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Endocrinology Vol. 138, No. 11 4690-4698
Copyright © 1997 by The Endocrine Society


ARTICLES

Differential Effects of 1,25-Dihydroxyvitamin D3 and Tetradecanoylphorbol Acetate on Cell Cycle and Apoptosis of MCF-7 Cells and a Vitamin D3-Resistant Variant1

Carmen J. Narvaez and JoEllen Welsh

W. Alton Jones Cell Science Center, Lake Placid, New York 12946

Address all correspondence and requests for reprints to: Dr. JoEllen Welsh, Senior Scientist, W. Alton Jones Cell Science Center, 10 Old Barn Road, Lake Placid, New York 12946. E-mail: jwelsh{at}cell-science.org


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
1,25-Dihydroxyvitamin D3 (1,25-(OH)2D3), the active form of vitamin D3, and tetradecanoylphorbol acetate (TPA) are potent negative growth regulators of breast cancer cells. In this study, we compared the mechanism of action of these two compounds in MCF-7 cells and a vitamin D3-resistant variant (MCF-7D3Res). In parental MCF-7 cells, 1,25-(OH)2D3 induced morphological and biochemical markers of apoptosis (chromatin and nuclear matrix condensation and DNA fragmentation), whereas TPA induced growth arrest without apoptosis. Both 1,25-(OH)2D3 and TPA independently up-regulated the vitamin D receptor, p21, and the hypophosphorylated form of retinoblastoma (Rb) protein. The growth regulatory effects of 1,25-(OH)2D3 and TPA did not correlate with induction of p53 protein expression. When both compounds were added simultaneously, synergistic effects on MCF-7 cell number were observed, and cell cycle regulatory proteins were down-regulated. The MCF-7D3Res cells, which are not sensitive to 1,25-(OH)2D3, were growth inhibited by TPA, and TPA partially sensitized MCF-7D3Res cells to the growth inhibitory effects of 1,25-(OH)2D3. In MCF-7D3Res cells, 1,25-(OH)2D3 treatment had minimal effects on p21 or Rb protein expression, whereas TPA down-regulated Rb protein and transiently up-regulated p21. These studies indicate dissociation between the pathways triggered by 1,25-(OH)2D3 and TPA, which mediate growth regulation in MCF-7 cells. Because both compounds induce growth arrest, but only 1,25-(OH)2D3 mediates apoptosis, we conclude that cell cycle arrest is not sufficient to trigger cell death of MCF-7 cells, and that 1,25-(OH)2D3 generates distinct signals which lead to induction of apoptosis in breast cancer cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE ACTIVE FORM of vitamin D3, 1,25-dihydroxyvitamin D3 (1,25-(OH)2D3), is a powerful regulator of calcium homeostasis, and modulates growth and differentiation of a variety of normal and transformed cells. 1,25-(OH)2D3 is a potent negative growth regulator of breast cancer cells in vitro and in vivo, and synthetic vitamin D3 analogs that induce mammary tumor regression in animals without hypercalcemia may be useful adjunctive therapies for human breast cancer (1, 2, 3). Our lab has shown that inhibition of breast cancer cell growth in response to 1,25-(OH)2D3 involves cell cycle arrest and activation of apoptosis (4, 5, 6). Several studies have indicated that the actions of 1,25-(OH)2D3 may involve protein kinase C (PKC) activation and can be inhibited or blocked by PKC inhibition (7, 8, 9). Although it has been demonstrated that phorbol esters such as tetradecanoylphorbol acetate (TPA) inhibit breast cancer cell growth, and that PKC activation can modulate apoptosis (10, 11), it is not clear whether TPA induces apoptosis in MCF-7 cells. The first objective of the current study was to determine if 1,25-(OH)2D3 and TPA exert their growth regulatory effects on MCF-7 cells via common mechanisms which involve cell cycle arrest and apoptosis.

To probe the mechanisms whereby vitamin D signaling modulates apoptosis, we have selected a subclone of MCF-7 cells (termed MCF7D3Res cells) that is resistant to the growth inhibitory effects of 1,25-(OH)2D3 (12). MCF-7D3Res cells do not exhibit cell cycle arrest or apoptosis following treatment with up to 100 nM 1,25-(OH)2D3, yet these cells retain sensitivity to antiestrogens such as tamoxifen. The mechanism of 1,25-(OH)2D3 resistance is unclear, although we have demonstrated that the MCF-7D3Res cells express the vitamin D receptor (VDR), which is able to bind ligand and several known vitamin D response elements (12). These data suggest that 1,25-(OH)2D3 resistance in these cells is not due to complete abrogation of VDR-mediated effects and may represent an uncoupling of growth regulation from VDR signaling. Because previous reports have implicated the cell cycle regulatory proteins p53, p21, and Rb in mediating the growth inhibitory effects of both 1,25-(OH)2D3 and TPA, the second objective of these studies was to compare expression of these proteins in MCF-7 cells and MCF-7D3Res cells after treatment with 1,25-(OH)2D3 and TPA.

