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Endocrinology Vol. 138, No. 8 3290-3298
Copyright © 1997 by The Endocrine Society


ARTICLES

1{alpha},25-Dihydroxyvitamin D3 Actions in LNCaP Human Prostate Cancer Cells Are Androgen-Dependent1

Xiao-Yan Zhao, Lan H. Ly, Donna M. Peehl and David Feldman

Departments of Medicine 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, Gerontology and Metabolism, Stanford University Medical Center, Room S005, Stanford, California 94305-5103. E-mail address: feldman{at}cmgm.stanford.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We and others have recently shown that 1{alpha},25-dihydroxyvitamin D3 [1,25-(OH)2D3] significantly inhibits cell proliferation and increases secretion of prostate-specific antigen (PSA) in LNCaP cells, an androgen-responsive human prostate cancer cell line. The present study was designed to investigate the possible interactions between 1,25-(OH)2D3 and androgens in the regulation of LNCaP cellular function. LNCaP cell growth was dose-dependently inhibited by 1,25-(OH)2D3 (60% inhibition at 10 nM) when cells were cultured in medium supplemented with FBS (FBS medium). 1,25-(OH)2D3-treated cells showed a 5-fold increase in PSA secretion, similar to the increase seen in dihydrotestosterone (DHT)-treated cells. In combination, 1,25-(OH)2D3 and DHT synergistically enhanced PSA secretion 22-fold. This synergistic effect was even greater when cells were cultured in medium supplemented with charcoal-stripped serum (CSS medium), where endogenous steroids are substantially depleted. Under these conditions, 1,25-(OH)2D3 and DHT together stimulated PSA secretion up to 50-fold over the untreated control. Radioligand binding assays and Western blot analyses showed that the androgen receptor (AR) content was increased significantly by 1,25-(OH)2D3 at 48 h. Furthermore, the steady-state mRNA level of AR was up-regulated approximately 2-fold by 1,25-(OH)2D3 at 24 h. When cells were grown in CSS medium, 1,25-(OH)2D3 alone no longer inhibited cell growth or induced PSA secretion. Titration experiments revealed that the addition of DHT at 1 nM to the medium restored the antiproliferative activity of 1,25-(OH)2D3. Conversely, an antiandrogen, Casodex, completely blocked 1,25-(OH)2D3 antiproliferative and PSA stimulation activities when cells were cultured in FBS medium. In conclusion, these results demonstrate that the antiproliferative and PSA induction activities of 1,25-(OH)2D3 in LNCaP cells are dependent upon androgen action and that AR up-regulation by 1,25-(OH)2D3 likely contributes to the synergistic actions of 1,25-(OH)2D3 and DHT in these cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
DIHYDROXYVITAMIN D3 [1,25-(OH)2D3], the active metabolite of vitamin D, is a major regulator of calcium and phosphate homeostasis in the body (1, 2). Recent findings indicate that 1,25-(OH)2D3 also plays an important role in cellular differentiation and proliferation in a number of normal and malignant cells (3, 4). Our group (5, 6, 7) and others (8, 9, 10, 11) have previously demonstrated that 1,25-(OH)2D3 elicits antiproliferative and differentiating actions in human prostate carcinoma cells. We have continued this line of research by investigating the possible interactions of 1,25-(OH)2D3 with the major prostatic androgen, dihydrotestosterone (DHT), in consideration of the well-known primary effect of androgens on prostate growth (12).

Hormonal actions of both 1,25-(OH)2D3 and DHT are mediated by their cognate cellular receptor proteins, the vitamin D receptor (VDR) and the androgen receptor (AR), respectively (13, 14, 15). These receptors are ligand-dependent transcriptional regulatory proteins which belong to the nuclear receptor superfamily (16, 17). Once bound to a specific ligand, the receptor activates gene transcription by binding to the hormone response element in the promoter region of a target gene. A notable androgen-responsive gene, the gene encoding prostate-specific antigen (PSA), contains a functional androgen response element in its promoter region (18, 19).

Our studies have been carried out in LNCaP cells, the first characterized human prostate cancer cell line which retains many of the characteristics of prostatic epithelial cells (20). Like normal prostatic cells, LNCaP cells express AR and respond to androgen stimulation. However, androgen action in LNCaP cells is biphasic with low concentrations of androgen stimulating cell growth whereas high concentrations of androgen lead to inhibition of cell proliferation (21). Futhermore, the AR in LNCaP cells contains a mutation in the ligand-binding domain which alters ligand specificity (22). The mutated AR can be activated not only by androgen but also progestins and estrogens as well as some antiandrogens (e.g. cyproterone acetate, hydroxyflutamide, nilutamide). Nevertheless, the antiandrogen Casodex shows antiandrogenic properties in growth studies of LNCaP cells and does not activate the mutated AR (22). In these cells, Casodex acts as an androgen antagonist by inhibiting both dissociation of the heteromeric complex of the AR with heat-shock proteins and the subsequent high-affinity binding of the receptor to the nucleus (23).

