Endocrinology Vol. 142, No. 2 767-777
Copyright © 2001 by The Endocrine Society
The Effects of Autocrine Human Growth Hormone (hGH) on Human Mammary Carcinoma Cell Behavior Are Mediated via the hGH Receptor1
Karmal K. Kaulsay2,
Tao Zhu2,
William F. Bennett,
Kok-Onn Lee and
Peter E. Lobie
Department of Medicine, National University of Singapore (K.K.K.,
K.O.L.), Singapore 119074, Republic of Singapore; and Institute of
Molecular and Cell Biology (T.Z., P.E.L.), Singapore 117609, Republic
of Singapore; and Sensus Drug Development Corporation (W.F.B.), Austin,
Texas 78701
Address all correspondence and requests for reprints to: Peter E. Lobie, M.D., Ph.D., Institute of Molecular and Cell Biology, 30 Medical Drive, Singapore 117609, Republic of Singapore. E-mail:
mcbpel{at}imcb.nus.edu.sg
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Abstract
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The human GH (hGH) antagonist B2036 combines a single amino acid
substitution impairing receptor binding site 2 (G120K) with eight
additional amino acid substitutions that improve binding site 1
affinity. B2036 does not bind, activate, or antagonize the human PRL
receptor and therefore is suitable to determine cellular effects
mediated specifically through the hGH receptor. We have used this hGH
receptor specific antagonist in MCF-7 cells stably transfected with
either the hGH gene (MCF-hGH) or a translation deficient hGH gene
(MCF-MUT) to determine whether the effects of autocrine hGH on mammary
carcinoma cell behavior are mediated via the hGH receptor. Enhanced
JAK2 tyrosine phosphorylation observed in MCF-hGH cells compared with
MCF-MUT cells is abrogated by B2036 as is the autocrine hGH stimulated
increase in total cell number and DNA synthesis. Interestingly,
autocrine hGH functions as a potent inhibitor of apoptosis induced by
serum withdrawal compared with exogenously added hGH, and the
protection against apoptosis afforded by autocrine hGH is abrogated by
B2036. B2036 also inhibited autocrine hGH stimulated transcriptional
activation mediated by either STAT5, CHOP (p38 MAP kinase specific) or
Elk-1 (p44/42 MAP kinase specific). Finally, B2036 inhibited the
autocrine hGH-dependent enhancement of the rate of mammary carcinoma
cell spreading on a collagen matrix. Thus, the effects of autocrine hGH
on human mammary carcinoma cell behavior are mediated via the hGH
receptor.
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Introduction
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THE GH GENE gene is expressed in the normal
and tumorous mammary gland of the cat and dog (1). In
human mammary gland, hGH messenger RNA (mRNA) identical to pituitary
hGH is also expressed by nontumorous tissue and by benign and malignant
tumoral tissue, immunoreactive hGH being restricted to epithelial cells
(2). Furthermore, several human mammary carcinoma cell
lines have been demonstrated to express hGH mRNA when cultured in the
presence of serum (E. Van Garderen, personal communication). The
pituitary and mammary gland GH gene transcripts originate from the same
transcription start site but are regulated differentially because
mammary gland GH gene transcription does not require Pit-1
(3). GH receptor (GHR) mRNA and protein have also been
detected in the mammary gland epithelia of murine and rabbit
(4, 5, 6), bovine (7), and human species
(8, 9). Both endocrine GH and autocrine produced GH
therefore possess the capacity to exert a direct effect on the
development and differentiation of mammary epithelia in
vitro (10) and in vivo (11).
We have recently generated a model system to study the role of
autocrine produced hGH in mammary carcinoma by stable transfection of
either the hGH gene or a translation-deficient hGH gene into human
mammary carcinoma (MCF-7) cells (12). The autocrine hGH
producing cells display a marked IGF-1-independent increase in cell
number in both serum-free and serum-containing conditions as well as a
specific increase in STAT5-mediated transcription (12).
Also, autocrine hGH production results in enhancement of the rate of
mammary carcinoma cell spreading on a collagen substrate
(13). Thus, autocrine production of hGH by mammary
carcinoma cells may direct mammary carcinoma cell behavior to impact on
the final clinical prognosis.
GH signal transduction is thought to be initiated by ligand induced
receptor dimerization (14, 15). This has permitted the
generation and development of GH antagonists in several species by
introduction of a single point mutation within the second binding site
of the hormone, which consequently prevents receptor dimerization
(16, 17, 18). In hGH, this is achieved by substitution of
glycine 120 with an arginine or lysine residue (G120R or G120K
respectively) (19, 20). hGH has also been reported to bind
to both the hGH receptor and the hPRL receptor (21).
Unlike hPRL, however, hGH requires Zn2+ to bind
to the hPRL receptor via site 1 (22), although it has
recently been reported that hGH may activate the hPRL receptor in the
absence of Zn2+ (23). The structural
basis for the interaction between hGH and the hPRL receptor has been
determined by x-ray crystallography (24). Thus, the
previously described hGH receptor antagonist hGH-G120R could inhibit
hGH responses mediated through the hPRL receptor (25).
Recently, a human GH (hGH) antagonist (B2036) has been engineered,
which combines the single amino acid substitution impairing receptor
binding site 2 (G120K) with eight additional amino acid substitutions
that improve binding site 1 affinity (26). The eight amino
acid substitutions within binding site 1 provide binding specificity
directed toward the human GH receptor (26). It has been
demonstrated that B2036 does not bind, activate, or antagonize PRL
receptors of either rat or human origin (27).
We have therefore used the hGH antagonist B2036 to determine which
effects of autocrine (and exogenously added) hGH on mammary carcinoma
cell behavior are mediated via the hGH receptor. We demonstrate that
under the conditions used in this study, B2036 is able to antagonize
the proliferative, antiapoptotic, transcriptional, and morphological
effects of autocrine hGH in mammary carcinoma cells. The potential
clinical utility of hGH antagonists in treatment of mammary carcinoma
should therefore be considered.
