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Endocrinology Vol. 140, No. 12 5705-5711
Copyright © 1999 by The Endocrine Society


ARTICLES

Estradiol Increases Proliferation and Down-Regulates the Sodium/Iodide Symporter Gene in FRTL-5 Cells1

Tania Weber Furlanetto, Lynda Q. Nguyen and J. Larry Jameson

Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Medical School, Chicago, Illinois 60611

Address all correspondence and requests for reprints to: J. Larry Jameson, M.D., Ph.D., Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Medical School, Tarry 15–709, 303 East Chicago Avenue, Chicago, Illinois 60611. E-mail: ljameson{at}nwu.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Goiter (increased thyroid gland size) is more prevalent in women than men, even in areas where iodine levels in the diet are sufficient. We investigated a possible role of estrogen on thyroid follicular cell growth using rat FRTL-5 thyroid follicular cells as a model. Estrogen receptor-{alpha} (ER{alpha}) messenger RNA was present in FRTL-5 cells using a RT-PCR assay and was confirmed by Western blot analysis. An estrogen-responsive reporter gene was transfected into FRTL-5 cells to test the functionality of the endogenous ERs. Estradiol increased the activity of the reporter gene, and the antagonist, ICI182780, inhibited ER-dependent transcription. To extend this analysis, we examined the effect of estradiol on FRTL-5 cell growth. Estradiol increased FRTL-5 cell growth in a time- and concentration-dependent manner in either the absence or presence of TSH. Because iodine is known to inhibit thyroid cell growth, the effect of estradiol on the expression of the sodium/iodide symporter (NIS) was assessed as a potential target of estrogen action. Estradiol blocked TSH-induced NIS expression, and treatment of cells with estradiol and ICI182780 restored TSH-induced NIS expression to normal levels. These data demonstrate that FRTL-5 cells contain functional ERs that enhance cell growth and inhibit expression of the NIS. The demonstration of a direct effect of estradiol on thyroid follicular cells raises the possibility that it may play a role in the sexually dimorphic prevalence of goiter.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A CONSIDERABLE proportion of the population worldwide is affected by goiter, defined as increased thyroid size in the absence of thyroid autoimmunity (1, 2). The pathogenic processes that result in goiter remain unclear (3, 4, 5) and probably involve multiple factors, including iodine deficiency, exposure to goitrogens in the food and/or water supply, and genetic susceptibility. Dietary iodine requirements have been the subject of considerable attention because iodine deficiency can cause goiter as well as hypothyroidism and mental retardation (2, 6, 7).

The prevalence of goiter is much greater in women than in men regardless of geographic distribution (2, 8, 9). The decline in the prevalence of diffuse goiter with age is inversely related to the increase in the frequency of thyroid nodules and thyroid antibodies (8, 9). In areas of low iodine intake, elderly women have a higher prevalence of goiter than do men. However, when the ingestion of iodine is high, the prevalence of goiter in the elderly is similar for both sexes (10).

It is unclear why women are more susceptible to goiter than men. In part, it may reflect increased susceptibility to autoimmune thyroid disease in women, even if it is subclinical (11). Alternatively, pregnancy could increase the demands for iodine, resulting in increased thyroid growth (12, 13, 14). The increased risk of goiter might also relate to the presence of greater amounts of estrogen in the female, which could have direct or indirect effects on thyroid cell growth and/or function. A direct influence of estradiol (E2) in thyroid follicular cells has not been described despite multiple reports of estrogen receptors (ERs) in the thyroid (15, 16, 17, 18, 19, 20, 21). In this report, we examined the effect of estrogen on the growth of FRTL-5 cells, a differentiated rat follicular cell line derived from the thyroid gland of the Fischer rat under defined culture conditions that has been widely adopted as a model system for the study of thyroid cell function (22).


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture
FRTL-5 (American Type Culture Collection, Manassas, VA) cells were maintained in Ham’s F-12 Coon’s Modified Medium supplemented with penicillin (100 U/ml; Cellgro, Media Tech, Herndon, VA), streptomycin (100 µg/ml; Cellgro), 5% calf serum, 10 µg/ml insulin, 5 µg/ml transferrin (designated 2H medium), and 1 mU/ml TSH (designated 3H medium; Sigma Chemcial Co., St. Louis, MO). T47D cells (American Type Culture Collection), a breast cancer cell line, were maintained in RPMI 1640 medium (Cellgro) supplemented with penicillin (100 U/ml), streptomycin (100 µg/ml), 10% FBS (BioWhittaker, Inc., Walkersville, MD), and nonessential amino acids. TSA-201 cells, a clone of human embryonic kidney 293 cells (23), were maintained in DMEM (Life Technologies, Inc., Gaithersburg, MD) supplemented with penicillin (100 U/ml), streptomycin (100 µg/ml), and 5% FBS (BioWhittaker, Inc.). All cell lines were kept in a humidified incubator at 37 C in 5% CO2 with a medium change each 3–4 days.

