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Endocrinology Vol. 139, No. 1 111-118
Copyright © 1998 by The Endocrine Society


ARTICLES

EM-800, a Novel Antiestrogen, Acts as a Pure Antagonist of the Transcriptional Functions of Estrogen Receptors {alpha} and ß1

André Tremblay2, Gilles B. Tremblay2, Claude Labrie, Fernand Labrie and Vincent Giguère

Molecular Oncology Group, Royal Victoria Hospital (A.T., G.B.T., V.G.), the Departments of Biochemistry, Medicine, and Oncology, McGill University (V.G.), Montreal, Québec, Canada H3A 1A1; and the Laboratory of Molecular Endocrinology, CHUL Research Center (C.L., F.L.), Québec City, Québec, Canada G1V 4G2

Address all correspondence and requests for reprints to: Dr. Vincent Giguère, Molecular Oncology Group, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Québec, Canada H3A 1A1. E-mail: vgiguere{at}dir.molonc.mcgill.ca


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Estrogens act as potent mitogens in a large number of breast cancers, and the use of estrogen receptor (ER) antagonists is, therefore, considered the endocrine therapy of choice in the management of this disease. We describe the molecular properties of EM-652, the active metabolite of EM-800, a novel nonsteroidal antiestrogen compound, on the transcriptional functions of ER{alpha} and ERß. Using RT-PCR, we show that ER{alpha} and ERß are expressed in mouse mammary glands, suggesting that both receptors should be considered putative targets for antiestrogen action in the breast. In cotransfection assays using a synthetic estrogen-responsive promoter, EM-652 shows no agonistic activity on ER{alpha} and ERß transcriptional function and blocks the estradiol (E2)-mediated activation of both ER{alpha} and ERß. EM-652 is also very effective in abrogating E2-stimulated ER{alpha} and ERß trans-activation of the pS2 promoter in HeLa cells. EM-652 does not alter binding of ER{alpha} and ERß to DNA. The Ras-mediated induction of ER{alpha} and ERß transcriptional activity in the presence of E2 is also completely abolished by EM-652. In addition, EM-652 blocks the E2-dependent activation of ER{alpha} and ERß by the steroid hormone receptor coactivator-1 as well as the in vitro interaction between SRC-1 and the ligand-binding domains of both ERs. These results demonstrate that the novel antiestrogen EM-800 fully impedes AF-1 and AF-2 activities of ER{alpha} and ERß and can, therefore, be considered a potent and pure antagonist of both ER subtypes.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ESTROGENS have been strongly associated with the development and growth of breast cancer, and considerable efforts are devoted to counteract this effect, to provide an effective treatment and improve the prognosis of this disease. The inhibition of estrogen receptor (ER) activity in target tissues by antiestrogens such as tamoxifen, the only antiestrogen widely available for the treatment of breast cancer, has led to tumor remissions of significant duration (1). However, the active metabolite of tamoxifen, 4-hydroxy-trans-tamoxifen (OHT), behaves as a partial agonist of estrogen action in a promoter-, tissue-, and species-specific manner, an activity that could be associated with a higher incidence of endometrial carcinomas during adjuvant treatment (2). In addition, OHT cannot block the ligand-independent activation of the ER by growth factors and other agents stimulating the mitogen-activated protein kinase (MAPK) (3, 4, 5). Taken together, the partial agonistic and antagonistic activities of OHT limit its therapeutical use. More recently, 7{alpha}-substituted derivatives of estradiol (E2), such as ICI 164,384 and ICI 182,780, have been shown to be completely devoid of estrogenic activities and able to block ligand-independent activation of the ERs, and these types of antagonists are, therefore, considered to be pure or specific antiestrogens (6). ICI 182,780 has been evaluated in clinical trials for the treatment of tamoxifen-resistant breast cancers (7, 8).