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Materials and Methods
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Materials
Rat tail type 1 collagen and DOTAP transfection reagent
(N-[1-(2,3-dioleoylloxy)propyl]-N,N,N-trimethylammonium
methylsulfate) were obtained from Roche Molecular Biochemicals (GmbH, Mannheim, Germany). The Cell Titer 96 cell
proliferation kit was obtained from Promega Corp.
(Madison, WI). Ca2+- and
Mg2+-free PBS solution (HBSS) used for cell
dissociation was obtained from Life Technologies, Inc.
(Grand Island, NY). All other tissue culture materials were obtained
from HyClone Laboratories, Inc. (Logan, UT). The in
situ death detection kit (TUNEL) and JAK2 polyclonal antiserum
(directed against amino acids 758776 of murine JAK2) used for western
immunoblotting and immunoprecipitation were purchased from
Upstate Biotechnology, Inc. (Lake Placid, NY).
Antiphosphotyrosine mAb PY20 used for Western immunoblot was obtained
from Transduction Laboratories, Inc. (Lexington, KY).
Peroxidase-conjugated antirabbit and antimouse IgGs were obtained from
Pierce Chemical Co. (Rockford, IL). ECL detection reagents
were purchased from Amersham Pharmacia Biotech (Little
Chalfont, UK). The fusion trans-activator plasmids (pFA-CHOP
and pFA2-Elk-1) consisting of the DNA binding domain of Gal4 (residue
1147) and the transactivation domain of CHOP or Elk-1, respectively,
were purchased from Stratagene (La Jolla, CA). pFC2-dbd
plasmid is the negative control for the pFA plasmid to ensure the
observed effects are not due to the Gal4 DNA binding domain, and was
also obtained from Stratagene. Protein G cell suspension,
Hoescht dye 33528 and 5'-bromo-2'-deoxyuridine was obtained from
Sigma (St. Louis, MO). The BrdU staining kit was obtained
from Zymed Laboratories, Inc. (South San Francisco,
CA).
The MCF-7 cell line was obtained from the ATCC and stably transfected
with an expression plasmid containing the wild-type hGH gene (pMT-hGH)
under the control of the metallothionein 1a promoter (28)
[designated MCF-hGH]. For control purposes, the ATG start site in
pMT-hGH was disabled via a mutation to TTG generated by standard
techniques (pMT-MUT), and MCF-7 cells stably transfected with this
plasmid were designated MCF-MUT. MCF-MUT cells therefore transcribe the
hGH gene but do not translate the mRNA into protein. A detailed
description of the characterization of these cell lines has been
previously published (12). Neither MCF-7 nor MCF-MUT cells
produce detectable amounts of hGH protein when cultured under
serum-free conditions, whereas MCF-hGH cells secrete approximately 100
pM hGH into 2 ml of media over a 24-h period under the
culture conditions described here. MCF-7 and MCF-MUT cells behave
identically to each other in terms of proliferation, transcriptional
activation (12) and cell spreading (13).
Cell culture
MCF-hGH and MCF-MUT cells (12) were cultured at 37
C in 5% CO2 in RPMI supplemented with 10%
heat-inactivated FBS, 100 U/ml penicillin, 100 µg/ml streptomycin and
2 mM L-glutamine.
Immunoprecipitation of proteins from cell extracts
MCF-hGH and MCF-MUT cells were grown to confluence in 10%
serum-supplemented medium and incubated for 12 h in serum-free
medium. Cells were lysed at 4 C in 1 ml lysis buffer (50 mM
Tris-HCl, pH 7.4, 1% Triton X-100, 150 mM NaCl, 1
mM EGTA, 1 mM EDTA, 0.2 mM sodium
orthovanadate, 0.5% Nonidet P-40, 0.1% phenylmethylsulfonyl fluoride)
for 30 min with regular vortices. Cell lysates were then centrifuged at
14,000 x g for 15 min, the resulting supernatants were
collected, and protein concentration determined by the Lowry method
using BSA as a standard. Eight hundred micrograms total protein was
used for each immunoprecipitation. Immunoprecipitation was performed
routinely by incubating cell lysates with 4 µg/ml of anti-JAK2
antibody for 2 h at 4 C. Immunocomplexes were collected by
incubation with 50 ml protein G cell suspension for 1 h at 4 C and
subsequent centrifugation of lysates at 14,000 x g for
5 min. Immunoprecipitates were washed three times in ice-cold lysis
buffer. The pellets were resuspended in 2x SDS-sample buffer (50
mM Tris-HCl, pH 6.8, 2% SDS, 2%
ß-mercaptoethanol, and bromophenol blue), boiled for 10 min, and
centrifuged at 14,000 x g for 5 min. The supernatants
were collected and subjected to 7% SDS-PAGE. Proteins were transferred
to nitrocellulose membranes using a standard semidry electroblotting
apparatus in Laemlli buffer containing 10% methanol.
Western blot analysis
Nitrocellulose membranes were blocked with 5% insulin-free BSA
in PBS with 0.1% Tween 20 (PBST) for 2 h at 22 C. Blots were then
immunolabeled for 1 h at 22 C with either mouse phosphotyrosine
antiserum (1:1000) or rabbit JAK2 antiserum (1:800). After 6 washes for
10 min each in PBST, membranes were incubated in either goat antimouse
(1:1000) or goat antirabbit IgG (1:10,000) HRP-conjugated second
antibodies, respectively, for 1 h at 22 C. Membranes were further
washed 6 times for 10 min each in PBST before immunolabeling was
detected by ECL according to the manufacturers instructions.
Cell proliferation assays
Total cell number was estimated by use of the Cell Titer 96 kit
as previously described (12). Briefly, MCF-MUT and MCF-hGH
cell lines were maintained in 10% FBS-supplemented RPMI before being
serum deprived for 12 h. All cell lines were resuspended in SFM
and plated to a final concentration of 1 x
104 cells/well in a total volume of 100
µl/well, according to the indicated serum conditions and time
periods. At the end of the respective time periods, 20 µl/well of
assay reagent was added to the plates to measure total cell number.
