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Endocrinology Vol. 142, No. 9 3791-3799
Copyright © 2001 by The Endocrine Society


ARTICLES

A-Ring Reduced Metabolites of 19-nor Synthetic Progestins as Subtype Selective Agonists for ER{alpha}

Fernando Larrea, Rocio García-Becerra, Ana E. Lemus, Gustavo A. García, Gregorio Pérez-Palacios, Kathy J. Jackson, Kevin M. Coleman, Roslyn Dace, Carolyn L. Smith and Austin J. Cooney

Department of Reproductive Biology (F.L., R.G.-B.), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico 14000; Department of Reproductive Biology (A.E.L.), Universidad Autónoma Metropolitana-Iztapalapa, Mexico City, Mexico 09340; Facultad de Química (G.A.G.), Universidad Nacional Autónoma de México, Mexico City, Mexico 04510; School of Medicine (G.P.-P.), Universidad Nacional Autónoma de México, Mexico City General Hospital, Mexico 06726; and Department of Molecular and Cellular Biology (K.J.J., K.M.C., R.D., C.L.S., A.J.C.), Baylor College of Medicine, Houston, Texas 77030

Address all correspondence and requests for reprints to: Fernando Larrea, M.D., Department of Reproductive Biology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Quiroga No. 15, México D. F., C. P. 14000, México. E-mail: larrea{at}conacyt.mx


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It has previously been demonstrated that 19-nor contraceptive progestins undergo in vivo and in vitro enzyme-mediated A-ring double bond hydrogenation. Bioconversion of 19-nor progestins to their corresponding tetrahydro derivatives results in the loss of progestational activity and acquisition of estrogenic activities and binding to the ER. Herein, we report subtype-selective differences in ligand binding and transcriptional potency of nonphenolic synthetic 19-nor derivatives between ER{alpha} and ERß. In this study, we have examined both ER- and PR-mediated transcriptional activity of a number of A-ring chemically reduced derivatives of norethisterone and Gestodene. Double bond hydrogenation decreased the transcriptional potency of norethisterone and Gestodene through both PR isoforms with a 100- to 1,000-fold difference, respectively. In terms of the effects of norethisterone and Gestodene and their corresponding 5{alpha}-dihydro (5{alpha}-norethisterone and 5{alpha}-Gestodene), or 3{alpha},5{alpha}-tetrahydro or 3ß,5{alpha}-tetrahydro derivatives (3{alpha},5{alpha}-norethisterone/3{alpha},5{alpha}-Gestodene and 3ß,5{alpha}-norethisterone/3ß,5{alpha}-Gestodene, respectively) on estrogen-mediated transcriptional regulation, the 3ß,5{alpha}-tetrahydro derivatives of both norethisterone and Gestodene showed the highest induction when HeLa cells were transiently transfected with an expression vector for ER{alpha}. This activity could be inhibited with tamoxifen. These compounds did not activate gene transcription via ERß, and none of them showed antagonistic activities through either ER subtype. The 3ß,5{alpha}-tetrahydro derivatives of both norethisterone and Gestodene were active in other cells in addition to HeLa cells and activated reporter expression through the oxytocin promoter. In summary, two ER{alpha} selective agonists have been identified. These compounds, with ER{alpha} vs. ERß selective agonist activity, may be useful in evaluating the distinct role of these receptors as well as in providing useful insights into ER action.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE ER, WHICH is a member of the nuclear receptor superfamily, functions as a hormone-dependent transcription factor (1). Transactivation by the ER is mediated by two activation functions (AF): AF-1 is located in the N-terminal domain, and AF-2 is located in the C-terminal ligand-binding domain of the receptor (2). Recently, a novel ER isoform was identified that is preferentially expressed in human and rat ovary and prostate (3). This receptor has been named ERß to distinguish it from the classical ER{alpha}. Although the biological significance of the existence of two ER subtypes is still unclear, the relative homology (60%) between their respective ligand binding domains (4) raises the possibility of the existence of natural or synthetic ligands with unique binding characteristics for ER{alpha} and ERß subtypes. Thus, the differential expression and unique ligand binding specificities of the ER subtypes could provide an explanation for the pleotropic actions of estrogens in many target tissues (5, 6). We, and others, have previously demonstrated that 19-nor progestins are bio-transformed into several metabolites that exhibit altered hormone properties in target tissues (7, 8, 9, 10). A-ring reduction of 19-nor T derivatives such as norethisterone (NET), Gestodene (GSD), and levonorgestrel (LNG) to their corresponding 5{alpha}-dihydro and 3ß,5{alpha}-tetrahydro metabolites significantly reduces their progestational activity. Although the dihydro-reduced metabolites bind mainly to PRs, the tetrahydro-reduced metabolites lose their progestational activity and demonstrate significant binding affinity for the ER with in vivo estrogenic effects (9, 10, 11, 12, 13). These observations support the idea that a given steroid can induce selective and even opposing effects in a variety of organs and tissues depending on its metabolic fate, the availability of steroid receptors, and the presence of different subsets of available steroid-responsive promoters and cofactors.