Over the past decade, all of the studies on elucidation of the molecular events underlying the mode of ER action as well as the antiestrogen-designed therapy have focused on the ER{alpha} identified and cloned several years ago (9, 10, 11). Recently, a second ER, designated ERß, has been described and shown to share common structural and functional characteristics with ER{alpha} (5, 12, 13). Based on amino acid sequence comparison, ERß shares with ER{alpha} the same modular structure, composed of six domains (A–F) (14). Domain C, which contains the two zinc fingers responsible for DNA binding, is the most conserved, followed by domain E, which is responsible for ligand binding, homodimerization, and nuclear localization. Domain E also contains a ligand-dependent activation function (AF-2) involved in trans-activation by the ERs. A second activation function, AF-1, resides in the A/B domain and acts in a ligand-independent manner (15, 16, 17). Both ERs recognize a specific estrogen response element (ERE) composed of two AGGTCA motif half-sites configured as a palindrome spaced by three nucleotides (5). ER{alpha} has also been shown to interact with a number of coregulators via the AF-2 domain, and these protein-protein interactions promote transcriptional regulation of target genes (18, 19, 20, 21). Both OHT and ICI 182,780 prevent the interactions between steroid hormone receptor coactivators and ER{alpha} and ERß (5, 18, 22).

In an effort to develop new and more effective antiestrogens, we have recently generated a novel nonsteroidal antiestrogen compound with a high oral bioavailability, designated EM-800 (Fig. 1Go). EM-800 was demonstrated to be a potent estrogen antagonist under different in vitro and in vivo estrogen-sensitive biological criteria, including its effects on the proliferation of various human breast cancer cell lines (23) and histopathological studies of reproductive tissues (24). Moreover, EM-800 exerts no stimulatory effects on alkaline phosphatase activity on estrogen-sensitive parameters in human Ishikawa cells (24a). However, its mechanisms of action at the molecular level remain to be elucidated. We have, therefore, undertaken the study of the effect of EM-652, the active metabolite of EM-800, on the transcriptional functions of both estrogen receptors. The results presented here demonstrate that EM-652 is a very potent estrogen antagonist in fully abolishing the E2 responsiveness of ER{alpha} and -ß, and that activation of both ERs by H-Ras or the steroid hormone receptor coactivator-1 (SRC-1) is completely abrogated by EM-652. EM-800, therefore, represents a novel class of pure estrogen antagonists that can abolish both ER{alpha} and ERß transcriptional activities.



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Figure 1. Chemical structure of EM-800, EM-652, and other antiestrogens used in this study.

 

    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals
E2 was obtained from Sigma Chemical Co. (St. Louis, MO). Of the antagonists used, tamoxifen and 4-hydroxytamoxifen were provided by Dr. D. Salin-Drouin (Besins-Iscovesco, Paris, France), and the others, including EM-800, EM-652, ICI 182,780, and hydroxytoremifene, were synthesized in the medicinal chemistry division of the Laboratory of Molecular Endocrinology, CHUL Research Center (Québec City, Canada). The chemical structures of EM-800, its active metabolite EM-652, and other estrogen antagonists used in this study are presented in Fig. 1Go.

RT-PCR
C57 mice were shaved, and mammary glands were dissected from nonlactating, 17.5-day postcoitum pregnant and lactating females; liver was isolated from the nonlactating females, and total RNA was extracted using Trizol reagent (Life Technologies, Grand Island, NY). Five hundred nanograms of total RNA were used as a template to synthesize first strand complementary DNA (cDNA) in the presence of specific mouse ER{alpha} and ERß primers (see below), using Superscript reverse transcriptase (Life Technologies) according to the manufacturer’s protocol. Five microliters of the cDNA were used in a PCR reaction (50 µl total volume) performed with Taq polymerase (Boehringer Mannheim, Indianapolis, IN) under the following conditions: step 1, 94 C for 5 min; and step 2, 94 C for 45 sec, 58 C for 45 sec, and 72 C for 60 sec, repeated for 30 cycles. Parallel reactions conducted with 25, 35, and 40 cycles confirmed the PCR reactions were within the linear range. One microliter of the reaction was electrophoresed on a 1.2% agarose gel, blotted onto a Hybond N+ membrane (Amersham, Arlington Heights, IL), and hybridized overnight to specific mouse ER{alpha} and ERß probes contained within the PCR product. After a high stringency wash, the membrane was exposed to film for 60 min at room temperature. The following primers were used in the above analysis: for mouse ER{alpha}: first strand cDNA synthesis, 5'-GTCAGCTGTCAAGGACAAGGCAG-3'; PCR reaction, 5'-GTCTAATTCTGACAATCGACGCC-3' and 5'-GGGCTTGGCCAAAGGTTGGCAGC-3'; and for mouse ERß: first strand cDNA synthesis, 5'-GAATAATCTAGTTATGTAAGCC-3'; PCR reaction, 5'-GAAGAGGAAGCTTGGCGGGAGCG-3' and 5'-TCAGGCAATGCACCTGCTCGCTG-3'. The expected sizes of the products are 431 and 355 bp for ER{alpha} and ERß, respectively.