Briefly, Cell Titer 96 assay solution is composed of a tetrazolium
salt, MTS, and an electron coupling reagent, PMS. The conversion of MTS
into its aqueous soluble formazan product is accomplished by
dehydrogenase enzymes found only in metabolically active cells. The
quantity of formazan product (as measured by absorbance at 490 nm) is
directly proportional to the number of living cells in culture. Plates
were then incubated at 37 C for 12 h in a humidified 5%
CO2 atmosphere before being directly assayed at
an absorbance of 490 nm using an ELISA plate reader. Background
absorbance was corrected for by subtracting the average 490 nm
absorbance from triplicate wells containing RPMI only from all other
absorbance values.
Mitogenesis was directly assayed by either measuring incorporation of
[3H]-thymidine (29) or by
incorporation of 5'-bromo-2'-deoxyuridine (BrdU) during DNA synthesis
(30). For measurement of
[3H]-thymidine incorporation, subconfluent
MCF-MUT and MCF-hGH cells in 24-well plates were grown in serum-free
RPMI at 37 C for 16 h. Cells were then incubated for 24 h in
RPMI ± B2036 to a final concentration of 600 nM. Each
cell line was plated in triplicate for each treatment.
[3H]-thymidine (1 mCi per well; 1 Ci = 37
GBq, Amersham Pharmacia Biotech) was added, and the cells
were incubated at 37 C for a further 8 h. Cells were rinsed twice
with ice-cold PBS and incubated with 1 ml ice cold 5% trichloroacetic
acid for 30 min at 4 C and 0.5 ml 0.5 N NaOH/0.5% SDS was
added subsequently at room temperature. Solubilized samples were
subjected to liquid scintillation counting in a scintillation counter.
For incorporation of 5'-bromo-2'-deoxyuridine (BrdU), subconfluent
MCF-MUT and MCF-hGH cells were washed twice with PBS and seeded to
glass coverslips in either serum-free RPMI medium or serum-free medium
supplemented with 100 nM hGH or serum-free medium
supplemented with 10% FBS for 24 h. Both cell types were
pulse-labeled with 20 µM BrdU for 30 min, washed twice
with PBS, and fixed in cold 70% ethanol for 30 min. BrdU detection was
performed by using the BrdU staining kit according to the
manufacturers instructions. A total population of over 400 cells was
analyzed in several arbitrarily chosen microscopic fields to determine
the BrdU labeling index (percentage of cells synthesizing DNA).
Measurement of apoptosis
Apoptotic cell death was measured by fluorescent microscopic
analysis of cell DNA staining patterns with Hoechst 33258. MCF-MUT and
MCF-hGH cells were trypsinized with 0.5% trypsin and washed twice with
serum-free medium. The cells were then seeded onto glass coverslips in
six-well plates and incubated in serum-free medium. After a culture
period of 24 h in the serum-free medium, the cells were fixed for
20 min in 4% paraformaldehyde in PBS, pH 7.4, at room temperature. The
cells were then rinsed twice in PBS and then stained with the
karyophilic dye Hoechst 33258 (20 µg/ml) for 10 min at room
temperature. Following washing with PBS, nuclear morphology was
examined under an utlraviolet-visible fluorescence microscope
(Carl Zeiss Axioplan). Apoptotic cells were distinguished
from viable cells by their nuclear morphology characterized by nuclear
condensation and fragmentation as well as the higher intensity of blue
fluorescence of the nuclei. For statistical analysis, 200 cells were
counted in eight random microscopic fields at 400x magnification. To
verify the methodology above we also used the terminal deoxynucleotidyl
transferase biotin-dUTP nick end labeling (TUNEL) assay. TUNEL was
performed on cells plated on glass coverslips using the in
situ death detection kit according to the manufacturers
instructions. The percentage of TUNEL-positive MCF-MUT or MCF-hGH cells
(relative to total cells) was determined by counting 400 cells in
1520 randomly chosen fields per coverslip on each of three coverslips
for each experiment.
Transient transfection and luciferase assays
STAT5 reporter assays were performed as previously described
(12). For CHOP and Elk-1 reporter assays, MCF-MUT and
MCF-hGH cells were cultured to 6080% confluence for transfection in
six-well plates. One microgram of reporter plasmid pFR-Luc was
transfected together with 20 ng of the respective fusion
trans-activator plasmid (pFA-CHOP, pFA-Elk-1 or pFC2-dbd)
and 2 µg of PCMVß (ß-galactosidase expression vector). For each
well, 4 µg of DOTAP for each microgram of DNA was used as per the
manufacturers instructions. DNA and the DOTAP reagents were diluted
separately in 100 µl of serum-free medium, mixed and incubated at
room temperature for 30 min. The DNA-lipid complex was diluted to a
final volume of 6 ml (for triplicate samples) with serum-free medium.
Cells in each well were rinsed once with 2 ml serum-free medium after
which 2 ml of diluted DNA-lipid complex was overlaid in each well and
incubated for 6 h. After incubation, serum free medium containing
2% FBS was added to each well so as to incubate the cells in 0.5%
serum for 1216 h. The cells were washed in PBS and lysed by a
freeze-thaw cycle with 300 µl of 1x lysis buffer (25
mM Tris-phosphate, pH 7.8, 2
mM EDTA, 2 mM
dithiothreitol, 10% glycerol, 1% Triton X-100), and the resulting
cell lysate was collected by centrifugation at 14,000 x
g for 15 min. The supernatant was used for the assay of
luciferase and ß-galactosidase activity. The luciferase activities
were normalized on the basis of protein content as well as on the
ß-galactosidase activity of pCMVß vector. The ß-galactosidase
assay was performed with 20 µl of precleared cell lysate according to
a standard protocol (31). Mean and standard deviations of
at least three independent experiments are shown in the figures.
