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Endocrinology Vol. 139, No. 10 4337-4344
Copyright © 1998 by The Endocrine Society


ARTICLES

Calreticulin: An Intracellular Ca++-Binding Protein Abundantly Expressed and Regulated by Androgen in Prostatic Epithelial Cells1

Ning Zhu2, E. Bradley Pewitt3, Xiaoyan Cai, Evan B. Cohn, Sharon Lang, Robert Chen and Zhou Wang4

Department of Urology (N.Z., E.B.P., X.C., E.B.C., S.L., R.C., Z.W.) and Department of Molecular Pharmacology and Biological Chemistry (Z.W.), Northwestern University Medical School, Chicago, Illinois 60611

Address all correspondence and requests for reprints to: Zhou Wang, Department of Urology, Tarry 11–715, Northwestern University Medical School, Chicago, Illinois 60611. E-mail: wangz{at}nwu.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Calreticulin was identified in a screen for androgen-response genes in the rat ventral prostate. Northern blot and Western blot analyses in the rat model showed that both calreticulin messenger RNA and protein are down-regulated by castration and up-regulated by androgen replacement in the prostate. Northern blot analysis showed that calreticulin expression level in the prostate is much higher than that in seminal vesicles, heart, brain, muscle, kidney, and liver. The regulation of calreticulin expression by androgen is only observed in the prostate and seminal vesicles, two male secondary sex organs. The induction of calreticulin by androgen in prostate organ culture partially resists protein synthesis inhibition, suggesting that calreticulin is a direct androgen-response gene. In situ hybridization and immunohistochemistry studies showed that calreticulin is an intracellular protein in prostatic epithelial cells. Because calreticulin is a major intracellular Ca++-binding protein with 1 high-affinity and 25 low-affinity Ca++ binding sites, our observations suggest that calreticulin is a promising candidate that mediates androgen regulation of intracellular Ca++ levels and/or signals in prostatic epithelial cells. The expression of calreticulin is also regulated by androgen in the mouse and human prostate, suggesting that androgen regulation and function of calreticulin in the prostate are conserved evolutionarily.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
STRUCTURAL and functional integrity of the prostate requires a constant supply of male hormone. Androgen ablation by castration induces massive apoptosis of prostatic epithelial cells and causes rapid regression of the prostate gland. In contrast, androgen replacement stimulates rapid proliferation and regrowth of a castrated prostate until it reaches the original size (1, 2). It is clear now that androgen-regulated cell death and proliferation is mediated through the androgen receptor (AR) (3). AR is a ligand-dependent transcription factor that regulates the expression of androgen-response genes. Thus, androgen-response genes should play important roles in controlling both apoptosis and proliferation in the prostate. To understand the mechanism by which androgen controls cell death and proliferation in the prostate, it is necessary to identify and characterize androgen-response genes in the prostate.

Recently, we have initiated a comprehensive search for androgen-response genes (4) in the rat ventral prostate using a gene expression screen, a highly sensitive PCR-based complementary DNA (cDNA) subtraction method (5). A series of androgen-response genes were identified on the basis of changes in gene expression induced by androgen replacement in the prostate of a 7-day castrated rat. Sequence analysis (4) has identified that one of the androgen-response genes encodes calreticulin, a highly conserved intracellular Ca++-binding protein in the lumen of endoplasmic reticulum (6, 7, 8, 9). Homozygous knockout of calreticulin gene resulted in embryonic lethality in mice (Coppolino, M. G., and S. Dedhar, manuscript submitted), indicating that calreticulin plays an essential role in animal development. Calreticulin seems to be involved in a wide variety of cellular processes, including: 1) modulation of Ca++ signals; 2) storage and buffering of Ca++; 3) regulation of steroid-dependent gene expression via direct interaction with steroid receptors; 4) cell adhesion via direct binding to integrin {alpha}; 5) as a chaperone in protein folding; 6) autoimmune response; and 7) long-term neuromodulations (7, 11). Calreticulin consists of 1 high-affinity and approximately 25 low-affinity Ca++ binding sites and is a major intracellular Ca++-binding protein in nonmuscle cells. It has been demonstrated that calreticulin could inhibit intracellular Ca++ oscillations (12). Down-regulation of calreticulin by antisense oligo increases sensitivity of neuroblastoma x glioma NG-108–15 cells to cytotoxic Ca++ overload (13). Conversely, overexpression of calreticulin has been shown to protect HeLa cells from apoptosis (14, 15). Recently, it is reported that the expression of calreticulin is markedly decreased before the cell apoptosis in human leukemia HL-60 cells (16).

