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J Biol Chem, Vol. 273, Issue 39, 25443-25449, September 25, 1998
From the We have previously reported that
antiestrogens stimulate quinone reductase (NAD(P)H:(quinone-acceptor)
oxidoreductase (QR or NQO1); EC 1.6.99.2) enzymatic activity, an action
that may provide protective effects against the toxicity and
mutagenicity caused by quinones. We have now investigated the
transcriptional regulation of the QR gene by antiestrogens. In
transfection experiments employing the 5'-flanking (863-base pair)
region of the human QR gene promoter with its electrophile/antioxidant
response element (EpRE/ARE) or deleted or mutated constructs, we
observe that antiestrogens induced an increase in QR gene promoter
reporter activity in estrogen receptor (ER) negative breast cancer and
endometrial cancer cells transfected with ER, and this induction by
antiestrogens was repressed by estradiol. The stimulation of QR
transcriptional activity required the 31-base pair
electrophile-responsive region from the human QR gene promoter and a
functional ER. Intriguingly, antiestrogens were stronger activators of
the QR EpRE via the ER subtype ER Phase 2 detoxification enzymes such as NAD(P)H:(quinone-acceptor)
oxidoreductase (quinone reductase
(QR)),1 glutathione
S-transferases (GSTs), epoxide hydrolase, and
UDP-glucuronosyltransferases are induced in cells by electrophilic
compounds and phenolic antioxidants (reviewed in Refs. 1 and 2). These
widely distributed enzymes detoxify electrophiles, thereby protecting
cells against the toxic and neoplastic effects of carcinogens. We have
previously shown that increases in QR enzyme activity can be induced by
low concentrations of antiestrogens in breast cancer cells (3).
Induction of QR enzymatic activity showed unusual reversed
pharmacology, being markedly up-regulated by antiestrogen and
suppressed by estrogen in breast cancer cells.
The electrophile response element (EpRE) motif has been identified in
the regulatory region of the genes encoding QR and the GST-Ya subunit
(GST-Ya) (4, 5). This element has been shown to mediate basal
expression and its activation by phenolic antioxidants (6-10), and it
appeared to be essential for antiestrogen stimulation (3). The human QR
gene EpRE motif, unlike the EpRE in the rat QR gene and the GST-Ya
gene, contains one copy of the perfect consensus sequence for AP1
binding (10). Although band shift assays with the rat GST-Ya gene EpRE
indicate that the major EpRE-interacting and -activating protein is not
AP1 (12, 13), band shift assays with the human QR gene EpRE and
hepatoma cell extracts indicate a complex that was specifically
competed by the 12-O-tetradecanoylphorbol-13-acetate (TPA)
response element (TRE) (9).
The antiestrogen regulation of quinone reductase enzymatic activity
represents a potentially important pharmacological mechanism for this
group of anticancer drugs that had not been previously recognized.
Thus, studies, now reported here, were conducted to further dissect the
molecular mechanism(s) involved in antiestrogen induction of QR
activity. Portions of the human QR gene promoter and 5'-flanking region
including the EpRE-containing region were transfected into ER-negative
breast cancer and endometrial cancer cells, and we show that the ER and
the EpRE-containing region are responsible for mediating its
antiestrogen responsiveness. We assess the response to various ligands
in the presence of the ER subtypes, ER Chemicals and Materials--
Cell culture media were purchased
from Life Technologies, Inc. Calf serum was from Hyclone Laboratories
(Logan, UT), and fetal calf serum was from Sigma. The antiestrogens ICI
182,780 and trans-hydroxytamoxifen (TOT) were kindly
provided by Dr. Alan Wakeling and Zeneca Pharmaceuticals (Macclesfield,
United Kingdom), and the antiestrogen LY 117018 was kindly provided by
Lilly. TPA and CHAPS were obtained from Sigma.
tert-Butylhydroquinone (TBHQ) was obtained from Aldrich. Custom oligonucleotides were purchased from Life Technologies, Inc.
