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Division of Endocrinology (A.G., S.-G.R., S.M.), Cedars-Sinai Research Institute, University of California, School of Medicine, Los Angeles, California 90048; and IPSEN (J.D., M.D.C.), Milford, Massachusetts 01757
Address all correspondence and requests for reprints to: Shlomo Melmed, Academic Affairs, Room 2015, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, California 90048. E-mail: melmed{at}csmc.edu.
| Abstract |
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| Introduction |
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i proteins, resulting in inhibition of adenylyl cyclase, decreased cAMP production, and suppression of activated phosphokinase A (1, 2). GH secretion is regulated by dual hypothalamic inhibitory and stimulatory control. GHRH stimulates GH gene expression and GH secretion, whereas somatostatin (SRIF) primarily inhibits GH secretion with unclear effects on the GH gene. Pituitary SRIF action is primarily mediated by SRIF receptor subtypes 2 and 5 (SST2 and SST5) (3, 4). Most older studies (5, 6) did not show SRIF action on GH gene expression. However, more recent studies (7, 8, 9, 10) indicate that SRIF might affect GH gene expression. SRIF also inhibits PRL secretion from human PRL-secreting pituitary adenomas in vitro and PRL-producing cell lines (11, 12) with unclear effects on the PRL gene. Recently, chimeric molecules that possess potent, selective agonist activity for both SRIF and D2D have been synthesized. These compounds have been shown to be more effective in suppressing GH and PRL secretion from cultured human GH-secreting pituitary adenomas than either octreotide or mono-receptor ligands alone (13, 14, 15, 16).
To clarify whether SRIF analogs affect only GH and PRL secretion or also GH and PRL mRNA levels, we investigated the effects of several SRIF analogs and two chimeric SRIF/DA compounds in primary rat pituitary cells and in the GH3 and MMQ rat pituitary tumor cell lines. To gain further insight into mechanisms for SRIF/DA chimeric molecule action, their respective efficacy was compared with that of selective SST2, SST5, SST2 plus -5, and D2D agonists.
| Materials and Methods |
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-ergocryptine methanesulfonate salt; Sigma-Aldrich Chemie Gmbh, Steinheim, Germany) was first dissolved in ethanol and further diluted with cell culture medium. A separate control group for bromocriptine treatments comprised the same final maximal concentration of ethanol (0.05%) in the experimental medium.
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Cells were preincubated in DMEM containing 10% fetal bovine serum (Omega Scientific, Inc., Tarzana, CA) and 1% antibiotic-antimycotic (Invitrogen) for 48 h and then in serum-free medium containing 0.3% BSA for 12 h, followed by treatments with test compounds. After preliminary time-course experiments 24- and 48-h incubation time points were selected. At the end of each experiment, medium for GH and PRL assay was collected and stored at –20 C.
GH3 and MMQ cell lines
GH3 cells were cultured in DMEM/F-12 and MMQ cells in RPMI 1640 (both from Invitrogen). Both media were supplemented with 15% horse serum (Omega Scientific), 2.5% fetal bovine serum, and 1% antibiotic-antimycotic. Cells were preincubated in serum-containing medium for 48 h and then in serum-free medium containing 0.3% BSA for 12 h and treated with test compounds for 24 h. To investigate whether the chimeric compounds are more effective than a combination of respective mono-receptor ligands, the action of BIM 23A760 and BIM 23A761 was compared with 24- and 48-h cotreatment with BIM 23120, BIM 23206, and BIM 53097 (SST2, SST5, and D2D agonist, respectively).
Hormone assays
Rat GH and PRL RIAs were performed using materials provided by the National Hormone and Peptide Program (Harbor-UCLA, Torrance, CA).
Real-time PCR
Total RNA from cultured cells was extracted with Trizol reagent (Invitrogen, Carlsbad, CA) according to the manufacturers instructions. The amount and the integrity of the RNA were assessed by measurement of OD at 260 and 280 nm. Before processing, RNA samples were treated with DNase I (amplification grade; Invitrogen) to eliminate genomic DNA contamination. Total RNA was reverse transcribed into first-strand cDNA using SuperScript II reverse transcriptase (Invitrogen) according to the manufacturers protocol. For each new batch of cDNA, a control sample containing no reverse transcriptase was performed (–RT control).