RNA extraction and RT-PCR
Total RNA was extracted using RNeasy (QIAGEN, Valencia, CA) according to the manufacturer’ s specifications. RNA (2 µg) was deoxyribonuclease (DNase) treated with 2 µl buffer B [at a 1:10 dilution, the composition is 6 mM Tris-HCl (pH 7.5), 50 mM NaCl, 6 mM MgCl2, and 1 mM dithiothreitol] and 1 µl RQ1 ribonuclease-free DNase I (1 U/µl), and the reaction was incubated at 37 C for 30 min. To inactivate DNase activity, 1 µl DNase Stop Solution was added, and the reaction was incubated at 65 C for 10 min. For RT, 5 µl (500 ng) DNase-treated RNA were added to a 20-µl reaction mixture containing 4 µl 5 x avian myeloblastosis virus RT buffer, 2 µl 10 mM deoxy (d)-NTPs, 1 µl RNAsin, 1 µl 500 ng/µl random hexamers, 1.5 µl avian myeloblastosis virus reverse transcriptase, and 5.5 µl diethylpyrocarbonate-treated water. All reagents were purchased from Promega Corp. (Madison, WI). RT was carried out at 25 C for 10 min, 42 C for 30 min, and 99 C for 10 min and was terminated at 4 C.

For PCR amplification of rat ER{alpha} and RPL19 (internal control) complementary DNAs (cDNAs), the following sense and antisense primers were used for ER{alpha}: 5'-AAT TCT GAC AAT CGA CGC CAG-3' and 5'-GTG CTT CAA CAT TCT CCC TCC TC-3'. For PCR amplification, 3 µl cDNA were added to a 50-µl reaction containing 5 µl 10 x reaction buffer [670 mM Tris (pH 8.8), 67 mM MgCl2, 160 mM (NH4)2SO4, and 100 mM ß-mercaptoethanol], 26 µl ddH2O, 5 µl dimethylsulfoxide, 7.5 µl 10 mM dNTPs, 1.5 µl sense and antisense primers (25 pmol/µl), and 0.5 µl Taq DNA polymerase (5U/µl). Reactions were carried out at 94 C for 3 min; 40 cycles of 94 C for 1 min, 56 C for 1 min, and 72 C for 1.5 min; and then 72 C for 15 min and 4 C to terminate.

Immunoprecipitation and Western blot analysis
Nuclear extracts were prepared as described previously (24), and ER{alpha} protein was immunoprecipitated as follows. Four hundred micrograms of nuclear extract of FRTL-5 cells, T47D cells, and TSA cells (three different vials) were incubated with 20 µl Protein A/G Plus-Agarose (Santa Cruz Biotechnology, Inc., Santa Cruz, CA) for 1 h at 4 C. After centrifugation at 4000 x g for 5 min at 4 C, the supernatant was incubated on ice for 3 h with 4 µg anti-ER{alpha} antibody (ER Ab-3: AER 308, recognizing the amino acids 120–170 of ER{alpha}; Neo Markers, Fremont, CA). Supernatants from TSA cells were also treated with 4 µg antimitogen-activated protein kinase antibody (anti-MAPK; Santa Cruz Biotechnology, Inc.) or no antibody as a control. Each complex was washed three times and separated by centrifugation for 2 min at 16,000 x g in buffer containing 50 mM Tris-HCl (pH 8), 150 mM NaCl, 1% Nonidet P-40, 50 mM NaF, 0.1 mg/ml phenylmethylsulfonylfluoride, 10 µg/ml aprotinin, 1 mM dithiothreitol, and 0.2 µM okadaic acid. The complexes were then washed twice in buffer containing 10 mM Tris-HCl (pH 7.5) and 10 mM MgCl2 and resuspended in 20 µl of the same buffer. The samples were kept at -70 C. For Western blot analysis, 10 µl of each sample were added to 7 µl sample buffer [0.5 M Tris-HCl (pH 6.8), 10% glycerol, 10% SDS, 5% ß-mercaptoethanol, and 1% bromophenol blue], heated for 4 min at 94 C, subjected to SDS-PAGE, and then transferred to a polyvinylidene difluoride membrane (Hybond-P, Amersham Pharmacia Biotech, Aylesbury, UK). The blot was blocked in PBS/1% Tween-20 (Sigma Chemical Co.) and 5% nonfat dry milk for 1 h at room temperature and then exposed for 1 h at room temperature to a 0.1% Tween-20/PBS solution containing 1 µg/ml of a solution of anti-ER{alpha} antibody (C-314, Santa Cruz Biotechnology, Inc.) recognizing amino acids 280–335 of ER{alpha}. After six washes of 5 min each in 0.1% Tween-20/PBS, the blot was incubated in a 1/3300 dilution of peroxidase-linked secondary antimouse antibody (Promega Corp.) for 1 h at room temperature. After washing the membrane as described above, the proteins were detected by autoradiography with the ECL-Plus chemiluminescent detection system (Amersham Pharmacia Biotech).