Plasmids--
pNQO1-CAT 0.863 (containing 863 base pairs of the
QR gene promoter, which contains one copy of the EpRE between Cell Culture and Transfections-- MCF7 cells and MDA-MB-231 human breast cancer cells were maintained as described previously (3). Human endometrial adenocarcinoma (HEC-1) cells were from the American Type Culture Collection. Cell growth medium was minimal essential medium plus phenol red supplemented with 5% fetal calf serum, 5% heat-inactivated calf serum and 10 mM HEPES, 100 units/ml penicillin, 100 µg/ml streptomycin, and 25 µg/ml gentamycin. MDA-MB-231 and HEC-1 cells were transfected, and chloramphenicol acetyltransferase (CAT) assays were conducted as described previously (17, 18). RNA Isolation and Northern Blot Analysis-- Gel-purified reamplified QR cDNA was random primer-labeled using the Ready-to-Go DNA labeling kit from Amersham Pharmacia Biotech for Northern analysis. Total RNA was isolated from cells using the RNA extraction kit from Amersham Pharmacia Biotech. Twenty µg of total RNA was separated by electrophoresis, transferred to nitrocellulose support, and hybridized with random primer-labeled cDNA (19). Full-length cDNA for the human QR was kindly provided by David Ross (University of Colorado, Denver). In Vitro Transcription and Translation--
In vitro
transcription and translation of the ER Gel Shift Assays--
Nuclear extracts from MCF7 cells for use
in the gel shift assays were prepared as described previously (21). The
single-stranded oligomers, either 5'-AAT TAA ATC GCA GTC ACA GTG ACT
CAG CAG AAT CTG AGC CTA GG -3', which contains the
Antiestrogens Increase QR Gene mRNA Expression in Breast Cancer Cells-- As shown in Fig. 1, QR mRNA expression is markedly induced in ER-containing MCF7 breast cancer cells briefly exposed to the antiestrogens TOT and ICI 182,780. Although several QR mRNA species have been reported in certain cell lines, we were able to detect only one 2.7-kilobase mRNA species in MCF7 cells (Fig. 1). The 2.7-kilobase mRNA species corresponds to the most abundant and dioxin-inducible mRNA species detected in HepG2 hepatoma cells (23). A 4.2- and 1.9-fold increase in QR mRNA was detected in cells treated with the antiestrogens TOT and ICI 182,780 for 24 h, respectively. No increase in QR mRNA levels was evident in cells treated with the estrogen estradiol (E2; Fig. 1); E2 even appeared to slightly reduce the control level of QR mRNA in the cells. As expected for an estrogen receptor (ER)-mediated process, cotreatment with E2 diminished the TOT-induced increase in QR mRNA levels. The regulation of QR mRNA by estrogens and antiestrogens correlates well with the previously reported changes in QR enzymatic activity observed after treatment with these ligands (3).
, TOT
induced an increase in pNQO1-CAT 0.863 reporter activity (Fig. 3, left). E2
inhibited the TOT-mediated, but not the TBHQ-mediated, increase in QR
transcriptional activity. No increase in CAT activity was evident in
cells after treatment with TPA, a known inducer of AP1 activity (24).
Cells that were co-transfected with the control expression vector
lacking the ER cDNA (pCMV5), with an expression vector for a mutant
ER that has impaired activation function-2 activity (S554fs), or
with an expression vector for a mutant ER that has impaired DNA
binding ability (DBDmut) did not show activation from pNQO1-CAT 0.863 in response to antiestrogens (Fig. 3), although the effect of TBHQ was
still observed. Thus, antiestrogen-mediated activation of QR gene
promoter activity requires a transcriptionally active ER . Treatment
with either TOT or TBHQ did not induce transcription from a deletion
mutant of the pNQO1-CAT 0.863 reporter construct, denoted
pNQO1-CAT-0.365, that lacks the base pair 366 to 863 portion of the
5'-flanking region (Fig. 3, right). As expected (10), this
truncated construct has reduced basal promoter activity. Our results
indicate that the region between kilobase pairs 0.863 and 0.365 of
the QR gene is essential for induction by both TOT and TBHQ.
