, we have observed generally higher rates of apoptosis in immortalized MEC lines than in primary MECs,5 suggesting that the oncogenic changes favoring immortalization may also lead to sensitization of cells to apoptosis induced by growth factor withdrawal.

The antiapoptotic effect of glucocorticoids on MECs is also consistent with earlier reports in an in vivo murine model of mammary gland remodeling after lactation in which glucocorticoid treatment inhibited involution and apoptosis (25 , 26) . In these studies, the major effect of glucocorticoid treatment was hypothesized to be transcriptional repression of genes such as stromelysin-1, gelatinase A, and urokinase-type plasminogen activator that are normally expressed in stromal cells during mammary gland involution. However, our data suggest that a direct effect of glucocorticoids on epithelial cell survival pathways may also contribute to the potent antiapoptotic and anti-involutional effects observed in in vivo models of mammary gland remodeling.

MCF10A cells and human breast cancer cell lines have been shown to express the CD95/FasR and to die after CD95/FasR activation (27 , 28) . In addition, the CD95/FasR pathway has been implicated in the mechanism of c-Myc-accelerated apoptosis in fibroblasts (22 , 29) . Interestingly, FasL expression has been shown recently to be up-regulated by NF-{kappa}B activity (21) . NF-{kappa}B activity, in turn, can be repressed by glucocorticoid treatment (20) , suggesting that glucocorticoid withdrawal might increase the expression of Fas, promoting apoptosis. Although the CD95/FasR pathway is intact in MCF10A cells, apoptosis because of growth factor withdrawal is independent of FasL or CD95/FasR expression and signaling. However, acceleration of apoptosis by c-Myc overexpression was inhibited by DN-FADD expression. This observation is consistent with the results of c-Myc-induced apoptosis reported previously in fibroblasts, in which it was shown that DN-FADD inhibits c-Myc-accelerated apoptosis in response to serum withdrawal (22) .

Despite the previously described role of Akt activation in EGF and extracellular matrix-mediated survival signaling in breast cancer cell lines, we found here that the GR-mediated survival pathway in MECs is independent of both the PI-3-K and Akt/protein kinase B pathways. Wortmannin, a potent PI-3-K inhibitor, did not diminish the survival resulting from glucocorticoid treatment; furthermore, an activated Akt could not rescue cells from glucocorticoid withdrawal-induced apoptosis. However, PI-3-K-mediated signaling, resulting in phosphorylation of Akt by serum, insulin, and EGF, remained intact in MCF10A cells, implying a possible role for the PI-3-K-Akt pathway in mitogenesis of MCF10A cells.

In summary, we have identified a novel GR-mediated survival pathway in mammary epithelial cells operating independently of the well-described Fas and PI-3-K mechanisms. The critical downstream targets of glucocorticoid activation involved in GR-mediated signaling remain to be determined. Because RU486 efficiently inhibits the antiapoptotic effect of glucocorticoids, we hypothesize that transcriptional targets of the activated GR may execute the survival signal. The protection from apoptosis afforded by Bcl2 overexpression in cells deprived of glucocorticoid implies that Bcl2 can function proximal or parallel to the critical site of action of glucocorticoid withdrawal. Future efforts will be directed toward identifying the precise molecular mechanisms of glucocorticoid-mediated survival signaling in MECs as well as the role this pathway might play in normal and abnormal growth of breast epithelium.


    ACKNOWLEDGMENTS
 
We thank Nissim Hay, Eugene Kandel, Shutsung Liao, Carrie Rinker-Schaeffer, and John Kokontis for generously sharing reagents and plasmids and Gini Fleming, Geoffrey Greene, and Deanna Brickley for critical review of the manuscript.


    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 Supported in part by NIH Grant R21 CA66132 and the National Women’s Cancer Research Alliance. Back

2 To whom requests for reprints should be addressed, at Department of Medicine, Section of Hematology/Oncology, MC 2115, University of Chicago, Chicago, IL 60637. Phone: (773) 834-2604; Fax: (773) 834-2650; E-mail: sconzen{at}medicine.bsd.uchicago.edu Back

3 The abbreviations used are: MEC, mammary epithelial cell; EGF, epidermal growth factor; IGF, insulin-like growth factor; PI-3-K, phosphatidylinositol 3-kinase; FasL, Fas ligand; FasR, Fas receptor; GR, glucocorticoid receptor; MEBM, mammary epithelial basal medium; DAPI, 4',6-diamidino-2-phenylindole; NF, nuclear factor; FADD, Fas-associated death domain; DN, dominant negative. Back

4 C. A. Mikosz and S. D. Conzen, manuscript in preparation. Back

5 C. A. Mikosz and S. D. Conzen, unpublished observations. Back

Received 10/27/99. Accepted 1/ 4/00.


    REFERENCES
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 

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