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Epidemiology and Prevention |
Departments of Pharmacology/Toxicology [R. M-M., C. A. L.], Pathology [I-E. E.], and Genomics and Pathobiology [A. E.], University of Alabama at Birmingham, Birmingham, Alabama 35294, and Department of Molecular and Cellular Biology & Scott Department of Urology, Baylor College of Medicine, Houston, Texas 77030 [N. M. G.]
| ABSTRACT |
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| INTRODUCTION |
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High consumption of food containing soy results in high plasma, urine, and prostatic fluid concentrations of phytoestrogens, including genistein (13, 14, 15) . On the basis of these findings, it has been postulated that phytoestrogens, especially genistein (16) , may have a preventive role in PC. Genistein, an isoflavone (5,7,4'-trihydroxyisoflavone), is found in soybeans as a glycoside conjugate or a methylated derivative, biochanin A (17) . These derivatives are metabolized to genistein by enzymes produced by bacteria in the gut (15) . Genistein has been shown to inhibit the growth of the rat MAT-LyLu and human PC-3 cell lines in vitro (18) , consistent with the possibility that it might have chemopreventive potential. More recently, soybean phytochemicals, including genistein, were shown to inhibit in vivo growth of PC tumors that resulted from the s.c. injection of PC cells (19, 20, 21) .
Testing the potential of genistein to prevent advanced PC in vivo has been delayed by a lack of appropriate animal models of PC. PC is a disease quite unique to man (22)
. Naturally occurring prostatic disease has been reported in some canine (23)
and rodent (24, 25, 26)
species. However, PC is less prevalent in dogs than in humans (27)
, and the use of dogs for large scale preclinical studies poses practical limitations (28)
. Moreover, these animals have not provided progressive forms of prostatic disease that histologically resemble human PC (22)
. Through a concerted effort in several laboratories, Greenberg et al. (22
, 29
, 30)
established a transgenic mouse model of PC (TRAMP). This mouse model was generated using a construct consisting of the minimal rat probasin promoter (-426 to +28 probasin 5'-flanking DNA) driving expression of the SV40 early genes (T and t; Tag). Transgenic mice expressed the transgene in the prostate, in a developmentally and hormonally regulated manner (29
, 30)
. Because SV40 Tag is believed to interact with the p53 and retinoblastoma genes abrogating their function (31, 32, 33, 34)
, expression of the transgene was expected to induce tumorigenesis in the prostate. As expected, TRAMP mice developed progressive forms of PC with lesions ranging from mild PIN to large multinodular malignant neoplasia (22
, 29 , 30)
, as well as metastatic spread to lymph nodes and bone (22
, 29
, 30)
. TRAMP mice have been recently used to study chemoprevention of prostate carcinogenesis by
-difluoromethyl ornithine (35)
. The main objective of the present studies was to test the hypothesis that genistein reduces the incidence of PC in this unique mouse model.
| MATERIALS AND METHODS |
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Transgenic males, included in experiments at 56 weeks of age, were fed powdered AIN-76A (Harlan Teklad), a semipurified diet containing no detectable phytoestrogens (limit of detection, 5 pmol/ml). Mice were fed AIN-76A diet containing varying levels of genistein throughout the study, until they were 2830 weeks of age. Genistein used in these studies was chemically synthesized (Roche, Basel, Switzerland) and analyzed by HPLC (98.5% pure, 1.5% methanol) as described previously (36) . Throughout the study, each mouse was weighed once a week. Animal care and treatments were conducted in accordance with established guidelines and protocols approved by the University of Alabama Animal Care Committee.
Preparation and Analysis of Tissues.
