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Endocrinology Vol. 140, No. 7 2976-2982
Copyright © 1999 by The Endocrine Society


ARTICLES

Estrogen Receptor Regulation of the Na+/H+ Exchanger Regulatory Factor1

Tracy R. Ediger, W. Lee Kraus, Edward J. Weinman and Benita S. Katzenellenbogen

Departments of Cell and Structural Biology, and Molecular and Integrative Physiology, University of Illinois (T.R.E., B.S.K.), Urbana, Illinois 61801; the Department of Biology, University of California (W.L.K.), La Jolla, California 92093; the Department of Medicine, West Virginia University Medical Center (E.J.W.), Morgantown, West Virginia 26506; and the Department of Veterans Affairs Medical Center (E.J.W.), Clarksburg, West Virginia 26301

Address all correspondence and requests for reprints to: Dr. Benita S. Katzenellenbogen, Department of Molecular and Integrative Physiology, University of Illinois, 524 Burrill Hall, 407 South Goodwin Avenue, Urbana, Illinois 61801-3704. E-mail: katzenel{at}uiuc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To better understand the actions of estrogens and antiestrogens in estrogen target cells, we have searched for estrogen-regulated genes in human breast cancer cells, in which the number of genes known to be directly activated by estrogen is quite small. Using differential display RNA methods, we have identified the human homolog of the Na+-H+ exchanger regulatory factor (NHE-RF), an approximately 50-kDa protein that is also an ezrin-radixin-moesin-binding phosphoprotein, as being under rapid and direct regulation by estrogen in estrogen receptor (ER)-containing breast cancer cells. Stimulation by estrogen of NHE-RF RNA is rapid, being near maximal (~6-fold) by 1 h, and is not blocked by cycloheximide, indicating that it is a primary response. Stimulation is selective for estrogen ligands, with no stimulation by other classes of steroid hormones, and stimulation by estrogen is suppressed by the antiestrogens tamoxifen and ICI 182,780. Induction is shown to require an active ER through several approaches, including the use of ER-negative breast cancer cells containing a stably integrated ER. NHE-RF protein levels, monitored using antibodies specific for this protein, increase after estrogen and reach maximal levels at 24–48 h. Interestingly, NHE-RF is a PDZ domain-containing protein that is enriched in polarized epithelia, where it is known to be localized in microvilli. Among various human tissues we have examined, we found that NHE-RF is expressed at a fairly high level in mammary tissue. NHE-RF regulates protein kinase A inhibition of the Na+-H+ exchanger and may serve as a scaffold adaptor protein that contributes to the specificity of signal transduction events. Our findings suggest that the early, known effects of estrogen on cell cytoarchitecture (e.g. increasing microvilli on breast cancer cells) and on some cell signaling pathways (e.g. those involving cAMP) may involve rapid estrogen-mediated changes in the production of NHE-RF.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ESTROGENS regulate a variety of processes in hormone-responsive, estrogen receptor (ER)-containing breast cancer cells, including proliferation and invasiveness. Associated with these events are assumed to be changes in the production of specific proteins mediated by altered gene expression under the control of the hormone-occupied ER complex (1). These effects of estrogens are pleiotropic and are known to impact on cell cytoarchitecture and to influence many cell signaling pathways (2, 3, 4). To better understand the diverse and potentially broad ranging effects of estrogens in breast cancer, we have used a differential RNA display approach in which we sought to probe for and identify early, primary, estrogen-stimulated genes. Through such an approach, which enables us to screen for changes in RNA populations independent of preconceived ideas of possibly altered gene expression patterns, we have identified the sodium hydrogen exchanger regulatory factor (NHE-RF) as being a protein markedly increased by estrogen in breast cancer cells. We show that stimulation of NHE-RF gene expression is selective for estrogens, is estrogen receptor mediated, and is suppressed by antiestrogens.

