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Endocrinology Vol. 139, No. 4 1905-1919
Copyright © 1998 by The Endocrine Society


ARTICLES

The Antagonists RU486 and ZK98299 Stimulate Progesterone Receptor Binding to Deoxyribonucleic Acid in Vitro and in Vivo, but Have Distinct Effects on Receptor Conformation1

Elizabeth K. Gass, Susan A. Leonhardt, Steven K. Nordeen and Dean P. Edwards

Department of Pathology (E.K.G., S.A.L., S.K.N., D.P.E.) and Molecular Biology Program S.K.N. D.P.E.), University of Colorado Health Sciences Center, Denver, Colorado 80262

Address all correspondence and requests for reprints to: Dr. Dean P. Edwards, Department of Pathology and Molecular Biology Program, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Denver, Colorado 80262. E-mail: edwards_d{at}defiance.uchsc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Three types of transfection experiments were used to detect the abilities of different classes of antagonists to stimulate binding of progesterone receptor (PR) to progesterone response elements (PRE) in intact mammalian cells. These included a promoter interference assay, in which PR binding to PREs positioned between the TATA box and the start of transcription is detected as a reduction of expression of a constitutively active reporter gene, competition of PR antagonist and glucocorticoid receptor agonist for a common glucocorticoid response element/PRE-controlled reporter construct, and activation of a chimeric receptor (PR-VP16) containing the constitutive trans-activation domain derived from the VP16 protein of herpes simplex virus. By each approach, all antagonists tested were equally effective in stimulating PR binding to PREs in the cell. This included previously designated type I (ZK98299) and type II (RU486, ZK98734, and ZK112993) 11ß-aryl substituted steroid analogs. Stimulation of PR binding to PREs in the cell by ZK98299 was of interest because this antagonist has been reported to lack the ability to stimulate PR-DNA binding in vitro by electrophoretic gel mobility shift assay compared with RU486, which promotes efficient binding of PR to PREs. To clarify the apparent discrepancy between intact cell and in vitro results with ZK98299, we altered electrophoretic gel mobility shift assay conditions to allow detection of less stable DNA complexes. Under these conditions, ZK98299 induced the formation of specific PR-PRE complexes. Further analysis of the ZK98299-induced DNA complexes revealed that they exhibited an electrophoretic mobility different from that of the complexes induced by RU486, and the off-rate of PR from DNA was faster than that of the PR bound to agonist. This suggests that ZK98299 promotes a conformational change within PR distinct from that induced by RU486. The present results are consistent with the conclusions that ZK98299 stimulates PR binding to target DNA sequences and that ZK98299 and RU486 represent two mechanistic classes of antagonists based on inducing different conformational changes in PR.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE STEROID hormone progesterone has important physiological roles in female reproductive tissues. Progesterone stimulates the proliferation of stromal cells of the uterus and mammary epithelium and regulates differentiation of the mammary gland and endometrium of the cycling uterus. Additionally, progesterone is implicated in the development and progression of breast and uterine malignancies (1, 2). There is considerable interest in the study and development of progesterone antagonists because of their current and potential clinical applications. Antiprogestins have been used for early pregnancy interruption, as a postcoital contraceptive, and to treat certain hormone-dependent tumors. As progestins have a proliferative effect in both uterus and breast, antiprogestins also have potential therapeutic value for both breast and uterine cancer. Further, antiprogestins have been used experimentally to study the mechanisms of progesterone receptor action (3, 4).

The biological actions of progesterone are mediated by progesterone receptor (PR), which is a member of the nuclear receptor superfamily of transcriptional activators (5). In the absence of progesterone, PR is associated with several heat shock proteins (hsp90, hsp70, and hsp56) and possibly other proteins to form an inactive oligomeric complex (6). Upon hormone binding, the receptor becomes activated, resulting in dissociation from the oligomeric complex, dimerization, and binding to specific hormone response elements (HREs) of target genes (7). Consensus HREs consist of palindromic hexanucleotide motifs separated by three-nucleotide spacers (8). Binding of PR to progesterone response elements (PREs) promotes the formation of a stable initiation complex, resulting in gene transcription. How PR or other steroid receptors couple with the general transcriptional machinery is not well understood. It appears that this occurs by protein-protein interactions with general transcription factors (9, 10, 11) or with specific coactivators/corepressors (12, 13, 14).

Several steroid antagonists have been developed that effectively compete for progesterone binding to PR and render the receptor transcriptionally inactive or substantially reduce its trans-activation potential (15). A central property of progestin antagonists is the induction of a conformational change in PR distinct from that induced by hormone agonists. Effects on PR structure have been detected by several methods, including an altered electrophoretic mobility of PR-DNA complexes on native polyacrylamide gels (3, 16, 17), differential recognition by an antibody directed to the extreme C-terminus of PR (18), and limited proteolytic digestion patterns (19). Additionally, progestin agonist and antagonists appear to contact noncoincident, but overlapping, amino acids in the ligand-binding domain (LBD), as suggested by results with a monoclonal antibody (mAb) to the C-terminal tail of PR that blocks binding of progesterone, but not RU486 (18); a point mutation at Gly722 that affects only RU486, but not progesterone, binding (20); and a C-terminal deletion mutant that fails to bind agonist, but binds RU486 (21). How an altered conformation induced by antagonists leads to inactivation of PR is not well understood. Recent studies suggest that the altered conformation in the LBD of PR induced by antagonists impairs the ability of receptors to interact with coactivators (22). Alternatively, antagonists may cause PR to recruit corepressors, suggesting that the relative amounts of coactivators and corepressors may contribute to the partial agonist or antagonist activity of a ligand (23, 24).

Earlier studies based on in vitro DNA binding assays by electrophoretic gel mobility shift assay (EMSA) suggested that there are at least two mechanistic classes of antiprogestins (16). Onapristone (ZK98299) was proposed to be a type I compound that failed to promote binding of PR to PREs. In contrast, mifepristone (RU486) and other related compounds increase the binding of PR to PREs and thus have been considered type II antagonists (3, 16, 25, 26). Based on these criteria, ZK98299 was predicted to be a more pure antagonist than type II compounds. Indeed, the pharmacology of ZK98299 indicates that it is a more complete antagonist than RU486. Further, we and others have shown that cross-talk with cAMP signaling pathways potentiates the agonist activity of RU486, but has no effect on the biological activity of ZK98299 (26, 27).

This initial classification of antagonists based upon EMSA binding has become controversial as a result of experiments designed to detect PR binding to PREs in the intact cell. In cotransfection studies with wild-type PR and a constitutively active truncated PR that lacks the LBD, RU486 and ZK98299 were both observed to inhibit the activity of the mutant PR, suggesting that both compounds stimulate binding of wild-type PR to PREs in vivo (28). In contrast, genomic footprint assays with a chromosomally integrated copy of mouse mammary tumor virus (MMTV) failed to detect RU486 or ZK98299 protection of specific sites in the MMTV promoter. However, the agonist R5020 induced a strong in vivo footprint (29). From these results, it was concluded that neither type of antagonist is able to induce PR binding in vivo when the target DNA sites are integrated into chromatin.

More recent results suggest by different criteria that ZK98299 does, in fact, represent a separate class of antagonist that affects the structure of PR differently from RU486. Phosphopeptide mapping of PR revealed that site-specific phosphorylation of PR in whole cells is affected differently by RU486 and ZK98299. Treatment of cells with RU486 stimulated phosphorylation of the same hormone-dependent sites as the agonist R5020, whereas ZK98299 failed to induce the hormone-dependent sites (30). Additionally, partial protease digestion assays have indicated that ZK98299 promotes a conformational change in PR distinct from that induced by RU486 or agonist (31, 32).

