Abstract
The relationship between estrogen and prolactinoma is well documented. But the anti-tumor effects of a pure estrogen receptor antagonist fulvestrant on prolactinomas, especially in vivo, and the possible mechanisms are still unclear. Therefore, the aim of this study was to evaluate the effects of fulvestrant and the involvement of the Wnt signaling pathway on rat prolactinoma models. Forty female F344 rat prolactinoma models were established by subcutaneous administration of 10 mg 17β-estradiol for 6 weeks. Rats were intramuscularly injected with fulvestrant (0, 0.5, 3, 20, 40 mg/kg), and tumor size, weight and serum prolactin (PRL) levels were evaluated before and after fulvestrant treatment at 3, 7 and 14 days. Expression of estrogen receptor α (ERα), β-catenin and Wnt inhibitory factor-1 (WIF-1) in prolactinomas was measured using quantitative PCR and western blotting, and methylation of the WIF-1 promoter was investigated using pyrosequencing. Tumor size, weight and serum PRL levels were inhibited in dose-dependent and time-dependent manners after fulvestrant treatments. β-catenin expression was downregulated but WIF-1 expression was upregulated following fulvestrant treatment. The methylation of the CpG site of the WIF-1 promoter was negatively correlated to the expression of WIF-1. In addition, the anti-cell proliferation of fulvestrant on GH3 cells was partly disrupted by Wnt signaling pathway agonist SB 216763. In conclusion, fulvestrant inhibited tumor proliferation and PRL secretion of prolactinomas via ERα, and the Wnt signaling pathway was involved in this anti-tumor effect. Therefore, fulvestrant may be a potential new drug for prolactinomas.
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References
Colao A, Lombardi G (1998) Growth-hormone and prolactin excess. Lancet 352:1455–1461
Serri O, Noiseux D, Robert F, Hardy J (1996) Lactotroph hyperplasia in an estrogen treated male-to-female transsexual patient. J Clin Endocrinol Metab 81:3177–3179
Lloyd RV (1983) Estrogen-induced hyperplasia and neoplasia in the rat anterior pituitary gland. Am J Pathol 113:198–206
Ergote I, Abram P (2006) Fulvestrant, a new treatment option for advanced breast cancer: tolerability versus existing agents. Ann Oncol 17:200–204
Lv H, Li C, Gui S, Sun M, Li D, Zhang Y (2011) Effects of estrogen receptor antagonist on biological behavior and expression of growth factors in the prolactinoma MMQ cell line. J Neurooncol 102:237–245
Willert K, Jones KA (2006) Wnt signaling: is the party in the nucleus? Genes Dev 20:1394–1404
Giles RH, van Es JH, Clevers H (2003) Caught up in a Wnt storm: Wnt signaling in cancer. Biochim Biophys Acta 1653:1–24
Varea O, Garrido JJ, Dopazo A, Mendez P, Garcia-Segura LM, Wandosell F (2009) Estradiol activates beta-catenin dependent transcription in neurons. PLoS ONE 4:e5153
Bai J, Gui S, Zhang Y (2013) Suppression of MMQ cells by fulvestrant: possible mechanism of action and potential application for bromocriptine-resistant prolactinomas. J Clin Neurosci 20:721–725
Giles A, MadecF Friedrichsen S, Featherstone K, Chambers T, Harper CV, Resch J, Brabant G, Davis JR (2011) Wnt signaling in estrogen-induced lactotroph proliferation. J Cell Sci 124:540–547
Colella S, Shen L, Baggerly KA, Issa JP, Krahe R (2003) Sensitive and quantitative universal pyrosequencing methylation analysis of CpG sites. Biotechniques 35:146–150
Gillam MP, Molitch ME, Lombardi G, Colao A (2006) Advances in the treatment of prolactinomas. Endocr Rev 27:485–534