Our results indicate that 1,25-(OH)2D3 and TPA exert similar but independent effects on growth and cell cycle regulatory proteins and disparate effects on MCF-7 cell apoptosis. These data suggest that 1,25-(OH)2D3, but not TPA, generates distinct signals that lead to induction of apoptosis in MCF-7 cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and cell culture
MCF-7 cells (originally obtained from ATCC) were used to generate the 1,25-(OH)2D3-resistant variant (MCF7D3Res) that has been previously described (12). Both cell lines were cultured in {alpha}-MEM medium (Life Technologies, Inc., Gaithersburg, MD) containing 25 mM HEPES and 5% FBS (Life Technologies). Cells were routinely plated at 2 x 104 cells/ml and passaged every 3–4 days. Stock cultures of MCF-7D3Res cells were routinely grown in medium containing 100 nM 1,25-(OH)2D3 (Biomol, Plymouth Meeting, PA). For experiments, MCF-7 and MCF-7D3Res cells were plated in medium containing 5% FBS without 1,25(OH)2D3, and treatments with 1,25(OH)2D3, TPA or ethanol vehicle were initiated 2 days after plating. Doses of 1,25(OH)2D3 up to 100 nM were used for these experiments to maximize the differences in growth kinetics between MCF-7 and MCF-7D3Res cells. Although 100 nM 1,25(OH)2D3 is higher than the physiologic concentration of this hormone, similar doses are routinely used for in vitro studies of VDR target gene regulation.

Determination of total cell number and DNA fragmentation
For measurement of cell number or DNA fragmentation, cells were plated in 24-well plates at a density of 2 x 103 cells/well. For quantitation of total cell number, cells were fixed with 1% glutaraldehyde for 15 min, incubated with 0.1% crystal violet (Fisher Scientific, Pittsburgh, PA) for 30 min, destained with H2O, and solubilized with 0.2% Triton X-100. Absorbance at 562 nm (minus background absorbance at 630 nm) was determined on a microplate reader. Quantitation of apoptotic cell death was achieved with a commercially available cell death ELISA system (Boehringer Mannheim, Indianapolis, IN) that detects DNA fragmentation, a characteristic feature of apoptosis. During apoptosis, nuclear disintegration results from activation of an endonuclease that cleaves DNA at the internucleosomal linker regions, generating soluble DNA-histone complexes. In the cell death ELISA assay, these DNA-histone fragments are detected in cytosolic extracts using a sandwich ELISA with monoclonal antibodies directed against DNA and histones. Thus, an increase in soluble DNA-histone fragments indicates an increase in the number of cells undergoing apoptosis. Cytosolic extracts derived from control and treated cells were equalized on the basis of total cell number (determined by crystal violet staining) and analyzed according to the manufacturer’s protocol.

Morphology and in situ end labeling
Cells were plated on coverslips in six-well plates at a density of 1 x 104 cells/ml and were treated with ethanol, 100 nM 1,25-(OH)2D3 or 1 nM TPA± 100 nM 1,25-(OH)2D3 2 days later. Cells were fixed after 72 h, and DNA fragmentation was detected with the In Situ Cell Death Detection kit (Boehringer-Mannheim) according to manufacturer’s protocol. This assay labels individual cells undergoing apoptosis by terminal transferase-mediated addition of fluorescein dUTP at DNA strand breaks. Following washing and mounting, cells were viewed on a Nikon Optiphot 2 microscope and photographed.