In the present study we have used three different transfection protocols to determine the ability of progesterone antagonists to stimulate binding of human PR to PREs in mammalian cells. This included a promoter interference assay, competition between PR antagonist and glucocorticoid receptor (GR)-agonist complexes for interaction with a common glucocorticoid response element (GRE)/PRE-controlled reporter construct, and activation of a PR-VP16 chimeric receptor. By all three approaches, each antiprogestin evaluated increased binding of PR to PREs in whole cells, including the previously classified type I compound ZK98299. Additionally, EMSA conditions were found that allowed detection of ZK98299 induction of PR-PRE complexes in vitro. Under these conditions, the receptor-DNA complex was less stable than the complex induced by the agonist R5020, and it exhibited an electrophoretic mobility distinct from that induced by RU486. We conclude from these results that RU486 and ZK98299 represent two different mechanistic classes of progestin antagonists based more upon their ability to induce different conformational changes in PR than on their promoting or failing to promote binding to target DNA.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
[3H]R5020 (promegestone; [17{alpha}-methyl-3H]17{alpha},21-dimethyl-19-norpregna-4,9-diene-3,20-one; 87 Ci/mmol) and unlabeled R5020 were obtained from DuPont-New England Nuclear Research Products (Boston, MA). The progestin antagonist (mifepristone) RU486 (17{alpha}-hydroxy-11[4-dimethyl-aminophenyl)17-propenyl-estra-4,5-diene-3-one) was a gift from Roussel-UCLAF (Romainville, France), and ZK98299 (onapristone), ZK112993, and ZK98734 were provided by David Henderson (Schering, Berlin, Germany). AB-52 is a mouse IgG1 mAb produced against purified human PR that recognizes both the A and B isoforms of PR (33), and 1294/H9 is an unpublished mAb to PR that also recognizes A and B forms of human PR.

Promoter interference reporter and PR plasmids
A cytomegalovirus enhancer-driven chloramphenicol acetyltransferase reporter plasmid (CMV-TATA-CAT) and promoter interference plasmids (CMV-ERE2-CAT and CMV-EREm-CAT) containing, respectively, two estrogen response elements (EREs; AGGTCAcagTGACCT) or two mutant EREs (AGATCAcagTGGCCT) inserted into the unique SacI site of CMV-TATA-CAT were provided by B. Katazenellenbogen (University of Illinois, Urbana, IL) and have been described previously (34). Promoter interference plasmids containing one, two, or three consensus PREs (CMV-PRE1–3-CAT) were constructed by ligating the following double stranded synthetic oligonucleotides into the SacI site of CMV-TATA-CAT: PRE1, 5-'-AGAACAAACTGTTCTTa-3'; PRE2, 5'-AGAACAAACTGTTCTtaaag AGAACAAACTGTTCTt-3'; and PRE3, 5'-AGAACAAACTGTTCTtaaagAGAACAAACCTGT TCTtaaagAGAACAAACTGTTCT-3'. The 15-bp core palindromic PRE-binding sites are capitalized. Each oligonucleotide was synthesized to contain 5' single stranded AGTC extensions for cloning into the unique SacI site of CMV-TATA-CAT by the linker tailing method as previously described (35). A reporter plasmid, pDHRE-E1b-CAT, that contains two optimal hormone response elements linked to the TATA box of E1b (36) and CAT was used for the detection of PR-mediated induction of transcription (Thackray, U. G., B. A. Lieberman, and S. K. Nordeen, unpublished data). The mammalian cell expression plasmid, phPR-B, containing the complementary DNA (cDNA) for human PR-B under the control of the simian virus 40 enhancer and the human metallothionein IIa promoter was provided by Donald P. McDonnell at Duke Medical Center and has been previously described (37). The phPR-B plasmid was partially digested with BamHI to generate three PR cDNA fragments of 0.24, 2.8, and 3.1 kilobases (kb). The 3.1-kb fragment that encodes full-length PR-B was gel purified and cloned into the BamHI site of the multiple cloning cassette of a mammalian cell expression plasmid under the control of the CMV enhancer/promoter (pcDNA/I, Invitrogen, San Diego, CA) to yield pCMV-hPRB. The correct orientation and presence of the PR-B cDNA insert were confirmed by DNA sequencing across the cloning junctures (Sequenase 2.0, U.S. Biochemical Corp., Cleveland, OH).

To construct a human PR-VP16 chimeric receptor, a 2.93-kb AflII-Asp718 fragment of YEphPR-B (21) was filled in with Klenow and cloned into the unique BamHI restriction site of pGAD424 (Clontech, Palo Alto, CA) that had been blunt-ended with Klenow. The resultant plasmid, pGAD424.hPR-B, contains a fusion between the transcriptional activation domain of GAL4 and hPR-B. pGAD424.hPR-B was used as the source of hPR-B cDNA for fusion with the VP16 protein of the herpes simplex virus. A 2.9-kb EcoRI-PstI fragment from pGAD424.hPR-B was cloned into the EcoRI-PstI restriction sites of pVP16. pVP16 is a mammalian cell expression plasmid containing the acid activation domain sequences of VP16 (Clontech). This places the VP16 activation domain immediately amino-terminal to hPR cDNA. The fusion gene was sequenced (Sequenase 2.0, U.S. Biochemical) to confirm that VP16 and hPR-B were correctly oriented and fused in the correct reading frame.

Transient transfections
COS-1 cells were plated into six-well dishes (Falcon, Oxnard, CA) at a density of 1.75 x 105/well in DMEM (Life Technologies, Gaithersburg, MD) supplemented with 10% FBS (HyClone, Logan, UT). Cells were grown at 37 C for approximately 24 h and allowed to reach 60–70% confluence. Cells were then transfected by an adenovirus-mediated method as previously described (38). The method involves the use of a replication-defective adenovirus coupled with poly-L-lysine to bind plasmid DNA noncovalently. This facilitates cellular uptake of the plasmid by receptor-mediated endocytosis. Briefly, cells were incubated for 2 h at 37 C in serum-free DMEM with poly-L-lysine-coupled virus and plasmid DNA. Virus was added at 250–500 particles/cell, and the PR expression plasmid over a range of 1.0–50 ng/well and the promoter interference reporter plasmid were added. Two nanograms per well of pBR55 carrier DNA and empty vector CMV promoter DNA (pCMV6C) were added so that the total amounts of DNA and molecules of CMV promoter were equalized in all cultures. For experiments to measure PR as a trans-activator, the E1b-DHRE-CAT reporter plasmid was added at 500 ng/well, and the PR expression plasmid was added over a range of 1.0–50 ng/well. After incubation for 2 h, an equal volume of DMEM medium containing 10% FBS (to bring the serum to a 5% final concentration) was added to each well, and the cells were incubated for another 48 h at 37 C. To treat cells with various PR ligands, DMEM medium plus 10% FBS containing either vehicle (0.001% ethanol) or the concentrations of ligands indicated in figure legends were added and incubated for 48 h at 37 C.

Stable transfection of T47D cells with promoter interference plasmids
All promoter interference constructs were stably introduced into T47D cells by the calcium phosphate/DNA precipitation method (39). T47D breast cancer cells were plated at a density of 1 x 106 cells in 10-cm culture dishes (Corning, Corning, NY) and allowed to grow for 24 h. A 1-ml solution of calcium phosphate mixed with 20 µg promoter interference plasmid DNA and 1 µg selection plasmid pSV-2 neo (containing the neomycin resistance gene) was added to the culture dish in 10 ml growth medium. After incubation at 37 C for 4 h, DNA and media were removed, and cells were washed in serum-free MEM and subjected to glycerol shock for 3 min at 37 C. The shock medium contained 10% glycerol in HTB (127 mM NaCl, 5 mM Na2HPO4, 6 mM dextrose, and 21 mM HEPES, pH 7.1). Cells were then washed with serum-free MEM and returned to growth medium for 48 h. At that time medium was replaced with a 50:50 mixture of fresh and conditioned growth medium containing 400 µg/ml of the neomycin analog G-418 for growth selection of stably transfected cells. Individual colonies that grew in G-418 were harvested with cloning rings and expanded in the presence of G-418. Several clones of each transfection were isolated and examined in the presence and absence of various ligands. Clones that exhibited a significant R5020 reduction of CAT expression were then pooled to obtain a polyclonal mix of cells expressing the respective promoter interference plasmid. To study hormone-mediated PR-DNA binding, cells were plated in six-well dishes at a density of 2.5 x 105 cells/well. They were allowed to grow for 24 h, were incubated in the presence or absence of hormone for an additional 42–72 h, and then were harvested and assayed for CAT activity.