Although both the VDR and the AR are present in LNCaP cells, relatively little data are available on the interrelationship of 1,25-(OH)2D3 and DHT effects in these cells. We (5) and Miller et al. (8) reported that LNCaP cells responded differently to 1,25-(OH)2D3 treatment when cultured either in medium containing FBS (FBS medium) or in medium containing charcoal-stripped serum (CSS medium) where endogenous steroids are substantially depleted. LNCaP cells grow slowly when they are cultured in CSS medium and 1,25-(OH)2D3 does not inhibit cell proliferation. Furthermore, we found that these cells were more responsive to DHT in the presence of 1,25-(OH)2D3 than in the absence of 1,25-(OH)2D3. On the basis of these observations, we proposed that cross-talk between 1,25-(OH)2D3 and DHT signaling may exist, and that possible interactions between these two important hormones might modulate the cellular response of LNCaP cells.

In this report, we present evidence for cooperative interactions of 1,25-(OH)2D3 and DHT on cellular function of LNCaP cells under several experimental conditions. Two parameters of cellular function, cell growth and PSA secretion, were evaluated. Our results demonstrate that androgen action was required for both 1,25-(OH)2D3-induced effects. We postulate that 1,25-(OH)2D3-induced up-regulation of AR is the basis for the antiproliferative activity of 1,25-(OH)2D3 in LNCaP cells as well as the synergistic stimulation of PSA secretion following combined 1,25-(OH)2D3 and DHT treatment.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
[3H]-1,25-(OH)2D3 (specific activity, 102 Ci/mmol) and 5{alpha}-dihydro-[1{alpha}, 2{alpha}-3H]-testosterone (specific activity, 40–70 Ci/mmol) were obtained from Amersham Chemical Co. (Arlington Heights, IL). Nonradioactive 1,25-(OH)2D3 was the generous gift of Dr. M. Uskokovic (Hoffmann La-Roche Co., Nutley, NJ). Nonradioactive DHT was obtained from Steraloids Inc. (Wilton, NH). Bicalutamide (Casodex or ICI 17,334) was a gift from Zeneca Pharmaceuticals (Macclesfield, Cheshire, UK). Aprotinin, pepstatin, and soybean trypsin inhibitor were purchased from Boehringer Mannheim Biochemicals (Indianapolis, IN). Tissue culture media were purchased from Mediatech (Herndon, VA). All other reagents, except where indicated, were purchased from Sigma Chemical Co. (St. Louis, MO). The anti-AR monoclonal antibody F39.4 and the rat AR cDNA were generous gifts from Dr. T. H. Van der Kwast (Erasmus University, Rotterdam, Netherlands) and Dr. S. Liao (Univ. of Chicago, Chicago, IL), respectively. FBS was obtained from GIBCO BRL. Charcoal-stripped FBS was purchased from Sigma Chemical Co. (St. Louis, MO).

Cell culture and hormone treatment
The LNCaP human prostate carcinoma cell line was obtained from the American Type Culture Collection (Rockville, MD). Cells were routinely cultured in RPMI-1640 medium supplemented with 5% FBS and antibiotics, at 37 C in a humidified atmosphere of 5% CO2. For experiments, LNCaP cells were trypsinized and seeded at an appropriate density and hormonal treatments were initiated one day after plating.

Hormone stocks [1,25-(OH)2D3, DHT, and Casodex] were prepared in 100% ethanol at a concentration 1000-fold higher than the working concentrations. Fresh culture media were premixed with hormone stock and then added to triplicate wells. Media and hormone were replenished every 2 days. Controls received ethanol vehicle at a concentration equal to that in hormone-treated cells.

Assay of cell proliferation
Cell proliferation was assessed by measurement of attained cell mass using an assay of DNA content. As previously described (5), LNCaP cells were seeded in six-well tissue culture plates (Becton Dickinson & Co., Lincoln Park, NJ) at a density of 50,000 cells per well in 3 ml of RPMI-1640 containing 5% FBS. After incubation for 24 h, the medium was replaced with fresh medium containing 5% FBS (FBS medium) or 5% CSS (CSS medium). Cells were treated with vehicle (ethanol, final concentration 0.1%), 1,25-(OH)2D3, or DHT at concentrations of 0, 1, and 10 nM. On the 6th day, conditioned media were collected for PSA analysis and cell monolayers were processed for DNA assay using the method of Burton (24). DNA content of each treatment was derived from the mean value of triplicate wells in an experiment. Each experiment was repeated three times.