Steroid receptor ligand binding assays
Binding of 3H-1,25-(OH)2D3 or 3H-17ß-estradiol was measured in nuclear extracts derived from MCF-7 and MCF-7D3Res cells treated with 100 nM 1,25-(OH)2D3, 100 nM TPA, or vehicle for 48 h (13). Briefly, cells were homogenized in high salt KTED buffer (300 mM KCl, 10 mM Tris-HCl, 1 mM EDTA, 1 mM DTT, 10 mM molybdate, 25 µg/ml leupeptin, 25 µg/ml aprotinin, 100 mM PMSF, 1 mM NaVO3, 10 mM NaF, 10 mM benzamidine; pH 7.5) and centrifuged (105,000 x g, 45 min) to yield a chromatin extract that was incubated with 1 nM 3H-1,25-(OH)2D3 (Amersham Life Science, Buckinghamshire, UK) or 2 nM 3H-17ß-estradiol for 24 h at 4 C. Bound and free hormone were separated by addition of dextran coated charcoal, incubation for 15 min, and centrifugation at 3500 x g for 15 min. Bound 3H-1,25-(OH)2D3 or 3H-17ß-estradiol in the supernatant was counted in a Beckman scintillation counter. Data are expressed as fmol 3H-1,25-(OH)2D3 or 3H-17ß-estradiol bound per mg protein after correction for nonspecific binding, which was measured in parallel tubes incubated with 250-fold excess unlabeled 1,25-(OH)2D3 or diethylstilbestrol.

Western blotting of Rb, p21, p53, and VDR
For immunoblotting, cells were seeded at a density of 1.5 x 104 cells/ml and treated with 1,25-(OH)2D3, in the presence or absence of TPA, or ethanol vehicle, 2 days after plating. At the indicated time points, cell lysates were prepared and separated on SDS-PAGE, transferred to nitrocellulose, and immunoblotted with monoclonal antibodies directed against human Rb (Pharmingen, SanDiego, CA), p21 (Oncogene Science, Cambridge, MA) or p53 (DAKO, Glostrup, Denmark). Following incubation with horseradish peroxidase conjugated antimouse Ig, specific bands were detected by enhanced chemiluminescence using products from Amersham. For VDR, proteins were precipitated from high salt nuclear extracts (prepared as described for ligand binding studies), separated on SDS-PAGE, transferred to nitrocellulose, and blotted with a monoclonal antibody directed against the VDR (clone 9A7{gamma}, Neomarkers, Fremont, CA) followed by horseradish peroxidase conjugated antirat secondary antibody and chemiluminescent detection. Blots were scanned by laser densitometry and data are given relative to vehicle treated values. As indicated in individual figure legends, each blot is representative of two or more independent experiments which yielded similar results.

Statistical evaluation
Data are expressed as mean ± SE, with the number of replicates indicated in the figure legends. When not shown, SEMs were less than 5% of the mean. One-way ANOVA was used to assess statistical significance between means. Differences between means were considered significant if p values less than 0.05 were obtained with the Bonferroni method using the GraphPad Instat computer program (Intuitive Software for Science, San Diego, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of 1,25-(OH)2D3 and TPA on cell number
MCF-7 and MCF-7D3Res cells were treated with 100 nM 1,25-(OH)2D3, 1 nM TPA or both, and total cell numbers were quantitated over a 9-day time period. As indicated in Fig. 1Go, both 1,25-(OH)2D3 and TPA significantly reduced MCF-7 cell number, but distinct growth patterns were observed with each agent. In MCF-7 cultures treated with TPA, total cell number continued to increase, but at a slower rate than in vehicle treated cultures. In MCF-7 cultures treated with 1,25-(OH)2D3, total cell number did not increase after day 3. In cultures treated with both 1,25-(OH)2D3 and TPA, total cell number did not increase after day 1. In the MCF-7D3Res cultures, 1,25-(OH)2D3 had minimal effects on cell number, yet TPA significantly reduced cell numbers. Furthermore, TPA was able to partially sensitize MCF-7D3Res cells to the effects of 100 nM 1,25-(OH)2D3 because cell numbers were significantly lower in MCF-7D3Res cultures treated with both 1,25-(OH)2D3 and TPA than in those treated with TPA alone.



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Figure 1. Effects of 1,25-(OH)2D3 or TPA on parental MCF-7 and MCF-7D3Res cell growth. Cells were plated at a density of 1,000 cells/well in 24-well plates. Two days after plating, cells were treated with ethanol vehicle, 1 nM TPA, or 100 nM 1,25-(OH)2D3 ± 1 nM TPA for up to 9 days. At each time point, total cell number was determined by crystal violet assay as described in Materials and Methods. Data represent mean ± SE of six values per time point. *, P < 0.01; **, P < 0.001; ethanol control vs. treated