467 to 437 (9, 10). The EpRE motif (shown in Fig. 6) contains a TRE
and a TRE-like element (see Fig. 2). The EpRE-containing region was
introduced upstream of a heterologous promoter, thymidine kinase, and
the CAT gene. Although this EpRE-containing construct showed
significant basal CAT activity in 231 cells, TOT and TBHQ were able to
induce transcription 2.2- and 3.4-fold, respectively, over basal levels
(Fig. 4, left). Mutation of
the perfect TRE element (middle portion of Fig.
4) reduced basal CAT activity and eliminated induction by TBHQ and TOT.
Mutation of the TRE-like element (right portion
of Fig. 4) also reduced basal activity and eliminated the TBHQ- and
TOT-induced increase in QR gene transcriptional activity. TPA, which
increases AP1 activity, did not induce an increase in EpRE-mediated CAT
gene expression of the wild type (unmutated) gene construct in these
cells (left portion of Fig. 4). This observation
does not appear to be due to the absence of AP1 activity, because we
have previously shown that TPA induced TRE-mediated CAT reporter gene
activity in 231 cells (3).
Regulation of QR Gene Transcriptional Activity by ER and ER both
showed stimulation by the estrogen, estradiol, and as expected, ER
showed a lower transcriptional response. Interestingly, ER was
weakly stimulated by the antiestrogen TOT and by another antiestrogen,
LY 117018 (LY) at this ERE-containing gene construct, whereas the antiestrogens failed to elicit ER transcriptional activity at this ERE-containing gene (Fig. 5A). The
transcriptional response of ER and ER to these ligands was very
different in the context of the QR gene promoter construct pNQO1-CAT
0.863. Of note, although antiestrogens stimulated QR activity via both ER and ER , the magnitude of increase in QR gene transcriptional activity in response to TOT or LY 117018 was higher with ER than with ER (Fig. 5B), and no stimulation by estradiol was
observed via ER or ER at an EpRE.
Analysis of the Interaction of Nuclear Factors from Breast Cancer Cells with the EpRE-- The antiestrogen-mediated increase in QR mRNA levels might occur through an ER-mediated transcriptional effect that could involve the binding of ER to the EpRE. Thus, gel shift assays (Fig. 6) were conducted to determine if the ER is part of the transcriptional complex that binds to the EpRE.
476 to 437
EpRE motif from the QR gene and the ERE oligonucleotide containing one
consensus ERE. The DNA-protein complexes detected in TOT-treated cells
by gel shift assays with this ERE oligonucleotide were not different
from complexes detected using nuclear extracts from untreated MCF7
cells (data not shown). Previous reports also indicate no detectable
differences in protein-EpRE interactions using TBHQ-treated versus untreated nuclear extracts from HepG2 cells (13). Gel shift assays (Fig. 6B) with the radiolabeled EpRE and
nuclear extracts from MCF7 cells treated with antiestrogens revealed a shifted complex that was specifically competed by unlabeled EpRE (Fig.
6B, lane 3) and by high concentrations
(200× but not 50×) of ERE (lane 4 versus lane 6) but not by excess
unlabeled TRE (lane 5), mutated ERE
(lane 7), or mutated EpRE (mut 1 or
mut 2 of Fig. 2; data not shown). Unlabeled EpRE was a more
effective competitor than was unlabeled ERE (compare lanes
3 and 6 with a 50-fold excess of EpRE or ERE).
These observations may reflect the fact that a portion of the EpRE
( 465 to 453) resembles an ERE. All nucleotides from 465 to 453
of the EpRE are identical to the ERE (underlined
nucleotides), except for the outermost 5' and 3' nucleotides
(positions 465 and 453), where a different purine or a different
pyrimidine is found, respectively. Therefore, at a sufficiently high
concentration, the ERE oligonucleotide may be able to displace the EpRE
from proteins that normally bind to it. A consistently observed but
light supershifted band (SSB) was evident in the presence of
a monoclonal antibody to the ER (lane 8).
However, there are other proteins that interact with the EpRE and are
not shifted by ER antibody.
To further verify the binding of the ER to the EpRE, gel shift assays
were also performed using unlabeled in vitro translated ER
(Fig. 6C). A DNA-protein complex was observed that was
competed out by unlabeled EpRE (50×) or ERE (200×) (Fig.