Assay of PSA secretion
The LNCaP cell line is known to express PSA which was assayed as a marker of cellular differentiation. The conditioned media collected in cell proliferation assays were subjected to low-speed centrifugation to remove cell debris. PSA values in the supernatant were determined by the TOSOH assay, an automated immunoenzymometric assay system (TOSOH Medics Inc., Foster City, CA), as previously described (5).

Steroid receptor ligand-binding assay
LNCaP cells were seeded at a density of 150,000 cells per 100-mm dish in 10-ml FBS medium. After 6 days of incubation in CSS medium with a hormone at 0, 1, or 10 nM, cells were harvested and high salt nuclear extracts were made as previously described (25). Protein concentrations of the extracts were determined by the method of Bradford (26). In a typical binding experiment, 200 µl of soluble extract (1–2 mg protein/ml) were incubated with 10 nM of [3H]1,25-(OH)2D3 or [3H]DHT for 16 -20 h at 4 C. Bound and free hormone were separated by the hydroxylapatite method (25) and specific binding was calculated as reported (25). Data were expressed as fmoles of [3H]1,25-(OH)2D3 or [3H]DHT bound per mg protein.

Western blot analysis
Cells were treated with ethanol or 1,25-(OH)2D3 (10 nM) in CSS medium for 6 days. They were harvested at 24 h, 48 h, 72 h, and 144 h and sonicated extracts were prepared as described for ligand-binding studies. Aliquots of 100 µg of protein were heated in SDS sample buffer at 95 C for 5 min before electrophoresis in an 8% SDS-polyacrylamide gel. After electrophoresis, the gels were transferred and processed as previously described (25). After transfer, the blots were incubated with anti-AR monoclonal antibody F39.4 (1: 100 dilution) for 1 h at room temperature with gentle shaking. The blots were washed and then incubated with the horseradish peroxidase-conjugated rabbit antimouse IgG (1:1000 dilution) for 1 h at room temperature. Blots were rewashed and developed with the ECL system according to the manufacturer’s instructions (Amersham Chemical Co.).

Northern blot analysis
The method has been previously described (5, 6). Semiconfluent LNCaP cells were treated with graded concentrations of 1,25-(OH)2D3, or 10 mM dibutyryl cAMP, in CSS medium for 24 h before isolation of total RNA. Ten micrograms of total RNA were denatured, fractionated by electrophoresis, and transferred to Hybond-N nylon membrane (Amersham) as previously described (5, 6). The bound RNA was immobilized and hybridized with a random primed [32P]-labeled 1.8 kb NruI-PstI fragment of the rat AR cDNA at 55 C (14). To control for RNA sample loading and transfer, Northern blots were also hybridized with a [32P]-labeled 0.9 kb EcoRI fragment of the human cDNA for the ribosomal protein gene L7 (5, 6). The silver grain pixel intensity of each AR and L7 band was scanned by a densitometer and the data integrated by scanner software and indexed to the corresponding levels of L7 mRNA.

Statistical analysis
ANOVA was used to assess statistical significance of difference. P < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cooperative interactions of 1,25-(OH)2D3 with DHT in cellular proliferation
We first explored the possible interactions between 1,25-(OH)2D3 and DHT in the regulation of LNCaP cell growth. LNCaP cells were cultured in FBS medium and treated with graded concentrations of 1,25-(OH)2D3 or DHT or a combination of both hormones for 6 days. DNA contents at day 0 (baseline) were also measured before hormonal treatment on the day after the cells were seeded. The value of baseline DNA content was set as 100% (1.4 µg ± 0.1 for each well). As shown in Fig. 1AGo, either 1,25-(OH)2D3 or DHT inhibited cell growth up to 40% at a concentration of 1 nM. Cell proliferation was inhibited more than 60% by each individual hormone at 10 nM. A combination of both hormones at 1 nM resulted in enhanced inhibition (70%) of cell growth. The cellular proliferation of LNCaP cells was further decreased in the presence of both hormones, each at 10 nM. These results suggest that these two hormones interact cooperatively in the inhibition of cell proliferation.



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Figure 1. Cooperative interactions of 1,25-(OH)2D3 and DHT on cell growth and PSA secretion in FBS medium. A, LNCaP cells were treated in FBS medium with either 1,25-(OH)2D3 or DHT or both at concentrations of 0, 1, and 10 nM. Medium was replaced with fresh FBS medium plus hormones every other day. The proliferation rate was assessed by determination of cellular DNA content on day 0 (the beginning of hormonal treatment) and day 6 (the end of hormonal treatment). The data are expressed as percent of change from baseline DNA content on day 0, a mean of three triplicate samples ± SEM. The baseline value (1.4 µg of DNA per well) was set as 100% and indicated in the figure by a line. The experiments were repeated more than three times. *, P < 0.01 compared with the untreated control. **, P < 0.05 compared with either 1,25-(OH)2D3-treated group or DHT-treated group. B, The conditioned media from the above experiments were collected and the PSA levels were determined. The data are expressed as ng of PSA per µg of DNA for each well, a mean of three triplicate samples ± SEM. The experiments were repeated at least three times. ***, P < 0.001 compared with the untreated control group.