NHE-RF was first identified in kidney as a protein factor that was required for cAMP regulation of the activity of sodium/hydrogen exchanger type 3 (5). Intriguingly, very recent work has shown this protein to be identical to the protein named EBP50 (6), a PDZ domain-containing cytoskeletal protein associated with microfibrils and the cell cytoskeleton that is highly concentrated in cell microvilli. It is believed to play an important role in cell signaling associated with changes in cell cytoarchitecture. However, nothing is currently known about its regulation by hormones or other factors.

We show here that NHE-RF is dramatically up-regulated by estrogens, with substantial changes in its RNA level being detectable as early as 1 h after hormone treatment. As estrogenic hormones are known to have marked effects on cell cytoarchitecture and the development of microvilli (2) and concomitant early effects on cell signaling (3, 7, 8, 9), these observations of NHE-RF regulation by estrogen raise intriguing questions regarding the links between estrogens and cytoskeletal, cell signaling, and cAMP-regulated events.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals and materials
Cell culture media were purchased from Life Technologies, Inc. (Gaithersburg, MD). Calf serum was obtained from HyClone Laboratories, Inc. (Logan, UT), and FCS was purchased from Atlanta Biologicals (Norcross, GA). Estradiol, hydrocortisone, testosterone, 5{alpha}-dihydrotestosterone, and cycloheximide were purchased from Sigma Chemical Co. (St. Louis, MO). The antiestrogens ICI182,780 (ICI) and trans-hydroxytamoxifen (TOT) were provided by Alan Wakeling and Zeneca Pharmaceuticals (Macclesfield, UK). The synthetic estrogen P1496 was obtained from IMC Corp. (Terre Haute, IN). The progestin R5020 was purchased from Roussell-UCLAF (Romainville, France).

Cell culture
MCF-7 human breast cancer cells, originally acquired from the Michigan Cancer Foundation, were maintained in growth medium, which was MEM plus phenol red supplemented with 5% heat-inactivated FCS, 10-12 M estradiol (E2), and 10 mM HEPES. Before the experiments, cells were depleted of estrogen by growth for 1 week in the same growth medium without E2. MCF-7 cells were then grown in MEM plus phenol red supplemented with 5% charcoal-dextran-stripped FCS for 2 days, after which the cells were maintained in improved MEM (IMEM) minus phenol red plus 5% charcoal-dextran-stripped FCS for 8 days before use in experiments. All media included penicillin (100 U/ml), streptomycin (100 µg/ml), and gentamicin (25 µg/ml; Life Technologies).

MDA-MB-231 human breast cancer cells were maintained in DMEM-Ham’s F-12 nutrient mixture with 10 mM HEPES, 10% FCS, penicillin (100 U/ml), streptomycin (100 µg/ml), gentamicin (25 µg/ml), bovine insulin (6 ng/ml), hydrocortisone (3.75 ng/ml), and glutathione (16 µg/ml).

The 231/ER+ cells were generated from the MDA-MB-231 cells by stable transfection of an expression vector for human ER{alpha} (pCMV5-hER) (10, 11) and a separate expression vector containing the neor gene to confer resistance to geneticin. This clone (no. 20) was selected as an isolated colony after drug selection and was shown to express ER at 550 ± 66 fmol/mg total cellular protein. These cells were maintained in the same medium as parental cells with perpetual drug selection [600 µg geneticin (active)/ml culture medium]. Before experiments, cells were grown without geneticin for several weeks. Cells used in all experiments were 80–95% confluent.

Isolation of RNA
Total RNA used for differential display was isolated using the RNA extraction kit from Pharmacia Biotech (Piscataway, NJ) following the manufacturer’s instructions. Total RNA used for Northern transfer was isolated using the RNA Stat-60 kit (Tel-Test, Inc., Friendswood, TX).