 
Effects of 1,25-(OH)2D3 and TPA on cell cycle regulatory proteins
Because previous work has demonstrated that MCF-7 cells treated with 1,25-(OH)2D3 (6) or TPA (10) arrest in G0/G1, we examined the effects of these agents on the cell cycle regulatory proteins Rb, p21 and p53. As shown in Fig. 2Go, vehicle treated MCF-7 cells exhibited one band, representing the phosphorylated form of the Rb protein. In contrast, an additional, faster migrating Rb band was detectable in cells treated for 48 h with either 100 nM 1,25-(OH)2D3 or 1 nM TPA. This lower band represents the hypophosphorylated form of the Rb protein, which is associated with growth arrest in G0/G1. In MCF-7 cells treated simultaneously with both agents, the expression of the hypophosphorylated form of the Rb protein was more prominent than with either agent alone at doses as low as 1 nM 1,25-(OH)2D3. A clear down-regulation of both hypo and hyper phosphorylated forms of the Rb protein was evident in cells coincubated with 1 nM TPA and 100 nM 1,25-(OH)2D3. No changes in Rb amount or phosphorylation state were detected after treatment of MCF-7D3Res cells with up to 100 nM 1,25-(OH)2D3. However, there was down-regulation of Rb protein after treament with 1 nM TPA, and this effect was further enhanced when MCF-7D3Res cells were coincubated with 1 nM TPA and 10 nM or more 1,25-(OH)2D3.



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Figure 2. Effects of 1,25-(OH)2D3 or TPA on phosphorylation state of retinoblastoma protein in parental MCF-7 and MCF-7D3Res cells. Cells were plated at a density of 50,000 cells/100-mm dish. Two days after plating, cells were treated with ethanol, TPA, or 1,25-(OH)2D3 ± TPA for 48 h. Proteins derived from total cell lysates were solubilized in Laemlli sample buffer, separated on SDS-PAGE, transferred onto nitrocellulose, and immunoblotted with mouse monoclonal Rb antibody as described in Materials and Methods. Blot is representative of three independent experiments which yielded similar results.

 
Because phosphorylation of Rb can be blocked by the cyclin-dependent kinase inhibitor p21, we assessed the temporal effects of 100 nM 1,25-(OH)2D3, with and without 1 nM TPA, on p21 expression in parental MCF-7 and MCF-7D3Res cells. As demonstrated in Fig. 3Go, p21 expression was initially low in vehicle treated MCF-7 cells and increased with time in culture. MCF-7 cells treated with 1,25-(OH)2D3 exhibited an early (24–48 h) increase in p21 protein compared with time matched controls. However, after 72 h, the level of p21 in 1,25-(OH)2D3 treated MCF-7 cells plateaued and was no longer different from vehicle treated cultures. In contrast, TPA treated MCF-7 cells exhibited a more intense elevation of p21 protein expression that persisted over the 96-h time course. When MCF-7 cells were treated with both 1,25-(OH)2D3 and TPA, p21 was up-regulated at 24 and 48 h and thereafter declined to levels similar to that observed in time-matched vehicle treated cells. In MCF-7D3Res cells, no significant induction of p21 by 1,25-(OH)2D3 was observed. However, MCF-7D3Res cells treated with TPA exhibited a significant increase in p21 protein expression with a pattern similar to that observed in the parental MCF-7 cells. Expression of p21 in MCF-7D3Res cells treated with both 1,25-(OH)2D3 and TPA was similar to that of cells treated with TPA alone.



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Figure 3. Effects of 1,25-(OH)2D3 or TPA on expression of p21 in parental MCF-7 and MCF-7D3Res cells. Cells were plated at a density of 4.5 x 105 cells/150-mm dish. Two days after plating, cells were treated with ethanol, 100 nM 1,25-(OH)2D3, or 1 nM TPA ± 100 nM 1,25-(OH)2D3. Top, Representative Western blot. At the indicated time points, proteins derived from total cell lysates were solubilized in Laemlli sample buffer, separated on SDS-PAGE, transferred onto nitrocellulose, and immunoblotted with mouse monoclonal p21 antibody as described in Materials and Methods. Bottom, Quantitative data. Blots were scanned on a laser densitometer, and data are reported as the fold increase or decrease relative to 24 h vehicle control samples for each cell line. Each bar represents the mean ± SEM of five blots from four independent experiments. ***, P < 0.001; **, P < 0.01; *, P < 0.05, treated vs. ethanol control as evaluated by ANOVA.