 
Cooperative interactions of 1,25-(OH)2D3 with DHT in PSA induction
We have reported that 1,25-(OH)2D3 induces PSA secretion by LNCaP cells in a dose-dependent manner (5). PSA is a well-known target gene for androgens (18). Thus, we also examined the interactions between 1,25-(OH)2D3 and DHT in the regulation of PSA secretion. Conditioned media from the above cell proliferation assays were collected and the levels of secreted PSA were determined. The total amount of PSA in conditioned media from hormone-treated cells was higher than untreated controls. Because the cell number changed upon hormonal treatment when cells were cultured in FBS medium (Fig. 1AGo), the quantity of PSA was expressed as ng of PSA per µg of DNA. As shown in Fig. 1BGo, either 1,25-(OH)2D3 or DHT alone enhanced the secretion of PSA in a dose-dependent manner. 1,25-(OH)2D3-treated cells showed a 5-fold increase in PSA secretion [from 5 to 27 ng of PSA per µg of DNA with 10 nM of 1,25-(OH)2D3], similar to the increase seen in DHT-treated cells. In combination, 1,25-(OH)2D3 and DHT synergistically augmented PSA secretion up to 22-fold (from 5 to 112 ng of PSA per µg of DNA with 10 nM of each hormone). These data indicate that 1,25-(OH)2D3 and DHT also interact cooperatively in regulating PSA secretion by LNCaP cells.

Lack of antiproliferative activity of 1,25-(OH)2D3 in CSS medium
In previous studies, we (5) and Miller et al. (8) had observed that LNCaP cells responded differently to hormonal treatment when cultured in FBS medium vs. CSS medium where endogenous steroids are substantially depleted. In the next set of experiments, we examined the interaction of 1,25-(OH)2D3 and DHT when cells were cultured in CSS medium. Consistent with previous observation (5, 8), LNCaP cells grew much slower in CSS medium than in FBS medium. The doubling time of LNCaP cells was 4-fold slower than that in FBS medium (6 days vs. 1.5 days).

When cells were cultured in CSS medium, no growth inhibition was observed in the presence of either 1,25-(OH)2D3 or DHT (Fig. 2AGo). Either hormone individually stimulated cell proliferation under these conditions (from 200% to 284% for 1,25-(OH)2D3 or 364% for DHT). However, in the presence of added DHT (10 nM), 1,25-(OH)2D3 (10 nM) significantly (P < 0.05) inhibited cell growth up to 50% (from 359% to 168%). The data indicate that in the presence of DHT, the antiproliferative action of 1,25-(OH)2D3 could again be detected. Under these CSS conditions (Fig. 2BGo), 1,25-(OH)2D3 alone did not affect the PSA level, whereas DHT alone (10 nM) caused an 11-fold increase in PSA secretion (from 0.7 to 7.9 ng of PSA per µg DNA). The amount of PSA secretion was elevated 51-fold (from 0.7 to 36 ng per µg of DNA) in the presence of both hormones at 10 nM each. Thus, the cooperative effect of both hormones on stimulation of PSA was much greater when cells were cultured in CSS medium than in FBS medium.



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Figure 2. Cooperative interactions of 1,25-(OH)2D3 and DHT on cell growth and PSA secretion in CSS medium. A, LNCaP cells were treated in CSS medium with either 1,25-(OH)2D3 or DHT or both at concentrations of 0, 1, and 10 nM, as described in Fig. 1Go. The experiments were repeated three times. *, P < 0.005 compared with the untreated control. **, P < 0.05 compared with the group treated with 10 nM DHT. B, The conditioned media from the above experiments were collected and the PSA levels were determined. The data are expressed as ng of PSA per µg of DNA for each well, a mean of three triplicate samples ± SEM. ***, P < 0.001 compared with the untreated control.

 
Requirement of DHT for the antiproliferative activity of 1,25-(OH)2D3
The endogenous testosterone levels in commercial preparations of FBS range from 1 to 2 nM according to GIBCO BRL TECH-LINE. We presume that the endogenous steroids in commercial preparation of CSS were substantially depleted. To determine the minimal concentration of DHT that is required for 1,25-(OH)2D3 action, we next carried out DHT-titration experiments in the presence or absence of 1,25-(OH)2D3 when cells were cultured in CSS medium. LNCaP cells exhibited a biphasic growth response to DHT treatment (Fig. 3AGo), as has been reported by others (21). Addition of DHT to the CSS medium at low concentrations (from 0.01 to 1 nM) led to stimulation of cellular proliferation in a dose-dependent manner, whereas a further increase in DHT concentration greater than 10 nM caused inhibition of growth. The DHT stimulation of cell growth could be detected at a concentration of 0.1 nM with significant stimulation at 1 nM. The DNA content in treated cells was increased 2-fold over the untreated control by DHT at 1 nM.