Differential display
Differential display PCR (ddPCR) was performed using the RNAimage kit from GenHunter (Nashville, TN) as previously described (12). DNA-free RNA was obtained by treatment of total RNA with deoxyribonuclease (Promega Corp., Madison, WI) in the presence of ribonuclease inhibitor (Promega Corp.) for 30 min at 37 C. After phenol/chloroform extraction and ethanol precipitation, three RT reactions were performed for each RNA sample using 0.2 µg DNA-free total RNA in 1 x RT buffer [25 mM Tris-Cl (pH 8.3), 37.6 mM KCl, 1.5 mM MgCl2, and 5 mM dithiothreitol]; 20 µM each of deoxy (d)-ATP, dCTP, dGTP, and dTTP; and 0.2 µM of one HindIII restriction site-containing one-base-anchored oligo(deoxythymidine) primer [H-T11A (5'-AAGCTTTTTTTT-TTTA-3'), H-T11C (5'-AAGCTTTTTTTTTTTC-3'), or H-T11G (5'-AAGCTTTTTTTTTTTG-3')]. After the solution was heated to 65 C for 5 min and cooled to 37 C, 100 U Moloney murine leukemia virus reverse transcriptase were added for 1 h. PCR reactions were performed in mixtures containing 0.1 vol RT mixture, 1 x PCR buffer [10 mM Tris-Cl (pH 8.4), 50 mM KCl, 1.5 mM MgCl2, and 0.001% gelatin]; 2 µM each of dATP, dCTP, dGTP, and dTTP; 0.2 µM of HindIII restriction site-containing arbitrary 13-mer oligonucleotide [H-AP1 (5'-AAGCTTGATTGCC-3'), H-AP2 (5'-AAGCTTCGACTGT-3'), H-AP3 (5'-AAGCTTTGGTCAG-3'), H-AP4 (5'-AAGCTTCTCAACG-3'), H-AP5 (5'-AAGCT-TAGTAGGC’3'), H-AP6 (AAGCTTGCACCAT-3'), H-AP7 (5'-AAGCTTAACGAGG-3'), or H-AP8 (5'-AAGCTTTTACCGC-3')]; 0.2 µM of the corresponding anchored oligo(deoxythymidine) primer; 0.1 µCi [35S]dATP; and 1 U AmpliTaq DNA polymerase (Perkin Elmer/Cetus, Norwalk, CT). Light mineral oil was overlaid, and the PCR reactions were performed at 94 C for 30 sec, followed by 40 cycles of 94 C for 30 sec, 40 C for 2 min, and 72 C for 30 sec, followed by 72 C for 5 min. Stop buffer [95% formamide, 10 mM EDTA (pH 8.0), 0.09% xylene cyanol, and 0.09% bromophenol blue] was added to each sample and heated at 80 C for 2 min before loading on a 6% denaturing polyacrylamide sequencing gel. After electrophoresis, the gels were exposed to Kodak XAR-5 film (Eastman Kodak Co., Rochester, NY) for 48 h. Any band differentially expressed was identified, and the PCR was repeated to confirm the findings.

The differentially expressed complementary DNA (cDNA) species was recovered from the dried sequencing gel by elution in water and reamplified using the same primer set and PCR conditions as those used in the messenger RNA (mRNA) display, except that the dNTP concentration was 20 µM instead of 2 µM, and no isotope was added. Reamplified cDNA was run on a 1.2% agarose gel and purified using the QIAEX kit from QIAGEN (Chatsworth, CA). Reamplified cDNA was subsequently cloned into the PCRII vector using the TA cloning system from Invitrogen (San Diego, CA) and sequenced using the Sequenase kit (U.S. Biochemical Corp., Cleveland, OH).

Northern blot analysis
Twenty micrograms of total RNA were separated by electrophoresis in a 1% agarose-7% formaldehyde gel and transferred to a GeneScreen Plus nylon membrane (DuPont NEN, Boston, MA) by capillary action in 10 x SSC (standard saline citrate). Prehybridization was performed in Rapidhybe buffer (Amersham, Arlington Heights, IL) at 65 C. Hybridization was performed in Rapidhybe buffer at 65 C for 18 h with random primer-labeled cDNA, prepared using the Rediprime DNA labeling system from Amersham. After hybridization, the filters were washed three times for 3 min each time at 25 C in 1 x SSC-0.1% SDS, followed by a 30-min wash in 0.5 x SSC-0.1% SDS at 65 C, followed by a high stringency wash for 30 min at 65 C in 0.1 x SSC-0.1% SDS. The filters were exposed to x-ray film at -80 C overnight. Message size was determined by comparison with the migration of an RNA ladder (0.24–9.6 kb; Life Technologies). Equalization of loading was controlled by cohybridization with a cDNA probe for 36B4 that is not influenced by the addition of steroid hormones or their antagonists (13). Signal intensity was quantified by phosphorimager analysis and standardized to the 36B4 signal.