Plasmids
The expression vectors carrying the cytomegalovirus promoter, pCMX-mER{alpha} and pCMX-mERß, and reporter plasmids vitA2EREBLuc, vitA2ERETKLuc, and pS2Luc (vitA2, vitellogenin A2; TK, thymidine kinase) were constructed as previously described (5). H-Ras and H-RasV12 expression plasmids were gifts from Dr. Morag Park, and the full-length SRC-1 cDNA (19) was inserted into pCMX for expression studies.

Cell culture, DNA transfection, and luciferase assay
For transfections, COS-1 and HeLa cells were seeded in six-well plates in phenol red-free DMEM (Life Technologies) supplemented with 10% charcoal dextran-treated FBS, 100 µg/ml penicillin, and 100 µg/ml streptomycin. At 50–60% confluence, cells were transfected with 1–2 µg reporter plasmid, 0.5–1 µg receptor expression vector, 1 µg CMX-ß-galactosidase or Rous sarcoma virus (RSV)-ß-galactosidase, and 6–7.5 µg pBluescript II KS (Stratagene, La Jolla, CA) as carrier DNA, using the calcium phosphate-DNA precipitation method (25). After 8–16 h, cells were washed, and typically 10 nM E2 or 100 nM antiestrogens, unless otherwise stated, was added to the growth medium for 16 h. For luciferase assay, cells were lysed in potassium phosphate buffer containing 1% Triton X-100, and luciferin was added for light emission measurement using a luminometer (LKB, Uppsala, Sweden). Values are expressed as arbitrary light units normalized to the ß-galactosidase activity of each sample. Typically, transfections were performed in duplicate for each sample, and results are compiled as the mean ± SEM of at least three separate experiments.

Antiestrogen competition studies
The murine ER{alpha} and ERß proteins were in vitro transcribed-translated using rabbit reticulocyte lysate (Promega, Madison, WI) with pCMX-mER{alpha} and pCMX-mERß templates, respectively; diluted 12-fold in TEG buffer [10 mM Tris (pH 7.5), 1.5 mM EDTA, and 10% glycerol]; and kept on ice until use. One hundred microliters of this dilution were used in each competition reaction at 4 C overnight containing 1 nM [2,4,6,7-3H]E2 and antiestrogen concentrations varying from 10-13–10-6 M. Unbound steroids were removed with dextran-coated charcoal, and counts per min were determined by liquid scintillation counting. The results were plotted as the percentage remaining bound, where 100% represents the counts in the absence of antiestrogen.

Electromobility shift assay
mERß and mER{alpha} were produced using rabbit reticulocyte lysates. Typically, preincubation was conducted with 5 µl programmed lysate and 5 nM E2 or 500 nM antagonists on ice for 30 min in 5 mM Tris, pH 8.0, containing 40 mM KCl, 6% glycerol, 1 mM dithiothreitol, 0.05% Nonidet P-40, 2 µg poly(dI-dC), 0.1 µg denatured salmon sperm DNA, and 10 µg BSA. Then, 0.1 ng {alpha}-32P end-labeled probe was added and allowed to bind for 30 min at room temperature. The entire reaction (20 µl) was loaded onto a 4% polyacrylamide gel and electrophoresed at 150 V at room temperature. Gels were dried and exposed overnight at -85 C. The vitA2ERE with the inverted repeat (underlined), 5'-TCGACAAAGTCAGGTCACAGTGACCTGATCAAG-3' (5) was used as the probe.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ER{alpha} and ERß are expressed in mouse mammary glands
To establish the presence of ERß in the mammary gland, total RNA was extracted from tissue dissected from nonlactating, pregnant, or lactating female mice and analyzed by RT-PCR. As shown in Fig. 2Go, the expression of both ER{alpha} and -ß was detected under all physiological conditions studied. ERß transcript levels were slightly increased in pregnant and lactating mammary glands, whereas the level of ER{alpha} transcript remained unchanged. Total RNA from liver was also tested. As expected, ER{alpha} transcripts are present in the liver, whereas ERß transcript could not be detected under the conditions used.