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Figure 3. DHT dose-response effect on LNCaP cell proliferation in CSS medium. A, LNCaP cells were cultured in CSS medium supplemented with increasing concentrations of DHT (from 0–100 nM). Media were changed every 2–3 days. At the end of the 6-day period, cells were harvested and the proliferation rate was assessed by determination of cellular DNA content. The data are expressed as percent of control, a mean of three triplicate samples ± SEM. The control value (100%) was 5 µg of DNA per well. *, P < 0.01 compared with the untreated control group. B, Experimental conditions were the same as that in panel A, except that 10 nM of 1,25-(OH)2D3 was included in the medium. The control value (100%) was 7 µg of DNA per well. **, P < 0.02 compared with the control group untreated with DHT.

 
The same dose-response to DHT was performed in the presence of 10 nM of 1,25-(OH)2D. The peak in the DHT-titration curve shifted to a lower concentration of DHT (Fig. 3BGo). LNCaP cells became more sensitive to DHT treatment when 1,25-(OH)2D3 was included in the culture medium. Now 0.1 nM of DHT was the concentration that achieved significant stimulation, an order of magnitude lower than the DHT concentration in Fig. 3AGo. In combination with 10 nM of 1,25-(OH)2D3, DHT at concentrations greater than 1 nM inhibited cell growth. DHT at 10 nM caused the same effect as 100 nM in Fig. 3AGo, again a shift of 10-fold. On the other hand, addition of DHT up to 1 nM did potentiate the antiproliferative action of 1,25(OH)2D3 when cells were cultured in CSS medium (Figs. 2AGo and 3BGo). Therefore, the presence of DHT at an appropriate concentration was necessary for the antiproliferative function of 1,25-(OH)2D3 when cells were cultured in CSS medium.

1,25-(OH)2D3 up-regulation of the AR content: [3H]DHT binding
We were next interested in studying the molecular mechanisms for the augmentation of DHT action by 1,25-(OH)2D3 in LNCaP cells. Because steroid hormones act via specific receptors in target cells and the abundance of receptor determines the magnitude of response (27, 28), we evaluated the possibility of heterologous regulation of AR by 1,25-(OH)2D3 and of VDR by DHT in these cells. LNCaP cells were treated with graded concentrations of 1,25-(OH)2D3 at 0, 1, and 10 nM for 6 days in CSS medium. Nuclear extracts were prepared from cells treated with hormones and control. Radioligand binding assays showed that 1,25-(OH)2D3 augmented [3H]DHT binding in a dose-dependent manner, as depicted in Fig. 4Go. Cells treated with 1 nM of 1,25-(OH)2D3 showed a more than 2-fold increase in DHT-binding (from 197 to 430 fmol/mg protein). Addition of 10 nM of 1,25-(OH)2D3 further up-regulated the AR content (from 197 to 532 fmol/mg protein). On the other hand, DHT treatment caused only a slight increase in [3H]1,25-(OH)2D3 binding (data not shown).



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Figure 4. 1,25-(OH)2D3 augmentation of [3H]DHT binding in LNCaP cells. LNCaP cells were cultured in CSS medium supplemented with 1,25-(OH)2D3 at concentrations of 0, 1, and 10 nM. Media were changed every other day. At the end of the 6-day period, high salt nuclear extracts were prepared and used in ligand binding assays with 1 nM of [3H]DHT. The data are expressed as fmol/mg of protein. The values represent mean ± SEM from at least three determinations. *, P < 0.005 compared with the untreated control.

 
1,25-(OH)2D3 up-regulation of the AR content: Western blot analysis
The expression level of AR protein was also tested by Western blot analysis at various time periods after incubation of LNCaP cells with 1,25-(OH)2D3. Cell extracts were made from cells which had been treated with 10 nM 1,25-(OH)2D3 for 24, 48, 72, and 144 h and from untreated controls and immunoblots prepared. Using monoclonal antibody F39.4 specific for the N-terminal domain of the human AR (29), a 108-kDa AR protein was detected. An increase in AR expression was seen after 1,25-(OH)2D3 treatment (Fig. 5Go). A 2-fold increase in AR abundance was detected at 48 h after 1,25-(OH)2D3 treatment which persisted for 144 h.