A human tissue RNA blot containing equal amounts of tissue RNA per dot spot (CLONTECH Laboratories, Inc., Palo Alto, CA) was hybridized with NHE-RF cDNA, and NHE-RF was quantified by phosphorimager analysis.

Western blot analysis
After treatment with hormone or vehicle control, MCF-7 and 231/ER+ cells were harvested in HBSS (Life Technologies, Inc.)/trypsin-EDTA solution (Sigma Chemical Co.), centrifuged at 300 x g for 5 min, and resuspended in 20 mM Tris (pH 7.4), 0.5 M NaCl, 1.0 mM dithiothreitol, 10% glycerol (vol/vol), 50 µg/ml leupeptin, 50 µg/ml aprotinin, 2.5 µg/ml pepstatin, and 0.2 mM phenylmethysulfonylfluoride. Whole cell extracts were obtained by subjecting cells to three rounds of freezing on dry ice and thawing on wet ice, followed by centrifugation at 15,000 x g to remove cell debris. Equal amounts of total protein were loaded on a 10% SDS-polyacrylamide gel. Electrophoresis and Western blotting were performed according to standard methods (14), and a 14.3- to 220-kDa protein molecular mass marker set (Amersham) was used for size comparison. Nitrocellulose blots were probed with the NHE-RF primary antibody (polyclonal antibody made to full-length rabbit NHE-RF) (15), then incubated with secondary antibody in blocking solution and detected using an enhanced chemical luminescence system (Amersham).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ddPCR Identifies NHE-RF as an estrogen-regulated species in ER-containing breast cancer cells
Using the technique of differential display PCR, we observed an mRNA species to be present at a much higher level in the MCF-7 human breast cancer cell line when treated with estradiol. This enhanced mRNA expression with estradiol was observed even in the presence of cycloheximide, suggesting that it is a primary response gene. This ddPCR product, a 281-bp fragment produced by the AP-6 and H-T11G primers, was elevated approximately 4-fold in the presence of estradiol (with or without cycloheximide) above the basal level in untreated cells (Fig. 1AGo). The differential display product showed 60% sequence identity to the 3'-untranslated region of the rabbit protein cofactor Na+/H+ exchanger regulatory factor (NHE-RF; GenBank accession no. U19815). The reamplified ddPCR product was labeled and used to probe a Northern blot, which confirmed that the expression of NHE-RF (2.0 kb) is 4–5 times higher in the estradiol-treated cells (Fig. 1BGo). The human expressed sequence tag (EST) database was found to contain a cDNA clone with 99% sequence identity with the ddPCR fragment and which was substantially longer than the isolated fragment, although not full length (991 bp from the 3'-region of the gene). Probing the Northern blot with the labeled EST clone gave results identical to those obtained with the ddPCR probe; thus, it was used for the remaining experiments.



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Figure 1. MCF-7 breast cancer cells treated with E2 express elevated levels of NHE-RF RNA. A, Differential display gel showing cDNA species from control and estrogen-treated MCF-7 cells. Differential display PCR was performed as described on RNA samples from control or 4-h estrogen-treated (10-9 M E2) MCF-7 cells, using a one-base anchored primer, H-T11G (5'-AAGCTTTTTTTTTTTG-3'), in conjunction with a 13-mer arbitrary primer, H-AP6 (5'-AAGCTTGCACCAT-3'). This differential display gel was from cells exposed to cycloheximide (10 µg/ml) along with the 4-h control vehicle or E2 treatment. Identical results were observed in the presence or absence of cycloheximide. NHE-RF partial cDNA (indicated by arrow) was expressed at a much higher level in the cells treated with estrogen and was recovered, reamplified, and gel purified as described. B, Northern blot analysis to verify differential expression of NHE-RF mRNA. Total RNA was collected from MCF-7 cells after treatment with control vehicle or 10-9 M E2 for 8 h. Equal amounts (20 µg) of total RNA were separated by electrophoresis, transferred to a membrane, and probed with a random primer-labeled partial cDNA containing the NHE-RF cDNA from above. As an RNA loading control, the same blot was cohybridized with 36B4 cDNA. The sizes of NHE-RF and 36B4 RNAs are indicated and were determined using molecular mass markers ranging in size from 0.24–9.6 kb.

