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Targeting estrogen receptors in colorectal cancer

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Abstract

Hormones have become a useful therapeutic aspect of clinical endocrinology but how to use them to optimize the health benefits and avoid adverse effects is a major challenge. Estrogen is an indispensable hormone for proper biological functioning but is also implicated with the pathology of both the reproductive and non-reproductive tissues. Abnormal estrogen receptor signaling may increase the risk of development of a variety of diseases including colorectal cancer (CRC). Estrogen receptor beta (ERβ) is the predominant subtype in the colonic epithelium and confers the anti-tumor effect through various mechanisms. Many investigators have embarked on the search for the biological mechanisms by which estrogen and estrogen-like compounds may influence the pathogenesis of CRC. This review explores the recent findings on the therapeutic role of ERβ in the colonic epithelium as a prospective candidate for targeted endocrine therapy in CRC.

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References

  1. World Health Organization (2018) Global health observatory. World Health Organization, Geneva

    Google Scholar 

  2. Gulbake A et al (2016) Insight to drug delivery aspects for colorectal cancer. World J Gastroenterol 22(2):582–599

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Stevanato Filho PR et al (2017) Oestrogen receptor beta isoform expression in sporadic colorectal cancer, familial adenomatous polyposis and progressive stages of colorectal cancer. BMC Cancer 17(1):754

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  4. Fitzmaurice C et al (2017) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015 a systematic analysis for the global burden of disease study. JAMA Oncol 3(4):524–548

    Article  PubMed  Google Scholar 

  5. Barzi A et al (2013) Molecular pathways: estrogen pathway in colorectal cancer. Clin Cancer Res 19(21):5842–5848

    Article  CAS  PubMed  Google Scholar 

  6. Yang X et al (2017) Estrogen and estrogen receptors in the modulation of gastrointestinal epithelial secretion. Oncotarget 8(57):97683–97692

    Article  PubMed  PubMed Central  Google Scholar 

  7. Saint-Criq V et al (2012) Estrogen regulation of epithelial ion transport: implications in health and disease. Steroids 77(10):918–923

    Article  CAS  PubMed  Google Scholar 

  8. Song CH et al (2019) Effects of 17beta-estradiol on colorectal cancer development after azoxymethane/dextran sulfate sodium treatment of ovariectomized mice. Biochem Pharmacol 164:139–151

    Article  CAS  PubMed  Google Scholar 

  9. Heijmans J et al (2014) Oestrogens promote tumorigenesis in a mouse model for colitis-associated cancer. Gut 63(2):310–316

    Article  CAS  PubMed  Google Scholar 

  10. Saleiro D et al (2012) Estrogen receptor-beta protects against colitis-associated neoplasia in mice. Int J Cancer 131(11):2553–2561

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Giroux V et al (2008) Estrogen receptor beta deficiency enhances small intestinal tumorigenesis in ApcMin/+ mice. Int J Cancer 123(2):303–311

    Article  CAS  PubMed  Google Scholar 

  12. Armstrong CM et al (2013) A novel shift in estrogen receptor expression occurs as estradiol suppresses inflammation-associated colon tumor formation. Endocr Relat Cancer 20(4):515–525

    Article  CAS  PubMed  Google Scholar 

  13. Murphy N et al (2017) Reproductive and menstrual factors and colorectal cancer incidence in the women's health initiative observational study. Br J Cancer 116(1):117–125

    Article  PubMed  Google Scholar 

  14. Rudolph A et al (2013) Colorectal cancer risk associated with hormone use varies by expression of estrogen receptor-beta. Cancer Res 73(11):3306–3315

    Article  CAS  PubMed  Google Scholar 

  15. Botteri E et al (2017) Menopausal hormone therapy and colorectal cancer: a linkage between nationwide registries in Norway. BMJ Open 7(11):e017639

    Article  PubMed  PubMed Central  Google Scholar 

  16. Cobin RH, Goodman NF (2017) American association of clinical endocrinologists and American college of endocrinology position statement on Menopause-2017 update. Endocr Pract 23(7):869–880

    Article  PubMed  Google Scholar 

  17. Greene GL et al (1986) Sequence and expression of human estrogen receptor complementary DNA. Science 231(4742):1150–1154