In the present study, we have evaluated the estrogenic activities of NET and GSD and their metabolites using transient transfections in HeLa and CHO cells with an estrogen response element driven chloramphenicol acetyltransferase (CAT) reporter or the oxytocin luciferase reporter and expression vectors for either ER{alpha} or ERß. The results demonstrated that at low concentrations the 3ß,5{alpha}-tetrahydro derivatives of both NET and GSD (3ß,5{alpha}-NET and 3ß,5{alpha}-GSD, respectively) selectively activate ER{alpha}, whereas a weak ERß agonistic activity was observed only with the 3ß,5{alpha}-NET derivative at very high concentrations. It appears, therefore, that there are some unique features in the structure of these compounds that promote specific binding to ER{alpha} and transactivation via this receptor.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
Nonradioactive E2 was purchased from Sigma (St. Louis, MO). [2,4,6,7-3H]Estradiol ([3H]E2; specific activity 72 Ci/mmol) and [3H]chloramphenicol (specific activity 38.9 Ci/mmol) were purchased from NEN Life Science Products Research products (Boston, MA). Radioactivity was determined in a Beckman Coulter, Inc. LS6500 scintillation system (Beckman Coulter, Inc., Fullerton, CA) using Biodegradable Counting Scintillant (Amersham Pharmacia Biotech, Piscataway, NJ) as counting solution. Cell culture medium was purchased from Life Technologies, Inc. (Grand Island, NY). FBS was from HyClone Laboratories, Inc. (Logan, UT). All other solvents and reagents used were of analytical grade. Authentic NET (17{alpha}-ethynyl-17ß-hydroxy-4-estren-3-one) and GSD (13ß-ethyl-17{alpha}-ethynil-17ß-hydroxy-4,15-gonadien-3-one) were kindly provided by Schering AG Mexicana, S.A. (Mexico City) and Schering AG (Berlin, Germany), respectively. Synthesis of the corresponding 5{alpha}-dihydro (5{alpha}-NET and 5{alpha}-GSD), and the 3{alpha},5{alpha}- (3{alpha},5{alpha}-NET and 3{alpha},5{alpha}-GSD) and 3ß,5{alpha}- (3ß,5{alpha}-NET and 3ß,5{alpha}-GSD) tetrahydro derivatives, including the description of their corresponding physical and spectroscopic constants has been previously described (12, 13).

Plasmids
The pLEN-hPRA was constructed by inserting the full-length human progesterone receptor (PRA) cDNA into the BamHI site of the pLEN mammalian expression vector (14). The pLEN-hPRB was generated by inserting the full-length human PRB cDNA into the BamHI site of the pLEN vector. The expression vectors for human ER{alpha} and ERß (pCMV5-hER{alpha} and pCMV5-hERß) containing the coding sequence of the ER{alpha} and ERß were kindly provided by Drs. B. S. Katzenellenbogen, University of Illinois (Urbana, IL) and J.-Å. Gustafsson, Karolinska Institute (Huddinge, Sweden), respectively. The estrogen responsive reporter plasmid (ERE-E1b-CAT) contains a fragment of the vitellogenin A2 gene promoter (positions -331 to -87) upstream of the adenovirus E1b TATA box fused to the chloramphenicol acetyltransferase (CAT) gene (15). The progesterone responsive reporter plasmid (PRE-E1b-CAT) was used as a reporter for PRA and PRB (16). The oxytocin reporter, pROLUC, has been previously described (17).