 
To examine more definitively the role of the ER in the estradiol-mediated induction, an ER-negative breast cancer cell line, MDA-MB-231, was used. This cell line showed very low basal levels of NHE-RF mRNA, which did not increase with the addition of estradiol (Fig. 2Go). In contrast, when the same cells contained a stably integrated ER expression construct (subline 231/ER+), estradiol elevated the NHE-RF mRNA level 5- to 6-fold over that in the untreated cells (Fig. 2Go). Hormone binding, Western blot, and trans-activation studies with these 231/ER+ cells (not presented) demonstrated that the ER was present (550 ± 66 fmol/mg protein) and retained function within the stably transfected cells. Similar trends in E2 stimulation of NHE-RF were seen in another ER-positive breast cancer cell line, ZR-75–1, whereas no E2 stimulation was seen in a different ER-negative breast cancer cell line, MDA-MB-435S (data not shown).



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Figure 2. MDA-MB-231 breast cancer cells containing a stably integrated ER show elevated levels of NHE-RF RNA in the presence of estrogen. Northern blot analysis of RNA collected from MDA-MB-231 cells that lack endogenous ER after treatment with control vehicle or 10-9 M E2 for 8 h compared with the 231/ER+ subline containing the stably integrated human ER and receiving the identical treatments. The blot was probed with random primer-labeled NHE-RF partial cDNA. 36B4 was cohybridized and used as an RNA loading control. One such Northern blot is shown. Values obtained from quantification with the phosphorimager of blots from three individual experiments (the one shown plus two additional experiments) are shown below the blot; the NHE-RF RNA level in the 231/ER+ cells treated with E2 is set at 100%.

 
Time course and hormonal specificity of NHE-RF stimulation
Several experiments were performed to characterize the estrogen responsiveness of NHE-RF. To examine the time course of the estrogen response, MCF-7 cells and 231/ER+ cells were treated with vehicle or 10-9 M E2 and harvested at the indicated times thereafter (Fig. 3AGo). There was a rapid and near-maximal increase in the mRNA level as early as 1 h after treatment, as indicated by Northern blot analysis. Levels peaked between 4–8 h and then declined thereafter, but still remained elevated above the basal value even at 24 h. Cells were treated with varying concentrations of E2, and Northern blot analysis was performed on the isolated RNA (Fig. 3BGo). Results show that the expression of NHE-RF mRNA is dependent on the concentration of E2, with maximal stimulation at 10-8 M E2.



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Figure 3. NHE-RF mRNA expression is regulated by estrogen in a time- and concentration-dependent manner. Phosphorimager quantification of Northern blots probed with NHE-RF partial cDNA. A, The MDA-MB-231 cell subline, 231/ER+, containing stably integrated human ER as well as MCF-7 cells were treated with 10-9 M E2 for the indicated times before harvesting RNA for Northern blot analysis. B, The 231/ER+ subline and MCF-7 cells were treated for 8 h with the indicated concentrations of estradiol or control vehicle. Total RNA was isolated and used to perform Northern blot analysis as described. Values with error bars are the mean ± SD from three or more individual experiments. Values without error bars represent single experiments, except 10-8 M E2, which is set at 100% in all experiments.

 
To test the hormonal specificity of NHE-RF stimulation, MCF-7 cells were treated with the estrogens E2 and P1496, the glucocorticoid hydrocortisone, the androgens 5{alpha}-dihydrotestosterone and testosterone, and the progestin R5020. Northern analysis of total RNA showed that both estrogens increased NHE-RF mRNA levels, but that the other hormones did not (Fig. 4AGo). The antiestrogens ICI 182,780 and trans-hydroxytamoxifen were also examined to determine whether they blocked the estrogen induction of NHE-RF mRNA. Indeed, neither ligand stimulated mRNA expression by itself, and cotreatment of the cells with E2 and the antiestrogen reduced mRNA expression to that in untreated cells (Fig. 4BGo).