Cell-substrate attachment assay
Attachment, operationally defined as the number of single
isolated cells or small cell aggregates resistant to shear forces, was
measured by a modification of a method previously described
(32). In brief, MCF-hGH and MCF-MUT cell lines were
maintained in 10% FBS-supplemented RPMI before being serum-deprived
for 12 h. Cells were then washed in 1x PBS, detached in
Ca2+- and Mg2+-free
PBS-based cell-dissociation buffer (137 mM NaCl, 2.7
mM KCl, 4.3 mM
Na2HPO4, 1.4 mM
KH2PO4) and collected by
centrifugation at 300 x g for 10 min. Cells were
resuspended in serum-free media (SFM) and plated in a cross-wise mixing
movement on rat-tail tendon collagen-coated dishes (5
µg/cm2, according to manufacturers
instructions) to a final concentration of 1 x
104 cells in a total volume of 2 ml, and
incubated for various time periods. Media was then gently aspirated,
the dishes rinsed twice in fresh SFM to remove unattached cells, and
the number of attached cells were counted under a microscope eyepiece
grid. Data are expressed as the mean number of cells per grid field (±
SD). Ten grid fields were counted for each cell
line at each experimental condition.
Single-cell spreading assays
Cell spreading in single cell preparations was measured by
counting the number of cells that possessed a spread morphology
(epitheliod, phase-dark with lamelloid extensions) in each microscope
field (33). Spread cells were expressed as the proportion
of total cells attached in each respective microscope field (±
SD). Ten grid fields were counted for each experimental
condition.
Statistics
All experiments were repeated at least three to five times. All
numerical data are expressed as mean ± SD. Data were
analyzed using the two-tailed t test or ANOVA.
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Results
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Effect of B2036 on autocrine hGH stimulated JAK2 tyrosine
phosphorylation
We have previously demonstrated that autocrine production of hGH
in mammary carcinoma cells increases the phosphotyrosine content of
JAK2 upon attachment to a collagen matrix (13). To
determine if JAK2 is differentially tyrosine-phosphorylated in MCF-hGH
and MCF-MUT cells cultured under serum-free conditions, we
immunoprecipitated JAK2 from cell extracts prepared from MCF-hGH and
MCF-MUT cells after a 12-h incubation in serum-free medium. SDS-PAGE
and subsequent western blotting for phosphotyrosine demonstrated an
increased phosphotyrosine content of JAK2 in MCF-hGH, compared with
MCF-MUT cells (Fig. 1A
). JAK2 protein was
identified as a single band at 130 kDa. Addition of 600 nM
B2036 to the medium during the 12 h incubation of MCF-hGH cells in
serum-free medium resulted in an equivalent level of JAK2 tyrosine
phosphorylation to that observed with MCF-MUT cells in the absence or
presence of 600 nM B2036 in serum-free medium. Expression
of JAK2 has previously been demonstrated to be equivalent between
MCF-MUT and MCF-hGH cells (12). Equal amounts of JAK2
protein were immunoprecipitated at all points as indicated by the
loading control (Fig. 1B
). Thus, autocrine production of hGH in mammary
carcinoma cells increases the phosphotyrosine content of JAK2 via
interaction with the hGH receptor.

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Figure 1. Effect of B2036 on autocrine hGH-stimulated JAK2
tyrosine phosphorylation. JAK2 tyrosine phosphorylation (A) in MCF-7
cells stably transfected with the hGH gene but with the start codon
mutated to TTG (MCF-MUT) or in MCF-7 cells stably transfected with the
hGH gene (MCF-hGH) in the presence or absence of 600 nM
B2036. Cell lysates were prepared and equalized for protein content and
JAK2 was immunoprecipitated with rabbit polyclonal anti-JAK2 as
described in Materials and Methods. Immunoprecipitates
were subjected to SDS-PAGE and Western blot analysis for
phosphotyrosine using PY20 monoclonal antibody. The loading control for
JAK2 is shown in (B). Phosphorylated-JAK2 and JAK2 were detected as
bands migrating at 130 kDa. The data are representative of at least
three separate experiments.
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Autocrine hGH stimulated mammary carcinoma cell proliferation is
inhibited by B2036
We have previously demonstrated that autocrine production of hGH
in MCF-hGH cells results in increased cell number under both
serum-deficient and serum containing conditions in comparison to
MCF-MUT cells (12). To determine if the autocrine hGH
stimulated increase in cell number was mediated by autocrine hGH
interaction with the hGH receptor we estimated total MCF-MUT and
MCF-hGH cell number in the absence or presence of increasing
concentrations of B2036 in serum-free medium after 24 (Fig. 2A
) and 48 h (Fig. 2B
).
Concentrations of B2036 ranging from 100 to 1000 nM did not
affect MCF-MUT total cell number in comparison to MCF-MUT cells
cultured in the absence of B2036 after either 24 (Fig. 2A
) or 48 h
(Fig. 2B
). In contrast, B2036 prevented the autocrine hGH stimulated
increase in cell number observed in MCF-hGH cells cultured in
serum-free media after both 24 and 48 h (Fig. 2C
) The minimal
concentration of B2036 required to effect full inhibition of the
autocrine hGH-stimulated increases in cell number was observed at 600
nM. This same concentration of B2036 was also able to
completely inhibit the increase in cell number due to the synergistic
effect of autocrine hGH with heterologous factors in serum (Fig. 2D
).
Therefore, increases in cell number observed in MCF-hGH cells compared
with MCF-MUT cells, due to autocrine production of hGH, were completely
inhibited by B2036 in both serum deficient and serum containing
conditions.