Transfections and reporter assays
HeLa and CHO cells were plated the day before transfections, at a density of 3.0 x 105 cells/well/6-well plate, in DMEM without phenol red (DMEM-HG), which was supplemented with 5% stripped FBS and 100 U/ml of penicillin and 100 µg/ml streptomycin; and incubated in 5% CO2 at 37 C. The next day, the HeLa or CHO cells were visualized on a microscope to verify that the cell density was 30–50% confluent. Transfections were performed in triplicate using SuperFect (QIAGEN Inc., Valencia, CA) or Lipofectamine (Life Technologies, Inc., Gaithersburg, MD) according to the protocol provided by the manufacturer. Briefly: serum-free media (0.1 ml) was aliquoted and DNA added (1 µg of the reporter gene plasmid and 0.025–0.5 µg of the expression vector depending upon whether ER or PR assays were being performed), after vortexing, 10 µl of SuperFect reagent was added and vortexed for 10 sec. Following incubation at room temperature for 5–10 min, 0.6 ml of supplemented DMEM-HG was added to each sample. The medium containing the transfection complexes was added to the cell monolayer, which had previously been rinsed with PBS. The plates were incubated for 3 h at 37 C in 5% CO2. After incubation, the plates containing the transfection complexes were rinsed with PBS and 3 ml of supplemented DMEM-HG was added to each well. Lipofectamine transfections were performed as previously described (18). Twenty-four hours later, the medium was replaced with medium containing the compounds of interest at various concentrations (10-12–10-6 M). Dimethyl sulfoxide or ethanol was used as vehicle. CAT activity using 5 µg of protein, 10 µg of butyryl coenzyme-A (Sigma MO), 2 x 105 cpm of xylene-extracted [3H]chloramphenicol in 0.25 M Tris-HCl, pH 8.0, was assayed as previously described (19, 20, 21). For the luciferase assays, 48 h after transfection the cells were rinsed 1x with PBS without Ca2+ or Mg2+. After aspiration 600 µl of 1x Passive Lysis Buffer (Promega Corp., Madison, WI) was added to each well of a six-well plate. The plates were incubated at room temperature with rocking/shaking until cells lysed. The cell lysates were transferred to a 1.5-ml microcentrifuge tube and centrifuged for 2 min at 4 C to form clear lysates. Aliquots of cell lysates (20 µl) were transferred to 12 x 75 mm polystyrene tubes (Sarstedt, Newton NC) suitable for use with a luminometer. Reagents used were appropriate for the dual-luciferase assay (Promega Corp., Madison, WI). Samples were read on a Monolight 3010 luminometer (PharMingen, San Diego, CA). Statistical significance was determined using two tailed t test.

Receptor binding studies
The relative receptor binding affinities were determined as described by Smith and Kreutner (22). Briefly: an adenovirus-mediated DNA transfer procedure (22, 23) was used to transfect COS-1 cells with 3 µg of ER expression vector (pCMV5-hER{alpha} or pCMV5-hERß). Twenty-four hours later, cells were harvested and whole cell extracts were prepared in TESH (10 mM Tris, pH 7.7, containing 1 mM EDTA, 0.1% monothioglycerol and 0.4 M NaCl). Cell extracts were incubated with 1 pmol [3H]E2 and increasing concentrations (0.005–5000 pmol) of either E2 or the synthetic test compounds for 3 h on ice. Free steroid was separated from receptor-bound steroid by adsorption to hydroxyapatite Bio-Gel HTP gel (Bio-Rad Laboratories, Inc., Hercules, CA). The amount of ER-bound [3H]E2 was quantified by scintillation counting.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Molecular structures.
The structures of the compounds used in this study for analysis are shown in Fig. 1Go. All compounds are 19-nor T derivatives. The 5{alpha}-dihydro and 3{alpha},5{alpha}- and 3ß,5{alpha}-tetrahydro derivatives of NET and GSD, respectively were prepared by chemical double bond hydrogenation of the A-ring as described in Materials and Methods.