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Figure 4. NHE-RF mRNA expression is regulated exclusively by estrogenic hormones. Phosphorimager quantification of Northern blots probed with NHE-RF partial cDNA. A, The ER-positive MCF-7 cells were treated with the following ligands for 8 h, and NHE-RF RNA expression levels were compared. The estrogens E2 and P1496 were added to give a final concentration of 10-9 M. The glucocorticoid hydrocortisone was added to give 10-8 M, as were the androgens 5{alpha}-dihydrotestosterone and testosterone and the progestin R5020. B, The 231/ER+ subline was treated with vehicle control (Cont), E2 (10-9 M), the antiestrogen ICI 182,780 (ICI, 10-7 M), TOT (10-7 M), or with estradiol plus ICI or TOT for 8 h before harvesting RNA. Values are the mean ± SD from three separate experiments.

 
Estrogen regulation of NHE-RF protein production
To confirm estradiol regulation of NHE-RF at the protein level, total protein was isolated from MCF-7 cells and 231/ER+ cells at various times after treatment with E2, and Western blot analysis was performed using a polyclonal antibody made to NHE-RF. In the MCF-7 cells a maximum increase (2.5-fold) was observed by 12 h, with levels remaining steady up to 48 h (Fig. 5Go). In the 231/ER+ cells, which have a much lower basal level of this protein, there was a steady increase in the amount of NHE-RF protein, with 5-fold elevation over the basal level observed after 48 h of estradiol treatment. In addition, cotreatment with E2 and ICI 182,780 reduced NHE-RF protein expression to basal levels (data not shown).



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Figure 5. MCF-7 and MDA-MB-231 breast cancer cells containing ER show elevated levels of NHE-RF protein in the presence of E2. Cells were treated with 10-8 M estradiol for the times indicated, and whole cell extracts were then prepared and separated by SDS-PAGE. Blots were probed with NHE-RF specific antibody as described in Materials and Methods (A), and the Western blots were quantitated (B). The size of NHE-RF is indicated and was determined relative to a set of protein molecular mass markers.

 
NHE-RF levels in human tissues
As there are only limited data available in the literature concerning NHE-RF levels in human tissues and no data for NHE-RF in the mammary gland, we examined the levels of NHE-RF in RNA preparations from many different tissues (Fig. 6Go, A and B). Our findings document that NHE-RF RNA expression varies greatly among tissues (Fig. 6Go), being highest in liver, salivary gland, and kidney, tissues with polarized epithelia rich in microvilli, and is present in the mammary gland at a level about 60% that in the kidney. The mammary gland thus contains a substantial amount of NHE-RF. However, as the data derive from pooled tissues in which the individuals’ estrogen status is unknown, these studies merely identify the mammary gland as a tissue fairly rich in NHE-RF. Further studies will be needed to document estrogen regulation of NHE-RF in normal and/or malignant mammary gland as well as in other ER-containing tissues in females and males.



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Figure 6. Examination of NHE-RF mRNA expression in different human tissues. A, Tissue RNA dot blots were probed with human NHE-RF cDNA. B, Phosphorimager quantification is shown with data being presented in tissues ranked from high (left in B) to low (right in B) expression.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our studies document that NHE-RF is under hormonal regulation by estrogen. This is, to the best of our knowledge, the first report of hormonal regulation of this protein, and our studies reveal that in breast cancer cells the regulation among steroid hormones is selective for hormones that have estrogenic activity. Because the increase in NHE-RF mRNA levels is rapid, and because cycloheximide fails to prevent the estrogen-induced increase in the mRNA level, it appears that NHE-RF induction is a primary response to estrogen. The ligand specificity for estrogenic compounds and the hormone concentrations required for stimulation are consistent with NHE-RF being regulated via the ER (16). Furthermore, in the MDA-MB-231 breast cancer cell line, which lacks a functional ER, E2 does not elicit an increase in NHE-RF mRNA. However, when the same cell line has a stably integrated, functional ER, a substantial increase in NHE-RF mRNA and protein is observed after E2 treatment. Thus, NHE-RF induction by estrogen appears to be mediated through the ER.