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Figure 2. Expression of ER{alpha} and mERß in murine mammary glands. Five hundred nanograms of total RNA extracted from 5-week-old nonlactating (lane 1), 17.5-d postcoitus pregnant (lane 2), and lactating (lane 3) female mammary glands were reverse transcribed and used in a PCR reaction as described in Materials and Methods. Lane 4 represents the product of an RT-PCR reaction containing an equal amount of RNA extracted from a female liver.

 
EM-652 blocks the E2-dependent activity of ER{alpha} and ERß
ERE from the vitA2 gene promoter is well known to bind to and mediate the transcriptional activity of ER{alpha} (26, 27). These effects were also described more recently for ERß (5). We thus used a reporter plasmid containing one copy of the vitA2ERE linked to the minimal viral TK promoter (vitA2ERETKLuc) to study the effects of EM-652 together with a panel of previously characterized antiestrogenic compounds (Fig. 1Go) on mouse ER{alpha}- and ERß-mediated trans-activation. When used in the absence of E2, none of the antagonists studied, including the mixed agonist-antagonist OHT, showed significant agonist activity on either ER{alpha} (Fig. 3AGo) or ERß (Fig. 3BGo) with the vitA2ERETKLuc reporter. As previously reported (5, 16), the agonistic effect of OHT was more apparent when a basal promoter carrying only an ERE with a TATA box (vitA2EREBLuc) was used in cotransfection studies. As shown in Fig. 3CGo, OHT induced a 2.5-fold activation of ER{alpha} activity using a vitA2EREBLuc reporter. Under the same conditions, EM-652 had no effect on basal ER{alpha} activity (Fig. 3CGo). None of the antagonists, including OHT, showed agonist activity on basal ERß transcriptional activity (Fig. 3DGo).



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Figure 3. Effects of antagonists on ER{alpha}- and ERß-mediated trans-activation. A, COS-1 cells were cotransfected with 2 µg vitA2ERETKLuc reporter and 1 µg mER{alpha} expression plasmid and incubated for 16 h with 100 nM of the indicated antagonists in the presence or absence of 10 nM E2 before being assayed for luciferase activity. Results represent the mean ± SEM of three separate experiments and are expressed as the fold response over the ER{alpha} basal level (without E2 or antagonists), which was arbitrarily set at 1. ICI, ICI 182,780; OH-tor, hydroxytoremifen; dro, droloxifene; ral, raloxifene. B, Same as in A, except that the mERß expression vector was used. C and D, Same as in A and B, respectively, except that the vitA2EREBLuc reporter was used in transfections.

 
When E2 was added to the medium of either the vitA2EREBLuc- or the vitA2ERETKLuc-transfected COS-1 cells, the 5- to 6-fold induction of both ER activities was completely abolished by addition of the various antiestrogens tested, including EM-652 (Fig. 3Go, A–D). A similar observation was obtained in HeLa cells (data not shown), suggesting that EM-652 acts in a cell-type independent fashion. It is of interest to note that EM-652 reduced, even below basal levels, the E2 induction of both ER{alpha} and ERß in COS-1 cells.

To further evaluate the potencies of the antagonists, we compared their dose-dependent inhibitions of E2-induced ER{alpha} and ERß activity using vitA2ERETKLuc in COS-1 cells (Fig. 4Go). Compared with ICI182,780, EM-652 was extremely effective, achieving a complete blockade of the E2-induced effect of ER{alpha} (Fig. 4AGo) and ERß (Fig. 4BGo) at doses of 10-8 M and above. Comparison of the apparent IC50 showed that under the conditions used, EM-652 was more potent in repressing ER{alpha} activity (IC50 = 2 nM) than was ICI182,780 (IC50 = 20 nM). Both antiestrogens were more effective at inhibiting ERß function, with IC50 of 0.4 and 8 nM for EM-652 and ICI182,780, respectively. In addition, lower concentrations of EM-652 in the 10-10–10-11 M range contributed to a 25–30% reduction in the E2 responses of both ERs, and even when added at 10-13 M, EM-652 still showed a 20–25% repression (data not shown).