    Article  CAS  PubMed  Google Scholar 

  18. Caiazza F et al (2015) Estrogen receptors and their implications in colorectal carcinogenesis. Front Oncol 5:19

    Article  PubMed  PubMed Central  Google Scholar 

  19. Jacenik D et al (2019) G protein-coupled estrogen receptor in colon function, immune regulation and carcinogenesis. World J Gastroenterol 25(30):4092–4104

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Acconcia F et al (2005) Survival versus apoptotic 17beta-estradiol effect: role of ER alpha and ER beta activated non-genomic signaling. J Cell Physiol 203(1):193–201

    Article  CAS  PubMed  Google Scholar 

  21. Galluzzo P et al (2007) Role of ERbeta palmitoylation in the inhibition of human colon cancer cell proliferation. Endocr Relat Cancer 14(1):153–167

    Article  CAS  PubMed  Google Scholar 

  22. Barone M, Di Leo AJJGSGT (2013) Estrogen receptor beta in colorectal cancer prevention: do we have conclusive proof. Front Oncol 4(201):2

    Google Scholar 

  23. Huang B et al (2014) Differential expression of estrogen receptor α, β1, and β2 in lobular and ductal breast cancer. J Genet Syndr Gene Ther 111(5):1933–1938

    CAS  Google Scholar 

  24. Looijer-van Langen M et al (2011) Estrogen receptor-β signaling modulates epithelial barrier function. Am J Physiol Gastrointest Liver Physiol 300(4):G621–G626

    Article  CAS  PubMed  Google Scholar 

  25. Pierdominici M et al (2015) Linking estrogen receptor β expression with inflammatory bowel disease activity. Oncotarget 6(38):40443–40451

    Article  PubMed  PubMed Central  Google Scholar 

  26. Rudolph A et al (2012) Expression of oestrogen receptor beta and prognosis of colorectal cancer. Br J Cancer 107(5):831–839

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Sareddy GR, Vadlamudi RK (2015) Cancer therapy using natural ligands that target estrogen receptor beta. Chin J Nat Med 13(11):801–807

    CAS  PubMed  PubMed Central  Google Scholar 

  28. Xie L-Q, Yu J-P, Luo H-SJWJOG (2004) Expression of estrogen receptor β in human colorectal cancer. World J Gastroenterol 10(2):214

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Wada-Hiraike O et al (2006) Role of estrogen receptor β in colonic epithelium. Proc Natl Acad Sci 103(8):2959–2964

    Article  CAS  PubMed  Google Scholar 

  30. Edvardsson K et al (2011) Estrogen receptor beta induces antiinflammatory and antitumorigenic networks in colon cancer cells. Mol Endocrinol 25(6):969–979

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Williams C et al (2016) Estrogen receptor beta as target for colorectal cancer prevention. Cancer Lett 372(1):48–56

    Article  CAS  PubMed  Google Scholar 

  32. Wei Y et al (2019) Estrogen receptor beta (ERβ) mediated-CyclinD1 degradation via autophagy plays an anti-proliferation role in colon cells. Int J Biol Sci 15(5):942

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Hartman J et al (2009) Tumor repressive functions of estrogen receptor beta in SW480 colon cancer cells. Cancer Res 69(15):6100–6106

    Article  CAS  PubMed  Google Scholar 

  34. Perez-Ruiz E et al (2018) Expression and prognostic value of oestrogen receptor beta in colorectal cancer. Pathol Oncol Res 24(4):871–879

    Article  CAS  PubMed  Google Scholar 

  35. Nelson AW et al (2017) Comprehensive assessment of estrogen receptor beta antibodies in cancer cell line models and tissue reveals critical limitations in reagent specificity. Mol Cell Endocrinol 440:138–150

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Andersson S et al (2017) Insufficient antibody validation challenges oestrogen receptor beta research. Nat Commun 8:15840–15840

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Iacopetta BJIJOC (2002) Are there two sides to colorectal cancer? Int J Cancer 101(5):403–408