 
Induction of p53 (an upstream effector of p21) has been associated with growth arrest and/or activation of apoptosis. In MCF-7 cells, p53 expression was transiently decreased after 24 h of 1,25-(OH)2D3 treatment, and the level of p53 never exceded that of the time matched vehicle treated controls (Fig. 4Go). A similar pattern of transient down-regulation was observed following TPA treatment of MCF-7 cells. In contrast, when MCF-7 cells were treated with both 1,25-(OH)2D3 and TPA, p53 was dramatically and persistently down-regulated begining at 24h. In MCF-7D3Res cells, 1,25-(OH)2D3 treatment for up to 96 h did not alter p53 protein expression relative to time matched vehicle treated controls. In contrast, TPA transiently down-regulated p53 in MCF-7D3Res cells after 24 h, with a subsequent up-regulation observed at 72h. When MCF-7D3Res cells were treated with both compounds, p53 remained down-modulated throughout the 96-h time course, mimicking the pattern observed in parental MCF-7 cells.



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Figure 4. Effects of 1,25-(OH)2D3 or TPA on expression of p53 in parental MCF-7 and MCF-7D3Res cells. Cells were plated and treated with ethanol, 100 nM 1,25-(OH)2D3, or 1 nM TPA ± 100 nM 1,25-(OH)2D3 as described in Fig. 3Go. Top, Representative Western blot. At the indicated time points, proteins derived from total cell lysates were solubilized in Laemlli sample buffer, separated on SDS-PAGE, transferred onto nitrocellulose, and immunoblotted with mouse monoclonal p53 antibody as described in Materials and Methods. Bottom, Quantitative data. Blots were scanned on a laser densitometer, and data are reported as the fold increase or decrease relative to zero time control samples for each cell line. Each bar represents the mean ± SEM of six blots from four independent experiments. ***, P < 0.001; **, P < 0.01; *, P < 0.05, treated vs. ethanol control as evaluated by ANOVA.

 
Effects of 1,25-(OH)2D3 and TPA on morphology and apoptosis
We next assessed whether TPA and 1,25-(OH)2D3 had differential effects on MCF-7 cell death by analysis of DNA strand breaks, a characteristic of apoptosis. Apoptotic cell death was initially quantitated in parental MCF-7 cells following treatment with 1,25-(OH)2D3 or TPA using a cell death ELISA that measures soluble DNA-histone complexes generated during DNA fragmentation (5, 12). MCF-7 cells treated for 72 h with increasing concentrations of 1,25-(OH)2D3 exhibited a dose-dependent increase in the number of soluble DNA-histone complexes (up to 5-fold increase), whereas TPA (up to 100 nM) did not induce DNA fragmentation (Fig. 5Go). Our previous studies have indicated that no DNA fragmentation is induced by 1,25-(OH)2D3 in MCF-7D3Res cells (12).



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Figure 5. Concentration-dependent effects of 1,25-(OH)2D3 or TPA on DNA fragmentation in MCF-7 cells. MCF-7 cells were plated and treated with ethanol, TPA, or 1,25-(OH)2D3 as described in Fig. 1Go. After 72 h of treatment, cytoplasmic extracts were prepared and equalized on the basis of total cell number determined by crystal violet staining of parallel wells. DNA fragmentation was quantitated using the Cell Death Detection ELISA kit that measures soluble DNA-histone complexes generated during apoptosis according to manufacturer’s protocol (Boeringer-Mannheim).

 
In situ end labeling of DNA strand breaks was next used to detect individual apoptotic cells after 72 h treatment. As demonstrated in Fig. 6Go (bottom panels), cultures treated with ethanol vehicle exhibited typical epithelial morphology on phase contrast, and mitotic cells were frequent (panels a and e). In contrast, many cells in 1,25(OH)2D3 treated cultures were shrunken and lay above the adherent cells of the monolayer and the nuclei in these cells were positive for DNA strand breaks (panels b and f). TPA treated MCF-7 cultures contained many giant cells with large, round nuclei and few DNA strand breaks (panels c and g). However, in cultures treated with both TPA and 1,25-(OH)2D3, most of the MCF-7 cells were apoptotic (many with DNA strand breaks), and cells with normal morphology were infrequent. As indicated in Fig. 6Go (top panels), neither 1,25-(OH)2D3 or TPA treatment induced DNA strand breaks in MCF-7D3Res cultures. When MCF-7D3Res cells were treated with both TPA and 1,25-(OH)2D3, the cultures contained a mixture of normal cells, apoptotic cells, and giant cells with large secretory granules.