Stable transfection of T47D cells with MMTV-luciferase and human GR expression plasmid
The MMTV-luciferase gene (MMTV-LUC) and a GR expression vector (pGRneo) were stably introduced into T47D cells (A1-2), and clones were selected for functional GR protein and integration of the MMTV-LUC reporter gene as described previously (40). A1-2 cells were plated at a density of 1 x 106 cells in 10-cm culture dishes and allowed to grow for 24 h. Cells were then treated with dexamethasone (Dex), R5020, ZK112993, and ZK98299 alone or in combination as indicated in the figure legends and allowed to grow for 7 h. Cells were then harvested and assayed for luciferase activity or endogenous alkaline phosphatase.

Reporter gene assays
Cell monolayers in six-well dishes were washed with a CAT wash buffer [40 mM Tris-HCl (pH 7.4), 150 mM NaCl, and 1 mM EDTA] and lysed directly in the well by addition of 300 µl 0.5% Triton X-100 lysis buffer (20 mM potassium phosphate, 5 mM MgCl2, and 0.5% Triton X-100). The lysates were removed from the well and centrifuged at 12,000 rpm for 10 min at 4 C. The supernatants were assayed for protein concentration by Bradford assay (41), and equal amounts of protein (30 µg) were added to each CAT assay. CAT enzyme activity was assayed by the radiometric/organic phase extraction method as previously described (42), and activity was calculated as the counts per min of [3H]acetylcoenzyme A converted/µg protein in the cell lysate. Cell treatment groups were performed in duplicate, and CAT assays were also conducted in duplicate for each lysate. Values for CAT activity were calculated as averages from four assay determinations. With transiently transfected promoter interference plasmids, the CAT activity obtained in the absence of transfected PR was set as 100%, and the activity obtained in the presence of transfected PR was set as a fraction of 100%. Normalizing activity to 100% in the absence of PR allowed calculation of average values and the SEM between multiple independent experiments. With stably transfected promoter interference plasmids, CAT activity was set at 100% for cells treated without hormone and a fraction of 100% for cells treated with PR ligands. Normalization of CAT to 100% in the absence of ligand also allowed calculation of average values and SEMs between multiple independent experiments.

For quantification of luciferase activity, cell monolayers were rinsed twice with wash buffer [40 mM Tris-Cl (pH 7.4), 150 mM NaCl, 1 mM EDTA], and cells were lysed by the addition of 0.5 ml lysis buffer [20 mM K2HPO4 (pH 7.8), 5 mM MgCl2, and 0.5% Triton X-100]. Lysates were then centrifuged for 2 min to pellet particulates. Luciferase assays were performed using a Monolight 2001 luminometer (Analytical Luminescence Laboratories, San Diego, CA). Extract (50 µl) was added to 0.35 ml luciferase assay buffer [100 mM K2HPO4 (pH 7.8), 15 mM MgSO4, 5 mM ATP, and 1 mM dithiothreitol (DTT)]. Luciferase-mediated light output was assessed for 10 sec, with a built-in 2-sec delay after the injection of 100 µl 1 mM luciferin into the reaction chamber. The protein concentration of each extract was determined by the Bradford assay, as previously described (41).

For determination of alkaline phosphatase levels, A1-2 cells were plated at 6.0 x 105 cells/60-mm dish. After 24 h, cells were treated with hormones as indicated in the figure legends and allowed to grow for 24 h. Cell monolayers were then washed and harvested as described for luciferase assay. Lysates were centrifuged for 5 min at 4 C to pellet particulates. Extracts (20 µl) were prepared for assay according to Phospha-Light kit instructions (Tropix, Bedford, MA) with modifications in the Phospha-Light Reaction Buffer (0.2 M diethanolamine and 2 mM MgCl2). Samples were incubated for 20 min at room temperature, and luminescence was measured using a Monolight 2001 luminometer (Analytical Luminescence Laboratories).

Whole cell binding assay
COS-1 cells plated in six-well dishes at a density of 1.75 x 105 cells/well were grown overnight at 37 C in DMEM-10% FBS. Cells were then transfected with 50 ng PR-B expression plasmid by the adenovirus-mediated technique described above. After 48 h, culture medium was removed and replaced with 1.5 ml/well DMEM-10% FBS containing 1 nM [3H]R5020 with or without unlabeled 100 nM R5020 for 4 h at 37 C. Medium was then removed, and cell monolayers were washed five times with 5 ml ice-cold PBS. To extract R5020, ethanol (1 ml/well) was added to cell monolayers and incubated for 30 min at room temperature. Ethanol was removed and counted for [3H]R5020 in 5 ml liquid scintillation fluid. Parallel transfected cultures were lysed directly in the six-well dish with 250 µl/well lysis buffer [20 mM potassium phosphate (pH 7.4), 5 mM MgCl2, and 0.5% Triton X-100] and measured for protein concentration by the Bradford assay. Receptor values were normalized to protein and calculated as picomoles of steroid binding per mg total protein.

Preparation of PR
T47D cells were plated at a density of 4 x 106/tissue culture flask under conditions described previously and allowed to grow for 8 days at 37 C. Two hours before trypsin-EDTA harvest, cells were incubated with medium containing vehicle, R5020 (100 nM), RU486 (100 nM), ZK112993 (100 nM), ZK98734 (100 nM), or ZK98299 (500 nM) at 37 C. Harvested cell pellets were washed first in serum-free MEM and then in cold TEG [10 mM Tris-OH, 1 mM EDTA (pH 7.4), and 10% glycerol]. Pellets were homogenized in TEDG [10 mM Tris-OH (pH 7.4), 1 mM EDTA, 1 mM DTT, and 10% glycerol] containing a cocktail of protease inhibitors (33). Homogenates were centrifuged at 100,000 x g for 30 min in a Beckman 50 Ti rotor (Palo Alto, CA). Pelleted nuclei were extracted with TEDG containing 0.5 M NaCl for 1 h at 4 C and then centrifuged for 30 min at 100,000 x g to yield soluble nuclear supernatant. PR levels in nuclear extracts of T47D cells were measured by a single saturating dose of [3H]R5020 (10 nM) in the presence and absence of a 100-fold excess of unlabeled R5020 to detect nonspecific binding. Free and bound [3H]R5020 were separated by dextran-coated charcoal, and specific picomoles of R5020 binding to PR were calculated as previously described (3).

EMSAs
For EMSA, we used a 28-bp oligonucleotide containing a PRE/GRE derived from the MMTV long terminal repeat (3). T47D nuclear extracts (nanomoles of PR are indicated in figure legends) were incubated for 1 h at 4 C with 32P-labeled DNA (0.3 ng) in a total reaction volume of 25 µl. Also included was 1 µg poly(dA-dT)/poly(dA-dT) as nonspecific competitor DNA. For standard conditions, the DNA binding buffer contained 10 mM Tris base (pH 7.4), 50 mM NaCl, 5 mM DTT, 2 mM MgCl2, 10% glycerol, and 50 ng/ml of a carrier protein (3, 18, 26). To attempt to maintain less stable PR-DNA complexes, EMSA conditions were altered by the addition of 2.5% glycerol to polyacrylamide gels and reduction of NaCl from 50 to 5 mM in the binding reaction. Samples (25 µl) were electrophoresed on 5% polyacrylamide gels prepared at a 40:1 (wt/wt) acrylamide-bis-acrylamide ratio using 20 mM Tris-acetate and 0.5 mM EDTA in the gels and as the electrode buffer. To maintain constant temperature during electrophoresis, 4 C water was recirculated through the gel apparatus. Gels were dried and subjected to autoradiography. Quantification of PR-DNA complexes was carried out by direct scanning of dried gels for radioactivity using a series 400 Molecular Dynamics PhosphorImager (Sunnyvale, CA).