Because calreticulin is a protein with multiple functions, it is of great interest to study its role in androgen action in the prostate. Characterization of calreticulin expression during androgen manipulation is likely to provide insights into the function(s) of calreticulin in androgen action in the prostate. This paper describes the spatial and temporal expression of calreticulin in the prostate, tissue-specificity of androgen induction, and possible mechanisms by which androgen regulates calreticulin expression in the prostate.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
A digoxygenin (DIG) RNA probe labeling kit was purchased from Boehringer-Mannheim (Indianapolis, IN). Dimethyl sulfoxide, EDTA (ethylene diaminetetracetic acid), NaCl, SDS, and Tris were from Fisher Biotech (Pittsburgh, PA). PBS solution, M199 organ culture medium, and FBS were from Gibco BRL (Gaithersburg, MD). Calcium ionophore A23187, phenylmethylsulfonyl fluoride, 4-(2-aminoethyl)benzenesulfonyl fluoride, leupeptin, pepstatin, anisomycin, cycloheximide, chloroform, ethanol, phenol, proteinase K, ribonuclease, and sarcosyl were from Sigma.

Animals
Young adult male Harlan Sprague-Dawley rats (250–300 g) and BALB/c mice (35–40 g) were used in this research. The rats and mice were castrated, in a room dedicated to animal surgery, according to a protocol approved by the Northwestern University Animal Care and Use Committee. Testes, fat pads, and epididymides were removed in the castration. The castrated animals were maintained at Northwestern University Animal Facility. Treatment of 7-day castrated rats with exogenous androgen was carried out by daily sc injections of 0.2 ml testosterone propionate dissolved in propylene glycol at 10 mg/ml for up to 7 days. At various times after castration or androgen replacement, at least three rats were killed by decapitation after methoxyflurane anesthesia. The ventral prostate lobes were removed, weighed, and frozen in liquid nitrogen before RNA or protein isolation. The left lobes were used for isolation of RNA, and the right lobes were used for preparation of protein extracts.

RNA isolation and Northern blot analysis
Total RNA was isolated using the guanidine thiocyanate/CsCl gradient method (17). Purified RNA samples were fractionated in a 1% agarose-formaldehyde gel. Ten micrograms of total RNA was loaded in each lane. After electrophoresis, RNA was transferred to nylon membrane by capillary blotting and then cross-linked to the membrane by UV irradiation. Northern hybridization of the membrane was carried out at 42 C overnight in a buffer containing 5 x SSPE (0.9 M NaCl, 50 mM NaH2PO4, 50 mM EDTA, PH 7.4), 2 x Denhart’s solution, 0.1% SDS, 0.1 mg/ml denatured salmon sperm DNA, and 50% formamide in the presence of DNA probes labeled by random priming. The membrane was then washed at room temperature with 1 x SSC (0.3 M NaCl, 30 mM sodium citrate, pH 7.0) and 0.1% SDS for 20 min, followed by three 20-min washes at 65 C with 0.2 x SSC and 0.1% SDS. The autoradiogram for Northern blot was obtained by exposing the film at -80 C with an intensifying screen.

In situ hybridization
DIG-labeled calreticulin sense and antisense RNA probes for in situ hybridization were synthesized using linearized, proteinase K-treated plasmid DNA templates. A full-length rat calreticulin cDNA, inserted at the multiple cloning site of pBluescript II SK plasmid, was used in template preparation. Synthesis of sense and antisense RNA probes was carried out by in vitro transcription using DIG RNA labeling mix of nucleotides (Boehringer-Mannheim) with either T3 or T7 RNA polymerase (Promega, Madison, WI).