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Figure 4. Dose response of antagonists on ER{alpha}- and ERß-mediated trans-activation. Comparison of the dose responses of the antagonists in the presence of 10 nM E2 on the transcriptional activities of ER{alpha} (A) and ERß (B) using the vitA2ERETKLuc reporter in COS-1 cells. Results represent the mean ± SEM of three separate experiments and are expressed as percentages of the maximal induction by E2 alone (arbitrarily set at 100%; filled bars) for the two ERs. The basal untreated levels of ER{alpha} and ERß are also shown.

 
EM-652 inhibits the binding of E2 on ER{alpha} and ERß
Inhibition of ER activity by antiestrogens is believed to be mediated by competitive displacement of E2. We tested whether EM-652 could displace E2 from ER{alpha} and ERß using a binding competition assay. Increasing amounts of EM-652 contributed to reduce the binding of E2 on ER{alpha} (Fig. 5AGo) and ERß (Fig. 5BGo) with apparent IC50 of 5 x 10-7 and 1 x 10-7 M, respectively. Similar IC50 values of E2 displacement from both ERs were observed with ICI182,780.



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Figure 5. Competitive binding of antiestrogens to ER{alpha} and ERß. A, In vitro transcribed-translated ER{alpha} was incubated in the presence of 1 nM [2,4,6,7-3H]E2 and increasing concentrations of EM-652 and ICI182,780 as indicated. Unbound steroids were removed, and bound estrogen was counted by liquid scintillation and plotted as the percentage of E2 bound. B, Same as in A, except ERß was used in the competition reactions.

 
EM-652 does not affect the binding of ER{alpha} and ERß to vitA2ERE
We performed band shift assays to test whether the binding of both ERs to vitA2ERE was altered by EM-652 compared with E2 and ICI182,780. As previously observed (5, 28), the binding of ER{alpha} and -ß to the ERE was not dependent on the presence of E2 under the conditions used (compare lanes 2 and 3 and lanes 7 and 8 in Fig. 6Go). When EM-652, EM-800, or ICI 182,780 was used alone, a shifted band of similar signal intensity was observed compared with unliganded and E2-bound ERs (Fig. 6Go). However, both ERE-bound ER{alpha} and ERß complexes migrated more slowly with the antagonists compared with E2, suggesting a change in the conformational state of ER in the presence of antiestrogens.



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Figure 6. DNA binding of ER{alpha} and ERß is not impaired by antiestrogens. Each receptor produced from rabbit reticulocyte lysates (RRL) was incubated at room temperature with 0.1 ng labeled vitA2ERE in the absence (lanes 2 and 7) or presence of 100 nM E2 (lanes 3 and 8), EM-800 (lanes 4 and 9), EM-652 (lanes 5 and 10), and ICI182,780 (lanes 6 and 11). Unprogrammed RRL was used as a negative control (lane 1).