SDS-PAGE and immunoblotting
SDS-PAGE and immunoblotting were carried out with PR-specific monoclonal antibodies (AB-52 or 1294/H9) using [35S]protein A and autoradiography of dried nitrocellulose as the detection method (3, 33).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Promoter interference assays in transiently transfected cells: influence of hormone agonist and antagonists on PR-DNA binding in the cell
To detect PR binding to specific DNA sites in intact mammalian cells, promoter interference reporter plasmids were constructed by inserting one, two, or three PRE-containing oligonucleotides into the SacI site of the CMV-TATA-CAT reporter gene (Fig. 1Go). This positions the PREs between the TATA box and the start of transcription. In principle, binding of PR to PREs will disrupt assembly of the general transcription complex by steric hindrance, resulting in a reduction of expression of the constitutively active CMV-driven CAT reporter gene. As controls to determine the extent to which reduction of CAT expression is dependent on PREs, we used CMV-TATA-CAT reporter constructs containing two ERE oligonucleotides inserted into the SacI site of CMV-TATA-CAT (either wild-type ERE or mutant EREs; Fig. 1Go). This type of promoter interference assay was initially developed to detect estrogen receptor (ER) binding to EREs in intact cells (34) and more recently was used to study the influence of different ligands on androgen receptor (AR) binding to androgen response elements (43). Inserting up to three PRE oligonucleotides into CMV-TATA-CAT did not disrupt the expression of CAT activity in the absence of PR (data not shown). Reese and Katzenellenbogen (34) also reported that insertion of up to three ERE oligonucleotides in the absence of ER did not reduce promoter activity. Disruption of activity by merely inserting DNA sequence required insertion of four EREs (34); we did not attempt more than three PREs.



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Figure 1. Promoter interference constructs. Promoter interference constructs were constructed by inserting one, two, or three PREs into the SacI site of CMV-TATA-CAT, which is located between the TATA box and the start site of transcription of the CAT reporter. Two (CMV-ERE2-CAT) EREs and a mutant version of the ERE (CMV-EREm-CAT) inserted into the SacI were used as control plasmids. In principle, binding of PR at the PRE sterically hinders assembly of the preinitiation complex and reduces expression of the CAT reporter gene.

 
We initially determined the appropriate amounts of transfected PR to use for promoter interference assays based on the criteria that expressed PR function under the conditions of the assay as a positive trans-activator without nonspecific inhibitory or squelching effects. COS-1 cells were chosen because they lack PR as well as GR and AR. A low background of AR and GR is important because all three receptors can bind to the same GRE/PRE sequences (8). Cells were transiently transfected with increasing amounts of PR-B expression plasmid ranging from 0.5–50 ng culture well, and the amount of cellular PR expressed was determined by a whole cell steroid binding assay with the synthetic progestin [3H]R5020. As shown in Fig. 2AGo, the number of receptor-binding sites increased in a dose-responsive manner, reaching nearly 1 pmol receptors/mg protein at the highest amount (50 ng) of transfected PR-B expression plasmid. This is quantitatively comparable to the level of native PR in breast cancer cell lines such as T47D and MCF-7 (1–2.5 pmol/mg), indicating that transfected PR in COS-1 cells is within physiological levels and is not overexpressed. When COS-1 cells were cotransfected with increasing amounts of the PR-B expression plasmid and a positive PRE controlled reporter gene (pDHRE-E1b-CAT), R5020 induction of CAT activity was obtained at all amounts of transfected PR (Fig. 2BGo). Additionally, the fold hormone induction increased in a dose-dependent manner with increasing amounts of the PR plasmid (1–50 ng). Thus, under these transfection conditions, PR functions as an activator, with no evidence of nonspecific inhibitory effects.



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Figure 2. Transiently transfected PR in COS-1 cells. A, COS-1 cells were transiently cotransfected with increasing amounts of PR-B expression plasmid by the adenovirus-mediated transfection method. PR levels were measured by whole cell binding assay using [3H]R5020 as ligand, as previously described (50), and results were calculated as picomoles of binding sites per mg protein. Values are averages from multiple independent experiments (±SEM; n = 3). B, COS-1 cells were transiently cotransfected with pDHRE-E1b-CAT reporter and increasing amounts of PR expression plasmid. Cells were treated with either vehicle (ethanol) or R5020 (100 nM) for 24 h and assayed for CAT activity. Data were calculated as the fold hormone induction of CAT activity relative to that in the no hormone controls. Values are averages (±SEM) from multiple independent experiments (n = 3).

 
COS-1 cells were next transfected with and without the PR-B expression plasmid along with the promoter interference reporter construct containing three PREs (CMV-PRE3-CAT). A single amount of transfected PR expression plasmid was used (25 ng/well), which was selected as optimal based on the results presented in Fig. 2Go taken together with the results of similar dose-response assays showing that 25 ng/well produces a maximal effect on the activity of promoter interference constructs (data not shown). As shown in Fig. 3AGo, expression of PR-B in the absence of ligand resulted in a 45% reduction of CAT activity. By treating cells with R5020, CAT activity was reduced another 2-fold to a level approximately 80% below the control value (Fig. 3AGo). Treatment of cells with the type II antagonist RU486 or the type I antagonist ZK98299 also resulted in a reduction of CMV-PRE3-CAT activity comparable to that of the hormone agonist R5020 (Fig. 3AGo). In contrast, PR-B expression in COS-1 cells had a minimal effect on the activity of the ERE (CMV-ERE2-CAT)-containing promoter interference construct regardless of whether cells were treated with or without PR ligands (Fig. 3BGo). These results taken together indicate that the reduction of CAT activity in these assays is both PR and PRE dependent. All antagonists used in this study (see Table 1Go) have a binding affinity for PR equal to R5020, except ZK98299, which has a 10-fold lower affinity (28) (Edwards, D. P., and M. Altmann, unpublished data). To compensate for its lower affinity, cells were treated here and in subsequent experiments with 500 nM ZK98299. This concentration is based on previous studies in which 500 nM ZK98299 was determined from dose-response curves to be required for complete antagonism of hormone activation of PR within the cell (47). Thus, the concentration of ZK98299 used here is that which produces complete antagonism of PR activation. R5020 and other antagonists were used at 100 nM, which has been determined previously to be sufficient for maximal activation of PR by R5020 and for complete antagonism of PR by RU486 and other type II antagonists (47, Thackray, V. G., B. A. Lieberman, and S. K. Nordeen, unpublished data). Thus, the results with transiently transfected PR and promoter interference constructs suggest that unliganded PR is capable of binding to PREs within the cell and that hormone agonists and both types of antagonists further enhance PR binding to PREs.



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Figure 3. Agonist and antagonists promote PR to bind to DNA in vivo, as detected by transiently transfected promoter interference reporter plasmids. COS-1 cells were transiently transfected by the adenovirus-mediated method with and without a PR expression plasmid (25 ng/well) along with promoter interference plasmids (2 ng/well) that contain three PREs (CMV-PRE3-CAT) or two EREs (CMV-ERE2-CAT). Transfected cells were treated with vehicle (ethanol), R5020 (100 nM), RU486 (100 nM), or ZK98299 (500 nM); incubated for another 24 h; and then harvested. CAT activity in cell lysates was assayed as described in Materials and Methods. CAT activity obtained in the absence of PR-B was set at 100%, and all other treatment groups were calculated as a fraction of the 100% control value. The values are averages from multiple independent experiments (±SEM; n = 2–8). A, CMV-PRE3-CAT. B, CMV-ERE2-CAT.

 

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Table 1. Structure of PR ligands

 
Promoter interference assays in stably transfected cell lines: influence of multiple PREs and effects of different antagonists
To address the possibility that the PR-antagonist complex in the cell may only interact with PREs in multicopy extragenomic plasmids, but not with target DNA integrated into the genome as suggested by Truss et al. (29), we stably transfected promoter interference constructs into T47D human breast cancer cells. This included constructs containing one, two, or three PRE oligonucleotides (CMV-PRE1–3-CAT) and CMV-ERE2-CAT as a control. T47D cells maintained in our laboratory express approximately equal amounts of the A and B forms of PR, and they lack detectable GR, AR, and ER (40). Thus, in stable cell line experiments, the influence of ligands on the activities of promoter interference plasmids reflects a combined effect of both isoforms of PR compared with PR-B only in transient experiments. Additionally, it should be noted that the levels of native PR in T47D cells are similar to those of transfected PR in COS-1 cells (Fig. 2Go). Thus, differences in total cellular levels of PR should not be a factor when comparing results from transient and stably transfected cells.