At necropsy, conducted at 2830 weeks of age, all transgenic males were examined for gross organ abnormalities. Kidneys, epididymes, and testes were weighed too. In 34 of the mice, the urogenital tract, including the bladder, seminal vesicles, prostate, testes, and epididymes, were removed at necropsy en bloc and were prepared for pathological evaluation as described below. In most mice, DLPs were rapidly dissected and weighed, before additional processing. A sample of the DLP was rapidly frozen in liquid nitrogen and stored at -80°C, until additionally processed for mRNA analysis by RT-PCR. The rest of the prostate was fixed in an acid alcohol solution containing 96% ethanol, 1% glacial acetic acid, and 3% distilled water, as described by Folkvord et al. (37)
. The fixed tissue was then embedded in paraffin, and 45-µm sections were mounted on Colorfrost/Plus microscope slides (Fisher Scientific). Sections were stained with hematoxylin and eosin or with Gomori trichrome staining (38)
. Prostate lesions were scored using a 16 scale that has been established for TRAMP mice (39)
. Noncancerous lesions were graded as 1, 2, or 3, indicating normal tissue, low PIN, and high PIN, respectively. Grades 4, 5, and 6 indicated MD, WD, and PD cancerous lesions, respectively.
Analysis of Relative Steady-state RNA Levels of AR by RT-PCR.
Total RNA was isolated using the Rneasy Mini kit from Qiagen (Valencia, CA). With total RNA as the starting material, avian myeloblastosis virus reverse transcriptase and the cDNA Cycle kit from Invitrogen (Carlsbad, CA) were used to generate cDNA. AR cDNA was subsequently amplified by PCR using the following primers designed based on the sequence of the mouse AR (40)
: AR-forward: TGA CAA CAA CCA ACC AGA TTC C; and AR-reverse: CAC TGG AAT AAT GCT GAA GAG C. cDNA for the housekeeping gene ß-actin was amplified in the same PCR reaction, using primers designed based on the sequence of mouse ß-actin (41)
: ß-actin-forward: CTT TGC AGC TCC TTC GTT G; and ß-actin-reverse: TGC CAA TAG TGA TGA CCT G. PCR was performed using an initial denaturing step at 94°C (3 min), followed by 34 cycles consisting of a denaturing step at 94°C (1 min), an annealing step at 60°C (30 s), an extension step at 72°C (30 s), and, finally, one last step at 72°C (5 min). PCR products, AR (390 bp) and ß-actin (800 bp), were separated on a 1.5% agarose gel and visualized by staining with ethidium bromide. The intensity of the bands was measured by densitometry. Results are presented as relative steady-state RNA levels of AR, i.e., a ratio of the band intensities of the AR and ß-actin PCR products.
Genistein Analysis.
At necropsy, blood was collected by intracardial puncture. Serum concentrations of total genistein were analyzed by HPLC-multiple reaction ion-monitoring mass spectrometry (36)
.
Data Analysis.
Data were analyzed using SigmaStat, version 2.03 (SPSS, Inc). One-way ANOVA was performed if data in multiple groups were normally distributed with equal variance. The Kruskal-Wallis one-way ANOVA on ranks was used if three or more groups were compared, and the data were not normally distributed with equal variance. If these tests indicated that the groups were significantly different, a Tukey or Dunn test were carried out, respectively, to determine which of the groups were significantly different from the others.
2 analysis was used to compare frequencies in multiple groups.
| RESULTS |
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Results in Fig. 5
are the means of body weights in each experimental group ± SD, as a function of age (weeks). Because data were not normally distributed with equal variance, Kruskal-Wallis ANOVA, followed by an all pairwise multiple comparison procedure (Dunns method), was used to compare the experimental groups. The median values obtained at each time point, respectively, were not significantly different in the groups fed diets containing various levels of genistein. In conclusion, results indicated that genistein in the diet did not significantly affect body weight at any age.