In situ hybridization was carried out according to Furlow et al. (18), with small modifications. Rat ventral prostate tissue was isolated and fixed at 4 C overnight in 4% paraformaldehyde in SPB (3% sucrose, 0.15 mM CaCl2, 0.06 M phosphate buffer, pH 7.4) at 4 C. The tissue was then rinsed in 10% sucrose in SPB and incubated overnight at 4 C in 30% sucrose in SPB. The tissue was cryosectioned at 5-µm thickness and placed on ProbeOnR Plus microscope slides (Fisher Biotech). The slides were heated at 45 C for 3–5 h on a slide warmer. The sections were refixed with 4% paraformaldehyde and then digested with proteinase K at 20 µg/ml in PBS for 6 min. After refixing again in 4% paraformaldehyde, the sections were washed in PBS and acetylated in 0.25% acetic anhydride in triethanolamine (pH 8.0). The sections were washed again in PBS before hybridization. The probes for in situ hybridization were heated at 80 C for 5 min after being diluted 100-fold to 500-fold in hybridization buffer consisting of 1x Denhardt’s solution, 100 µg/ml DNA, 50% formamide, and 250 µg/ml yeast RNA in 5 x SSC buffer. Twenty microliters of the heated probe was put onto a coverslip. The slide was inverted, and the coverslip was allowed to attach by capillary action. The slides were incubated overnight at 67 C in a sealed chamber humidified with 5 x SSC buffer/50% formamide. After hybridization, the coverslips were removed by dipping the slides in 5 x SSC buffer at 72 C. The slides were washed in 0.2 x SSC buffer at 72 C for 1 h, followed by a 5-min room-temperature wash in 0.2 x SSC. The staining of the hybridized probes on the slides was the same as described by Furlow et al. (18).

Protein preparation and Western blot
Prostate tissue was homogenized in a lysis buffer consisting of 1 x PBS, 1% SDS, 10 mM EDTA, 100 µM phenylmethylsulfonyl fluoride, 10 µM leupeptin, 0.2 mM 4-(2-aminoethyl)benzenesulfonyl fluoride, and 1 µM pepstatin. Insoluble materials were pelleted by centrifugation at 10,000 x g for 10 min at 4 C. A very small percentage of the protein in the prostate extracts was insoluble. Protein concentration was determined using a BioRad DC protein assay kit. Protein samples were separated by 10% SDS-PAGE and then transferred onto Protran nitrocellular membranes (Schleicher & Schuell, Keene, NH). Rabbit anticalreticulin primary antiserum and a secondary antibody linked to horseradish peroxidase were used in a standard Western blot procedure (19) for the detection of calreticulin protein in the prostate. The polyclonal anticalreticulin antiserum was generated using a GST (glutathione-S-transferase)-calreticulin fusion protein in rabbits. Anticalreticulin antibody is also available from StressGen (Victoria, BC, Canada). The enhanced chemiluminescence detection method (Amersham, Arlington Heights, IL) was used to detect secondary antibody binding.

Immunohistochemistry
The ventral prostates from normal Sprague-Dawley rats were collected, and fixed in 4% paraformaldehyde in PBS overnight at 4 C. Tissues were dehydrated through an ethanol series, cleared in xylenes, and embedded in paraffin. Eight-micrometer sections were cut on a microtome, allowed to spread in water, placed on ProbeOn Plus slides, and warmed on a slide warmer for 2 h at 55 C. The sections were dewaxed three times, for 10 min each, in fresh xylenes, then twice in 100% ethanol for 5 min each, twice in 95% ethanol for 5 min each, and finally rinsed in distilled water twice for 5 min each. Endogenous peroxidase activity was inactivated by incubating the sections in 3% freshly-made hydrogen peroxide in methanol for 20 min. The nonspecific sites were blocked with 2% normal goat serum in PBS for 1 h at room temperature. The slides were incubated with 100 µl of the primary antibody diluted 1500-fold in the blocking solution in a humidified box overnight at 4 C. The control group was incubated in a mixture of 100 µl of the same diluted primary antibody in the presence of 10 µg GST-calreticulin fusion protein. The slides were rinsed twice in PBS for 5 min each. Then the slides were processed as described in the instructions in the Vectastain ABC Kit from Vector Laboratories (Burlingame, CA) and were developed in DAB substrate (Vector Laboratories) for 5 min. After stopping the reaction in distilled water, the slides were dehydrated in an ethanol series, cleared in xylenes, and dried overnight at room temperature. Finally, the slides were mounted with Permont (Fisher). Pictures were taken using an Olympus VANOX-S camera and an Olympus AH-2 microscope (N. Nuhsbaum Inc., McHenry, IL).