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Figure 6. Effects of 1,25-(OH)2D3 or TPA on morphology and apoptosis in parental MCF-7 and MCF-7D3Res cells. Cells were grown, treated with ethanol, 100 nM 1,25-(OH)2D3, 1 nM TPA or both, and fixed on coverslips after 72 h treatment. Fragmented DNA of fixed cells undergoing apoptosis was labeled by the addition of fluorescein dUTP at strand breaks by terminal transferase using the In Situ Cell Death Detection kit according to manufacturer’s protocol (Boehringer-Mannheim). Top, MCF-7D3Res cells; bottom, MCF-7 cells. a–d, Phase contrast; e–h, fluorescent exposure.

 
Effects of 1,25-(OH)2D3 and TPA on VDR and ER
To assess the expression of the VDR, nuclear extracts were isolated after treatment with ethanol vehicle, TPA or 1,25-(OH)2D3 for 48 h. Results from the ligand binding assays are shown in Table 1Go, and Western blotting is presented in Fig. 7Go. In the absence of ligand, 1,25-(OH)2D3 binding was lower in MCF-7D3Res cells than in parental MCF-7 cells. It is important to note that these data represent VDR expression after 4 days in the absence of ligand because cells were treated 48 h after plating and then exposed to ethanol for 48 h. Because the MCF-7D3Res cells are normally continuously cultured in 100 nM 1,25-(OH)2D3, the lower levels of VDR after 4 days in the absence of ligand may indicate a difference in stability of the unoccupied VDR (14, 15) in these cells. On Western blots of the same nuclear extracts, the 9A7{gamma} antibody recognized a doublet at approximately 50 kDa. MCF-7 cells exhibited approximately equal amounts of the two immunoreactive bands, whereas MCF-7D3Res cells predominantly expressed the upper band. However, treatment with 1,25-(OH)2D3 for 48 h up-regulated 1,25-(OH)2D3 binding and the expression of the lower band on Western blots in both MCF-7 and MCF-7D3Res cells. The extent of up-regulation of ligand binding was higher in the MCF-7D3Res cells (2.5-fold increase) compared with the parental MCF-7 cells (1.6-fold increase), and the level of VDR in 1,25-(OH)2D3 treated MCF-7D3Res cells approached that of the untreated MCF-7 cells. Following exposure to TPA, both ligand binding and the expression of the lower mol wt band of the doublet were up-regulated in the MCF-7 cells, whereas no significant increase was observed in the MCF-7D3Res cells.


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Table 1. Effect of TPA or 1,25-(OH)2D3 on binding of [3H]-1,25-(OH)2D3 or [3H]-17ß estradiol in parental MCF-7 and MCF-7D3Res cells

 


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Figure 7. Effects of 1,25-(OH)2D3 or TPA on VDR protein expression in MCF-7 and MCF-7D3Res cells. Aliquots of the same nuclear extracts used for ligand binding assays (derived from cells treated for 48 h with ethanol, 100 nM 1,25-(OH)2D3 or 100 nM TPA; see legend to Table 1Go) were solubilized in Laemlli buffer, separated on SDS-PAGE, transferred onto nitrocellulose, and immunoblotted with antibodies against the VDR.

 
Because MCF-7 cells are estrogen dependent and undergo growth arrest and apoptosis upon disruption of estrogen signaling (16), we examined ER expression after 1,25-(OH)2D3 or TPA treatment in both cell lines. In parental MCF-7 cells, estradiol binding was down-regulated by 1,25-(OH)2D3 or TPA, with TPA having a more potent effect than 1,25-(OH)2D3. In MCF-7D3Res cells, estradiol binding was slightly lower than in parental MCF-7 cells (Table 1Go) and TPA, but not 1,25-(OH)2D3, down-regulated estradiol binding in these cells.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This work summarizes a series of experiments that addressed the interactions between 1,25-(OH)2D3 and TPA in growth regulation of MCF-7 breast cancer cells. Our major conclusion is that 1,25-(OH)2D3 induces growth arrest and apoptosis in MCF-7 cells, whereas TPA induces growth arrest but not apoptosis. This conclusion is based on findings that while both 1,25-(OH)2D3 and TPA modulated expression of the cell cycle related proteins, p53, p21 and Rb, only 1,25-(OH)2D3 induced apoptotic morphology and DNA fragmentation. Our data extends recent reports of induction of apoptosis in breast cancer cell lines by 1,25-(OH)2D3 and several of its synthetic analogs, including EB1089, KH1060 and Ro-7553 (17, 18, 19). Because our results clearly indicate that TPA induced growth arrest without apoptosis, we conclude that cell cycle arrest is not sufficient to trigger apoptosis in MCF-7 cells and suggest that 1,25-(OH)2D3 generates additional signals which are necessary for induction of MCF-7 cell death.