6C, lanes 4-6). Moreover, this
complex was supershifted with ER antibody (Fig. 6C,
lane 7). This specific band was not seen with
control lysate (ivt-CTRL, lanes 8-10)
from in vitro transcription-translation reaction with the
vector lacking the ER cDNA, confirming that the band observed in
lane 4 can be attributed to ER binding to the
radiolabeled EpRE. The major protein complex detected (lane 4) migrated similarly to the major DNA-protein complex
detected in gel shift assays where 32P-ERE was used as the
DNA template for binding of in vitro translated ER
(lane 11). This 32P-ERE-protein
complex was fully competed with excess radioinert ERE (lane
12) and was supershifted with ER antibody (lane
13). Thus, together with the results presented in Fig.
6B, these gel shift assays indicate that the ER binds to the
EpRE and is one of several proteins that interacts with the EpRE. The
binding of ER to the EpRE appears to be much weaker than its binding to the ER, since equal cpm and ng amounts of radiolabeled
32P-EpRE and 32P-ERE were used in the binding
reactions, and the DNA-ER complex is much less intense with the
32P-EpRE oligomer (Fig. 6C).
Because of higher transcriptional activation of the QR gene by ER
when compared with ER (as seen in Fig. 5B), we examined the DNA binding ability of ER and ER to the EpRE. For these experiments, we used Flag epitope-tagged ER . Our gel shift assays, using 32P-labeled EpRE or 32P-labeled ERE and
nonradiolabeled ER or ER prepared by in vitro transcription and translation (Fig. 7),
indicate that although ER showed much weaker binding with the ERE
when compared with ER , ER binding to the EpRE was comparable with
that observed with ER (Fig. 7). The presence of ER and ER in
the DNA-protein complex is indicated by the supershifted bands observed
in the presence of ER antibody H222 or Flag antibody M2, respectively. Thus, the higher transcriptional activation from the EpRE by ER as
compared with ER cannot be attributed to differences in the relative
EpRE binding ability of ER and ER but perhaps to receptor-type specific interactions with other protein factors in the EpRE
transcriptional complex.
Antiestrogens induce an increase in QR mRNA in breast cancer cells, and our studies indicate that the regulation of QR activity by antiestrogens occurs at the transcriptional level and is mediated by the ER and an EpRE element in the QR gene. Gel shift analyses reveal that the ER can bind to the EpRE. Therefore, the antiestrogen-mediated increase in QR activity may occur through a direct transcriptional effect by the ER when bound to antiestrogens and/or may involve antiestrogen-ER enhancing the activity of other factors that interact with the EpRE. In contrast to the observations made with antiestrogens, TBHQ-mediated induction of QR gene transcriptional activity did not require the ER and occurred equally well in the presence of functionally inactive ER or in the absence of ER altogether. However, the DNA elements required for antiestrogen-mediated induction of QR gene transcriptional activity that we identified through deletion and mutational studies mapped identically with the elements required for TBHQ-mediated induction. The TRE and the TRE-like element in the EpRE were required for antiestrogen and TBHQ-mediated induction. However, no increase in QR gene transcriptional activity resulted from TPA treatment, which induces the synthesis and/or activity of AP1 transcription factors (24). Although antiestrogens have been reported to affect gene transcription through an AP1 site in some cell types (28), we were not able to induce an increase in CAT activity from TRE-containing reporter constructs in MCF7 cells after antiestrogen treatment (3). We were also not able to compete out interactions between the EpRE DNA elements and MCF7 nuclear factors with excess amounts of consensus TRE oligonucleotide. Therefore, although the EpRE contains a perfect TRE and two TRE-like elements, the major EpRE binding and activating protein factors in MCF7 breast cancer cells are probably not the AP1 transcription factors. However, our studies do not preclude the possibility that AP1 transcription factors are involved in EpRE-mediated transcriptional regulation in other systems, as has been reported in Hepa-1 liver tumor cells (9). Since the antiestrogen-estrogen receptor-mediated increase in QR gene expression might involve the direct binding of ER to the EpRE, we looked by gel shift analyses for proteins in MCF-7 cells that interact with the EpRE and, in particular, sought to determine whether ER is one of these proteins. We observed a strong gel shift and a conspicuous complex