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Figure 5. Detection of 1,25-(OH)2D3-induced up-regulation of AR content by Western blot analysis. High-salt protein extracts from LNCaP cells grown in CSS medium were heated in SDS buffer and then electrophoresed in an 8% SDS-polyacrylamide gel. The proteins were transferred to nitrocellulose and probed with anti-AR monoclonal antibody F39.4. Immunoreactive bands were detected by incubation of blots with a secondary antibody (rabbit antimouse IgG), followed by ECL. LNCaP cells were incubated with control vehicle (lanes 1, 3, 5, 7) or 1,25-(OH)2D3 (1, 25D), (lanes 2, 4, 6, 8) for 24 h (lanes 1–2), 48 h (lanes 3–4), 72 h (lanes 5–6), and 144 h (lanes 7–8). One hundred micrograms of protein were loaded into each lane. Mr standards are indicated. hAR is indicated by an arrow. The experiment was repeated twice with similar results.

 
1,25-(OH)2D3 up-regulation of the AR mRNA: Northern blot analysis
The demonstrated up-regulation of the AR protein by 1,25-(OH)2D3 led us to determine if 1,25-(OH)2D3 regulates AR mRNA expression in LNCaP cells. Northern blot analyses probed with a fragment of AR cDNA (14) showed that the steady-state level of the 11-kb AR mRNA in LNCaP cells was increased approximately 2-fold by 1,25-(OH)2D3 treatment at 24 h (Fig. 6Go). The data indicate that 1,25-(OH)2D3 is an inducer of AR mRNA as potent as dibutyryl-cAMP, a known regulator of the AR mRNA (30).



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Figure 6. Detection of 1,25-(OH)2D3-induced up-regulation of AR mRNA by Northern blot analysis. LNCaP cells were cultured in CSS medium containing vehicle, or 1,25-(OH)2D3, or (Bu)2cAMP for 24 h. Total cellular RNA was isolated, and the Northern blot analysis was carried out to quantitate the level of AR mRNA. The experiment was repeated twice with similar results. Ten micrograms of RNA were loaded onto each lane. RNA samples were extracted from cells treated with ethanol vehicle (lane 1); 10 nM 1,25-(OH)2D3 (lane 2); 100 nM 1,25-(OH)2D3 (lane 3), and 10 mM (Bu)2cAMP (lane 4). The RNA blot was hybridized with a random primed [32P]-labeled 1.8 kb NruI-PstI fragment of the rat AR cDNA at 55 C (14). To control for RNA sample loading and transfer, the blot was also hybridized with a [32P]-labeled 0.9 kb EcoRI fragment of the human cDNA for the ribosomal protein gene L7 (5, 6).

 
Blockade of antiproliferative actions of 1,25-(OH)2D3 by Casodex
Are the hormonal actions of 1,25-(OH)2D3 and DHT on LNCaP cells interdependent? To answer this question, we used an antiandrogen, Casodex, to evaluate further their interactions under the experimental conditions in which 1,25-(OH)2D3 inhibited cell growth. As shown in Fig. 7AGo, Casodex totally blocked 1,25-(OH)2D3 action when cells were cultured in FBS medium as compared with Fig. 1AGo. In the presence of 1 µM Casodex, addition of 1,25-(OH)2D3 at concentrations of 1 or 10 nM to the culture medium no longer inhibited cell growth. Casodex at a concentration of 1 µM reversed the effect of DHT at a low concentration (1 nM), but not the effect of 10 nM of DHT. Instead, a 1000-fold excess of Casodex (10 µM) was found to be required to reverse the effect of 10 nM of DHT (data not shown). Moreover, in the presence of Casodex at a concentration of 1 µM, no growth inhibition was seen with the combined treatment of both 1,25-(OH)2D3 and DHT each at 1 nM. A high concentration of both hormones (10 nM each) appeared to overcome the blockade by Casodex. These data suggest that androgen action is required for the antiproliferative effect of 1,25-(OH)2D3 on LNCaP cells.



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Figure 7. Blockade of 1,25-(OH)2D3 activity by Casodex in FBS medium. A, LNCaP cells were treated in FBS medium with Casodex (1 µM) and hormones every other day as described in Fig. 1Go. The proliferation rate was assessed by determination of cellular DNA content on day 0 (the beginning of hormonal treatment) and day 6 (the end of hormonal treatment). The data are expressed as percent of change from baseline DNA content on day 0, a mean of three triplicate samples ± SEM. The baseline value (1.4 µg of DNA per well) was set as 100% and marked by a line. The experiments were repeated three times. *, P < 0.003 compared with the untreated control. B, The conditioned media from the above experiments were collected and the PSA levels were determined. The data are expressed as ng of PSA per µg of DNA for each well, a mean of three triplicate samples ± SEM. The experiments were repeated three times. **, P < 0.001 compared with the untreated control.