Prostate organ culture
The prostate organ culture was essentially carried out, as previously described, with some modification (20). Ventral prostates were isolated from 7-day castrated rats and cut into pieces of about 1 mm3. Approximately 40 pieces were placed on a sheet of sterile lens paper (4 cm x 6 cm) supported by a stainless steel rack in a 100-mm culture dish. The prostate pieces were cultured 1 day before various treatments in M199 organ culture medium containing 10% charcoal-treated FBS and 1% penicillin-streptomycin in 95% air-5% CO2 at 37 C. The cultured organs were treated with ethanol (control), 10-6 M dihydrotestosterone (DHT), cycloheximide at 50 µg/ml plus anisomycin at 80 µg/ml (CHX), or both DHT and CHX. Ethanol was used as the vehicle for both DHT and CHX. The CHX treatment condition inhibited protein synthesis 98% in this organ-culture experiment, as assayed by 35S-methionine incorporation (21) (data not shown). The protein synthesis inhibitors were added in the culture media 2 h before the addition of DHT. The prostate organ was cultured for 36 h after the addition of DHT


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Calreticulin expression is down-regulated by castration and up-regulated by androgen replacement in the rat ventral prostate
Using a gene expression screen (5), calreticulin was identified as one of the genes that are up-regulated by androgen in the ventral prostate of a 7-day castrated rat (4). The cDNA fragment isolated is derived from an AluI-EcoRI restriction digest, and the sequence spans 332–499 bp from the translational initiation site of the calreticulin cDNA (22). Because calreticulin is a multifunctional protein with the potential to play an important role in androgen action in the prostate, its expression was characterized during hormonal manipulation. Figure 1Go shows down-regulation of calreticulin messenger RNA (mRNA) in the prostate after androgen ablation by castration and up-regulation of calreticulin mRNA in the 7-day castrated prostate by androgen replacement. The time course of down-regulation shows that there is over 90% decrease in calreticulin expression within 1 day after castration. Androgen replacement induces up-regulation of calreticulin mRNA within 14 h, reaching a peak level of expression in about 24 h (Fig. 1Go).



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Figure 1. Northern blot analysis of calreticulin expression in the rat ventral prostate during hormonal manipulation. In the left panel, total RNA samples were isolated from the ventral prostate of testis-intact rats (N) and the prostate of rats castrated for the indicated number of days (d). In the right panel, total RNA samples were extracted from the 7-day castrated rats (C) and the 7-day castrated rats treated with androgen replacement for the indicated number of hours (h) or days (d). The amount and quality of total RNA loaded in the gels were examined by staining the transferred nylon membrane with methylene blue (34 ).

 
The calreticulin protein level in the rat ventral prostate during hormonal manipulation was also studied. A GST-calreticulin fusion protein was generated and used to raise polyclonal anticalreticulin antisera in rabbits. The result in Fig. 2Go shows the Western blot analysis of calreticulin expression in the rat ventral prostate during hormonal manipulation. Calreticulin protein is down-regulated by castration and up-regulated by androgen replacement in the prostate. This result is consistent with the observation of Bruchovsky et al. (23).



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Figure 2. Western blot analysis of calreticulin expression in the rat ventral prostate during hormonal manipulation. In the left panel, protein extracts were prepared from the ventral prostate of testis-intact rats (N) and the prostate of rats castrated for the indicated number of days (d). In the right panel, protein extracts were from the 7-day castrated rats (C) and the 7-day castrated rats treated with androgen replacement for the indicated number of hours (h) or days (d). The amount of protein extracts loaded in the gels was examined by staining the transferred nitrocellulose paper with Ponceau-S.