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Figure 1. Molecular structures of NET, GSD, and their corresponding A-ring reduced metabolites.

 
Effects of A-ring reduction upon NET and GSD transactivation through PR
Figure 2Go shows the effects on PR transcriptional activity of NET and GSD and their corresponding A-ring reduced derivatives in HeLa cells transfected with PRA (Fig. 2Go, A and B) or PRB (Fig. 2Go, C and D) expression vectors. Cells were transfected with an expression plasmid for either PRA or PRB with a progesterone (P4)-responsive reporter gene and treated with a 10-8 M concentration of each steroid, including P4. As shown in Fig. 2Go, both NET and GSD behaved as full PR agonists. GSD is a more potent transcriptional activator of both PRA and PRB than either NET or P4 (Table 1Go). As expected by the previously reported relative binding affinities to PR (24), double bond hydrogenation resulted in a significant reduction in the transcriptional potency of NET and GSD. The 3{alpha},5{alpha}- and 3ß,5{alpha}-tetrahydro derivatives of NET and GSD gave the lowest transactivation through both PRs compared with the other compounds. The 3{alpha},5{alpha}- and 3ß,5{alpha}-tetrahydro derivatives of NET and GSD have approximately 500- to 1,000-fold difference in transcriptional potency, as judged by their respective EC50 values (Table 1Go), obtained in dose-response experiments (data not shown), when compared with that obtained with their corresponding nonreduced parent compounds.



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Figure 2. Activation of PRA (A and B) and PRB (C and D) by NET, GSD and their reduced metabolites. HeLa cells that were transiently transfected with the corresponding PR expression vector and the PRE-E1b-CAT reporter were cultured either in the absence (V) or presence of 10-8 M of P4 or NET, GSD, or their corresponding synthetic dihydro- and tetrahydro-derivatives. After 24 h, cells were harvested and triplicate dishes were assayed for CAT activity as described in Materials and Methods section. Values are the mean ± SD of a representative experiment performed in triplicate. The data are normalized to activity with P4, which is set at 100%. The activity of PRB relative to PRA was approximately 5-fold greater.

 

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Table 1. Stimulatory concentrations (EC50) of natural progesterone and synthetic steroids on transcriptional activation through the progesterone receptor A and B

 
Selective transactivation of ER subtypes
Given the well documented in vivo and in vitro estrogen-like effects of nonphenolic A-ring-reduced derivatives of NET and GSD (9, 13, 25), the synthesized A-ring-reduced metabolites were examined for their separate activities through ER{alpha} and ERß. In these studies, the effects of GSD, NET, and their corresponding dihydro and tetrahydro derivatives on receptor-mediated reporter gene transcription were compared with those of E2. As shown in Fig. 3Go, out of the eight synthetic steroids tested, both 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD showed the highest induction of ER-mediated reporter gene transcription when HeLa cells were transiently transfected with the ER{alpha} and the ERE-E1b-CAT reporter (Fig. 3Go, A and B). As depicted, these two compounds 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD at a concentration of 10-8 M exhibited a similar transcriptional activity to that observed with the same dose of E2. Interestingly, a similar concentration (10-8 M) of these compounds showed no stimulation of gene transcription through ERß (Fig. 3Go, C and D). Similar results were obtained with the 5{alpha}-dihydro and the 3{alpha},5{alpha}-tetrahydro derivatives of NET and GSD, respectively, but with significantly lower potency for ER{alpha}. At all doses used (10-12 M to 10-6 M), unmodified NET and GSD led to the lowest levels of induction of ER subtype-mediated reporter gene transcription, compared with the derivatized compounds (data not shown).