Initial database searches using the product from the differential display revealed high sequence identity with the rabbit protein cofactor, known as NHE-RF, that is involved in the cAMP-dependent protein kinase A (PKA) inhibition of the Na+/H+ exchanger in the rabbit renal brush border membrane (5). More recently, the human homolog of NHE-RF that we identified was also described by another group and renamed EBP-50 by them, as it was shown by them to be an ezrin-radixin-moesin (ERM) binding phosphoprotein involved with the dynamics of cell ultrastructure (6). The ERM family of proteins plays structural and regulatory roles in assembly and stabilization of specialized plasma membrane domains, such as microvilli, membrane ruffles, and filopodia, by attaching the actin filaments of the cytoskeleton laterally to the plasma membrane. NHE-RF/EBP50, which was shown to directly interact with the ERM proteins (6), is believed to serve as an adapter protein between the ERM proteins and the integral membrane proteins. Interactions among NHE-RF/EBP50, the ERM proteins, and the Na+/H+ exchanger are believed to involve the two PDZ domains in NHE-RF/EBP50 that mediate protein-protein interactions and often assist in the formation of multiprotein complexes, particularly at the plasma membrane (17, 18, 19).

Our analyses in human tissues show that NHE-RF RNA is present at fairly high levels in the mammary gland and in other tissues containing a polarized epithelium and abundant microvilli, such as kidney, small intestine, liver, and salivary gland. As NHE-RF has clearly been shown to be localized in microvilli of cells expressing NHE-RF, it is intriguing that estrogens are known to induce cytoskeletal/ultrastructural changes in ER-containing breast cancer cells associated with increases in the number and length of microvilli at the cell surface (2, 20, 21, 22). These morphological changes in MCF-7 breast cancer cells were observable as early as 24 h after estradiol treatment, with the cells being uniformly covered with microvilli after 2 days of estrogen treatment (2). Similar effects were also demonstrated in other ER-positive breast cancer cells treated with estradiol, but not in an estrogen receptor-negative cell line (2). Related observations were also made in the anterior pituitary gland, where estrogens were found to markedly increase the number of microvilli (20). The findings of alterations in functioning of efferent ductules in the male reproductive tract of ER knockout (ERKO) mice (23) and the observation that the microvillus border of these estrogen target cells in ERKO mice is minimally developed and greatly disrupted (Hess, R., University of Illinois-Urbana, personal communication) support a role for ER in the development of microvilli and suggest that further investigation of the possible link between these abnormalities and a possible lack of ER-mediated production of NHE-RF is warranted. Future studies comparing NHE-RF function and regulation by estrogen in wild-type and ERKO mice should shed light on the role and importance of this protein in ER activities.

There is known to be extensive cross-talk among several pathways, including the cAMP/protein kinase A and epidermal growth factor pathways, that are involved in estrogen signaling (3, 4, 24), but the nature of the connections among these pathways is not well understood. NHE-RF might be one possible link through which the pathways communicate, as it has been shown to participate in several relevant aspects of signal transduction. NHE-RF exists in multiple phosphorylation states, has been shown to be regulated by protein kinase A in vitro, and is involved in protein kinase-mediated cell transduction pathways. Although the specific pathways associated with the E2-NHE-RF system have yet to be determined, the documentation of estrogen up-regulation of NHE-RF should assist in attempts to provide a greater understanding of the series of cellular events initiated by estrogen’s actions mediated by the ER.


    Footnotes
 
1 Portions of this work were presented at the 80th Annual Meeting of The Endocrine Society (25 ). This work was supported by NIH Grant 5R37-CA-18119 (to B.S.K.) and a grant from the Research Service, Department of Veterans Affairs (to E.J.W.). Back

Received November 5, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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