 
Blockade of 1,25-(OH)2D3-induced PSA secretion by Casodex
In the presence of Casodex, 1,25-(OH)2D3 at 1 or 10 nM no longer induced PSA when cells were cultured in FBS medium (Fig. 7BGo), as compared with Fig. 1BGo. As expected, Casodex completely blocked the action of DHT at a low concentration (1 nM). The induction of PSA by DHT at a concentration of 10 nM was also attenuated by Casodex. Moreover, in the presence of Casodex, an increase in the PSA level was not induced by the combined treatment of both 1,25-(OH)2D3 and DHT at 1 nM. Administration of both hormones (10 nM each) to LNCaP cells appeared to overcome the blockade by Casodex (from 1.7 to 67 ng of PSA per µg of DNA). These data indicate that the antiandrogen is capable of blocking the actions of 1,25-(OH)2D3 to inhibit cell growth and stimulate PSA in LNCaP cells.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we have demonstrated that 1,25-(OH)2D3 and DHT exhibit a synergistic interaction to regulate LNCaP cell proliferation and PSA secretion. We postulate that the synergism between 1,25-(OH)2D3 and DHT in LNCaP cell function, in part, is due to the heterologous up-regulation of AR by 1,25-(OH)2D3. Most importantly, androgen action was required for the antiproliferative activity and PSA induction by 1,25-(OH)2D3.

When cells were cultured in FBS medium, cell proliferation was substantially inhibited by the addition of either 1,25-(OH)2D3 or DHT. Combined 1,25-(OH)2D3 and DHT treatment gave a response that exceeded the sum of the individual actions on cell growth. However, the growth inhibitory effects of hormones were not seen when cells were grown in CSS medium. Under these conditions, cells proliferated at a slow rate. The doubling time of LNCaP cells was 6 days in CSS medium, whereas it was 1.5 days in FBS medium. The treatment of serum with charcoal not only depletes endogenous steroids but also removes growth factors which support rapid cell division. Moreover, activation of AR by growth factors has been reported in LNCaP cells (31). CSS has been widely used in studies of steroids on cell growth. However, the experimental results derived from such studies have to be carefully evaluated because hormonal effects on cell growth are complex under these conditions and the biphasic response to androgens makes data even more difficult to interpret. Therefore, a second functional response, PSA induction, was indispensable for our studies.

In FBS medium, LNCaP cells showed a synergistic response to combined 1,25-(OH)2D3 and DHT treatment on PSA secretion (Fig. 1BGo). In CSS medium, 1,25-(OH)2D3 no longer inhibited cell growth or induced PSA secretion; however, it did potentiate the cellular responses to DHT (Fig. 2Go). DHT in the presence of 1,25-(OH)2D3 induced PSA secretion 50-fold over control, as compared with 10-fold in the absence of 1,25-(OH)2D3. These results clearly indicate cooperative activity of 1,25-(OH)2D3 and DHT which caused increased responsiveness of LNCaP cells to either hormone.

PSA induction by DHT was observed in both FBS and CSS medium (Figs. 1BGo and 2BGo). On the other hand, 1,25-(OH)2D3 failed to induce PSA secretion in CSS medium. We considered two possible interpretations of these findings. First, 1,25-(OH)2D3 action may be dependent upon the rate of cellular proliferation. Because VDR abundance correlates well with the rate of cell growth (28), the lack of PSA induction by 1,25-(OH)2D3 may be explained by the low levels of VDR expression when cells were cultured in CSS medium (data not shown). Second, 1,25-(OH)2D3 action to induce PSA may be dependent upon androgen activity present in the serum when cells were cultured in FBS medium. The following observations point to the latter possibility. First, when cells were cultured in CSS medium, DHT at 10 nM did not significantly change the VDR abundance (data not shown), but the DHT-induced PSA levels were 5-fold higher in the presence of 1,25-(OH)2D3 than in the absence of 1,25-(OH)2D3. Second, when cells were cultured in FBS medium, although 1,25-(OH)2D3 treatment caused growth arrest, the total amount of PSA secretion detected in the culture medium increased substantially. Thus, 1,25-(OH)2D3 action on PSA secretion was not dependent upon cellular proliferation.

Little is known about the molecular mechanisms underlying the antiproliferative action of 1,25-(OH)2D3 or the stimulatory effect of androgen in LNCaP cells. Previous reports show that the biphasic growth response of LNCaP cells to androgen is dependent upon the concentration of the hormone (21). Most of the published studies on DHT have been performed with CSS medium. Our study evaluated the effects of two hormones in FBS medium vs. CSS medium in the hope that we might dissect the activity of each hormone. We believe that two factors are important for hormone action. One is the overall concentration of androgen in the culture medium. The other is the abundance of AR that determines the magnitude of the hormonal response. In the absence of androgen action (CSS medium or addition of Casodex), 1,25-(OH)2D3 itself had a marginal effect on cell growth and PSA production in LNCaP cells. In the presence of androgen (endogenous from FBS or exogenous by DHT administration), 1,25-(OH)2D3 exhibited antiproliferative effects and increased PSA secretion. We believe these 1,25-(OH)2D3 actions are mediated by up-regulating the AR content.