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Figure 3. Effects of NET, GSD, and their dihydro- and tetrahydro-derivatives on ER{alpha} (A and B) and ERß (C and D)-mediated reporter ERE-E1b-CAT activity. Cells were cultured in the absence (V) or presence of 10-8 M of the corresponding natural and synthetic steroids. Values are the mean ± SD of a representative experiment performed in triplicate. The data are normalized to activity with E2, which is set at 100%.

 
Figure 4Go, A and B, shows a comparison of the agonist activity at various doses (10-12–10- 6 M) of 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD on reporter gene transcription through either the ER{alpha} or ERß. As depicted in Fig. 4AGo, 3Goß,5{alpha}-NET resulted in ER{alpha} selective transactivation of reporter gene expression with an EC50 value that was 100-fold higher than that obtained with E2. As can also be observed in Fig. 4AGo, 3Goß,5{alpha}-NET, at the doses of 10-12–10-7 M, was unable to stimulate ERß-mediated reporter gene transcription. Only at the highest concentration tested of this compound (10-6 M) was ERß able to stimulate reporter CAT activity. Similar results were obtained on transcriptional activation through the ER{alpha} and ERß with 3ß,5{alpha}-GSD (Fig. 4BGo). However, 3ß,5{alpha}-GSD did not activate transcription through ERß even when used at the highest concentration tested (Fig. 4BGo). Therefore, 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD have increased potency and efficacy for activation of ER{alpha}-dependent gene expression relative to ERß, and these compounds are therefore ER{alpha} selective agonists.



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Figure 4. Dose-dependent activation ER{alpha} (closed symbols) but not ERß (open symbols) by 3ß,5{alpha}-NET (A) and 3ß,5{alpha}-GSD (B). HeLa cells were transiently transfected with expression vectors for ER{alpha} (filled symbol) or ERß (open symbol) and an ERE-E1b-CAT reporter gene and cultured in the absence or presence of increasing concentrations (10-12–10-6 M) of E2 (circles) or the 3ß,5{alpha} derivative (triangles) of NET and GSD, respectively. Values are the mean ± SD of triplicate experiments. The data are represented as fold induction relative to the reporter activity plus vehicle alone set as one.

 
Because previously identified ER{alpha}-selective ligands were shown to be potent ERß antagonists, we investigated whether the NET and GSD derivatives act as antagonists, particularly through ERß (26, 27). HeLa cells were transfected with expression vectors for ER{alpha} or ERß together with the estrogen-responsive reporter gene, and treated with E2 (10-9 M) in the presence or absence of increasing concentrations (10-8–10-6 M) of NET, or GSD and their corresponding A-ring reduced derivatives, or the antiestrogen 4-hydroxytamoxifen (10-7 M). As shown in Fig. 5Go, with the exception of 4-hydroxytamoxifen, none of the NET (Fig. 5CGo) or GSD (Fig. 5DGo) derivatives, at various concentrations (10-6 –10-8 M), significantly inhibited ERß-induced reporter gene activation. The increased activities that were observed in Fig. 5DGo were minor and not reproducible. No inhibition of ER{alpha} activity was observed, except with 4-hydroxytamoxifen (Fig. 5Go, A and B), but this is not unexpected considering the relatively poor binding affinity of 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD in comparison to estradiol, and the ER{alpha} agonist activity of these ligands. The antiestrogen 4-hydroxytamoxifen was used to ensure that 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD were stimulating target gene expression via ER{alpha}. As shown in Fig. 5EGo, 4Go-hydroxytamoxifen effectively inhibited the ability of both tetrahydro derivatives to stimulate ER{alpha} transcriptional activity.



