The Soy Isoflavone Equol May Increase Cancer Malignancy via Up-regulation of Eukaryotic Protein Synthesis Initiation Factor eIF4G*

Background: The molecular mechanisms of soy isoflavones in metastatic cancer remain to be elucidated. Results: Equol, a daidzein metabolite, regulates eIF4G-mediated cap-independent protein synthesis initiation of proteins relevant for cancer malignancy. Conclusion: Equol is a potent regulator of the cancer promoting effects of dietary daidzein. Significance: Consumption of soy may not be advisable for patients with aggressive breast cancer. Dietary soy is thought to be cancer-preventive; however, the beneficial effects of soy on established breast cancer is controversial. We recently demonstrated that dietary daidzein or combined soy isoflavones (genistein, daidzein, and glycitein) increased primary mammary tumor growth and metastasis. Cancer-promoting molecules, including eukaryotic protein synthesis initiation factors (eIF) eIF4G and eIF4E, were up-regulated in mammary tumors from mice that received dietary daidzein. Herein, we show that increased eIF expression in tumor extracts of mice after daidzein diets is associated with protein expression of mRNAs with internal ribosome entry sites (IRES) that are sensitive to eIF4E and eIF4G levels. Results with metastatic cancer cell lines show that some of the effects of daidzein in vivo can be recapitulated by the daidzein metabolite equol. In vitro, equol, but not daidzein, up-regulated eIF4G without affecting eIF4E or its regulator, 4E-binding protein (4E-BP), levels. Equol also increased metastatic cancer cell viability. Equol specifically increased the protein expression of IRES containing cell survival and proliferation-promoting molecules and up-regulated gene and protein expression of the transcription factor c-Myc. Moreover, equol increased the polysomal association of mRNAs for p 120 catenin and eIF4G. The elevated eIF4G in response to equol was not associated with eIF4E or 4E-binding protein in 5′ cap co-capture assays or co-immunoprecipitations. In dual luciferase assays, IRES-dependent protein synthesis was increased by equol. Therefore, up-regulation of eIF4G by equol may result in increased translation of pro-cancer mRNAs with IRESs and, thus, promote cancer malignancy.