Heterologous up-regulation of AR by 1,25-(OH)2D3 in LNCaP cells provides a possible mechanism for the synergistic stimulation of PSA secretion following combined 1,25-(OH)2D3 and DHT treatment. The concentration of functional AR is central to the magnitude of androgenic response in cells. The basal level of AR was significantly lower when cells were cultured in CSS medium than that in FBS medium. 1,25-(OH)2D3 augmented [3H]DHT-binding from 197 to 532 fmol/mg protein in CSS medium. 1,25-(OH)2D3 slightly increased AR level when cells were grown in FBS medium (from 378 to 436 fmol/mg protein), indicating that other factors besides AR may contribute to the synergistic effect of 1,25-(OH)2D3 and DHT when cells are cultured in FBS medium. During the preparation of this manuscript, two other research groups also reported that 1,25-(OH)2D3 provokes a 2-fold increase in AR content in LNCaP cells (32, 33).

Three lines of evidence support our conclusion that androgen action is required for the antiproliferative activities of 1,25-(OH)2D3. First, the antiandrogen, Casodex, blocked 1,25-(OH)2D3 actions on cell growth and PSA induction in FBS medium. The doubling time of LNCaP cells in FBS medium increased from 1.5 days to 3 days in the presence of Casodex. The basal level of PSA secretion by LNCaP cells in the presence of Casodex was much lower than in the absence of Casodex (1.7 vs. 5 ng of PSA per ug of DNA). The elevated DNA level and PSA secretion in the absence of Casodex may result from the action of endogenous androgens present in FBS medium. Second, there were striking similarities in cellular response to 1,25-(OH)2D3 when cells were cultured in CSS medium and in FBS medium plus Casodex, given the fact that under the former conditions a low level of androgen was present and under the latter conditions androgen action was blocked. No growth inhibition or PSA induction by 1,25-(OH)2D3 was observed under either condition. The basal levels of DNA content and PSA secretion in either case were lower than when cells were cultured in FBS medium. Third, DHT dose-response studies in CSS medium revealed that 0.1 nM of DHT [the concentration reported to be present in FBS medium (34)] restored the antiproliferative activity of 1,25-(OH)2D3. Taken together, our data show that androgen action is important for both growth inhibition and PSA induction by 1,25-(OH)2D3 in LNCaP cells.

Whereas LNCaP cells secrete PSA, no PSA mRNA was detectable in two other established human prostate cancer cell lines, PC-3 and DU 145, and levels did not change with exposure to 1,25-(OH)2D3 (data not shown). The levels of VDR were approximately 2- to 3-fold higher in PC-3 cells (78 fmol/mg protein) than the amount in the LNCaP (26 fmol/mg) and DU 145 (31 fmol/mg) cells. Unlike the LNCaP cells, there was no detectable AR protein in these two cell lines. As previously reported, both PC-3 and DU 145 cells exhibit a response to 1,25-(OH)2D3 by the induction of 24-hydroxylase mRNA (7), suggesting that androgen receptor is not required for 1,25-(OH)2D3 action in these cells. Also, primary cultures of human prostate cells do not express AR but are growth-inhibited by 1,25-(OH)2D3 (6), indicating that androgen is not necessary for 1,25-(OH)2D3 action in these cells as well. In contrast to LNCaP cells, mechanisms other than androgen signaling are responsible for the antiproliferative effect of 1,25-(OH)2D3 on these primary cells. Therefore, our finding that androgen mediates the antiproliferative activity of 1,25-(OH)2D3 in LNCaP cells is not the situation in all prostate cancer cells.

In summary, we have demonstrated that 1,25-(OH)2D3 and DHT cooperatively regulate cellular functions of LNCaP cells. AR up-regulation by 1,25-(OH)2D3 contributes to the synergistic stimulation of PSA secretion following combined 1,25-(OH)2D3 and DHT treatment when cells were cultured in CSS medium. Other factors besides AR may play an important role in the synergistic effect when cells are cultured in FBS medium. Moreover, androgen action is essential for 1,25-(OH)2D3 to mediate an antiproliferative action in LNCaP cells.


    Acknowledgments
 
We thank Dr. M. Uskokovic, Hoffmann La-Roche Co. (Nutley, NJ) for providing us with 1,25-(OH)2D3; Dr. T. H. Van der Kwast, Erasmus University (Rotterdam, Netherlands) for the anti-AR monoclonal antibody F39.4, and Dr. S. Liao, University of Chicago (Chicago, IL) for the rat AR cDNA.


    Footnotes
 
1 This work was supported by NIH Grant No. DK-42482, an American Institute for Cancer Research Grant No. 94B04-REN (D.F.), and CapCure awards (D.M.P. and D.F.). Portions of this work were presented at the 10th International Congress of Endocrinology, San Francisco, California, June 1996. Back

Received January 9, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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