Growth assays
The MTS assay for cell growth was performed according to the manufacturer’s protocol (CellTiter 96 Aqueous NonRadioactive Cell Proliferation Assay, Promega Corp.). This is a colorimetric assay to determine the number of viable cells. The assay is based on the cellular conversion of the tetrazolium salt, (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxy-methoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) inner salt), into a formazan that is soluble in tissue culture medium and is measured directly at 490 nm in 96-well assay plates. Absorbance is directly proportional to the number of living cells in culture. FRTL-5 cells (4 x 103/well) were plated in 96-well plates in 3H medium (described above). After 4 days, cells were washed once with PBS and starved in 2H medium, with one change in the interim. Cells were then treated for 48 h as follows, in four different experiments: 1.1) dose effect of E2 (0, 10-11, 10-10, 10-9, 10-8, and 10-7 M) combined with 20 µIU/ml TSH (data not shown), 1.2) dose effect of TSH (0, 10, 20, 30, 40, and 50 µIU/ml) combined with 10-8 M E2 (data not shown), 1.3) ICI effect (100 nM) on E2 (10 nM)-induced growth, and 1.4) ICI effect (100 nM) on E2 (10 nM)- and TSH (0.02 mIU/ml)-induced growth. Ethanol was added as necessary so all treatment medium had a 0.2% final ethanol content, and media were changed after 24 h. ICI182780 was obtained from ICI Pharmaceuticals (Macclesfield, UK), and 17ß-estradiol was obtained from Sigma Chemical Co.

The total DNA amount, as an index of cell growth, was assessed using the diphenylamine method. Four days after plating 4 x 104 cells/well of a 24-well plate, cells were washed once with PBS, starved for 7 days (-TSH) with one change, and then treated as follows in two different experiments: 2.1) effect of E2: control group (2H medium), E2 group (2H and 10 nM E2), and E2 plus ICI group (2H, 10 nM E2, and 100 nM ICI); and 2.2) effect of E2 associated with TSH: control group (2H medium and 0.02 mIU/ml TSH), E2 group (2H medium, 0.02 mIU/ml TSH, and 10 nM E2); and E2 and ICI group (2H, 0.02 mIU/ml TSH, 10 nM E2, and 100 nM ICI). Ethanol was added as necessary so all treatment media had a 0.2% final ethanol content, and the media were changed after 24 h. After 48 h, cells were washed twice with cold PBS, and cold 5% trichloroacetic acid was added for 15 min to 4 days at 4 C. Trichloroacetic acid was aspirated, and a developing solution [20 ml A solution (500 mg diphenylamine, 45 ml glacial acetic acid, and 1 ml 18 M H2SO4), 8 ml ddH2O, and 280 µl 1% acetaldehyde] was added for 24 h. The results were read at 580 nm (Du 640B spectrophotometer, Beckman Coulter, Inc., Schaumburg, IL) and calculated according to the standards.

All experiments designed to study growth were repeated at least three times and gave essentially the same results. The data shown are those of a representative experiment.