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Figure 5. GSD, NET, and their dihydro and tetrahydro derivatives do not antagonize ER{alpha} or ERß transactivation, but tamoxifen can inhibit their activity. HeLa cells transiently transfected with the expression vector for ER{alpha} (A and B) or ERß (C and D) and an ERE-E1b-CAT reporter gene were incubated with 1 nM E2 in the absence or presence of 10-7 M of 4-hydroxytamoxifen (T) or various concentrations (10-8 to 10-6 M) of either NET (A) or GSD (B) and their corresponding synthetic reduced derivatives. Activation of ER{alpha} by 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD was also inhibited by the addition of tamoxifen (E). Values are the mean ± SD of triplicate experiments. Control incubations were performed in the presence of only the vehicles (V: dimethyl sulfoxide and ethanol) or (T: ethanol plus T). The data are normalized to activity with E2, which is set at 100%.

 
ER binding studies
The relative binding affinities (RBAs) of the 3ß,5{alpha}-tetrahydro derivatives of NET and GSD, respectively, were determined in extracts of COS-1 cells transfected with expression vectors for either ER{alpha} or ERß. The numbers represent relative affinities for ER{alpha} in comparison to E2, which is set at 100. As shown in Fig. 6AGo, both compounds showed the ability to displace bound [3H]E2 from the ER{alpha} with an RBA of 1.18 and 5.23 for the 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD, respectively. In contrast, these compounds behaved as weak competitors for ERß binding sites (Fig. 6BGo), as judged by their corresponding RBAs (0.00418 and 0.039 for 3ß,5{alpha}NET and 3ß,5{alpha}GSD, respectively).



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Figure 6. Relative binding affinity of E2 (closed circle), 3ß,5{alpha}-NET (open circle) and 3ß,5{alpha}-GSD (triangle) for ER{alpha} (A) and ERß (B). Extracts from COS-1 cells transfected with expression vectors for either ER{alpha} or ERß were incubated in the presence of 1 pmol [3H]E2 and increasing concentrations (0.005–5000 pmol) of each of the unlabeled competitors. Free from receptor-bound steroid was separated by adsorption to hydroxyapatite. Values are the mean of a representative experiment performed in duplicate.

 
Promoter and cell specificity of 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD activation of ER{alpha}
To determine whether 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD would activate a natural estrogen responsive promoter selectively through ER{alpha}, we transfected the oxytocin promoter luciferase reporter (pROLUC) into HeLa cells with either the ER{alpha} or ERß expression vectors and subsequently treated with the indicated compounds (Fig. 7Go, A and B). Both 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD activated reporter expression from the oxytocin promoter through ER{alpha} but not ERß, whereas the parent compounds NET and GSD had very little effect. Thus, both 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD could selectively activate a naturally occurring estrogen responsive promoter. To investigate the cell specificity of the estrogenic effects of 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD, we transfected the ERE-E1b-CAT reporter into CHO cells along with an expression vector for ER{alpha} (Fig. 7CGo). Activation of reporter activity by ER{alpha} was observed with both 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD, but not to the same level as E2; however, they were statistically significant with P < 0.05. Both compounds appear to display lower activities in CHO cells than in HeLa cells. This lower activity suggests the relative agonist activity of these compounds may vary depending on cell type. Importantly neither compound stimulated ERß transactivation in CHO cells.