 
Ras-induced transcriptional activity of both ERs is abolished by EM-652
Potential phosphorylation of serine 118 in human ER{alpha} (3, 4, 29) and serine 60 in mouse ERß (5) through activation of the Ras-MAPK pathway has been shown to further maximize the E2 responses of both ERs. To investigate whether EM-652 could efficiently block this effect, we used the wild-type H-Ras and its dominant active form H-RasV12 in our transfection experiments, as indicated in Fig. 7Go. As observed previously (3, 5), the addition of H-Ras increased the activity of ER{alpha} in the presence of E2, with an even stronger response when H-RasV12 was used (Fig. 7AGo). These inductions by both Ras forms were completely abolished with the addition of EM-652 to the medium, in the same way as with ICI 182,780, suggesting that EM-652 is effective in blocking the AF-1 activity of ER{alpha}. The same experiment was conducted on ERß, where H-Ras and H-RasV12 augmented the E2 response in a similar manner (Fig. 7BGo). Again, EM-652 and ICI 182,780 abolished the Ras effect on ERß in the presence of E2. Interestingly, we observed a ligand-independent effect of Ras on ERß basal activity, where a 2- to 3-fold induction occurred with H-RasV12 (Fig. 7BGo). On the other hand, no effect of Ras was seen on basal levels of ER{alpha}. The Ras induction of unliganded ERß was blocked by EM-652 and ICI 182,780 (data not shown). We were also interested to test whether EM-652 was efficient in blocking ER responsiveness on a natural promoter. The pS2 promoter has been extensively studied with respect to its ER{alpha}-mediated regulation (30). We previously showed that ERß can also modulate trans-activation of a reporter gene driven by the pS2 promoter in HeLa cells, and that the E2 response was potentiated by H-Ras (5). Figure 7Go, C and D, demonstrates that the effects of Ras on liganded ER{alpha} and ERß activities were completely abrogated by EM-652. Dose-response analyses were also performed to further evaluate the potency of EM-652 to inhibit the effect of Ras on ER activities in the presence of E2. EM-652 was slightly more effective than ICI 182,780 in blocking H-RasV12 inductions of ER{alpha} and ERß, especially at lower concentrations (Fig. 7Go, E and F).



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Figure 7. EM-652 blocks Ras-induced ER{alpha} and ERß transcriptional activities. A, COS-1 cells were cotransfected with 1 µg vitA2ERETKLuc and 500 ng pCMX-ER{alpha} in the presence or absence of 1 µg Ha-Ras or Ha-RasV12 expression plasmids. The cells were then grown in the presence or absence of 10 nM E2 or 100 nM EM-652 or ICI 182,780 (ICI). The basal activity of ER{alpha} in the absence of estradiol was arbitrarily set at 1.0. B, Same as in A, except that the ERß expression vector was used. C and D, Same as in A and B, respectively, except that pS2Luc reporter and HeLa cells were used in transfections. E, Dose responses of EM-652 (filled squares) and ICI 182,780 (open squares) in the presence of 10 nM E2 on ER{alpha} activity in COS-1 cells transfected with vitA2ERETKLuc reporter and Ha-RasV12 expression plasmid. The maximal induction by E2 alone was arbitrarily set at 100%. F, Same as in E, except that the ERß expression vector was used.

 
EM-652 efficiently blocked SRC-1-induced activity of ER{alpha} and ERß
The coactivator SRC-1 has been shown to interact with and promote the transcriptional activity of a number of nuclear receptors, including ER{alpha} (19, 31). More recently, we have demonstrated that SRC-1 also stimulates ERß activity through a direct interaction with its ligand-binding domain (LBD), where the AF-2 domain resides (5). We took advantage of this effect of SRC-1 to study whether EM-652 could block the E2-activated AF-2 function of ER{alpha} and ERß. We first generated glutathione-S-transferase (GST) fusion proteins with the E and F domains of mERß (GST-mERßEF) and domains D–F of mER{alpha} (GST-mER{alpha}DEF) for use in GST pull-down experiments (Fig. 8AGo). GST-mERßEF and GST-mER{alpha}DEF were expressed in Escherichia coli, purified with GST-Sepharose, and incubated with [35S]methionine-labeled SRC-1. As shown in Fig. 8AGo, the LBD of mER{alpha} interacted weakly with SRC-1 in the absence of E2 (lane 3), whereas addition of E2 caused an increase in the interaction between the two proteins (lane 4). Both EM-652 (lane 5) and ICI 182,780 (lane 6) efficiently blocked the ligand-dependent SRC-1 interaction, with a stronger effect for EM-652. A similar inhibition of the E2-dependent interaction between SRC-1 and the LBD of ERß was also observed, whereas ICI182,780 was less efficient (see Fig. 8AGo, lanes 7–10). We also demonstrated that the stimulatory effect of SRC-1 on the E2 responses of both ERs in COS-1 cells was completely abolished with the addition of EM-652 in the medium, and the novel antagonist was as efficient as ICI 182,780 in that respect (Fig. 8Go, B and C). Furthermore, as observed with Ras (see above), SRC-1 enhanced the basal activity of ERß, but not that of ER{alpha}, in the absence of ligand. This ligand-independent effect of SRC-1 on ERß was blocked by EM-652. Similar results were obtained using HeLa cells transfected with a pS2Luc reporter construct (Fig. 8Go, D and E). Dose-response analyses were also performed to further evaluate the potency of EM-652 to inhibit the potentiating effect of SRC-1 on ER activities in the presence of E2. EM-652 appeared very effective in blocking SRC-1 potentiation of ligand-dependent ER{alpha} and ERß transcriptional activities, with apparent IC50 values of 10-10 and 10-9 M, respectively (Fig. 8Go, F and G). ICI 182,780 was also a potent inhibitor of the SRC-1 induction of ER{alpha} and ERß activities, with an IC50 of 10-8 M for both receptors.