Transfection and luciferase assay
FRTL-5 cells were seeded onto 12-well plates in 3H medium as described above. At approximately 60–75% confluence, 500 ng of the ERE2-tk109-luc or the tk109-luc expression vectors (25) were transfected into appropriate wells using Lipofectamine Plus Reagent (Life Technologies, Inc.) according to the manufacturer’s suggested protocol. After transfection, the cells were treated with 2H or 3H medium (described above) containing ethanol, 10-8 M E2, or 10-8 M E2 plus 10-7 M ICI182780. Ethanol was added to each treatment group to a final concentration of 0.2%. Luciferase activity was determined approximately 48 h after hormone treatment using an AutoLumat LB953 luminometer (EG & G, Salem, MA) as previously described (25).

Semiquantitative RT-PCR of the rat sodium-iodide symporter (NIS)
Cells were grown in 10-cm plates in 3H medium to 70% confluence, washed with PBS and starved for 7 days in 2H medium, with one change, and then treated for 2 days (with a change after 24 h) as follows: control group (2H medium), E2 group (2H medium and 10-8 M E2), TSH group (2H medium and 1 mIU/ml TSH), TSH and E2 group (2H medium, 1 mIU/ml TSH, and 10-8 M E2), and TSH, E2, ICI group (2H, 1 mIU/ml TSH, 10-8 M E2, and 10-7 M ICI). Ethanol was added to each treatment group to a final concentration of 0.2%. Each group had seven plates except the E2 group (four plates). RNA was extracted as described above, and cDNA was produced in two different reactions for each RNA extracted.

For PCR amplification of rat NIS and rat ribosomal S16 protein (S16), used as an internal control, the following sense and antisense primers were used: for NIS, 5'-ATC CTC TCC TCA CCG AGT CA-3' and 5'-CGC AGC TCT AGG TAC TGG TA-3' (expected size, 500 bp); and for S16, 5'-TCC AAG GGT CCG CTG CAG TC-3' and 5'-CAG GGT CCG ATC GTA CTG GA-3' (expected size, 355 bp). For the PCR reaction, 6 µl cDNA were added to a 50-µl reaction containing 5 µl 10 x reaction buffer (as described above), 9 µl 25 mM MgCl2, 20.9 µl double-deionized H2O, 2.5 µl dimethylsulfoxide, 2.5 µl 25 mM dNTPs, 1.5 µl sense and antisense primers (25 pmol/µl) for NIS, 0.3 µl sense and antisense primers (25 pmol/µl) for S16, and 0.5 µl Taq DNA polymerase (5 U/µl); all reagents were obtained from Promega Corp. A reaction mix (premix) was prepared with all the reagents and 0.7–2 µCi [{alpha}-32P]dCTP/reaction (250 µCi/µl; Amersham Pharmacia Biotech). cDNAs were added to 44 µl premix, and reactions were carried out at 94 C for 3 min; 23 cycles of 94 C for 1 min, 55 C for 1 min, 72 C for 3 min; and then 72 C for 15 min and 4 C to terminate. The PCR products were separated on an 8% polyacrylamide gel. The gels were dried and analyzed with a PhosphorImager (Storm 860, Molecular Dynamics, Inc., Sunnyvale, CA). A ratio between the image obtained with NIS and that obtained with S16 in the same reaction was calculated.

Statistics
The {chi}-square test was used for comparisons between two groups. For comparisons involving multiple groups, nonparametric one-way ANOVA was used. All P values were two sided; P < 0.05 was considered to indicate statistical significance.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ERs are present in FRTL-5 cells
Before examining potential functional effects of estrogen in FRTL-5 cells, experiments were performed to assess whether ERs are expressed in these cells. Total RNA was isolated from FRTL-5 cells, and RT-PCR for ER{alpha} was performed. As a positive control, total RNA was extracted from rat prostate, a tissue in which ERs are relatively abundant (26, 27). The ribosomal messenger RNA (mRNA), RPL19, was amplified as an internal control. As shown in Fig. 1Go, ER{alpha} was identified in FRTL-5 cells and in the rat prostate, with the expected size of 344 bp. RPL19 was amplified with the expected size of 500 bp.



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Figure 1. Expression of ER{alpha} in FRTL-5 cells. Total RNA was isolated from FRTL-5 cells and subjected to RT-PCR amplification using primers specific to rat ER{alpha}. RPL19 was used as an internal RNA control. As a positive control, total RNA was isolated from rat prostate. The expected sizes of ER{alpha} and RPL19 are 344 and 500 bp, respectively. F, FRTL-5; RP, rat prostate; C, water control.