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Figure 2. Autocrine hGH-stimulated increase in mammary
carcinoma cell number is inhibited by B2036. Increase in total cell
number of MCF-7 cells stably transfected with the hGH gene but with the
start codon mutated to TTG (MCF-MUT) or in MCF-7 cells stably
transfected with the hGH gene (MCF-hGH) in serum-free media in the
presence of increasing concentrations of B2036 after 24 (A) and 48 (B)
h. The increase in MCF-MUT and MCF-hGH cell number when grown in
serum-free media (C) or in media containing 10% FBS (D) ± 600
nM B2036 after both 24 and 48 h was also estimated.
The effect of B2036 on exogenous hGH stimulated increase in total
MCF-MUT cell number is presented in (E). Total cell number was
estimated as described in Materials and Methods. Results
represent means ± SD of triplicate determinations.
Results presented are representative of at least three (usually five to
seven) independent experiments. c, P < 0.001
between paired values. ***, P < 0.001 between cell
spreading at 24 and 48 h vs. the beginning of the
experiment. **, P < 0.001 between MCF-hGH and
MCF-MUT for the corresponding time intervals. 2+,
P < 0.001 between MCF-hGH in either SFM
vs. MCF-hGH in B2036-supplemented medium for the
corresponding concentration.
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We also examined the ability of B2036 to inhibit the increase in cell
number stimulated by treatment of MCF-MUT cells with 100 nM
exogenous hGH (Fig. 2E
). Exogenous hGH increased MCF-MUT cell number as
previously described (12). B2036 inhibited the hGH
stimulated increase in cell number in a dose-dependent manner with 50%
inhibition of the exogenous hGH stimulated increase in cell number
observed at approximately 100 nM B2036. Complete inhibition
of the exogenous hGH stimulated increase in cell number was achieved at
200 nM B2036.
Because the increase in cell number observed in MCF-hGH compared with
MCF-MUT cells could also be due to prevention of apoptosis (see below),
we therefore examined the effect of autocrine production of hGH in
mammary carcinoma cells on the number of cells in S-phase using assays
measuring either [3H]-thymidine (Fig. 3
) or 5'-bromo-2'-deoxyuridine (BrdU)
incorporation (Fig. 4
). MCF-hGH cells
cultured in serum-free medium incorporated significantly more
[3H]-thymidine than MCF-MUT cells cultured
under the same conditions (Fig. 3
). Treatment of MCF-hGH cells with 600
nM B2036 reduced the level of
[3H]-thymidine incorporation to that observed
in MCF-MUT cells in the absence of B2036 (Fig. 3
). Six hundred
nanomolar B2036 did not reduce the level of
[3H]-thymidine incorporation in MCF-MUT cells
(Fig. 3
). Similarly, the percentage of MCF-hGH cells (Fig. 4A
) in
S-phase as determined by the incorporation of BrdU was significantly
higher than that observed in MCF-MUT cells (Fig. 4A
). Treatment of
MCF-hGH cells with 600 nM B2036 in serum-free media (Fig. 4A
) also reduced the percentage of cells with BrdU incorporation to
that observed in MCF-MUT cells in the absence of B2036 (Fig. 4
).

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Figure 3. Effect of B2036 on autocrine hGH stimulated
[3H]-thymidine incorporation.
[3H]-thymidine incorporation in MCF-7 cells stably
transfected with the hGH gene but with the start codon mutated to TTG
(MCF-MUT) or in MCF-7 cells stably transfected with the hGH gene
(MCF-hGH) in serum-free media ± 600 nM B2036.
[3H]-thymidine incorporation assays were performed as
described in Materials and Methods. Results represent
means ± SD of triplicate determinations. Results
presented are representative of at least three (usually five to seven)
independent experiments. c, P < 0.001 between
paired values.
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Figure 4. Effect of B2036 on autocrine hGH stimulated
5'-bromo-2'-deoxyuridine incorporation. 5'-bromo-2'-deoxyuridine (BrdU)
incorporation in MCF-7 cells stably transfected with the hGH gene but
with the start codon mutated to TTG (MCF-MUT) or in MCF-7 cells stably
transfected with the hGH gene (MCF-hGH) in serum-free media in the
absence and presence of 600 nM B2036 (A). The effect of
B2036 on the exogenous hGH stimulated increase in BrdU incorporation in
MCF-MUT cells was also examined (B). BrdU incorporation assays were
performed as described in Materials and Methods. For
statistical analysis, approximately 400 cells were counted in each of
eight random microscopic fields. Results represent means ±
SD of triplicate determinations of the percentage of cell
nuclei incorporating BrdU. Results presented are representative of at
least three (usually five to seven) independent experiments. c,
P < 0.001 between paired values. SF, Serum-free.
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We also examined the ability of B2036 to inhibit the increase in BrdU
incorporation stimulated by treatment of MCF-MUT cells with 100
nM exogenous hGH. Exogenous hGH increased the nuclear
incorporation of BrdU in MCF-MUT cells as may be observed in Fig. 4B
.
B2036 inhibited the hGH-stimulated increase in BrdU incorporation in a
dose-dependent manner with 50% inhibition of the exogenous hGH
stimulated increase in BrdU incorporation observed at approximately 100
nM B2036. Complete inhibition (loss of statistical
significance) of the exogenous hGH stimulated increase in BrdU
incorporation was achieved at 200 nM B2036.
Effect of B2036 on the protection from apoptosis afforded by
autocrine production of hGH
One mechanism by which autocrine hGH may also contribute to
an increase in total MCF-hGH cell number is by offering protection from
apoptotic cell death. GH has previously been demonstrated to be
protective against apoptosis (34). We therefore first
examined the ability of both exogenous and autocrine hGH to protect MCF
cells against apoptosis induced by serum withdrawal (Fig. 5
). MCF-MUT cells were therefore
incubated for 24 h in serum-free media or in serum-free media
containing 100 nM hGH and the level of apoptosis compared
with that of MCF-hGH cells in serum-free media. Addition of 100
nM exogenous hGH only marginally reduced the level of
apoptosis of MCF-MUT cells in serum-free media (from 36% in SFM to
31% in SFM supplemented with 100 nM hGH). However,
autocrine production of hGH in MCF-hGH cells afforded dramatic
protection from apoptosis in comparison to MCF-MUT cells in the
presence or absence of 100 nM exogenous hGH (Fig. 5A
).