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2 analysis revealed that genistein in the diet reduced significantly (P = 0.041) the proportion of mice with PD (score 6; Fig. 7
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| DISCUSSION |
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The advantage of the TRAMP mice is that, because of their genetic makeup, initiation of PC occurs spontaneously at puberty. Longitudinal studies in TRAMP mice have shown that over the period of 1228 weeks of age, this mouse displays progressive stages of PC found in humans (22
, 29
, 30
, 46
, 47)
. As expected, TRAMP mice produced in the UAB colony also developed progressive forms of prostatic disease that resemble human PC (Fig. 1)
. Careful pathological evaluation revealed that by 2830 weeks of age (mouse "middle age"), none of the TRAMP mice in our study had normal prostates, low PIN, or high PIN (Fig. 2)
. Instead, all mice displayed prostatic adenocarcinoma. About half displayed small prostates with WD, with the other half divided between mice with MD and PD (Fig. 2)
. This was consistent with a recent longitudinal study, in which 6080% of the population of TRAMP mice was shown to develop palpable prostate tumors by 2830 weeks of age (48)
.
PD (score 6) might represent a distinct, more advanced stage of PC in TRAMP mice. Thus, the median prostate weight was two orders of magnitude larger in prostates scored 6, as compared with prostates displaying WD (score 4) or MD (score 5; Fig. 3A
). AR expression was altered in prostates displaying PD as compared with prostates displaying WD (score 4) or MD (score 5; Fig. 3B
). We used the incidence of PD in TRAMP mice as an end point to examine the chemopreventive potential of dietary genistein.
Transgenic males were fed from weaning until middle age (2830 weeks of age) a phytoestrogen-free diet (AIN-76A) supplemented with increasing concentrations of genistein. In the present study, we report only studies with those genistein concentrations in the diet that produced mean serum levels of genistein (Fig. 4)
within the range that has been reported in Asian men on a standard soy diet (13)
. As in humans, these concentrations of genistein did not appear to be toxic in TRAMP mice, as indicated by the fact that weekly body weights (Fig. 5)
, as well as organ weights at necropsy (Fig. 6)
, were not affected at all by the presence of genistein in the diet. In contrast, we found a dose-dependent reduction in the incidence of TRAMP mice with PD PC (score 6) as a function of the concentration of genistein in the diet (Fig. 7)
.
Initiation of PC in TRAMP mice occurs at about 12 weeks of age. Therefore, the reduction observed in the incidence of PD PC at 2830 weeks of age (Fig. 7)
could be attributable to an inhibitory effect of genistein on tumor initiation, despite the fact that TRAMP mice express SV40 Tag. In addition, genistein in the diet might prevent development of PD PC by inhibiting mechanisms of promotion. On the basis of earlier studies, several molecular mechanisms might be responsible for the preventive action of genistein. Weak plant estrogens are polyphenolic compounds and might therefore act as antioxidants by inhibiting superoxide anion formation (49)
. Genistein also inhibits topoisomerase II (50, 51, 52)
and induces cell differentiation (53)
and apoptosis (51)
. Antiproliferative effects of genistein may be related to its ability to inhibit tyrosine kinases in vitro (18
, 42
, 54)
. At high concentration, genistein is a potent inhibitor of epidermal growth factor receptor tyrosine phosphorylation (54
, 55)
. Genistein has also been shown to inhibit in vitro the activity of the phosphotyrosine kinase focal adhesion kinase (56)
, consistent with the possibility that it might affect cell adhesion-mediated mechanisms. On the basis of these findings in vitro, it has been proposed that genistein may also act in vivo as a tyrosine kinase inhibitor, reducing the activity of receptors critical for the transduction of mitogenic signals (57)
. Additional studies are under way to sort out the mechanisms by which genistein might exert its preventive action in vivo.