These studies demonstrated that the effect of 1,25-(OH)2D3 on MCF-7 cell growth arrest, previously shown to be at the G0/G1 boundary (6) was preceded by induction of p21 and dephosphorylation of Rb protein. A similar correlation between 1,25-(OH)2D3 mediated growth arrest, p21 induction and Rb phosphorylation has been reported in human leukemic cell lines (20, 21). Although others have reported that 1,25-(OH)2D3 and its analogs KH1060 and EB1089 up-regulated p53 in MCF-7 cells (17, 22), we observed a transient down-regulation of p53 after treatment with 1,25-(OH)2D3, and the expression of p53 in 1,25-(OH)2D3 treated cells never exceded that of time matched vehicle control cultures. Our data are consistent with those of Fan and Yu (18), who reported down-regulation of p53 by 1,25-(OH)2D3 in CAMA-IEe breast cancer cells. Further comparative studies are necessary to determine whether discrepancies in the effect of 1,25-(OH)2D3 on p53 expression reflect culture conditions, cell characteristics, or timing and dose of treatments. In any case, our results demonstrated that 1,25-(OH)2D3 induced p21 expression in the absence of p53 up-regulation in MCF-7 cells, consistent with reports of p53 independent induction of p21 in mammary cells (23). The recent identification of a vitamin D3 response element in the human p21 gene that is transcriptionally activated by 1,25-(OH)2D3 in a p53-independent manner (21) lends further credence to the hypothesis that 1,25-(OH)2D3 directly induces p21 in association with growth arrest of MCF-7 cells.

Additional insight into the mechanisms of vitamin D-mediated growth regulation was derived from the MCF-7D3Res cell line, whose growth is unaffected by 1,25-(OH)2D3 (12). In contrast to the parental MCF-7 cells, the MCF-7D3Res cells did not exhibit any changes in p21 or p53 expression, or Rb phosphorylation, after treatment for up to 96 h with 100 nM 1,25-(OH)2D3. However, TPA did induce growth arrest in the MCF-7D3Res cells, which was associated with up-regulation of p21, transient down-regulation of p53 and dephosphorylation of Rb. Because MCF-7 and MCF-7D3Res cells exhibited comparable responses to TPA mediated growth inhibition, it is clear that the growth regulatory effects of TPA and 1,25-(OH)2D3 in breast cancer cells can be dissociated, suggesting independent mechanisms of action. In addition, these data suggest that there are no inherent defects in p21 or Rb function in MCF-7D3Res cells and indicate that a specific defect in 1,25-(OH)2D3 regulation of these proteins may be linked to vitamin D3 resistance. Further studies to compare the transcriptional activation of the p21 promoter by 1,25-(OH)2D3 in MCF-7 and MCF-7D3Res cells are in progress.

Although 1,25-(OH)2D3 and TPA exerted similar effects on p53 and Rb in MCF-7 cells, there were distinct differences in the kinetics and magnitude of changes in p21 expression after treatment with the two agents. 1,25-(OH)2D3 treatment induced a smaller and transient up-regulation of p21, whereas TPA induced a more dramatic and sustained up-regulation of p21 in MCF-7 cells. This was unexpected because, at the doses used in this study, 1,25-(OH)2D3 exerted a more dramatic effect on MCF-7 cell number than did TPA. The lack of correlation between cell number and p21 expression may reflect the differential effects of TPA and 1,25-(OH)2D3 on growth arrest vs. apoptosis because 1,25-(OH)2D3 induced apoptosis after 72 h, whereas TPA did not. A detailed analysis of MCF-7 cell cycle kinetics after treatment with TPA and 1,25-(OH)2D3 will be necessary to resolve this issue.

Coincubation of MCF-7 cells with both 1,25-(OH)2D3 and TPA exerted complementary effects on growth arrest and apoptosis. Although TPA alone did not induce apoptosis in MCF-7 cells, 1,25-(OH)2D3 mediated DNA fragmentation was potentiated in the presence of TPA. Despite the maximal effect on growth arrest and apoptosis under cotreatment conditions, p21 was only transiently up regulated after treatment with both 1,25-(OH)2D3 and TPA. Because of the extensive apoptosis observed in MCF-7 cells treated with both 1,25-(OH)2D3 and TPA, it is possible that cells that exhibited high levels of p21 (at 24–48 h) were eliminated by apoptosis, and the lower levels of these protein (which were similar to levels observed in untreated cells) reflects expression in surviving cells. In contrast to p21, a rapid and sustained down-regulation of p53 was observed in MCF-7 cells treated with both 1,25-(OH)2D3 and TPA. This was also unexpected because neither agent alone induced persistent down-regulation of p53, but again this may reflect the high rate of apoptosis in these cultures. Further studies are therefore needed to determine whether the changes in p21 and p53 occur in cells actively undergoing apoptosis or cells that remain viable.