Treatment of MCF-hGH cells with 600 nM B2036 reversed the
inhibition of apoptosis afforded by the autocrine production of hGH
(Fig. 5A
). We also verified these results by use of the TUNEL assay
which labels DNA strand breaks with biotin-dUTP by use of exogenous
terminal deoxynucleotidyl transferase (Fig. 5B
). Thus, protection of
mammary carcinoma cells from apoptotic cell death by autocrine hGH is
mediated via the hGH receptor.

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Figure 5. Effect of B2036 on the protection from apoptosis
afforded by autocrine production of hGH. Apoptotic cell death was
quantified in MCF-7 cells stably transfected with the hGH gene but with
the start codon mutated to TTG (MCF-MUT) or in MCF-7 cells stably
transfected with the hGH gene (MCF-hGH) in serum-free media ± 600
nM B2036. Apoptotic cell death was determined by
fluorescent microscopic analysis of cell DNA staining patterns with
Hoechst 33258 (A) or by TUNEL (B) as described in Materials and
Methods. The results are presented as means ±
SD. Results presented are representative of at least three
(usually five to seven) independent experiments. c,
P < 0.001 between paired values.
|
|
Effect of B2036 on autocrine hGH stimulated transcriptional
activation mediated via STAT5, CHOP, or Elk-1
We have previously demonstrated that autocrine production of hGH
in mammary carcinoma cells results in increased levels of transcription
mediated via STAT5 (12). GH has also been demonstrated to
use the p44/42 MAP kinase-dependent transcription factor Elk-1
(35, 36) and the p38 MAP kinase-dependent transcription
factor CHOP (35). We therefore examined if autocrine hGH
stimulation of STAT5 (Fig. 6A
), CHOP
(Fig. 6B
) and Elk-1 (Fig. 6C
) transcription was mediated via the hGH
receptor. To measure the transcriptional response mediated by STAT5
(Fig. 6A
), we used a luciferase reporter plasmid containing three
copies of the GAS-like element from the serine protease inhibitor 2.1
gene promoter (SPI-GLE1-LUC) (37). This GAS-like element
utilizes either STAT5a or STAT5b to mediate transcriptional activation
(28). MCF-hGH cells possessed a significantly higher level
of STAT5 mediated transcription compared with MCF-MUT cells when grown
in serum free medium (Fig. 6A
). Treatment of MCF-hGH cells with 600
nM B2036 in serum-free medium largely abrogated the ability
of autocrine hGH to stimulate STAT5 mediated transcription (Fig. 6A
).
To determine if autocrine production of hGH resulted in CHOP or
Elk-1-dependent transcription we used a trans-activation
reporter assay specific for either CHOP (Fig. 6B
) or Elk-1 (Fig. 6C
).
We therefore first transiently transfected both MCF-MUT and MCF-hGH
cells with the fusion trans-activator plasmid pFA-CHOP
consisting of the DNA binding domain of GAL4 (residue 1147) and the
transactivation domain of CHOP together with the luciferase reporter
plasmid (pFA-Luc) and pCMVß vector, respectively. The luciferase
activities were measured and normalized on the basis of protein content
as well as on the ß-galactosidase activity of the pCMVß vector.
Autocrine hGH production by MCF-hGH cells resulted in higher CHOP (Fig. 6B
) mediated transcriptional activation compared with MCF-MUT cells.
Autocrine hGH failed to stimulate CHOP mediated reporter expression in
cells transfected with a plasmid encoding the GAL4 DNA binding domain
(residue 1147) lacking an activation domain, indicative that the CHOP
transcriptional activation domain is required for hGH-stimulated
reporter expression (Fig. 6B
). Treatment of MCF-hGH cells with 600
nM B2036 in serum-free medium abrogated the
ability of autocrine hGH to stimulate CHOP mediated transcription (Fig. 6B
). We also used a trans-activation reporter assay specific
for Elk-1 (Fig. 6C
) to determine whether autocrine hGH can stimulate
Elk-1-dependent transcription. We demonstrated an autocrine
hGH-dependent transcriptional activation of Elk-1 (Fig. 6C
) in MCF-hGH
cells compared with MCF-MUT cells. hGH failed to stimulate Elk-1
mediated reporter expression in cells transfected with a plasmid
encoding the GAL4 DNA binding domain (residue 1147) lacking an
activation domain, indicative that the Elk-1 transcriptional activation
domain is required for hGH-stimulated reporter expression (Fig. 6C
).
Treatment of MCF-hGH cells with 600 nM B2036 in
serum-free medium also abrogated the ability of autocrine hGH to
stimulate Elk-1 mediated transcription (Fig. 6C
). Thus, autocrine hGH
stimulated increases in STAT5, CHOP and Elk-1 mediated transcription
are all mediated via the hGH receptor.

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Figure 6. Effect of B2036 on autocrine hGH-stimulated
transcriptional activation mediated via STAT5, CHOP or Elk-1.
Transcriptional response mediated through either STAT5 (A), CHOP (B) or
Elk-1 (C) in MCF-7 cells stably transfected with the hGH gene but with
the start codon mutated to TTG (MCF-MUT) or in MCF-7 cells stably
transfected with the hGH gene (MCF-hGH) in the presence and absence of
600 nM B2036. A comparison of the efficacy of inhibition by
B2036 of STAT5 mediated transcription by exogenous vs.
autocrine produced hGH is presented in (D). Cells were cultured to
confluency and transiently transfected with the respective plasmids and
luciferase assays performed as described in Materials and
Methods. Results are presented as the relative luciferase
activity normalized to constitutive ß-galactosidase expression and
are given as means ± SD of triplicate determinations.