Kansra S, Yamagata S, Sneade L, Foster L, Ben-Jonathan N (2005) Differential effects of estrogen receptor antagonists on pituitary lactotroph proliferation and prolactin release. Mol Cell Endocrinol 239:27–36
Li C, Sun Z, Gui S, Liu F, Zhang Y (2009) Effects of fulvestrant, an estrogen receptor antagonist, on MMQ cells and its mechanism. Neuro Endocrinol Lett 30:268–274
Leng L, Zhang Y (2011) Effects of an estrogen receptor antagonist on proliferation, prolactin secretion and growth factor expression in the MMQ pituitary prolactinoma cell line. J Clin Neurosci 18:1694–1698
Wijayaratne AL, McDonnell DP (2001) The human estrogen receptor-alpha is a ubiquitinated protein whose stability is affected differentially by agonists, antagonists, and selective estrogen receptor modulators. J Biol Chem 276:35684–35692
Wardell SE, Marks JR, McDonnell DP (2011) The turnover of estrogen receptor a by the selective estrogen receptor degrader (SERD) fulvestrant is a saturable process that is not required for antagonist efficacy. Biocheml Pharmacol 82:122–130
Dauvois S, White R, Parker MG (1993) The antiestrogen ICI 182780 disrupts estrogen receptor nucleocytoplasmic shuttling. J Cell Sci 106:1377–1388
Mulholland DJ, Dedhar S, Coetzee GA, Nelson CC (2005) Interaction of nuclear receptors with the Wnt/β-Catenin/Tcf signaling axis: Wnt you like to know? Endocr Rev 26:898–915
Semba S, Han SY, Ikeda H, Horii A (2001) Frequent nuclear accumulation of beta-catenin in pituitary adenoma. Cancer 91:42–48
Varea O, Arevalo MA, Garrido JJ, Garcia-Segura LM, Wandosell F, Mendez P (2010) Interaction of estrogen receptors with insulin-like growth factor-I and Wnt signaling in the nervous system. Steroids 75:565–569
Ai L, Tao Q, Zhong S, Fields CR, Kim WJ, Lee MW, Cui Y, Brown KD, Robertson KD (2006) Inactivation of Wnt inhibitory factor-1 (WIF1) expression by epigenetic silencing is a common event in breast cancer. Carcinogenesis 27:1341–1348
Elston MS, Gill AJ, Conaglen JV, Clarkson A, Shaw JM, Law AJ, Cook RJ, Little NS, Clifton-Bligh RJ, Robinson BG, McDonald KL (2008) Wnt pathway inhibitors are strongly down-regulated in pituitary tumors. Endocrinol 149:1235–1242
Herman JG, Baylin SB (2003) Gene silencing in cancer in association with promoter hypermethylation. N Engl J Med 349:2042–2054
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This work was supported by the National Natural Science Foundation of China (81271627, 30971005, 31000498, 81272522 and 81072075), the Key Program of the Natural Science Foundation of Beijing (7121004), and the Ladder Program of the Key Lab in Beijing (Z121107002812031).
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Lei Cao and Hua Gao contributed equally to this work.
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Supplemental Fig. 1
The cell proliferation and β-catenin expressions of GH3 cells after FVT and SB 216763 treatments. The cell proliferation of GH3 cells was inhibited by fulvestrant (FVT) and promoted by SB 216763(SB). But the anti-cell proliferation effect of FVT on GH3 cells was partly disrupted by SB treatment (a). Also, the mRNA and protein levels of β-catenin were down-regulated by FVT and up-regulated by SB. The downregualtion of β-catenin by fulvestrant could be reversed by SB treatment (b) (**, P < 0.01)
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Cao, L., Gao, H., Gui, S. et al. Effects of the estrogen receptor antagonist fulvestrant on F344 rat prolactinoma models. J Neurooncol 116, 523–531 (2014). https://doi.org/10.1007/s11060-013-1351-8
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DOI: https://doi.org/10.1007/s11060-013-1351-8