In the MCF-7D3Res cells, simultaneous treatment with TPA and 1,25-(OH)2D3 exerted more dramatic effects on growth, down-regulation of p53 and expression/phosphorylation of Rb than did TPA alone. However, co-incubation of MCF-7D3Res cells with TPA and 1,25-(OH)2D3 did not potentiate the effect of TPA on p21 expression. This could reflect the lesser degree of growth arrest/apoptosis in MCF-7D3Res cells treated with 1,25-(OH)2D3 and TPA (as compared with the parental MCF-7 cells) or may indicate dysregulation of p21 in the MCF-7D3Res cell line.

Data from both ligand binding and Western blots indicated that TPA up-regulated VDR expression in MCF-7 cells, suggesting that enhanced sensitivity to 1,25-(OH)2D3 may contribute to the synergistic effects of these two agents on growth. Our data are compatible with TPA mediated up-regulation of the VDR in rat osteosarcoma (ROS 17/2.8) cells (24) but contrast with the down-regulation of the VDR in TPA treated renal and 3T3 cells (25, 26). These discrepancies, which may reflect cell specificity in PKC isozyme expression, may be important determinants of tissue-specific vitamin D3 mediated gene expression. Because PKCß mediated phosphorylation of the VDR may alter the receptor’s ability to bind to the vitamin D3 response element (27), TPA may also influence VDR regulated events downstream of ligand binding. Of note, no increase in 1,25-(OH)2D3 binding or VDR protein expression was observed in the MCF-7D3Res cells following TPA treatment, suggesting a possible defect in VDR regulation in these cells.

In agreement with previous data (6, 28, 29), 1,25-(OH)2D3 and TPA independently down-regulated estradiol binding in MCF-7 cells within 48 h. In MCF-7D3Res cells, estradiol binding was reduced relative to MCF-7 cells, and treatment with 1,25-(OH)2D3 had no effect on estradiol binding. However, TPA mediated down-regulation of ER was comparable in MCF-7 and MCF-7D3Res cells. These results suggest that a specific defect in vitamin D regulation of estrogen signaling may contribute to the 1,25-(OH)2D3 resistance of these cells. Further studies are necessary to compare the expression of estrogen-regulated proliferation and/or survival factors, in relation to growth arrest or apoptosis in MCF-7 and MCF-7D3Res cells.

In summary, these studies indicate that 1,25-(OH)2D3 and TPA exerted independent growth inhibitory effects on MCF-7 cells, but only 1,25-(OH)2D3 induced characteristic apoptotic morphology and DNA fragmentation. Although 1,25-(OH)2D3 and TPA exerted similar effects on the cell cycle regulatory proteins, Rb and p53, distinct differences in the kinetics and magnitude of p21 protein regulation were observed in response to these two agents. Induction of apoptosis in MCF-7 cells following treatment with 1,25-(OH)2D3 did not correlate with an increase in p21 or p53. In MCF-7D3Res cells, 1,25-(OH)2D3 had no effect on growth or expression of Rb, p53 or p21, yet TPA induced growth arrest of MCF-7D3Res cells, which was associated with up-regulation of p21 and down-regulation of both Rb and p53. Furthermore, TPA partially sensitized the MCF-7D3Res cells to 1,25-(OH)2D3, suggesting that phosphorylation may play a role in dictating MCF-7 cell sensitivity to vitamin D3 mediated growth regulation. These data also suggest that cell cycle arrest is not sufficient to trigger apoptosis in MCF-7 cells, indicating that 1,25-(OH)2D3 generates additional signals which are necessary for the induction of cell death.


    Footnotes
 
1 These studies are supported by operating grants from the National Cancer Institute (no. CA69700) (to J.W.) and from the American Institute for Cancer Research (no. 95B068) (to J.W.) and no. 95A101 (to C.J.N.). Portions of this work were presented at the Keystone Meeting on Breast and Prostate Cancer, Taos, New Mexico, February, 1996. Back

Received June 20, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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