In conclusion, genistein concentrations in the serum of mice fed genistein-containing diets were comparable with those found in Asian men on regular soy diet, a population in which the incidence of advanced PC is lower as compared with that in Western men. On the basis of body and organ weight evaluations, genistein in the diet did not appear to be toxic. Genistein in the diet reduced significantly the incidence of advanced prostate lesions in TRAMP mice, despite their altered genetic makeup. Studies are under way to sort out molecular mechanisms that might underlie the preventive effect of genistein in the diet.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by American Institute for Cancer Research (AICR 00A023, to A. E.), the Department of Defense (DAMD 17-98-1-85-82, to C. A. L.), and UAB Comprehensive Minority Faculty and Student Development Program Fellowships (to R. M-M.). The HPLC-mass spectrometer system used in the analysis of genistein was purchased with funds from an NIH instrumentation grant (S10RR06487). ![]()
2 To whom requests for reprints should be addressed, at Department of Genomics and Pathobiology, Volker Hall 402, University of Alabama at Birmingham, Birmingham, AL 35294-0019. Phone: (205) 934-6547; Fax: (205) 975-4418; E-mail: aelgavis{at}uab.edu ![]()
3 The abbreviations used are: PC, prostate cancer; TRAMP, Transgenic Adenocarcinoma Mouse Prostate; Tag, T antigen; DLP, dorsolateral prostate; PIN, prostatic intraepithelial neoplasia; AR, androgen receptor; UAB, University of Alabama at Birmingham; HPLC, high-performance liquid chromatography; RT-:PCR, reverse transcriptase-PCR; MD, moderately differentiated prostatic adenocarcinoma; PD, poorly differentiated prostatic adenocarcinoma; WD, well-differentiated prostatic adenocarcinoma. ![]()
4 J. Wang, I-E. Eltoum, and C. A. Lamartiniere. Dietary genistein suppresses chemically induced prostate cancer in Lobund-Wistar Rats, submitted for publication. ![]()
Received 9/13/00. Accepted 7/13/01.
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W. A. Fritz, M. S. Cotroneo, J. Wang, I.-E. Eltoum, and C. A. Lamartiniere Dietary Diethylstilbestrol but Not Genistein Adversely Affects Rat Testicular Development J. Nutr., July 1, 2003; 133(7): 2287 - 2293. [Abstract] [Full Text] [PDF] |
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L. Yu, G. L. Blackburn, and J.-R. Zhou Genistein and Daidzein Downregulate Prostate Androgen-Regulated Transcript-1 (PART-1) Gene Expression Induced by Dihydrotestosterone in Human Prostate LNCaP Cancer Cells J. Nutr., February 1, 2003; 133(2): 389 - 392. [Abstract] [Full Text] [PDF] |
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R. A. Jarred, M. Keikha, C. Dowling, S. J. McPherson, A. M. Clare, A. J. Husband, J. S. Pedersen, M. Frydenberg, and G. P. Risbridger Induction of Apoptosis in Low to Moderate-Grade Human Prostate Carcinoma by Red Clover-derived Dietary Isoflavones Cancer Epidemiol. Biomarkers Prev., December 1, 2002; 11(12): 1689 - 1696. [Abstract] [Full Text] [PDF] |
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W. A. Fritz, I.-E. Eltoum, M. S. Cotroneo, and C. A. Lamartiniere Genistein Alters Growth but Is Not Toxic to the Rat Prostate J. Nutr., October 1, 2002; 132(10): 3007 - 3011. [Abstract] [Full Text] [PDF] |
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J. K. Day, A. M. Bauer, C. desBordes, Y. Zhuang, B.-E. Kim, L. G. Newton, V. Nehra, K. M. Forsee, R. S. MacDonald, C. Besch-Williford, et al. Genistein Alters Methylation Patterns in Mice J. Nutr., August 1, 2002; 132(8): 2419S - 2423. [Abstract] [Full Text] [PDF] |
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M. Messina, C. Gardner, and S. Barnes Gaining Insight into the Health Effects of Soy but a Long Way Still to Go: Commentary on the Fourth International Symposium on the Role of Soy in Preventing and Treating Chronic Disease J. Nutr., March 1, 2002; 132(3): 547S - 551. [Abstract] [Full Text] [PDF] |
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C. A. Lamartiniere, M. S. Cotroneo, W. A. Fritz, J. Wang, R. Mentor-Marcel, and A. Elgavish Genistein Chemoprevention: Timing and Mechanisms of Action in Murine Mammary and Prostate J. Nutr., March 1, 2002; 132(3): 552S - 558. [Abstract] [Full Text] [PDF] |
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