Because PR is expressed endogenously in T47D cells, one limitation of stably integrated promoter interference constructs is an inability to detect effects of unliganded PR on promoter activity. However, the time-course experiment in Fig. 4Go shows that these stably transfected T47D cells are useful to compare the abilities of different ligands to enhance PR binding to target DNA sequences. In the absence of ligand, CAT activity expressed from CMV-PRE3-CAT increased continuously between 24 h after plating of cells up to 96 h (Fig. 4Go). As CAT enzyme is fairly stable, this increased cellular level probably reflects an accumulation of CAT protein over this period. Treatment of cells with R5020 or RU486, which was initiated 24 h after plating, prevented the increased accumulation of CAT at each time point examined (Fig. 4Go). We next investigated the effects of different progestin antagonists by treating cells for a total of 48 h, beginning 24 h after plating. As with transient transfection experiments, the CMV-ERE-CAT promoter interference constructs were used as controls to determine whether reductions in CAT activity are PRE dependent. As shown in Fig. 5AGo, R5020, several different progestin antagonists (including ZK98299, RU486, ZK98734, and ZK112993), and the androgen dihydrotestosterone (DHT) had no effect on expression of the control CMV-ERE2-CAT promoter interference construct. In contrast, treatment with R5020 and all antagonists tested resulted in significant reduction of CAT expression by cells containing stably integrated CMV-PRE3-CAT constructs (Fig. 5BGo). Interestingly, all antagonists suppressed CAT activity to a greater extent than R5020 (Fig. 5BGo). As a control for steroid specificity, only PR ligands reduced CAT activity, as DHT (Fig. 5BGo) and estrogen (not shown) had no effect.



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Figure 4. Time course of the effects of PR ligand on the activity of promoter interference reporter plasmids stably transfected into T47D breast cancer cells. T47D cells stably transfected with the CMV-PRE3-CAT promoter interference plasmid were plated in duplicate six-well dishes. At 24 h, a group of cells was harvested and assayed for CAT activity. The remaining cultures were then treated with vehicle (no ligand), R5020 (100 nM), or RU486 (100 nM). Cells were harvested at the times indicated and assayed for CAT activity. The CAT data were calculated as activity relative to the 24 h point, which was set at 1.0. Values are averages from multiple independent experiments (±SEM; n = 3).

 


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Figure 5. Effects of different PR antagonists on the activities of stably integrated promoter interference reporter plasmids. T47D cells stably transfected with ERE-containing (CMV-ERE2-CAT) and PRE-containing (CMV-PRE1–3-CAT) promoter interference constructs were assayed for the abilities of various PR antagonists to decrease CAT activity. Cells were plated in duplicate in six-well dishes, and 24 h after plating they were treated for 48 h with vehicle (no ligand) or the ligands indicated. Forty-eight hours after ligand treatment, cells were harvested, lysed, and assayed for CAT activity. CAT data were calculated as a percentage of the control activity, where the values obtained with no ligand were set as the 100% control value. Data are averages from multiple independent experiments (±SEM; n = 3–4). A, T47D cells stably transfected with CMV-ERE2-CAT were treated with vehicle (no ligand), R5020 (100 nM), RU486 (100 nM), ZK98299 (500 nM), ZK112993 (100 nM), ZK98734 (100 nM), or DHT (100 nM). B, T47D cells stably transfected with CMV-PRE3-CAT were treated with the same ligands and conditions as described in A above. C, T47D cells stably transfected with control CMV-ERE2-CAT (ERE2) and promoter interference constructs containing one (PRE1), two (PRE2), and three (PRE3) PREs were treated with and without the ligands indicated in A above. Statistical analysis using a t test revealed that there were no significant differences in CAT activity between any of the treatment groups with the control ERE construct (A), that R5020 produced a significant increase in CAT activity from the single PRE construct compared with no ligand (C), and that all PR ligands tested produced significant decreases in CAT activity from constructs containing two and three PREs (B and C; P < 0.05).

 
An interesting difference was detected between agonists and antagonists when comparing promoter interference plasmids containing one, two, or three PREs. The reduction of CAT activity by R5020 was dependent on the presence of more than one PRE. No reduction was detected with a single PRE; we consistently obtained a significant 75% increase over the no ligand treatment control value (Fig. 5CGo). R5020 treatment caused a 50% reduction below control levels with stably transfected promoter interference constructs containing two or three PREs (Fig. 5CGo). In contrast, inhibition of promoter activity by antagonists was independent of the number of PREs. RU486 and ZK98299 both produced approximately 70–75% reductions below the control value with a single PRE, and the extent of reduction was comparable with constructs containing two or three PREs (Fig. 5CGo).

The PR-ZK98299 complex competes with GR binding to GRE/PREs in whole cells
As alternatives to the promoter interference assay, we used two additional approaches to test the ability of antagonists to enhance PR binding to PREs in the intact cell. One is based on the PR-antagonist complex competing with the GR agonist for interaction with a GRE/PRE positively controlled reporter gene. For these experiments we used a human breast cancer T47D (A1-2) cell line that has been engineered to constitutively express GR and PR and contains a stably integrated MMTV-LUC gene. The MMTV-LUC gene in this cell line is robustly induced by glucocorticoids. However, progestins fail to promote chromatin remodeling of the promoter and induce luciferase expression as glucocorticoids do (44). Coadministration of Dex and R5020 resulted in a 4- to 5-fold reduction of the response to Dex, indicating that the PR agonist competes with GR for occupancy of the GRE/PRE (40, 44). We used this system to assess whether PR antagonists likewise compete with GR for occupancy of the MMTV-GRE/PRE.

The large differential induction of MMTV-LUC by PR and GR in A1-2 cells is shown in Fig. 6AGo. Treatment with R5020 along with Dex at doses at which cross-binding of the progestin to GR is negligible, resulted in a reduction of the response to Dex similar to that observed previously (44). Cotreatment with Dex and progestin antagonist ZK112993 or ZK98299 also reduced the glucocorticoid-mediated induction. This indicates that both types of PR-antagonist complexes compete with GR for occupancy of the GRE/PRE.



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Figure 6. PR bound to antagonists competes with GR for interaction with a common PRE/GRE-controlled reporter gene. A, The stably integrated MMTV-LUC reporter in T47D (A1-2) cells is activated more strongly by GR than by PR, which allowed the use of this cell line to detect PR binding to the GRE/PRE of MMTV in vivo, as measured by inhibition of GR trans-activation. T47D (A1-2) cells, which constitutively express GR and PR, were treated with the various ligands indicated for 7 h, and luciferase activity was measured. The luciferase activity of Dex-treated cells (1 µM) was set at 100%. Cells were treated with the following hormone regimens: vehicle (no ligand), R5020 (10 nM), ZK112993 (10 nM), ZK98299 (200 nM), and Dex (1 µm). Other groups of cells were cotreated with Dex (1 µM) and the following ligands: ZK98299 (20, 100, 200, 500 nM), R5020 (10 nM), and ZK112993 (10 nM). B, Activity of the endogenous alkaline phosphatase target gene was also determined in A1-2 cells in response to the same ligand treatments as those described in A above. In addition, cells were also cotreated with R5020 (10 nM) and the following ligands: ZK98299 (20, 100, 200, and 500 nM) and ZK112993 (10 nM). The alkaline phosphatase activity of Dex-treated cells (1 µM) was set at 100%. The values are averages from multiple independent experiments (±SEM; n = 2–4).

 
The inhibition of the luciferase response over a range of doses of ZK98299 down to 20 nM is consistent with occupancy of PR. Nonetheless, these PR antagonists also have some affinity for GR (albeit lower than that for PR) and can act as glucocorticoid antagonists (45). However, Dex has a greater affinity for GR than the ZK compounds and is used in these experiments at doses 2- to 100-fold higher than those of the antagonists. Additional evidence that the antagonists are working through PR comes from quantitation of the induction of the endogenous alkaline phosphatase target gene. Alkaline phosphatase is induced by both progestins and glucocorticoid in this cell line (46). Cotreatment with the antagonists can completely inhibit progestin induction of alkaline phosphatase at doses that minimally impact the glucocorticoid response (Fig. 6BGo). Together, these induction data indicate that the PR-ZK98299 complex, which itself cannot trans-activate MMTV-LUC, can inhibit trans-activation by the GR-agonist complex by competing for binding to the GRE/PRE within the cell.