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Figure 7. Activity of 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD on a naturally estrogen responsive oxytocin promoter, and in CHO cells. The pROLUC reporter was transfected into HeLa cells with either ER{alpha} (A) or ERß (B) expression vectors in the presence of E2, NET, GSD, 3ß,5{alpha}-NET or 3ß,5{alpha}-GSD. C, The ERE-E1b-CAT reporter was transfected into CHO cells with the ER{alpha} expression vector and treated with either E2, 3ß,5{alpha}-NET or 3ß,5{alpha}-GSD at 10 µM. Values are the mean ± SEM of representative experiments. The data are normalized to activity with E2, which is set at 100%.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of the present study support and extend previous observations from our laboratory that enzyme-mediated hydrogenation of the double bond of 19-nor synthetic-derived T, by formation of A-ring reduced metabolites, determines their biological activity by means of differential interaction with steroid receptors other than PR (9, 10, 11, 13, 24). Indeed, the intrinsic estrogenic properties of NET and GSD, two 19-nor T derivatives, most probably lie in their bio-transformation to their corresponding 3ß,5{alpha}-tetrahydro derivatives (9). In addition, this study clearly shows the specific activation of ER{alpha}-dependent reporter gene expression by both 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD with little if any activation through other receptors tested. Activation of ER{alpha} by 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD was observed in both HeLa and CHO cells. In addition, these compounds are capable of activating the oxytocin promoter, a natural estrogen responsive promoter. Therefore, we have demonstrated that these compounds are ER{alpha} selective in two different cell lines and on simple and complex natural promoters. This is an important consideration because the relative agonist activity of many ER ligands (e.g. selective ER modulators) varies by cell and promoter type. More detailed analyses will be required to gain a broader understanding of the extent of this specificity. Overall, the results are of biological importance in the sense that although a second ER (ERß) has been identified, its relevance in estrogen endocrinology is still unclear and compounds such as 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD will enable selective in vivo studies of only ER{alpha} function.

The calculated RBA values from the slopes generated for ER{alpha} were very similar to those obtained in previous studies using rat uterus cytosol that involved mainly the ER{alpha} (24). This observation, together with previously published data on the ability of NET and 3ß,5{alpha}-NET to suppress pituitary LH release, including their estrogen-like effects upon the endometrium in castrated female rats (9, 25), supports the selective binding of the 3ß,5{alpha}-NET to ER{alpha} and agrees with the relative distribution of ER{alpha} mRNA in different rat and mouse tissues (5, 6, 28, 29). The ER{alpha} mRNA is highly expressed in pituitary, uterus, testis, epididymis and kidney, and 3ß,5{alpha}-NET estrogenic responses would be expected in these tissues. Furthermore, these compounds may serve as useful tools to discriminate ER{alpha} from ERß functions in tissues (e.g. ovary) that express both receptors. Although our findings suggest that 3ß,5{alpha}-tetrahydro derivatives have receptor-selective actions, a detailed evaluation of the biological effects of these selective ER{alpha} agonists in the ER{alpha} or ERß knockout mouse models is, of course, also of relevant interest.

The ability to have preferential ligand selectivity for ER{alpha} vs. ERß receptors, as in the case of this study, could help in the process of identifying additional synthetic or naturally occurring steroids with different relative affinities for both ER subtypes. In this regard, it is known that only those C-19 steroids with a hydroxyl group at C-3 and C-17 have significant affinity for both ER subtypes (5). In addition, as shown herein, the relative spatial orientation of the A-ring with respect to the B-ring, as in the case of 5{alpha}-reduction and hydroxylation at C-3 of NET and GSD, should also be considered as important structural characteristics for ER{alpha} ligand recognition. Whether other alterations in ligand structure, besides those occurring in the A-ring, such as substitutions at C-17 in the {alpha} position or the absence of the C-19 methyl angular (30) in NET and GSD, are important in selective binding to ER{alpha} deserves further investigation.

Interestingly, these observations are consistent with previous computer-based quantitative structure-activity relationship studies of ligand-receptor interactions (31). In these studies, comparative molecular field analysis of both ERs revealed that they are sensitive to adding steric bulk at the 17{alpha}-position on the steroid ring, suggesting that substitutions in this region will enhance the binding affinity more for ER{alpha} rather than ERß, which is consistent with the experimental findings reported in this study. In addition, the molecular changes elicited by the 19-nor substitution might increase the mobility and electronic density of the A-ring allowing the alignment of the 3ß-hydroxy group and the A-ring hydrogen atoms resembling an estrogen-like environment. There have been several other examples of compounds with differences in the transcriptional activities through both ER subtypes (26, 27). Recently, two novel ligands for ER{alpha} and ERß have been described (26). One, a nonsteroidal triaryl-substituted pyrazole, with a 120-fold agonist potency preference for ER{alpha} and the other, a cis-diethyl-substituted tetrahydrochrysene prepared as a fluorescent ER ligand, is an agonist on ER{alpha} but a complete antagonist for ERß. In addition, metabolites of methoxychlor were also shown to have similar properties, i.e. ER{alpha} agonist and ERß activities (27). Similarly, Kuiper et al. (5), reported ER{alpha} and ERß relative binding affinities for a number of estrogen derivatives, as well as nonsteroidal phytoestrogens, such as genistein. In addition, these authors also presented evidence that A-ring reduced natural androgens are more ERß selective, which may indicate, as described above, the importance of C-17 substitutions and/or the absence of the C-19 methyl angular in ligand-ER interactions. Relative to these previous reports, 3ß,5{alpha}-NET and 3ß,5{alpha}-GSD produce better discrimination in relative binding affinity for ER{alpha} and ERß than other compounds examined and this should facilitate studies on the distinct biological roles of both ER subtypes.