Real-time PCR were carried out in the iQ5 Multicolor Real-Time PCR Detection System (Bio-Rad Laboratories, Inc., Hercules, CA). PCR were performed, recorded, and analyzed using the iQ5 Optical System Software version 1.0 (Bio-Rad). Real-time PCR amplification was carried out in a total reaction volume of 20 µl consisting of 10 µl SYBR Green PCR Master Mix (Applied Biosystems, Foster City, CA), 0.5 µM forward primer, 0.5 µM reverse primer, and 5 µl cDNA template (100 ng reverse-transcribed total RNA per well). ß-Actin served as a reference gene used for normalization of GH and PRL mRNA levels.
Primer sequences (Invitrogen) were as follows: rat GH forward, 5'-AGGGCATCCAGGCTCTGAT-3'; rat GH reverse, 5'-GCATGTTGGCGTCAAACTTG-3'; rat PRL forward, 5'-CATCAATGACTGCCCCACTTC-3'; rat PRL reverse, 5'-CCAAACTGAGGATCAGGTTCAAA-3'; ß-actin forward, 5'-CATGTACGTTGCTATCCAGGC-3'; and ß-actin reverse, 5'-CTCCTTAATGTCACGCACGAT-3'.
The thermal cycling profile consisted of incubation at 95 C for 4.5 min followed by 40 cycles of denaturation at 95 C for 10 sec and annealing at 55 C for 30 sec. Samples were run in triplicate. No-template control and –RT controls were run in each experiment. Melting curve analysis was performed to confirm amplification specificity of the PCR products.
Detection of SST and D2D in MMQ cells
Total RNA from MMQ cells was extracted with Trizol reagent according to manufacturer instructions and treated with DNase I (Invitrogen) to eliminate genomic DNA contamination. Two micrograms total RNA were reverse transcribed into first-strand cDNA using SuperScript II reverse transcriptase (Invitrogen) according to the manufacturers protocol.
PCR mixture (50 µl) contained cDNA (2 µl), 1x PCR buffer, 1.5 mM MgCl2, 0.2 mM dNTP mixture, 0.5 µM forward and reverse primers, and 2.5 U Taq DNA polymerase (Invitrogen). PCR amplifications were performed in a Px2 Thermal Cycler (Thermo Electron Corp., Waltham, MA). After the initial denaturation step at 94 C for 2 min, 30 cycles of PCR amplification were performed as follows: denaturation at 94 C for 30 sec, annealing for 30 sec, and extension at 72 C for 30 sec. Annealing temperatures were 57.9 C for SST1, 55.5 C for SST2, 56.9 for SST3, 53 C for SST4, 56.3 C for SST5, and 52.5 C for D2D. For each sample a –RT control was performed.
The following primers (Invitrogen) were used: SST1 forward, 5'-GTGGGTGCTGTCGCTACTGG-3'; SST1 reverse, 5-ACCGTGGCGTCGTCTTGCTC-3'; SST2 forward, 5'-CGGGTTTCATTATCTATGCCTTCA-3'; SST2 reverse, 5'-GGATTTGTCCTGCTTACTGTCG-3'; SST3 forward, 5'-TCAACCAGTTCACCAGCATC-3'; SST3 reverse, 5'-CCGCACCTTCACCACAAT-3'; SST4 forward, 5'-TGGCTATCGGATTATGTTAC-3'; SST4 reverse, 5'-CAGCACCTCCAGTTGTTT-3'; SST5 forward, 5'-AACGCCGTCGTCTCCT-3'; SST5 reverse, 5'-GCAGCCCACAAACACC-3'; D2D forward, 5'-AATGGGTCAGAAGGGAA-3'; D2D reverse, 5'-AGTGGGCAGGAGATGG-3'. The generated PCR products were 369, 428, 329, 345, 492, and 443 bp for SST1, SST2, SST3, SST4, SST5, and D2D, respectively. Amplification products were analyzed by agarose gel electrophoresis and visualized by ethidium bromide staining.
