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,25-Dihydroxyvitamin D3 and 9-cis Retinoic Acid in LNCaP Human Prostate Cancer Cells1
Departments of Medicine (X.-Y.Z., L.H.L., D.F.) and Urology (D.M.P.), Stanford University School of Medicine, Stanford, California 94305
Address all correspondence and requests for reprints to: David Feldman, M.D., Division of Endocrinology, Stanford University Medical Center, Room S-005, Stanford, California 94305-5103.
We have recently shown that 1
,25-dihydroxyvitamin D3
[1,25-(OH)2D3] inhibits proliferation of
LNCaP cells, an androgen-responsive human prostate cancer cell line.
Also, 1,25-(OH)2D3 increases androgen receptor
(AR) abundance and enhances cellular responses to androgen in these
cells. In the current study, we have investigated the mechanism by
which 1,25-(OH)2D3 regulates AR gene expression
and the involvement of AR in the 1,25-(OH)2D3-
and 9-cis retinoic acid (RA)-mediated growth inhibition of LNCaP cells.
Northern blot analyses demonstrated that the steady-state messenger
RNA (mRNA) level of AR was significantly increased by
1,25-(OH)2D3 in a dose-dependent manner.
Time-course experiments revealed that the increase of AR mRNA by
1,25-(OH)2D3 exhibited delayed kinetics. In
response to 1,25-(OH)2D3, AR mRNA levels were
first detected to rise at 8 h and reached a maximal induction of
10-fold over the untreated control at 48 h; the effect was
sustained at 72 h. Furthermore, the induction of AR mRNA by
1,25-(OH)2D3 was completely abolished by
incubation of cells with cycloheximide, a protein synthesis inhibitor.
1,25-(OH)2D3 was unable to induce expression of
an AR promoter-luciferase reporter. Together, these findings indicate
that the stimulatory effect of 1,25-(OH)2D3 on
AR gene expression is indirect. Western blot analyses showed an
increase of AR protein in 1,25-(OH)2D3-treated
cells. This increased expression of AR was followed by
1,25-(OH)2D3-induced inhibition of growth in
LNCaP cells. Similar to 1,25-(OH)2D3, 9-cis RA
also induced AR mRNA expression, and the effect of both hormones was
additive. Moreover, 1,25-(OH)2D3 and 9-cis RA
acted synergistically to inhibit LNCaP cell growth. These
antiproliferative effects of 1,25-(OH)2D3 and
9-cis RA, alone or in combination, were blocked by the pure AR
antagonist, Casodex. In conclusion, our results demonstrate that growth
inhibition of LNCaP cells by 1,25-(OH)2D3 and
9-cis RA is mediated by an AR-dependent mechanism and preceded by the
induction of AR gene expression. This finding, that differentiating
agents such as vitamin D and A derivatives are potent inducers of AR,
may have clinical implications in the treatment of prostate cancer.
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