Estrogens are known to have important effects on the reproductive system, and targeted disruption of the ER{alpha} gene results in sterility in both male and female mice (32). The ER{alpha} knockout mice developed normally but were infertile and did not respond to estradiol. These data, together with other observations in the male mice (33), indicate that ERß alone does not appear to be capable of maintaining normal reproductive function in the ER{alpha} knockout mice. Although a complementary role between these two ER subtypes cannot be discarded, it is obvious the importance of ER{alpha} in the overall actions of estrogens. In this regard, we have shown (34) the ability of NET to significantly suppress serum LH levels in castrated subjects with testicular feminization syndrome, and the effect of NET and its 3ß,5{alpha}-tetrahydro reduced metabolite on LH suppression in the long-term ovariectomized female rat (9, 25, 35). Because these conditions are characterized by the absence of androgen action and estrogen-dependent PRs in both testicular feminization syndrome and ovariectomized rats, the LH suppressing activity of NET was probably due to its interaction with hypothalamic-pituitary ERs. Furthermore, administration of 3ß,5{alpha}-tetrahydro derivatives of NET and GSD is capable of restoring both the content of pituitary PR in the ovariectomized female rat (12, 13) and inducing male sexual behavior when given chronically in combination with 5{alpha}-dihydrotestosterone to castrated male rats (36), indicating their intrinsic estrogenic activities. These observations suggest that ER{alpha} is involved at the hypothalamic-pituitary unit in terms of gonadotropin regulation as well as in other brain areas controlling sexual behavior. In as much as the clinical dimension of the availability of specific ER subtype ligands has yet to be determined, it is envisioned that identification of compounds with preferential selectivity for ER subtypes would be valuable for the development of new potential therapeutic approaches based on receptor-selective hormonal actions and provide an important tool to examine ER{alpha} and ERß specific cellular and molecular functions.

Overall, the data presented demonstrate that the tetrahydro derivatives of NET and GSD bind and selectively activate gene transcription via ER{alpha}. These compounds, in addition to their scientific and therapeutic implications, may also help to identify and differentiate structural features in natural and synthetic ligands responsible for selective binding to ER{alpha} and ERß.


    Acknowledgments
 
We thank Mr. Vinh Lam for technical assistance.


    Footnotes
 
This study was supported in part by grants from the Contraceptive Research and Development Program (to A.J.C. and F.L.), the Andrew W. Mellon Foundation (to A.J.C.), the Consejo Nacional de Ciencia y Tecnología de México (to F.L.), and the U.S. Army Medical Research and Materiel Command (DAMD17-98-1-8282 to C.L.S.).

Abbreviations: AF, Activation functions; CAT, chloramphenicol acetyltransferase; CHO, Chinese hamster ovary; CMV, cytomegalovirus; DMEM-HG, DMEM without phenol red; ERE, estrogen response element; GSD, Gestodene; LNG, levonorgestrel; LUC, luciferase; NET, norethisterone; P4, progesterone; PRE, progesterone response element; RBA, relative binding affinities.

Received November 14, 2000.

Accepted for publication May 31, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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