 
A comparison between Western blot (Fig. 2Go) and Northern blot (Fig. 1Go) results showed that up- or down-regulation of calreticulin mRNA occurs 1–2 days before the up- or down-regulation of calreticulin protein, respectively, in the prostate during hormonal manipulation. The time course of androgen regulation of calreticulin mRNA is directly comparable with that of calreticulin protein, because the same batch of animals was used in the Northern and Western experiments. The left lobes of the ventral prostate were harvested for RNA isolation and the right lobes for protein preparation. Calreticulin mRNA seems to be much more labile than calreticulin protein, because the down-regulation of the mRNA is much more rapid than the down-regulation of the protein in the prostate after castration. The lag of calreticulin protein up-regulation after its mRNA reflects the time required for translation of calreticulin and the time needed to increase translational efficiency in prostatic cells upon androgen replacement.

Calreticulin is abundantly expressed in the prostate
The tissue specificity of calreticulin expression and androgen induction was studied by Northern blot analysis, and the results are shown in Fig. 3Go. Calreticulin is most abundantly expressed in the prostate, among the tissues surveyed. In the testis-intact rat, calreticulin mRNA is most abundant in the ventral prostate. In comparison, calreticulin expression is much weaker in the other tissues: heart, brain, muscle, kidney, liver, and seminal vesicles.



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Figure 3. Northern blot analysis of tissue-specificity of calreticulin expression in the rat during hormonal manipulation. N, Tissue from the testis-intact rats; -, tissue from 7-day castrated rats; +, tissue from the rats castrated for 7 days followed by androgen treatment for an additional 2 days. The amount and quality of total RNA loaded in the gels were examined by staining the transferred nylon membrane with methylene blue.

 
Androgenic regulation of calreticulin is limited to male accessory sex organs
Androgen has diverse effects on animals, including roles in the development and determination of the embryonic reproductive system, regulation of reproduction and reproductive behavior in adults, and the development of male accessory sex organs. Because both androgen and calreticulin have broad impact on the animal, we chose to determine whether the androgen responsiveness of calreticulin was limited to the prostate. Fig. 3Go shows that androgen does not influence the expression of calreticulin in liver, kidney, heart, brain, and muscle. The expression of calreticulin is responsive to androgen in both seminal vesicles and prostate. Castration leads to a very modest down-regulation of calreticulin in the seminal vesicles, in contrast to substantial down-regulation of calreticulin in the prostate after castration. Although calreticulin down-regulation by castration in the seminal vesicles is very limited, the up-regulation by androgen replacement is marked. The level of calreticulin mRNA in the prostate induced by androgen replacement is also higher than that in the prostate of testis-intact animals.

Androgen induction of calreticulin expression partially resists protein synthesis inhibition
One of the important questions concerning the regulation of calreticulin expression by androgen is whether calreticulin is a primary or a secondary response gene. To address this question, we studied the effect of protein synthesis inhibition on the induction of calreticulin by androgen in prostate organ culture. The induction of calreticulin mRNA by 36 h of DHT treatment in the cultured prostate organ is much weaker than the induction in vivo, and the induction partially resists protein synthesis inhibition (Fig. 4Go). Calreticulin induction in prostate organ culture could be enhanced by 48 h DHT treatment. However, conducting 48 h CHX inhibition was not possible, because RNA in prostate organ culture was almost completely degraded after 48 h CHX treatment. The inhibition of protein synthesis by cycloheximide and anisomycin in the prostate organ culture was over 98%, as assayed by measuring 35S-methionine incorporation (data not shown). This result suggests that calreticulin is a primary androgen-response gene in the prostate.



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Figure 4. Effect of protein synthesis inhibition on the induction of calreticulin (Crt) mRNA by androgen in rat prostate organ culture. Prostates isolated from 7-day castrated rats were sliced into 1-mm3 segments and cultured with or without 1 µM DHT for 36 h in the presence or absence of protein synthesis inhibitors (CHX) that were added 2 h before the addition of DHT. Total RNA was extracted for Northern blot analysis.

 
Calreticulin expression in the prostate is localized in the epithelial cells
The prostate consists of two major cell types, glandular epithelial cells and interstitial stromal cells. Epithelial cells line the lumen of the prostatic ductal system, and the stromal cells surround the exterior of the ducts. Epithelial cells undergo extensive apoptosis after castration and rapid proliferation after androgen replacement (24, 25). We examined the localization of calreticulin expression in the normal rat ventral prostate by in situ hybridization. Figure 5Go shows that calreticulin mRNA is localized in the epithelial cells. The expression of calreticulin mRNA in stromal cells was not detected, even with intense staining in the epithelial cells. Because calreticulin mRNA is dramatically regulated by androgen and localized in the epithelial cells, calreticulin expression is responsive to androgen only in the epithelial cells of the prostate.