Statistical analysis
Statistical significance of the difference between the means was assessed with one-way ANOVA followed by Tukeys multiple comparison test (GH and PRL secretion results) or Dunnetts multiple comparison test and Tukeys test (real-time PCR data). GH and PRL levels are expressed as mean ± SEM and shown as the percentage of untreated controls. EC50 values were determined by nonlinear regression curve analysis of dose-effect responses. GH and PRL mRNA levels were normalized to ß-actin mRNA and expressed as normalized fold expression relative to the vehicle-treated control, which was defined as 1.0. Calculations were performed with statistical software GraphPad Prism (GraphPad Software, Inc., San Diego, CA). P < 0.05 was considered significant in all tests.
| Results |
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Real-time PCR revealed suppression of PRL mRNA levels after treatment with both chimeric compounds: 2.2-fold from baseline in the BIM 23A760-treated group (P < 0.01) and 2-fold in the BIM 23A761-treated group (P < 0.01) compared with 1.8-fold decrease after incubation with BIM 53097 (P < 0.01) and 2.3-fold decrease in the bromocriptine-treated group (P < 0.01, Fig. 3F
). SST2 and SST5 agonists did not affect PRL release and PRL mRNA in rat pituitary cells.
GH3 cells
In GH3 cells, BIM 23A760 and BIM 23A761 induced GH suppression of 25 ± 3% (P < 0.01 vs. control) and 22 ± 4% (P < 0.01 vs. control), respectively, which was similar to that obtained with the selective SST2 agonist BIM 23120 (31 ± 5%, P > 0.05 vs. SRIF/DA compounds) or SST2 plus SST5 agonist BIM 23244 (27 ± 5%, P > 0.05 vs. SRIF/DA compounds) and octreotide (35 ± 3%, P > 0.05 vs. SRIF/DA compounds; Fig. 4A
). SST5 and D2D agonists did not affect GH release from GH3 cells.
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PRL levels were reduced by 31 ± 4% (BIM 23A760, P < 0.001) and 29 ± 5% (BIM 23A761, P < 0.01; Fig. 4C
). PRL suppression obtained with both chimeric molecules was similar to that of selective SST2 agonist BIM 23120 (31 ± 3%, P > 0.05 vs. SRIF/DA compounds) or SST2 plus SST5 agonist BIM 23244 (29 ± 4%, P > 0.05 vs. SRIF/DA compounds) and octreotide (38 ± 4%, P > 0.05 vs. SRIF/DA compounds; Fig. 4C
). SST5 and D2D agonists did not affect PRL release from GH3 cells.
Treatment with chimeric compounds suppressed PRL expression as evidenced by real-time PCR. Moreover, decreased PRL mRNA levels were also observed after incubation with SST2 agonist (BIM 23120), SST2 plus SST5 agonist (BIM 23244), and octreotide (Fig. 4D
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SRIF/DA compounds vs. combination of mono-receptor ligands in GH3 cells
The 24-h treatment with BIM 23A760 did not exert additive effects on GH secretion compared with cotreatment with the SST2 agonist BIM 23120 and D2D agonist BIM 53097 (GH suppression of 27 ± 4% and 16 ± 4%, respectively, P > 0.05 vs. BIM 23A760; Fig. 5A
). After 48 h, combination of BIM 23120 and BIM 53097 resulted in greater GH suppression (33 ± 4%) than treatment with BIM 23A760 alone (17 ± 3%, P < 0.01; Fig. 5B
). Similarly, BIM 23A761 was less effective in suppressing GH after 48 h (16 ± 2%) than a combination of BIM 23120, BIM 23206, and BIM 53097 (SST2, SST5, and D2D agonist, respectively, 32 ± 3%, P < 0.01 vs. BIM 23A761; Fig. 5B
). GH mRNA levels remained unchanged in all the experimental groups, both after 24 and 48 h of treatment (Fig. 5
, C and D).
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| Discussion |
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The 24- and 48-h treatment with SRIF/DA chimeric compounds did not result in additive effects on GH secretion from GH3 cells compared with cotreatment with respective mono-receptor agonists. Conversely, after 48 h, both SRIF/DA molecules were less effective than combined treatment with mono-receptor ligands. However, considering that GH3 cells lack SST5 and D2D, these results can be interpreted as a lower efficacy of the SST2 component of the SRIF/DA chimeric molecules in suppressing GH secretion compared with the SST2 agonist BIM 23120 at concentration of 10–8 M.