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Figure 8. EM-652 blocks the AF2 activity of ER{alpha} and ERß. A, GST pull-down experiments. The purified fusion proteins were incubated with labeled SRC-1 in the absence (lanes 3 and 7) or presence of 5 nM E2 (lanes 4–6 and 8–10) in addition to 100-fold excesses of EM-652 (lanes 5 and 9) and ICI 182,780 (lanes 6 and 10). The input lane (lane 1) represents 20% of the total amount of labeled SRC-1 used in each binding reaction. An equivalent amount of protein was used in the sample containing only GST (lane 2). B, COS-1 cells were cotransfected with 1 µg vitA2ERETKLuc and 500 ng pCMX-ER{alpha} in the presence or absence of 1 µg SRC-1 expression plasmid. Cells were incubated with or without 10 nM E2 or 100 nM antagonists as indicated. Results are expressed as the fold response over basal levels, which were arbitrarily set at 1.0. C, Same as in B, except that ERß expression vector was used. D and E, Same as in B and C, respectively, except that pS2Luc reporter and HeLa cells were used in transfections. F, Dose response of EM-652 (filled squares) and ICI 182,780 (open squares) in the presence of 10 nM E2 on ER{alpha} activity in COS-1 cells transfected with vitA2ERETKLuc reporter and SRC-1 expression plasmid. The maximal induction by E2 alone was arbitrarily set at 100%. G, Same as in F, except that the ERß expression vector was used.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study describes the molecular action of EM-652, the active metabolite of a new nonsteroidal antiestrogen, EM-800, on ER transcriptional functions. We present evidence that EM-800 and its active metabolite EM-652 act as pure estrogen antagonists on ER{alpha} and ERß transcriptional activities. This pure antiestrogenic profile is of primary importance in endocrine-based breast cancer therapy, as exemplified by the use of tamoxifen, which acts as a mixed agonist-antagonist on ER function. Besides a relatively good clinical record in inducing remission of ER-positive metastatic breast cancer and in postsurgical adjuvant therapy, a resistance to tamoxifen, probably due to its intrinsic agonist properties, does occur, and severe tumor progression ensues in most patients (32). As a result, the search for pure antiestrogens led to the discovery of compounds such as ICI 164,384 and ICI 182,780 (6, 33), and now EM-800 (23, 34). Of the two ICI compounds, ICI 182,780 is regarded as a promising candidate for primary breast cancer treatment and has been evaluated in phase I and phase II clinical trials (7, 33, 35). Preliminary studies have shown that EM-800 also behaves as a very potent antiestrogen on different in vivo and in vitro parameters, including having a strong inhibitory effect on the proliferation of various human breast cancer cell lines (23).

For these reasons, we were interested in comparing EM-652 with ICI 182,780 on the basis of their potency to block ER-regulated gene expression at the molecular level. In addition, we tested the effects of EM-652 and ICI 182,780 on the transcriptional activity of ER{alpha} and that of the newly described ERß (5, 12, 13) to fully impede the estrogen action to target tissues such as the mammary gland, where both receptors are expressed. We identified ER{alpha} and ERß messenger RNAs in mouse mammary glands. The expression of ER{alpha} in mammary glands had been largely documented previously (36, 37), but no report had yet described the expression of ERß in that tissue. Dose-response curves showed that EM-652 was very potent in blocking the E2 response of ER{alpha} and ERß activities. This was paralleled by a strong competition by EM-652 on the binding of E2 to both ERs. Competitive inhibition of estrogen binding is believed to mediate ER function impairment by antiestrogens, as depicted for ICI 182,780, which showed a stronger binding affinity than ICI 164,384 and tamoxifen on uterine ERs (38, 39). However, despite a clear inhibition of estrogen binding to target tissues in vivo (40), tamoxifen only provoked a 60% inhibition of antiuterotropic determination in immature rats (41), whereas ICI 182,780 produced almost complete inhibition (38). Our results on the competitive binding of E2in vitro and the abolition of the E2 response of ER activity in vivo support the observation that EM-652 behaves as a very potent antagonist.