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Figure 5. In situ hybridization of calreticulin mRNA in the rat ventral prostate during androgen manipulation. Both antisense (A, C, E, and G) and sense (B, D, F, and H) RNA probes were labeled with DIG and visualized with alkaline phosphatase-conjugated anti-DIG antibody. All the hybridization reactions were carried out in parallel. A and B, The prostate of a testis-intact rat; C and D, a 1-day castrated rat; E and F, a 7-day castrated rat; G and H, a 7-day castrated rat followed by 1-day androgen replacement.

 
The effect of androgen manipulation on the pattern of calreticulin expression was also examined by in situ hybridization. As expected, the intensity of in situ staining in the epithelial cells is influenced by androgen manipulation. The influence of androgen on calreticulin expression in epithelial cells seems to be homogenous, because there is little or no heterogeneity in epithelial staining in the prostate during androgen manipulation. Thus, androgen regulation of calreticulin expression seems to be the same in individual epithelial cells.

Calreticulin is an intracellular protein in prostatic epithelial cells
Immunohistochemistry was employed to study whether calreticulin is an intracellular protein or a secretory protein. The antibody staining was localized in the epithelial cells, suggesting that calreticulin is not a secreted protein in the prostate (Fig. 6Go). The staining to epithelial cells was blocked by GST-calreticulin fusion protein, indicating that the antibody staining was specific to calreticulin.



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Figure 6. Immunohistochemistry analysis of calreticulin expression in the normal rat ventral prostate. The testis-intact rat ventral prostate sections were probed with anticalreticulin polyclonal antibody in the absence (A) or presence (B) of GST-calreticulin fusion protein.

 
Androgen regulation of calreticulin expression in the mouse and human prostate
The function and regulation of important genes are often conserved in evolution. To determine whether androgen also regulates the expression of calreticulin in the prostate of other species, we studied the effect of androgen on calreticulin expression in mouse and human prostate. Figure 7AGo shows the effect of castration on the expression of calreticulin in the mouse prostate. At day 3 after castration, the expression of calreticulin mRNA was significantly down-regulated. Day 3 after castration was chosen because calreticulin is significantly down-regulated in the rat model, yet the change in epithelial-stromal ratio within 3 days after castration is very limited. This experiment indicates that calreticulin expression is regulated by androgen in the mouse prostate.



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Figure 7. Northern blot analyses of androgen regulation of calreticulin in the mouse prostate and in human BPH specimen. Panel A shows the calreticulin expression in testis-intact (N) and 3-day castrated (C3) mice. Panel B shows the expression of calreticulin and cytokeratin 8 in the human BPH organ culture either in the absence (-) or presence (+) of 10-6 M DHT for 3 days. The amount and quality of total RNA loaded in the gels were examined by staining the transferred nylon membrane with methylene blue.

 
The response of calreticulin to androgen was also studied in the organ culture of human benign prostatic hyperplasia (BPH) specimens harvested at open prostatectomy. Northern blot analysis showed that the expression of calreticulin is higher in the presence of 1 µM DHT than in the absence of DHT (Fig. 7BGo). As a control, the expression of cytokeratin 8 was also examined. Cytokeratin 8 is constitutively expressed in normal and abnormal prostatic epithelial cells (26). Cytokeratin 8 expression in the cultured prostate organ was virtually the same either in the presence or absence of DHT, suggesting that the percentages of epithelial cells in the two organ culture samples were very similar. The above observations suggest that androgen also regulates calreticulin expression in the human prostate.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study showed that the expression of calreticulin in the prostate is regulated by androgen and is also much more abundant than in any of the other organs surveyed. The results in this paper indicate that the regulation of calreticulin by androgen in the prostate is conserved in the rat, mouse, and human. Furthermore, calreticulin is known to be an intracellular protein and also seems to be localized inside the prostatic epithelial cells. Thus, calreticulin has the potential to play an important role in major androgen-regulated cellular processes in the prostate, including apoptosis, proliferation, and differentiation.