Previously, Saveanu et al. (13) demonstrated that BIM 23A387, a chimeric molecule with affinity for SST2 and D2D, was more potent than either BIM 23023 (SST2 agonist) or BIM 53097 (D2D agonist), either alone or in combination, in suppressing both GH and PRL secretion from human GH adenomas. The mean EC50 for GH suppression by BIM 23A387 (0.2 pM) was 50 times lower than that of the individual SST2 and D2D agonists. However, at nanomolar concentrations, mean maximal inhibition of GH release induced by BIM 23A387, BIM 23023, and BIM 53097 was similar. In another study (14), BIM 23A387 (0.4 nM) exhibited greater GH suppression in human GH-producing tumor cells compared with combined cotreatment with individual SST2 (BIM 23023) and D2D (BIM 53097) agonists, but the effectiveness of the SRIF/DA chimeric molecule decreased with increasing doses from 0.4 to 40 nM. Jaquet et al. (16) described two individual patterns of dose-related inhibition of GH by BIM 23A387, BIM 23244 (SST2 plus -5 agonist), and octreotide. In the first group of tumors, enhanced GH-suppressive effects with BIM 23A387 were observed (mean EC50, 1 vs. 10 pM for BIM 23244 and 150 pM for octreotide), whereas in the second group, no differences between EC50 values were observed. In six of 13 tumors, BIM 23A387, BIM 23A760, and BIM 23A761 achieved greater maximal suppression of GH secretion than octreotide. Mean EC50 values were 10, 2, and 4 pM for respective chimeric molecules vs. 150 pM for octreotide.
Clearly, optimal results of treatment with SRIF/DA chimeric compounds are likely achieved in cells coexpressing both SRIF receptors (SST2 and/or SST5) and D2D. Previous studies have shown that SST2, SST5, and D2D, in variable amounts, were coexpressed in all (13, 15, 16) human GH-secreting adenomas tested. In another study (25), SST2 was expressed in 25, SST5 in 16, and D2D in 16 of 25 adenomas tested.
Our study did not reveal significant effects of the SRIF analogs and chimeric SRIF/DA molecules on GH gene expression in GH3 cells and in normal rat pituitary cells. Most studies support the hypothesis that although SRIF is a potent inhibitor of in vivo and in vitro GH release, it does not suppress GH mRNA levels in pituitary cells (26). Some reports, however, show discordant results (7, 8). Morishita et al. (10) investigated effects of GHRH and SRIF on GH gene 5'-promoter activity in MtT/S cells and found that SRIF modestly but significantly suppressed GHRH-induced GH gene transcription, although SRIF alone did not influence basal promoter activity. There are few reports of GH mRNA levels in human GH-secreting pituitary adenomas. In these studies (9, 27), GH mRNA levels were determined by automatic quantification of grain numbers in individual adenoma cells. There was no effect of 10 nM octreotide on GH mRNA levels in 24-h incubations in three adenomas tested (27). In a 96-h incubation, GH mRNA levels increased in two and slightly decreased in one of three adenomas. In a second study (9), in GH-secreting pituitary adenoma tissue obtained from seven patients treated preoperatively with octreotide, GH mRNA levels were significantly lower than in adenomas derived from 18 untreated patients.
Our study provides evidence that SRIF-dopaminergic ligands and SST2 agonists inhibit GH secretion with a similar efficacy but do not suppress GH gene expression in normal rat pituitary and GH3 cells.
PRL secretion and PRL mRNA expression
We report that the SRIF/DA chimeric molecules BIM 23A760 and BIM 23A761 suppress PRL secretion from normal rat pituitary cells and MMQ and GH3 cell lines and also negatively regulate PRL gene expression in these experimental models.
The efficacy of both chimeric molecules in suppressing PRL secretion in normal rat pituitary cells was similar to that achieved with the selective D2D agonist BIM 53097 and bromocriptine. PRL release from rat pituitary cells was not affected by SST2 or SST5 agonists, in accordance with previous findings that SRIF agonists do not inhibit PRL release in normal, but only in estradiol-treated, rat anterior pituitary cells (23). PRL secretion results are consistent with real-time PCR results showing decreased PRL mRNA levels in groups treated with both chimeric molecules, BIM 53097, and bromocriptine. Thus, the effect of BIM 23A760 and BIM 23A761 on PRL gene expression as well as on PRL release from normal rat pituitary cells appears to depend selectively on their D2D affinity.