ZK98299 and other antagonists induce trans-activation by a PR-VP16 chimeric receptor
As a second alternative approach to detect PR binding to PREs in the cell, we have investigated the abilities of ligands to activate transcription of a PR-VP16 chimeric receptor. In theory, any ligand that is capable of delivering PR-VP16 to DNA in whole cells should stimulate the expression of a PRE-controlled gene by virtue of bringing the constitutively active acidic activation domain of VP16 into the proximity of the target gene promoter. The chimeric PR-VP16 construct when transfected into COS-1 cells produced a protein detected by Western blot with a PR-specific mAb that was the expected size compared with that of native PR, and the expression level was similar to that of transfected wild-type nonfusion PR as well as native PR in T47D cells (not shown). Additionally, the expressed PR-VP16 fusion protein exhibited specific R5020 binding in whole cells that was indistinguishable from that of nonfusion transfected PR and native PR in T47D cells (not shown). Thus, fusion of PR to VP16 at the amino-terminus did not adversely affect the expression or steroid-binding activity of PR. When COS-1 cells were cotransfected with either wild-type human PR (pSVhPR-B) or PR-VP16 expression plasmids and a positive PRE controlled reporter gene (pDHRE-E1b-CAT), both wild-type PR and PR-VP16 strongly trans-activated the reporter gene in response to R5020 treatment (Fig. 7Go). With wild-type PR, treatment of cells with various antagonists, including RU486, ZK112993, and ZK98299, caused no induction of DHRE-E1b-CAT expression over that in the vehicle control. In contrast, both type I (ZK98299) and type II (RU486 and ZK112993) antagonists induced PR-VP16 trans-activation when added to cells at receptor-saturating concentrations (Fig. 7Go). Although the level of PR-VP16 trans-activation caused by antagonists was much less than that stimulated by agonist, the fold CAT induction over the no hormone vehicle control value was significant. These results indicate that treatment of cells with ZK98299 as well as other antagonists stimulated the interaction of PR-VP16 with target PREs.



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Figure 7. Effects of different antagonists on trans-activation mediated by a PR-VP16 chimeric receptor. COS-1 cells were transiently cotransfected by the adenovirus-mediated method with a single concentration of reporter plasmid, pDHRE-E1b-CAT (400 ng), and a single dose of either the pSVhPR-B (10 ng) or the pPR-VP16 (10 ng) receptor expression plasmids. Twenty-four hours posttransfection, the cells were treated with vehicle (no ligand), R5020 (100 nM), RU486 (100 nM), ZK112993 (100 nM), or ZK98299 (500 nM) and incubated for another 24 h and then harvested. CAT activity was calculated as the counts per min of [3H]acetylcoenzyme converted for 30 µg total protein. Fold induction reflects the ratio of CAT activity determined in the presence of PR ligands over the CAT activity determined in the presence of vehicle alone. The values are averages (±SEM) from three independent experiments.

 
ZK98299 induced PR-DNA complexes can be detected in vitro by altered EMSA conditions
Previous studies from our laboratory and others have shown by use of EMSAs that ZK9899 failed to stimulate PR binding to PREs in vitro (16, 25, 26, 47). In contrast, RU486 and other related type II antagonists have been shown to substantially increase PR-DNA binding activity (3, 17, 25, 26, 47, 48). In fact, RU486 promotes a stronger interaction of PR with PREs in vitro than does R5020 (3, 47). We reasoned that the failure to detect ZK98299 induction of PR-PRE complexes in vitro when ZK98299 stimulated PR binding to PREs in whole cells may be due to an instability of the DNA complex such that it dissociates during electrophoresis but is maintained in the milieu of the nucleus within the cell. To test this, EMSA conditions were altered to maintain less stable PR-DNA complexes by lowering the NaCl (50 to 5 mM) concentration in the DNA-binding reaction and by adding glycerol (2.5%) to the gel-forming buffers.

PR in T47D cells was bound to R5020 or different type I and II antagonists in the cell before extraction from nuclei. Saturation DNA binding analysis was performed under standard and altered EMSA conditions using increasing amounts of PR in nuclear extracts (nM of PR determined by steroid-binding assay) against a constant amount of [32P]PRE oligonucleotide probe. Gels were autoradiographed (Figs. 8AGo and 9AGo), DNA complexes were quantitated by phosphorimage analysis, and the results were plotted as a percentage of the upshifted PR-PRE complexes (Figs. 8BGo and 9BGo). Under standard EMSA conditions, unliganded PR and PR complexed to ZK98299 bound poorly to the PRE oligonucleotide. In contrast, R5020 and all the other progestin antagonists tested induced high affinity DNA binding that saturated in the low nanomolar range of PR (Fig. 8AGo, autoradiography results; Fig. 8BGo, quantitative phosphorimage results). Interestingly, based on the leftward shifting of the saturation DNA binding curves, RU486 and the other type II antagonists induced a higher affinity interaction of PR with PREs than the agonist R5020 with the rank order of ZK98734 > ZK112993 > RU486 > R5020. Under altered EMSA conditions, ZK98299 was observed to stimulate a substantial increase in PR interaction with PRE compared with unliganded PR (Fig. 9AGo, autoradiograph results; Fig. 9BGo, quantitative results). However, the affinity of the interaction was still less than that with receptors bound to R5020 or other antagonists. PR-DNA binding induced by ZK98299 was specific, as demonstrated by supershift with a PR-specific monoclonal antibody (Fig. 10AGo) and by competition with excess unlabeled PRE oligonucleotide, but not with an ERE oligonucleotide (Fig. 10BGo).



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Figure 8. PR binding to PREs in vitro by standard EMSA. PR was prepared from nuclear extracts of T47D human breast cancer cells after treatment of cell cultures for 2 h at 37 C with the following ligands: vehicle (no ligand), R5020 (100 nM), RU486 (100 nM), ZK112993 (100 nM), ZK98734 (100 nM), or ZK98299 (500 nM). Aliquots of nuclear extracts containing increasing amounts of PR (nM) were incubated with 0.3 ng of a 28-bp synthetic [32P]PRE oligonucleotide probe for 1 h at 4 C in a DNA-binding buffer described in Materials and Methods. Samples were separated on 5% nondenaturing polyacrylamide gels followed by processing for autoradiography. The amount of PR in nuclear extracts was measured by a single saturating dose [3H]R5020 binding assay, using dextran-coated charcoal to separate free and bound R5020 (3). A, Autoradiographs of EMSA results. Only the region of the gels at the position of PRE complexes is shown. B, Quantitative analysis of EMSA results by phosphorimage analysis, plotted as a percentage of the upshifted PRE. Three complexes are detected, which correspond to the possible dimeric forms of PR: homodimers between the 120-kDa PR-B isoform (BB), homodimers of the 94-kDa PR-A isoform (AA), and heterodimers between PR-A and PR-B (AB).

 


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Figure 9. ZK98299 induces PR binding to PREs as detected by altered EMSA conditions. EMSA using increasing concentrations of PR in T47D nuclear extracts in the presence of different ligands was performed as described in Fig. 8Go, except that NaCl in the binding reaction was lowered from 50 to 5 nM, and glycerol was added (2.5%). A, Autoradiographs of EMSAs. Only the region of the gels at the position of the PRE complexes is shown. B, Quantitation of EMSAs by phosphorimage analysis. The data were plotted as a percentage of the upshifted PRE. All three possible dimeric forms (AA, AB, and BB) of PR were detected under altered conditions.

 


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Figure 10. ZK98299 induces specific PR-PRE complexes that have a distinct mobility compared with those of complexes induced by RU486. A, PR in nuclear extracts of T47D cells treated with vehicle (no ligand), ZK98299, R5020, or RU486 were analyzed by altered EMSA conditions as described in Fig. 9Go in the absence and presence of PR-specific mAb AB-52. B, Competition of complexes with excess (100-fold) unlabeled PRE or ERE oligonucleotides. The figure shows only the region of the gels at the position of PR-DNA complex.