The down-regulation of calreticulin by androgen ablation correlates with the apoptosis of epithelial cells in the prostate. First, the time course of calreticulin down-regulation correlates with the onset of apoptosis in the prostate after castration (1). Castration-induced apoptosis begins at day 2 and is most active between days 3 and 5. The down-regulation of calreticulin mRNA occurs within 1 day after castration, preceding the onset of apoptosis. However, the down-regulation of calreticulin protein coincides with the onset of apoptosis in the prostate after castration. Calreticulin protein is modestly down-regulated within 1 day after castration and further down-regulated several fold during the period of active apoptosis. Second, the down-regulation occurs mainly, if not exclusively, in prostatic epithelial cells, as demonstrated by in situ hybridization (Fig. 5Go). Epithelial cells are the major type of the cells undergoing apoptosis after castration (24, 25). Thus, down-regulation of calreticulin has the potential to be involved in prostatic epithelial cell death. It is important to point out that down-regulation of calreticulin does not seem to be sufficient to cause apoptosis, because epithelial cells in the castrated prostate, with significantly low calreticulin expression (as detected by in situ hybridization), are still alive. Therefore, in addition to the down-regulation of calreticulin in the prostate, the expression changes of other gene(s) are likely to be required for inducing apoptosis in prostatic epithelial cells.

On the other hand, the up-regulation of calreticulin by androgen replacement in a 7-day castrated rat correlates with the proliferation and differentiation of prostatic epithelial cells. The induction of calreticulin mRNA is very rapid, occurring within 14 h after androgen replacement, preceding the onset of proliferation in the regrowth of the castrated prostate. The induction of calreticulin protein occurs most significantly around 2–3 days after the androgen replacement, at the onset of extensive cell proliferation and differentiation in the regrowth. The most extensive regrowth occurs between 3–5 days after the replacement. Although it is unlikely that calreticulin up-regulation alone could stimulate cell proliferation and/or differentiation, its accumulation may represent an important molecular event associated with cell proliferation and/or differentiation.

It is important to point out that the down-regulation of calreticulin expression, within 2–3 days after castration, in the prostate is not caused by the changes in the ratio of stromal-to-epithelial cells in the prostate. There is little or no change in the ratio between stromal and epithelial cells within 2–3 days after castration, because the nuclei number in the prostate remains virtually the same during this period (1). Similarly, the up-regulation of calreticulin expression, within 2–3 days after androgen replacement, in a 7-day castrated prostate is not caused by the changes in the ratio of stromal-to-epithelial cells, because significant cell proliferation is initiated 2–3 days after androgen replacement (1). Thus, dramatic up- or down-regulation of calreticulin, within 2–3 days after androgen manipulation, mainly reflects changes in calreticulin mRNA levels in epithelial cells.

One major function of calreticulin is involved in the modulation of intracellular Ca++ levels and/or signals (6, 7, 8, 9, 11). The abundant expression of calreticulin inside prostatic epithelial cells suggests that calreticulin could be an intracellular Ca++-buffering protein. Although the importance of intracellular Ca++ in androgen-induced prostate regrowth is not clear, evidence for the involvement of intracellular Ca++ in prostatic cell death exists. In the prostate, cell death induced by Ca++ ionophore is indistinguishable from the cell death induced by castration (27). Furthermore, Ca++ channel blockers can inhibit as much as 70% of the castration-induced increase in the rate of cell death (28) and suppress the induction of apoptosis-associated genes, including TRPM-2 and c-fos in the prostate (27, 28). Down-regulation of calreticulin, contributing to an elevation of intracellular Ca++, seems to be a potential mechanism for the initiation of apoptosis in the prostate after castration. The importance of calreticulin down-regulation in castration-induced apoptosis is supported by our observation that down-regulation of calreticulin correlates with apoptosis of prostatic epithelial cells.

As indicated in previous discussion, low calreticulin expression does not seem to be sufficient to cause apoptosis in the prostate. This is consistent with the observation that down-regulation of calreticulin does not trigger apoptosis in a number of cells, including PC-3 (29) and NG-108–15 cells (13). However, calreticulin down-regulation sensitizes the cells to cytotoxic intracellular Ca++ overload (13). Additional mechanisms are likely to be involved in triggering intracellular Ca++ influx.