In GH3 cells, PRL secretion was suppressed in groups treated with both chimeric molecules, selective SST2 agonist BIM 23120, SST2 and -5 agonist BIM 23244, and octreotide but not in those treated with the SST5 or D2D agonist. Because GH3 cells express SST1 and SST2 receptors and lack functional DA receptors (24), the effect of SRIF/DA chimeras and other tested SRIF analogs on PRL secretion from these cells depends on their respective affinity for SST2. We also report that PRL suppression by SST2 agonists in GH3 cells is accompanied by suppressed PRL mRNA expression. The effect of BIM 23A760 and BIM 23A761 on PRL gene expression in GH3 cells cannot be attributed to the affinity of these compounds for D2D, because these are not expressed in this cell line, and seems to depend solely on their SST2 affinity.
SRIF/DA chimeric compounds did not exert additive effects on PRL secretion or mRNA expression in GH3 cells compared with cotreatment with respective mono-receptor agonists. After 48 h, BIM 23A761 was even less effective in reducing PRL levels than combined incubations with mono-receptor ligands. However, considering the absence of SST5 and D2D in GH3 cells, these results can be interpreted as a lower efficacy of the SST2 component of SRIF/DA chimeric molecules in suppressing PRL secretion and PRL mRNA levels compared with the SST2 agonist BIM 23120 at a concentration of 10–8 M.
In MMQ cells, BIM 23A760 and BIM 23A761 suppressed PRL gene transcription and inhibited PRL release with a similar efficacy to that of the D2D agonist BIM 53097. Of the SRIF receptor agonists tested, only octreotide decreased PRL secretion but not PRL mRNA level in MMQ cells. MMQ cells express D2D (28), and expression of SRIF receptors has not previously been reported in these cells. We show that MMQ cells weakly express SST2, compared with D2D. This observation explains the lack of response to most tested SRIF analogs in MMQ cells. Weak SST2 expression in MMQ cells is also likely the reason why no additive effects on PRL secretion and PRL mRNA expression were obtained with SRIF/DA compounds.
We conclude that chimeric SRIF/DA molecules suppress PRL gene expression and inhibit PRL release from cultured rat pituitary and MMQ cells with a similar efficacy to the D2D agonist. In GH3 cells, they suppress PRL gene expression and inhibit PRL secretion with a similar efficacy to SST2 agonists.
In summary, we have investigated effects of several SRIF analogs and two chimeric SRIF/DA compounds in cultured primary rat pituitary cells and GH3 and MMQ cell lines. Substances with affinity to SST2, including both SRIF/DA molecules, suppressed GH secretion but did not affect GH mRNA expression in rat pituitary and GH3 cells. SRIF/DA molecules suppressed PRL secretion and also PRL mRNA expression in rat pituitary and MMQ cells with a similar efficacy to the D2D agonist. In GH3 cells, they suppressed both PRL and PRL mRNA levels with a similar efficacy to SST2 agonists. SRIF/DA molecules did not exert additive effects on GH and PRL secretion and PRL mRNA levels in GH3 and MMQ cells as compared with mono-receptor ligand cotreatment.
SRIF/DA chimeric compounds are new therapeutic molecules shown to suppress GH and PRL secretion from human pituitary adenomas. Results of our in vitro studies provide additional evidence supporting the clinical application of SRIF/DA chimeric molecules in patients with GH-secreting or mixed (GH/PRL) pituitary adenomas with coexpression of SST2 and/or SST5, as well as D2D. Studies of SRIF and D2D expression are required in a large population of somatotroph adenomas to assess the dimensions of the patient population likely to benefit from treatment with SRIF/DA chimeric compounds.
| Footnotes |
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First Published Online July 26, 2007
Abbreviations: DA, Dopamine; D2D, D2-dopamine receptor; PRL, prolactin; SRIF, somatostatin; SST2, somatostatin receptor subtype 2.
Received March 21, 2007.
Accepted for publication July 16, 2007.
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