 
To determine directly whether PR-DNA complexes in the presence of ZK98299 are less stable than the complexes induced by other PR ligands, dissociation rate experiments were performed under the altered EMSA conditions. PR dissociation from PRE was measured by allowing the [32P]DNA-binding reaction to reach equilibrium (2 h at 0–4 C), adding excess unlabeled PRE (500-fold) to prevent reassociation of the labeled PRE probe, and electrophoresing samples at the different times indicated in Fig. 11Go. As shown by autoradiography (Fig. 11Go, upper panel) and quantitation of DNA complexes at different time points (Fig. 11Go, lower panel), PR dissociation from DNA was faster in the presence of ZK98299 than in the presence of R5020.



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Figure 11. PR bound to ZK98299 exhibits a faster off-rate from DNA than PR bound to R5020. EMSA under the altered conditions described in Figs. 9Go and 10Go was used to examine off-rates of PR from PREs. DNA binding reactions with PR in T47D nuclear extracts bound to R5020 (100 nM) or ZK98299 (500 nM) were allowed to reach equilibrium at 0–4 C (2-h preincubation). Unlabeled excess PRE probe (500-fold) was added to each reaction, and samples were electrophoresed at the times indicated. Autoradiographs of the gels (upper panel) were quantified by phosphorimage analysis (lower panel), and the data plotted as a percentage of the bound PRE for PR-R5020 complexes (squares) and PR-ZK98299 complexes (circles).

 
We and others previously showed that the PR-DNA complex exhibits a faster electrophoretic mobility in nondenaturing polyacrylamide gels in the presence of RU486 than in the presence of R5020 or progesterone (3, 17, 18, 47). As shown in Fig. 10Go, PR-PRE complexes induced by ZK98299 do not exhibit this faster mobility. Instead, they have a mobility that is equal to or slightly slower than that induced by R5020. This suggests that ZK98299 induces a conformational change within PR that is unique from that induced by RU486.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The major findings of this study are that previously designated type I (ZK98299) and type II (RU486, ZK98734, and ZK112993) progesterone antagonists enhance sequence-specific PR-DNA binding activity in whole cells and in vitro by a modified EMSA procedure. Additionally, the specific PR-DNA complex induced by ZK98299 in vitro displayed a different electrophoretic mobility in nondenaturing gels than the complex induced by RU486. Because differences in mobility by EMSA are considered to reflect differences in receptor conformation, this suggests that ZK98299 and RU486 induce distinct conformations within PR (3, 17, 47, 49, 50). The convention that ZK98299 and RU486 represent two mechanistic classes of antagonists is based upon earlier EMSA results showing that ZK98299 failed to stimulate PR-DNA binding, whereas RU486 and other related compounds efficiently stimulated PR binding in vitro to target DNA (16, 17, 25, 26, 27, 48). The present results suggest that a differential effect on the PR-DNA interaction is a less important mechanistic distinction between these two compounds than their effects on PR conformation. We propose that ZK98299 and RU486 represent two mechanistic classes of antagonists based primarily upon inducing distinct conformations within PR.

Initial experiments to examine the effects of various antiprogestins on PR binding to DNA in whole cells involved the use of a promoter interference assay. This approach has been used previously to study the effects of various ligands on ER and AR binding to their respective target DNAs in whole cells (34, 43). In COS-1 cells transiently cotransfected with a PR expression plasmid, activity expressed from CMV-PRE3-CAT was suppressed in the absence of added ligand by 45% below that in control cells that lack PR. Exposure of PR-transfected cells to hormone agonist resulted in a further suppression to levels that were approximately 80% below those in the no ligand treatment controls. This reduction of promoter activity did not appear to be due to sequestering of limiting general transcription factors and was shown to be dependent on PR and the PRE. The interaction of unliganded PR with PREs in the whole cell did not appear to be due to the presence of endogenous progesterone in the culture medium. We obtained the same results with cells grown in whole serum and serum treated with dextran-coated charcoal to remove endogenous steroids (data not shown). Also, no endogenous progesterone was detected by RIA of FBS, indicating that progesterone levels are less than 10-12 M, a level insufficient to induce PR trans-activation in mammalian cells (data not shown). Thus, PR appears to be capable of binding to PREs in the whole cell in the absence of added ligand, whereas hormone agonist further increased this interaction.

Previous promoter interference studies of ER binding to DNA in whole cells showed that ER in the absence of added ligand suppressed promoter activity, whereas estrogen suppressed activity to a greater extent (34). Thus, similar to the present results with PR, unliganded ER appears to be capable of interacting with EREs in the whole cell, and estrogen stimulates these interactions. In contrast, no suppression of promoter activity by unliganded AR was observed from an androgen response element promoter interference construct. Suppression of promoter activity was detected only by treatment of cells with AR ligands (43). Collectively, these promoter interference studies suggest that ER and PR may be capable of interacting to some extent with their cognate target DNA sequences in whole cells, whereas the AR-DNA interaction may be more dependent upon ligand.

Transiently transfected cells treated with two different classes of progesterone antagonists, ZK98299 and RU486, also resulted in a substantial suppression of CAT activity from the CMV-PRE3-CAT interference construct. The extent of suppression by ZK98299 and RU486 was comparable to that caused by R5020, with RU486 producing a slightly greater suppression than ZK98299 and R5020. These results support the conclusion that PR-ZK98299 and PR-RU486 complexes are both capable of binding to PREs within the cell. As detected by promoter interference assays, two classes of antiestrogens have also been reported to enhance ER interaction with EREs in whole cells. The nonsteroidal partial antagonist hydroxytamoxifen and the pure steroidal antiestrogen ICI 163,384 were both observed to suppress promoter activity to the same extent as estrogen (34). Interestingly, in AR promoter interference studies, some androgen antagonists, including hydroxyflutamide, ICI 176,334, and RU23908, blocked AR binding to DNA in whole cells, whereas cyproterone acetate and RU486 stimulated AR-DNA binding activity, although to a lesser extent than androgen agonists (43). Thus, it appears that androgen antagonists can be separated into distinct mechanistic classes based on whether they impair or enhance AR binding to DNA in whole cells. Such distinctions for progesterone and estrogen antagonists in whole cells have not been detected.

To examine the ability of PR to interact with target DNA sequences that have been integrated into chromatin, T47D cells were stably transfected with promoter interference constructs. Results with these cell lines were consistent with our transient transfection data. The agonist R5020 and all antagonists tested produced significant reductions in CAT activity. Interestingly, in these experiments all antagonists tested reduced CAT activity to a greater extent than the agonist R5020. This suggests that antagonists stimulate a stronger enhancement of PR-DNA interactions in whole cells than hormone agonists. In further support of this are the results with stably integrated promoter interference constructs containing a single or multiple PREs. Antagonists mediated a suppression of CAT activity from constructs containing a single PRE insert. In contrast, suppression by agonist was not observed with a single PRE; this required at least two PREs. For reasons that are unclear, R5020 consistently produced a significant 75% increase in promoter activity with constructs containing a single PRE. One interpretation of these results is that antagonists enhance or stabilize the interaction of PR with PREs to a greater extent than agonist, so that only a single receptor dimer is required to disrupt promoter activity. With hormone agonist, two receptor dimers that can bind in a cooperative manner may be needed because of a weaker interaction with DNA. Alternatively, the reduction of promoter activity by the receptor-antagonist complex may not be due solely to steric hindrance, but to the added effect of recruiting corepressors that actively inhibit transcription (23, 24). In previous ER and AR promoter interference studies, it was observed that receptor-mediated reduction of promoter activity was dependent upon the number of inserts, using between one and three HREs (34, 43). The same dependence on the number of PREs was not detected here. This may reflect a difference between transient and stably transfected promoter interference constructs. Our studies comparing from one to three inserted PREs were performed with stably transfected constructs only. All transient transfections were performed with constructs containing three PRE inserts.