 
Western blot analysis of FRTL-5 cell nuclear extracts was performed to confirm the presence of ER{alpha} protein. Extracts from T47D cells (positive control) and TSA cells (negative control) were also isolated. Proteins in the FRTL-5, T47D, and TSA cell extracts were immunoprecipitated using a monoclonal antibody that recognizes amino acids 120–170 of ER{alpha}. The immunoprecipitated proteins were analyzed by Western blotting using a second monoclonal antibody that recognizes amino acids 280–335 of ER{alpha}. As shown in Fig. 2Go, a 67-kDa band, consistent with the expected size of ER{alpha}, was seen in FRTL-5 and T47D cells, but not in the extract from TSA cells. Immunoprecipitation of TSA cells with H2O or an anti-MAPK antibody (negative control) also did not identify any immunoblotted protein.



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Figure 2. Immunodetection of ER{alpha} protein in FRTL-5 cells. Nuclear extracts from FRTL-5 cells were immunoprecipitated using a monoclonal antibody recognizing amino acids 120–170 of ER{alpha}. Nuclear extracts from T47D and TSA cells were used as positive controls. Nuclear extracts from TSA cells, immunoprecipitated with anti-ER{alpha} antibody, no antibody, or an anti-MAPK antibody, were used as negative controls. Proteins were subjected to Western blotting using a second monoclonal antibody directed to amino acids 280–335 of ER{alpha}.

 
E2 receptors in FRTL-5 cells are functional
As shown in Fig. 3Go, 10-8 M E2 stimulated the transcriptional activity of an estrogen-responsive reporter gene, ERE2-tk109-luc, which contains two estrogen response elements linked to the luciferase gene. The transcriptional effect of E2 does not require the cotransfection of ER-expressing plasmids and occurs via endogenous receptors. As a negative control, E2 did not increase the transcriptional activity of the control vector tk109-luc, which contains the thymidine kinase promoter but no estrogen response elements. TSH also induced reporter activity compared with that in a group in the absence of TSH and E2 (data not shown), but the addition of E2 further increased gene activation (P < 0.016). Estrogen-dependent transcription was blocked by the receptor antagonist ICI182780 (P < 0.005). Also, ICI182780 when added alone did not have an effect on reporter activity (data not shown).



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Figure 3. E2-mediated transcriptional activation of an estrogen-responsive reporter gene. FRTL-5 cells were maintained in complete medium containing 1 mIU/ml TSH and transfected with the ERE2-tk109-luc reporter gene or the control vector tk109-luc as described in Materials and Methods. After treatment with 10-8 M E2 or 10-8 M E2 and 10-7 M ICI182780 with or without 1 mIU/ml TSH for 48 h, cells were harvested for luciferase assay. Data are expressed as the mean ± SEM in relative light units (RLU) with n = 12 for each group. There was significant intergroup variation (P < 0.006) by nonparametric ANOVA. *, P < 0.016 vs. TSH; **, P < 0.005 vs. TSH and E2.

 
Effect of E2 on growth of FRTL-5 cells
A range of E2 concentrations (from 10-11–10-7 M) was added to FRTL-5 cells to assess its effect on cell growth using the MTS assay as an index of cell number. An increase in cell growth was seen when 10-8 and 10-7 molar concentrations were used (results not shown). The addition of 10-8 M E2, combined with increasing concentrations of TSH (0, 10, 20, 30, 40, 50, and 100 µIU/ml), increased cell growth at all TSH concentrations tested below 40 µIU/ml (results not shown). As shown in Fig. 4Go, 10-8 M E2 increased the growth of FRTL-5 cells, and this effect was fully abolished by the ER antagonist, ICI182780, in both the absence (Fig. 4AGo) and presence (Fig. 4CGo) of 20 µIU/ml TSH.