Another possible function of calreticulin in the prostate is its effect on cell adhesion via direct binding to integrin {alpha} (7). Down-regulation of calreticulin in several tumor cell lines, including PC-3, an androgen-independent prostate cancer cell line, inhibits the ability of these cells to attach and spread on extracellular matrix (29). Embryonic stem cells, lacking both alleles of the calreticulin gene, were impaired in their short-term attachment to fibronectin (7). On the other hand, overexpression of calreticulin in mouse L fibroblasts leads to a flattened shape, development of strong cell-substratum adhesions, reorganization of actin into stress fibers, and establishment of epithelial-like cell-cell junctions (30). Expression of calreticulin could be important for cell-cell interactions in the prostate. Given the importance of stromal-epithelial interactions in the prostate (31, 32), calreticulin may play an important role in the stromal-epithelial interactions.

Calreticulin could also be a chaperone in endoplasmic reticulum and a regulator of gene expression via interaction with steroid receptors (7). Although it is not clear, at all, whether calreticulin can function as a chaperone in the prostate, calreticulin does not seem to inhibit gene expression via direct interaction with the AR. Calreticulin is abundantly expressed in prostatic epithelial cells in the normal prostate, yet the prostate expresses all the genes that are up-regulated by androgen. Clearly, the AR is active in the presence of an abundance of calreticulin.

Androgen regulation of calreticulin seems to be conserved in different species, which is consistent with the observation that the promoters and genomic organization are highly conserved between human and mouse calreticulin genes (7). R. A. Clark has isolated and characterized more than 1900 bp of the 5' flanking sequence of the human calreticulin gene (7). It was reported that the transcription of calreticulin gene in HL-60 myeloid cell line is regulated by many transcription factors, possibly including CCAAT-binding factor, retinoblastoma protein, and some unidentified C-rich sequence binding factors. There is no report that an AR-binding site was identified from the calreticulin promoter. However, calreticulin seems to be a primary androgen-response gene, because its induction by androgen does not require protein synthesis. Two potential explanations exist. First, AR binding sites may be localized far away from the transcription initiation site of calreticulin promoter. Second, the AR may regulate gene expression without making direct contact with a DNA element(s), rather by interacting with another DNA-binding protein.

The up-regulation of calreticulin by androgen replacement is very rapid, which is likely to be controlled at the transcription level, because AR is a ligand-dependent transcription factor. The down-regulation of calreticulin by castration may be more complex and likely to involve inhibition of transcription, rapid degradation of mRNA, and then down-regulation of calreticulin protein. Within 1–2 days after castration, the calreticulin mRNA is down-regulated over 10-fold. Considering that the half-life of DHT in the prostate is longer than 6 h in the rat ventral prostate after castration (33), down-regulation of calreticulin mRNA by castration in the prostate is very efficient. After the mRNA down-regulation, calreticulin protein is gradually down-regulated. We do not know whether or not the stability of calreticulin mRNA and/or protein is also affected by hormonal manipulation in the prostate. It seems that androgen regulates calreticulin expression mainly at transcription.


    Acknowledgments
 
The authors would like to thank our colleagues for critical reading and J. David Furlow and Deborah L. Berry for advice on in situ hybridization. The authors acknowledge support from the Department of Urology.


    Footnotes
 
1 This work was supported by Boehringer Ingelheim International GmbH, American Cancer Society, Illinois Division Grant 95–58, the Robert H. Lurie Cancer Center Grant 200, NCI 1R21 CA69851–01, a CaPCURE award, and NIH Grant R01-DK-51193. Back

2 Recipient of the 1997 American Association for Cancer Research-Glaxo Wellcome Oncology Clinical Research Scholar Travel Award and the 1998 American Association for Cancer Research-AFLAC Scholars in Cancer Research Travel Award. Back

3 Recipient of a Pfizer USPG Scholarship from American Foundation for Urologic Disease. Back

4 Recipient of a Junior Faculty Research Award from the American Cancer Society. Back

Received March 23, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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