Results presented are representative of at least three (usually five to
seven) independent experiments. c, P < 0.001
between paired values. SF, Serum-free.
|
|
We also compared the relative efficacy of the inhibition by B2036 on
STAT5 mediated transcription stimulated by either exogenous hGH (100
nM) or autocrine produced hGH. As previously published,
autocrine hGH stimulation of MCF cells resulted in a higher level of
STAT5 mediated transcription than that obtained by exogenous hGH
(12). STAT5 mediated gene transcription stimulated by
autocrine production of hGH was also more resistant to inhibition than
that observed with exogenous hGH (Fig. 6D
), as previously demonstrated
by use of another hGH receptor antagonist (hGH-G120R)
(28).
Effect of B2036 on cell attachment and spreading on a collagen
matrix
We have previously demonstrated that autocrine hGH dramatically
enhances the rate of MCF cell spreading on, but not attachment to, a
collagen matrix (13). To determine whether the autocrine
hGH enhancement of cell spreading is mediated via the hGH receptor, we
therefore examined the level of attachment (Fig. 7A
) and cell spreading (Fig. 7B
) of
MCF-MUT and MCF-hGH cells in the presence of
increasing concentrations of B2036. Concentrations of B2036 ranging
from 0 to 1000 nM had no effect on the percentage of either
MCF-MUT or MCF-hGH cells attaching to a collagen matrix. This is
concordant with our observation that neither autocrine nor exogenous
hGH alters the rate of attachment of MCF cells to a collagen matrix
(13). In contrast, increasing concentrations of B2036
resulted in a dose-dependent inhibition of the ability of autocrine hGH
to enhance the rate of cell spreading (Fig. 7B
). Maximal inhibition of
the rate of spreading of MCF-hGH cells occurred first at 600
nM B2036. Concentrations of B2036 from 600-1000
nM reduced the rate of spreading of MCF-hGH cells to that
observed with MCF-MUT cells indicative that the autocrine hGH
enhancement of cell spreading observed in MCF-hGH cells (Fig. 7B
) was
mediated via the hGH receptor. Concentrations of B2036 from 100 to 1000
nM did not alter the rate of cell spreading in MCF-MUT
cells.

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Figure 7. Effect of B2036 on cell attachment and spreading
on a collagen matrix. MCF-7 cells were stably transfected either with
the hGH gene but with the start codon mutated to TTG (MCF-MUT) or with
the hGH gene (MCF-hGH). Single cells were allowed to adhere to
collagen-coated dishes in serum-free medium alone or in serum-free
medium supplemented with the indicated concentrations of B2036. After
30 min, dishes were washed to remove nonadherent cells as described in Materials and
Methods. Cell attachment (cells/field; A) and cell spreading
(% total number of attached cells spread; B) were measured and are
presented as the mean ± SD of triplicate
determinations (n = 10). The morphology of MCF-MUT and MCF-hGH
cells ± 600 nM B2036 is shown in (C). Results
presented are representative of at least three (usually five to seven)
independent experiments. *P < 0.01,
**P < 0.001 between MCF-MUT and MCF-hGH for the
corresponding concentration of B2036.
|
|
 |
Discussion
|
|---|
We have demonstrated that, under the conditions used in this
study, the hGH receptor specific antagonist B2036 is able to antagonize
the proliferative, antiapoptotic, transcriptional and morphological
effects of autocrine hGH in mammary carcinoma cells. It is therefore
evident that autocrine hGH production in mammary carcinoma cells exerts
its effects on cell behavior by specific interaction with the hGH and
not the hPRL receptor (under conditions studied here). Interestingly,
the examined effects of exogenously added hGH were also inhibited by
B2036 indicative that exogenous hGH also utilizes the hGH receptor to
alter mammary carcinoma cell function. How the current study (and
discussion below) relates to the inability of a hGH mutant that only
activates the hGH receptor (and not the PRL receptor) to stimulate
STAT5 phosphorylation in T-47D human mammary carcinoma cells is not
certain (16). It has, however, been conclusively
demonstrated that B2036 does not bind, activate, or antagonize PRL
receptors of either rat or human origin (20). It should
also be noted that B2036 less effectively inhibits the cellular
responses mediated by autocrine production of hGH in comparison to
exogenous hGH and especially when considered on a molar basis. We have
also observed this phenomenon with the use of another hGH (and hPRL)
receptor antagonist, hGH-G120R (28). There are several
possibilities for the relative resistance of endogenously produced hGH
to inhibition by B2036 in comparison to exogenously added hGH: 1)
endogenously produced hGH and hGH receptor may interact intracellularly
directly after synthesis. Although, hGH receptor antagonists are
internalized into the cell (38) they may be differentially
compartmentalized such that they are unable to effect inhibition of the
intracellular receptor. GH has been postulated to signal through an
intracellular receptor as have other peptide growth factors
(39); 2) the endogenously produced hGH is presumably
secreted in low continuous quantities in comparison to both hGH and
B2036 where they are added only once to the media. Because B2036 would
be internalized into the cell and subject to degradation, the
concentration of B2036 would decline over a period of time whereas
endogenously produced hGH would continue to be secreted. Thus, higher
effective concentrations of B2036 would be required to be added to the
media to extinguish the effects of continuously produced hGH in
comparison to one single addition of exogenous hGH; and 3) the secreted
endogenous hGH may be delivered in closer proximity to the membrane
bound receptor and at higher microenviroment concentrations than B2036,
which is distributed throughout the medium. Thus, higher total
concentration of B2036 would be required to compete with differing
microenviroment concentrations of hGH.
The pivotal role of GH in mammary gland biology is now better defined
largely due to the efforts of Kleinberg and colleagues
(40, 41, 42, 43). Thus, GH is now believed to be the pituitary
factor that is responsible for mammary ductal morphogenesis
(43) and not PRL as previously thought (11).
Also distinct roles for GH and PRL in the mammary gland have been
defined by other investigators (for review see Ref. 44).