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Figure 4. E2 effect on FRTL-5 cell growth. FRTL-5 cells were cultured for 7 days in 2H medium and then treated for 2 days as indicated. A, Effect of E2 on cell growth in the absence of TSH as determined by MTS assay. Results are shown as the mean ± SEM with n = 24 for control and E2 plus ICI groups and n = 36 for the E2 group. There was significant intergroup variation (P < 0.005) by nonparametric ANOVA. *, P < 0.005 vs. control; **, P < 0.001 vs. E2. B, Effect of E2 on cell number in the absence of TSH as determined by measuring the total DNA amount by the diphenylamine colorimetric method. Results are shown as the mean ± SEM with n = 8 for each group. There was significant intergroup variation (P < 0.0001) by nonparametric ANOVA. *, P < 0.0005 vs. control. **, P < 0.05 vs. E2. C, Effect of E2 on growth in the presence of TSH as determined by MTS assay. Results are shown as the mean ± SEM with n = 24 for control and E2 plus ICI groups and n = 36 for the E2 group. There was significant intergroup variation (P < 0.005) by nonparametric ANOVA. *, P < 0.05 vs. control; **, P < 0.00005 vs. E2. D, Effect of E2 on cell number in the presence of TSH as determined by measuring total DNA amount by diphenylamine colorimetric method. Results are shown as the mean ± SEM with n = 8 for each group. There was significant intergroup variation (P < 0.005) by nonparametric ANOVA. *, P < 0.05 vs. control; **, P < 0.005 vs. E2.

 
In an independent experiment, total DNA amount was determined as a measurement of cell growth. As shown in Fig. 4Go, 10-8 M E2 increased the DNA content of FRTL-5 cells, and this effect was fully abolished by ICI182780 in both the absence (Fig. 4BGo) and presence (Fig. 4DGo) of 20 µIU/ml TSH.

Effect of E2 on expression of NIS mRNA
The effect of E2 on sodium/iodide symporter gene expression was studied in FRTL-5 cells that were deprived of TSH as described in Materials and Methods. Semiquantitative RT-PCR was performed for NIS mRNA, using S16 as an internal control. Amplified NIS and S16 cDNAs showed the expected sizes of 500 and 355 bp, respectively. The ratio of NIS/S16 autoradiographic signal intensities was calculated for each sample. As shown in Fig. 5Go, TSH stimulated the expression of NIS mRNA. E2 blunted TSH-induced expression, and this effect was fully abolished by ICI182780. E2 had no significant effect on the level of NIS mRNA in the absence of TSH.



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Figure 5. Effect of E2 on expression of NIS mRNA. FRTL-5 cells were cultured in medium without TSH for 7 days and then treated as follows for 2 days: control group, 2H medium; E2 group, 2H medium and 10-8 M E2; TSH group, 2H medium and 1 mIU/ml TSH; TSH + E2 group, 2H medium, 1 mIU/ml TSH, and 10-8 M E2; and TSH + E2 + ICI group, 2H, 1 mIU/ml TSH, 10-8 M E2, and 10-7 M ICI. Ethanol was added to each treatment group to a final concentration of 0.2%. Total RNA was isolated, and cDNA was amplified by RT as described in Materials and Methods. cDNA was subjected to PCR reactions using [{alpha}-32P]dCTP. Specific primers were used to amplify NIS and rat ribosomal S16 protein (S16) as an internal control. Quantitative analysis of NIS mRNA. The effect of estrogen on NIS mRNA has been repeated in more than three independent experiments. The results shown are the mean ± SEM of the ratio NIS/S16 of two PCR reactions (each one for a different cDNA) for seven or four samples (n = 14; n = 8 for E2 only group). There was significant intergroup variation (P < 0.00005) by nonparametric ANOVA. *, P < 0.0001 vs. control; **, P < 0.004 vs. TSH; ***, P < 0.018 vs. TSH and E2.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The current study examines the presence of ERs in FRTL-5 cells and the effect of E2 on cell proliferation and NIS gene expression. Our data demonstrate the presence of ER{alpha} in FRTL-5 cells and a direct effect of E2 on the growth and function of these cells. RT-PCR demonstrated the presence of ER{alpha} mRNA, and Western blots confirmed the presence of the protein. ERs have been identified previously in normal and abnormal human thyroid tissue by immunohistochemistry (15, 17, 18, 28) and binding assays (19, 20). More recently, ER mRNA was detected by RT-PCR in both human thyroid glands and cell lines derived from a rat primary thyroid tumor (19, 21). However, immunohistochemical detection of proteins using peroxidase-based methods sometimes fails to detect ERs (29, 30) and could be affected by the presence of high endogenous peroxidase activity in thyroid follicular cells, which could lead to nonspecific results (29).