The creation of cell lines with stably integrated promoter interference reporter genes allows for the convenient screening of ligands for their effects on PR-DNA binding in whole cells. Stably transfected cell lines were also constructed in the present study to help resolve conflicting reports on the ability of antagonists to induce PR binding to PREs within the cell. By genomic footprinting assays, it was reported that neither RU486 nor ZK98299 was able to promote binding of PR to MMTV under conditions where R5020 was effective (29). In transient cotransfection assays, RU486 and ZK98299, both acting through wild-type PR, inhibited a constitutively active PR mutant lacking the ligand-binding domain. This suggested that both compounds stimulated PR binding to target DNA in the cell (28). These conflicting results were proposed to be due to an ability of the PR-antagonist complex to gain access to PREs present as multiple copies on extra chromosomal plasmids, but not to PREs integrated as a single copy into chromatin. Our results with stably integrated and transiently transfected promoter interference constructs do not agree with this conclusion. Why RU486 and ZK98299 both failed to stimulate an in vivo PR genomic footprint is not clear (29). This may be a property of the specific integration locus. However, we found similar results with antagonists using multiple different clones of T47D containing stably integrated promoter interference constructs (data not shown).

Because the mechanism by which receptor interaction disrupts the activity of promoter interference constructs is not precisely known, we used two alternative approaches to confirm the observed effects of progesterone antagonists on PR interaction with DNA in whole cells. One approach used a previously engineered cell line (T47D/A1-2) in which PR-DNA interaction is detected as an inhibition of GR-agonist trans-activation of a GRE/PRE controlled reporter gene. The other assessed the abilities of ligands to activate a PR-VP16 chimeric receptor. Results with both of these approaches were in agreement with promoter interference assays. In A1-2 cells, RU486 and ZK98299 both inhibited GR-agonist induction of MMTV-LUC under conditions where both ligands interacted minimally with GR. Because PR-ZK98299 and PR-RU486 complexes do not themselves trans-activate, inhibition of GR activity is consistent with PR competing with GR for binding to GRE/PREs in cells treated with either ZK98299 or RU486. When COS-1 cells were cotransfected with a PR-VP16 chimeric receptor, ZK98299 and RU486 both stimulated PR trans-activation of a positive PRE-controlled reporter gene, indicating that PR-VP16 was bound to DNA within cells. Thus, by all three experimental approaches, ZK98299 enhanced PR interaction with target DNA sequences in whole cells. This implies that ZK98299 does not inactivate PR by failing to promote PR binding to DNA as initially thought, but must block a step(s) downstream of DNA binding. One possible contributing factor for why these transfection experiments are capable of detecting ZK98299 stimulation of PR interaction with PREs when previous in vitro EMSAs have not is that the transfection assays are more sensitive. Transfection assays are dynamic and measure changes in CAT accumulation over many hours, whereas EMSA detects binding at a single time point.

Metzger et al. (50) also used an ER-VP16 chimeric receptor as an approach to test the effects of different classes of antiestrogens on ER binding to EREs within the cell. Both ICI 164,384 and hydroxytamoxifen induced trans-activation of a chimeric ER containing the VP16 acidic activation domain in place of the amino-terminal domain of ER. This indicates that ER-VP16 binds to DNA in the presence of both classes of antiestrogens. Because receptor sequence regions outside the DNA-binding domain can influence DNA binding, it could not be unequivocally concluded from these results whether wild-type receptor could also bind DNA in response to antiestrogen treatment of cells. Therefore, it was also shown that wild-type ER can bind to EREs within the cell in response to both classes of antiestrogens, as measured by ICI or hydroxytamoxifen inhibition of a GAL4-VP16 activator on a reporter gene that contains overlapping EREs and GAL4-binding sites (50). Full-length PR was used in all of our transient transfection experiments, and endogenous PR was used in stable transfected T47D cells. Thus, the present results are consistent with wild-type PR being capable of interacting with PREs in whole cells in response to two classes of progestin antagonists.

To attempt to explain the apparent discrepancy between previous reports that ZK98299 failed to stimulate binding of PR to PREs in vitro and the observation of the present report that ZK98299 stimulated PR binding to PREs in whole cells, EMSA conditions were altered to attempt to detect ZK98299-induced DNA complexes. We postulated that PR-DNA complexes in the presence of ZK98299 may be less stable than those induced by other PR ligands, such that they are not maintained during electrophoresis. By simply reducing the ionic strength of the DNA-binding reaction and adding glycerol to the gels, ZK98299 induction of PR-PRE complexes was detected in vitro. Under these conditions, unliganded PR continued to exhibit little or no specific DNA binding, and ZK98299-induced DNA complexes were specific, as shown by supershift with PR-specific mAbs and by competition with appropriate excess unlabeled DNA. Examination of PR off-rates from DNA provided a possible reason why this complex has escaped previous detection in vitro. Under altered EMSA conditions, the rate of PR dissociation from PRE in the presence of ZK98299 was faster than that in the presence of R5020. In previous studies, we and others showed that PR-DNA complexes formed in the presence of RU486 exhibited a slower dissociation from PREs than complexes formed in the presence of agonist (3, 17). Therefore, it appears that R5020, RU486, and ZK98299 have different effects on the stability of PR-PRE complexes in vitro, with a descending order of RU486 > R5020 > ZK98299.

Differences in off-rate and stability could also be explained by distinct effects of ligands on receptor conformation. We and others have previously shown that PR-DNA complexes in the presence of RU486 and other structurally related antagonists exhibit a faster electrophoretic gel mobility than that of agonists (3, 16, 17, 47). We now show that the PR-ZK98299 complex bound to DNA exhibits a slower mobility than the PR-RU486 complex. Ligand-induced differences in electrophoretic mobilities in nondenaturing gels have also been shown with ER-DNA complexes in the presence of estrogen, hydroxytamoxifen, and ICI 164,385. Each complex exhibits a distinct mobility, indicating that ER conformation is differentially altered by estrogen and both classes of antiestrogens (49, 50).

There is increasing evidence that steroid agonists and antagonists induce distinct conformational changes within the ligand-binding domains of ER and PR (18, 19, 31, 32, 51, 52). It also appears that ER and PR are able to assume multiple different conformations depending on the nature of the ligand. Several classes of ER ligands and three classes of PR ligands have been identified based on distinct alterations in receptor structure (51, 52). Interestingly, these different classes of ligands display pure agonist, pure antagonist, or varying degrees of mixed agonist/antagonist activity, suggesting a relationship between ligand-induced receptor structure and biological activity (51, 52). The idea that ligands with strong antagonist activity can be further separated into mechanistic classes based on inducing distinct conformations within the receptor is supported in the present study by the different electrophoretic mobilities exhibited by PR-DNA complexes in the presence of ZK98299 or RU486. The results of partial proteolytic digestion assays have also indicated that PR assumes a different conformation upon binding ZK98299 and RU486. Allan et al. (31) screened a wide variety of proteases, finding that clostripain generated different PR proteolytic peptide maps when bound to ZK98299 and RU486. Additionally, analysis of receptor mutants suggested that RU486 and ZK98299 differentially expose the carboxyl-terminal transcriptional activation domain function-2 to proteolytic attack (31). Similar studies by Clemm et al. (32) showed subtle differences in limited tryptic digestion patterns when PR was bound to ZK98299 or RU486. These studies taken together indicate that progesterone antagonists can be classified based upon their inductions of distinct conformations within PR. This ability to induce multiple different conformations may be a central mechanism to explain the biological activities of different classes of antagonists, as different conformations may modulate how PR interacts with downstream coactivators/corepressors or with general transcription factors. The aim in classifying progesterone antagonists is to correlate these compounds with pharmacological activity for endocrine therapies. Further classification of antagonists is expected to evolve as pharmacological and molecular mechanisms continue to be elucidated.


    Acknowledgments
 
The authors thank Benita Katzenellenbogen (University of Illinois, Urbana, IL) for kindly providing the parent vector (CMV-TATA-CAT) and control promoter interference constructs (CMV-EREm-CAT and CMV-ERE2-CAT), Roussel-UCLAF for providing RU486, and Schering for providing ZK98299, ZK112993, and ZK98734.


    Footnotes
 
1 This work was supported in part by USPHS Grant RO1-DK-49030 and the Lucille P. Markey Charitable Trust Fund (to D.P.E.). Back

Received August 14, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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