formed between MCF-7 cell proteins and radiolabeled EpRE. A shift of a minor portion of the radiolabeled EpRE-protein complex was observed with antibody to the ER, indicating that the ER was capable of interacting with the EpRE. This was also verified in studies utilizing in vitro transcribed and translated ER. A transcriptional effect is supported also by the requirement for ER DNA binding ability in the activation of the QR gene by antiestrogens (Fig. 3). This interaction may reflect, in part, the similarity in nucleotide sequence between the ERE and the human QR EpRE motif. But our studies also indicated that there are other proteins besides ER that interact with the EpRE and are not shifted by ER antibody in MCF-7 cells. Our observations are consistent with several reports showing that EpRE-mediated chemoprotective gene expression involves the interaction of multiple proteins with the EpRE regulatory site (12, 29, 30). The direct interaction of the ER with the EpRE also appeared to be weaker than the interaction of the ER with the ERE. Thus, a direct transcriptional effect of the ER mediated through the EpRE is possible, because we see some ER interaction with the EpRE, but this interaction appears to be weak when compared with the interaction of other protein(s) with the EpRE, and the ER is only one of several proteins bound there. Several aspects of antiestrogen regulation of QR transcriptional activity cannot be attributed solely to ER binding to the EpRE and remain to be investigated. This is especially true in light of 1) our previous observation that the time course of induction of QR enzyme activity is relatively slow (with increases in QR mRNA first detectable at 12-16 h after antiestrogen treatment of MCF7 cells; Ref. 3), 2) our previous observation that antiestrogen activation of GST-Ya gene transcriptional activity is mediated through an EpRE, which is not homologous to the ERE (3), and 3) the observation in the present studies that the interaction of the ER with the EpRE is weak and that the EpRE interacts with additional proteins. Clearly, the regulation by antiestrogen-liganded ER may be also attributable to changes in the levels and/or the activity of other factors. The factors that interact with the EpRE are only now being characterized (4, 5 12, 29, 30) and highlight the likely complexity of EpRE-mediated gene regulation. An intriguing possibility is that antiestrogens, and not estrogens, might promote an interaction of the ER with protein activators of QR transcriptional activity. It is clear that ligand activation of ER transcriptional activity is
highly dependent on the nature of the response element. Antiestrogen
ligands (TOT, LY 117018), which induce very little activity from ER We have now observed antiestrogen-mediated activation of EpRE enhancer
activity in various promoter contexts, the QR gene promoter (as shown
in this study) and the GST-Ya gene promoter (3), as well as in the
context of a heterologous promoter, the thymidine kinase gene promoter
(this study). The induction of QR gene transcriptional activity by
antiestrogens was also evident in more than one cell context. It is of
note that tamoxifen has been reported to induce an increase in the
mRNA levels of other phase II detoxifying enzymes in rat liver
(31). These findings raise the intriguing possibility that
antiestrogens might regulate, in several cellular contexts, the
activity of numerous proteins that contain EpREs in their regulatory
regions and thereby afford substantial chemoprotective benefit to
estrogen receptor-containing cells. This activation by antiestrogens
may be modulated by differences in the relative levels of ER
We thank Karen Weis for constructing
Flag-ER
* This work was supported by National Institutes of Health Grants CA18119 (to B. S. K.) and CA80959 (to M. M. M.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
§ Present address: Dept. of Pharmacology, Case Western Reserve University, Cleveland, OH 44106.
The abbreviations used are: QR or NQO, NADPH: quinone oxidoreductase; ER, estrogen receptor; E2, estradiolERE, estrogen response elementTBHQ, tert-butylhydroquinoneEpRE, electrophile response elementARE, antioxidant response elementGST, glutathione S-transferaseGST-Ya, GST Ya subunitTOT, trans-hydroxytamoxifenTPA, 12-O-tetradecanoylphorbol-13-acetateTRE, TPA response elementCAT, chloramphenicol acetyltransferaseCHAPS, 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonic acid.
Copyright © 1998 by The American Society for Biochemistry and Molecular Biology, Inc. This article has been cited by other articles:
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