It was necessary to demonstrate the presence of functional ERs in FRTL-5 cells. E2, at a concentration of 10-8 M, was able to further increase the activity to the estrogen-responsive ERE2-tk109-luc reporter gene in addition to TSH. This effect was blocked by the addition of ICI182780. The estrogen induction of this reporter is relatively modest in FRTL-5 cells, especially compared with that in breast cancer cells, where in parallel experiments using T47D cells, we typically observed a 5- to 10-fold stimulation (data not shown). Variable responses to nuclear receptors are common in different cell lines. This interesting phenomenon presumably could reflect differences in the transcriptional coactivators and other components of the transcriptional complex. In addition, the level of responsiveness often relates to the basal activity of the reporter gene.

The effect of E2 on FRTL-5 cell growth was assessed by two different techniques, the MTS assay and DNA content. With both assays, E2 increased the rate of cell proliferation. As these effects were fully abolished by ICI182780, a competitive inhibitor of estrogen action, they support a specific effect of E2 on thyroid follicular cell growth. The observation that the E2 effect occurs in the absence or presence of TSH suggests that it acts independent of the TSH signaling pathway. The cellular mechanism by which E2 stimulates thyroid cell growth is unknown. However, it may share certain features with breast cancer cells, another target tissue in which estrogen stimulates cell growth (31).

The effects of iodine on thyroid cell growth and function are complex and are highly dependent on the apparently opposing actions of TSH and iodine (32, 33). A modification of the medium that serves to increase TSH-induced growth, such as an increase in serum concentration, is accompanied by a reduced ability of the cell to uptake iodide (34). A reduction in the thyrocyte iodine content makes the cells more sensitive to TSH action (35, 36, 37). In view of the important role of iodine in thyroid cell growth, we examined NIS expression as a potential target of E2 action. This gene encodes the sodium/iodide symporter, the protein responsible for iodide uptake in the thyroid follicular cell (38). It is known that TSH can increase iodide uptake in a dose-dependent manner (34, 39), and this effect is correlated with a rapid increase in NIS gene expression (40). It is of interest to note that although submaximal TSH concentrations were used to ensure detection of an E2 growth effect, a greater concentration of TSH (1 mIU/ml) was used in the NIS RT-PCR experiments to correspond to the dose used to maintain the FRTL-5 cells.

In this study, E2 reduced TSH-stimulated NIS gene expression, and this effect was reversed by ICI182780. However, in the absence of TSH, E2 did not affect NIS expression. This finding is similar to the effects of some growth factors, such as epidermal growth factor (EGF), transforming growth factor-{alpha} (TGF{alpha}), and activin, which increase the growth of thyroid cells and reduce their ability to uptake iodide only in the presence of TSH (41, 42, 43, 44). E2, in different cell types, has been shown to increase mRNA and protein expression of growth factors such as EGF, TGF{alpha}, and IGF-I (45). Coincidentally, the action of EGF-mediated stimulation of ER transcriptional activity was abolished by a pure antiestrogen (45). There is also evidence that the MAPK signal transduction cascade is involved in growth factor enhancement of ER action (45). The MAPK pathway as well as the induction of growth factors such as EGF or TGF{alpha} are well described in thyroid cells (32) and could be involved in estrogen action in the thyroid.

The demonstration of ER in FRTL-5 cells concomitant with the ability of E2 to increase cell growth and reduce NIS gene expression may represent a pathway that is involved in goiter formation. If the reduction in NIS gene expression is accompanied by a reduction in thyroid gland iodide content, it could explain why women develop goiter more frequently than men. In addition, a partial block of iodide uptake by estrogen could increase urinary iodine excretion, thus contributing to the iodine loss that is associated with pregnancy (46, 47).

Recently, it was suggested that the human thyroid gland has the potential for estrogen synthesis, raising the possibility of an autocrine or paracrine role for estrogen (28). In our studies, ICI was able to partially inhibit FRTL-5 cell growth in the absence of added estrogen (data not shown). This is likely to reflect the presence of a low level of endogenous estrogen activity in the serum or medium. Further studies should be performed to extend our understanding of the role of E2 in thyroid cell physiology and its possible contribution to the pathogenesis of human goiters.


    Acknowledgments
 
We thank Dr. B. Gehm (Northwestern University Medical School, Chicago, IL) for kindly providing reagents.


    Footnotes
 
1 This work was supported in part by the Fundaçao Coordenaçao de Pessoal de Nível Superior (Brazil), the Fulbright Commission (U.S.), and the NIH Carcinogenesis Training Program. Back

Received May 21, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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