    Article  CAS  PubMed  Google Scholar 

  38. Papaxoinis K et al (2010) Subsite-specific differences of estrogen receptor beta expression in the normal colonic epithelium: implications for carcinogenesis and colorectal cancer epidemiology. Eur J Gastroenterol Hepatol 22(5):614–619

    Article  CAS  PubMed  Google Scholar 

  39. Koo JH, Leong RWJJOG (2010) Sex differences in epidemiological, clinical and pathological characteristics of colorectal cancer. J Gastroenterol Hepatol 25(1):33–42

    Article  PubMed  Google Scholar 

  40. Jassam N et al (2005) Loss of expression of oestrogen receptor beta in colon cancer and its association with Dukes' staging. Oncol Rep 14(1):17–21

    CAS  PubMed  Google Scholar 

  41. Yamauchi M et al (2012) Assessment of colorectal cancer molecular features along bowel subsites challenges the conception of distinct dichotomy of proximal versus distal colorectum. Gut 61(6):847–854

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Rosty C et al (2013) PIK3CA activating mutation in colorectal carcinoma: associations with molecular features and survival. PLoS ONE 8(6):e65479

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Parmeggiani D et al (2011) Additional prognostic factors in right colon cancer staging. Updates Surg 63(3):155–161

    Article  PubMed  Google Scholar 

  44. Bolli A et al (2010) Bisphenol A impairs estradiol-induced protective effects against DLD-1 colon cancer cell growth. IUBMB Life 62(9):684–687

    Article  CAS  PubMed  Google Scholar 

  45. Qi W et al (2011) Genistein inhibits proliferation of colon cancer cells by attenuating a negative effect of epidermal growth factor on tumor suppressor FOXO3 activity. BMC Cancer 11:219

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Schleipen B et al (2011) ERbeta-specific agonists and genistein inhibit proliferation and induce apoptosis in the large and small intestine. Carcinogenesis 32(11):1675–1683

    Article  CAS  PubMed  Google Scholar 

  47. Guo JY et al (2004) Dietary soy isoflavones and estrone protect ovariectomized ERalphaKO and wild-type mice from carcinogen-induced colon cancer. J Nutr 134(1):179–182

    Article  CAS  PubMed  Google Scholar 

  48. Zou Y et al (2019) Isoflavone and its metabolite equol inhibit development of azoxymethane-induced colorectal tumors and modulate proliferation of colon carcinoma cells. Int J Clin Exp Med 12(1):461–469

    CAS  Google Scholar 

  49. Menon R et al (2013) Diet complexity and estrogen receptor beta status affect the composition of the murine intestinal microbiota. Appl Environ Microbiol 79(18):5763–5773

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Pampaloni B et al (2013) Phytoestrogens and colon cancer. In: Soybean—bio-active compounds

  51. Eisenbrand G (2007) Isoflavones as phytoestrogens in food supplements and dietary foods for special medical purposes. Opinion of the senate commission on food safety (SKLM) of the German Research Foundation (DFG)-(shortened version). Mol Nutr Food Res 51(10):1305–1312

    Article  CAS  PubMed  Google Scholar 

  52. Yan L, Spitznagel EL, Bosland MC (2010) Soy consumption and colorectal cancer risk in humans: a meta-analysis. Cancer Epidemiol Biomark Prev 19(1):148–158

    Article  CAS  Google Scholar 

Download references

Funding

The current study was supported by grants from the National Natural Science Foundation of China (Grant No. 31672520), the Fundamental Research Funds for the Central Universities (Grant No. KJQN201709), the National Natural Science Foundation of China (Grant No. 31602027), the National Natural Science Foundation of China (Grant No. 31372403), Jiangsu Natural Science Foundation of China (Grant No. BK20160732), China Postdoctoral Science Foundation (2016M591860), the Priority Academic Program Development of Jiangsu Higher Education Institutions, Graduate Research and Innovation Projects in Jiangsu Province.

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Correspondence to Joyce Wanjiru Maingi.

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Maingi, J.W., Tang, S., Liu, S. et al. Targeting estrogen receptors in colorectal cancer. Mol Biol Rep 47, 4087–4091 (2020). https://doi.org/10.1007/s11033-020-05414-6

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  • DOI: https://doi.org/10.1007/s11033-020-05414-6

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