It is evident, however, that the effects of GH on ductal morphogenesis
are completely mediated by IGF-1 either in an endocrine or
autocrine/paracrine fashion (45). It has been demonstrated
that mice transgenic for hGH develop metastatic mammary adenocarcinoma
(46). However, when mice were generated expressing the
somatogenic specific ligand, bGH, no neoplastic alteration of the
mammary gland was observed (47), indicative that in
rodents specific stimulation via the PRL and not the GH receptor was
required for development of mammary adenocarcinoma. Whether such
receptor specific actions are relevant to the primate is not certain.
It has been reported that intramuscular injection of hGH 2 days before
chemotherapy in patients with advanced breast cancer induced a 2-fold
increase in the proliferative activity of the tumor cells
(48). Furthermore, Ng et al. (49),
have demonstrated that administration of hGH to aged female rhesus
monkeys increased both mammary glandular size and the epithelial
proliferation index of the mammary gland (49). It remains
to be determined whether the autocrine production of hGH by the primate
mammary gland is of clinical consequence although autocrine production
of GH has already been linked to the development of mammary carcinoma
in a canine model (50).
We have demonstrated here that autocrine production of hGH offers
potent protection from apoptotic cell death. GH has previously
demonstrated to prevent apoptotic cell death under different
experimental conditions (51, 52, 53, 54, 55). Autocrine hGH was
demonstrated to be a potent inhibitor of apoptosis in mammary
carcinoma, whereas exogenously administered hGH offered minimal
protection. It is not clear why such differences in apoptotic
protection exists between autocrine hGH and exogenously administered
hGH but autocrine hGH has also been demonstrated to more potently
stimulate both total increase in mammary cell number (12)
and cell spreading (13) in comparison to exogenous hGH.
Interestingly though, exogenous hGH stimulated BrdU incorporation in
MCF cells to a similar extent to that observed with autocrine
production of hGH. The observed differences between autocrine hGH and
exogenous hGH in prevention of apoptosis may presumably relate to a
differential ability of autocrine hGH vs. endocrine hGH to
regulate the expression of genes involved in apoptotic protection. We
are currently cataloging genes which are differentially regulated by
autocrine production of hGH in comparison to exogenous hGH in mammary
carcinoma cells (see below) to identify the basis of the differential
action of autocrine vs. endocrine hGH.
We have demonstrated here that autocrine hGH stimulation of cells
results in the transcriptional activation of CHOP. chop,
also known as gadd153 (growth arrest and DNA damage) is a
mammalian gene that encodes for a small nuclear protein related to the
CCAAT/enhancer binding protein (C/EBP) family of transcription factors
(56). We have previously demonstrated that hGH stimulation
of CHO cells stably transfected with GH receptor complementary DNA
(CHO-GHR1638 cells) resulted in CHOP
transcriptional activation in a p38 MAP kinase-dependent manner
(35). CHOP was initially proposed to be involved in cell
cycle arrest and apoptosis (57, 58, 59). It is therefore
interesting that we observed hGH stimulated proliferation, both in
CHO-GHR1638 cells and in autocrine hGH
producing mammary carcinoma cells (12), to be p38 MAP
kinase dependent. We have recently demonstrated that the
chop gene is differentially regulated by autocrine
production of hGH in mammary carcinoma cells in comparison to
exogenously applied hGH (Mertani, H. C., T. Zhu, K. O. Lee, G.
Morel, and P. Lobie, manuscript submitted). Thus autocrine production
of hGH results in a dramatic up-regulation of CHOP mRNA and protein and
subsequent CHOP-mediated transcription (Mertani, H. C., T. Zhu,
K. O. Lee, G. Morel, and P. Lobie, manuscript submitted). We have
further demonstrated that overexpression of CHOP dramatically enhances
the otherwise poor ability of exogenous hGH to protect mammary
carcinoma cells from apoptosis. This is concordant with a recent study
in which the level of CHOP mRNA was demonstrated to be significantly
higher in breast carcinoma than in normal tissue controls
(60). Exogenous hGH exhibits minimal effects on
transcription of the chop gene, which may offer another
explanation for the relative inefficacy of apoptotic protection of
exogenous hGH. In any case, up-regulation of the chop gene
and subsequent increases in CHOP-mediated transcription is one
mechanism by which autocrine hGH regulates mammary carcinoma cell
number.
We have also demonstrated here that autocrine hGH results in an
enhancement of Elk-1 mediated transcription. GH-stimulated
transcriptional regulation mediated by Elk-1 has previously been
demonstrated to be mediated exclusively via p44/42 MAP kinase
(35, 36). We have also previously demonstrated that
autocrine hGH-stimulated mammary carcinoma cell proliferation could be
completely inhibited with either the inhibitor for MEK1 (PD98058) or
the inhibitor for p38 MAP kinase (SB203580) (12). GH has
been reported to use Elk-1 to mediate GH induced transcription of egr-1
(61), which may provide a mechanism for the p44/42 MAP
kinase-dependent component of GH-stimulated mammary carcinoma cell
proliferation.
In conclusion, we have demonstrated that autocrine production of hGH
affects the behavior of mammary carcinoma cells including the
regulation of cell number by mitogenesis and prevention of apoptosis,
transcriptional activation and changes in cell morphology. We show
using the hGH receptor-specific antagonist that all of the examined
changes in mammary carcinoma cell behavior stimulated by the autocrine
production of hGH are mediated through the hGH receptor under the
conditions studied here. Should autocrine production of hGH by mammary
carcinoma cells be demonstrated to negatively alter the clinical
prognosis of breast cancer, then use of specific hGH receptor
antagonists such as B2036 could be entertained.
 |
Footnotes
|
|---|
1 Supported by the National Science and Technology Board of Singapore
(P.E.L.) and The National Medical Research Council (K.O.L.). 
2 These authors contributed equally to this work. 
Received August 7, 2000.
 |
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