The potency of EM-652 to inhibit ER function was even more dramatic when the E2 response was maximized through activation of AF1 and AF2 domains of ERs by Ras and SRC-1, respectively. Phosphorylation of Ser118 triggered by the Ras-MAPK pathway has been described for ER{alpha} and shown to further increase its E2-stimulated transcriptional activity (3). Ras also activates liganded ERß, presumably through phosphorylation of Ser60 (5). Here we show that EM-652 strongly inhibited the E2-induced ER{alpha} and ERß activities triggered by either Ras or its dominant active form RasV12. We observed a similar pattern with SRC-1. SRC-1 has been described as a general coactivator for steroid receptors and has been shown to up-regulate ER{alpha}-stimulated transcription (19, 42). More recently, we demonstrated that SRC-1 interacts with ERß and stimulates its transcriptional activity (5). This interaction occurred with the LBD of both ERs (5, 42). Again, EM-652 was very potent in fully abolishing the E2 response of ER{alpha} and ERß enhanced by SRC-1. These effects were not cell or promoter specific, as demonstrated with the pS2 promoter in HeLa cells. Hence, EM-652 can be regarded as a pure antagonist that acts on both activation domains of the ERs.

Interestingly, both Ras and RasV12 induced the activation of transcription of ERß in the absence of E2. Such ligand-independent activation of Ras was not observed with ER{alpha} (Ref. 3 and the present work), although it was reported with EGF treatment (4). A similar pattern of activation of ERß, but not ER{alpha}, was observed with SRC-1. Our previous work (5) has shown that the SRC-1-induced ligand-independent activation of ERß was not blocked by OHT, which is an AF-2-specific antagonist (16), suggesting that SRC-1 might interact with other regions of the receptor. A possible target region for such an interaction might be contained within the amino-terminal region of ERß, as ICI 182,780 and EM-652 inhibit the ligand-independent effect of Ras and SRC-1. In contrast to the DNA-binding domain and LBD, the amino-terminal region is poorly conserved between ER{alpha} and ERß. By using amino- and carboxyl-terminal truncated mutants of ER{alpha} in transfection experiments, McInerney et al. (42) observed a ligand-dependent activation by SRC-1 and hypothesized that SRC-1 might act as an adapter to promote both AF-1 and AF-2 activities of ER{alpha}. Our own experiments showed that activation of ER{alpha} by Ras or SRC-1 occurred in the presence, but not the absence, of ligand, whereas both ligand-dependent and -independent effects were observed for ERß. Certainly, these observations need to be further investigated.

The present work describes the premises of the molecular mode of action of the novel antiestrogen EM-800 and shows that it is a very potent and pure estrogen antagonist that fully impedes ER-regulated gene expression by targeting both ER{alpha} and ERß. These properties identify EM-800 as a potential therapeutic agent that would completely deprive mammary tumors of estrogenic stimulation, thus providing an effective endocrine therapy for breast cancer.


    Acknowledgments
 
We thank M. Parker for the gift of mouse ER{alpha} and human SRC-1 cDNAs, and Morag Park for providing us with H-Ras expression plasmids. We also greatly acknowledge A. Matthyssen for her expert technical assistance.


    Footnotes
 
1 This work was supported by the Medical Research Council of Canada and the National Cancer Institute of Canada (to V.G.), and in part by Medical Research Council of Canada Postdoctoral Fellowship (to G.B.T.) and Scientist Scholarship (to V.G.). This work was supported in part by EndoRecherche. Back

2 Co-first authors. Back

Received July 8, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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