Isoflavones found primarily in legumes and particularly in soy are a major class of phytoestrogens that are structurally and/or functionally similar to 17␤-estradiol (1). These compounds have received increasing attention for their potential estrogenic or antiestrogenic effects, leading to concerns surrounding the use of phytoestrogen supplements in breast cancer patients who may overexpress estrogen receptors in the tumor tissue (2). Because soy foods have anticancer effects at early stages of carcinogenesis, most studies have focused on breast cancer prevention by soy isoflavones (3). However, the benefits of soy foods as chemopreventives for established breast cancer or as substitutes for hormone replacement therapies remain controversial (3)(4)(5).
The second most prominent isoflavone found in soybeans and soy products is the aglycone form daidzein. Intestinal bacteria are central to the absorption and metabolism of isoflavones. After oral ingestion, glucosidases metabolize the ␤-glycosidic isoflavone daidzin into the bioavailable aglycone daidzein (6). Daidzein can be further metabolized to equol; before final absorption, the intestinal microflora converts daidzein to equol or O-desmethylangolensin (Fig. 1). Rodents are efficient producers of equol. However, not all humans have the gut microflora necessary to convert daidzein to equol, and ϳ30 -50% of humans are equol producers. The proportion of equol producers also vary with demographic, lifestyle factors, and ethnicity, and certain populations (e.g. Chinese) have been shown to be high equol producers (5,7). This variation in equol production may explain the discrepancies found in epidemiological studies on the risks or benefits of dietary soy (5, 6, 8 -10).
Unlike the metabolite O-desmethylangolensin, which has low biological activity (6,11), equol is structurally similar to estrogen with 80 times more estrogen receptor-␤ (ER␤) 2 affinity than its precursor daidzein (11)(12)(13). Equol has been implicated with decreased prostate cancer cell proliferation and prostate cancer risk by acting as an antagonist for dihydrotest-erone (14,15). In ER (ϩ) T47D and MCF-7 human breast cancer cells, equol increased estrogenic activity and cell proliferation, but dietary equol did not affect tumor growth in nude mice (16 -19). Dietary daidzein also failed to reduce chemically induced mammary tumor growth in rats that demonstrated ϳ1 M equol in the serum (20). Others have shown that equol inhibited growth and invasion of ER␣ (Ϫ) ER␤ (ϩ) human breast cancer cells and induced cell cycle arrest and apoptosis (14,(21)(22)(23). However, caution must be exercised when interpreting in vitro studies because the inhibitory effects of equol in breast cancer cells were observed at concentrations ranging from 50 to 100 M (14,22,23), whereas low concentrations of equol (Յ1 M) increased breast cancer cell proliferation (17,24). Moreover, dietary soy, where genistein, daidzein, and equol were detected in serum samples, increased mammary epithelial cell proliferation of human subjects (25). Therefore, the association between equol production and cancer risk in humans remains to be adequately characterized (8,26,27). Overall, benefits from soy intake are associated with ER (ϩ) breast cancer, and the effect of equol or soy isoflavones on ER (Ϫ) breast cancers or established aggressive breast cancers are not well understood (5,28,29).
Our recent data using ER (Ϫ) highly metastatic MDA-MB-435 human cancer cells reported that dietary daidzein and soy isoflavones (daidzein:genistein:glycitein, 5:4:1) increased mammary tumor growth and metastasis in nude mice (30). PCR analysis of mammary tumors demonstrated that dietary daidzein up-regulated the expression of a number of genes that regulate cell proliferation and survival including CCND1, CTNNB1 (catenin (cadherin-associated protein) ␤1), GRB2 (growth factor receptor-bound protein 2), JUN (Jun oncogene), MAPK1 (mitogen-activated protein kinase 1), and IRS1 (insulin receptor substrate 1). Of note was the significant up-regulation of eukaryotic initiation factor 4G (EIF4G1) and increased eIF4G and eIF4E protein levels in tumors after daidzein diets (30). Increased levels of eIF4F family members such as eIF4E, -G, and -B have been implicated with specific translation of tumor survival and malignancy-promoting proteins that have mRNAs with long structured 5Ј-untranslated regions (UTR) and/or internal ribosome entry sites (IRES) (31)(32)(33).
The present study was initiated to test the hypothesis that dietary daidzein promotes cancer progression via increased synthesis of cancer promoting molecules. We show that the isoflavone daidzein may promote cancer through the metabolite equol. Equol-mediated eIF4G up-regulation can contribute to non-canonical, eIF4E-independent and, thus, 5Ј-7-methylguanosine (M 7 G) cap-independent protein synthesis via IRES sites (33,34). Therefore, equol may specifically direct the synthesis of IRES-containing mRNAs that induce cell survival and cell proliferation and promote cancer malignancy.
Tumor Model-The tumors were derived from our previous study (30). Briefly, female athymic nu/nu mice, 5 weeks old (Charles River Laboratories, Wilmington, MA), were inoculated at the mammary fat pad with green fluorescent protein (GFP)-tagged-MDA-MB-435 cells. After 1 week of tumor inoculation, vehicle (10% ethanol, 90% corn oil), 10 mg/kg body weight (BW) of daidzein or combined soy isoflavones 10 mg/kg BW genistein, 9 mg/kg BW daidzein, and 1 mg/kg BW glycitein were administered 3 times a week by oral gavage for 11 weeks. After necropsy, mammary tumors were excised and stored snap-frozen in liquid nitrogen.
Cell Viability Assay-Cell viability was determined by the CellTiter 96 Non-Radioactive Cell Proliferation kit according to the manufacturer's instructions (Promega, Madison, WI). Briefly, quiescent 1 ϫ 10 5 MDA-MB-435 cells were added to the wells of a 96-well plate and treated for 24 h with vehicle, 1, 5, 10, 25, or 50 M equol. After equilibration, 15 l/well MTT (3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide) reagent was added, and the plates were incubated at 37°C for 4 h. Stop solution (100 l) was added to each well, and the plates were incubated to facilitate solubilization of newly formed formazan salts. The absorbance at 570 nm was measured using an ELISA plate reader.

Equol Increases eIF4G Expression in Cancer Cells
Polysomal Fractionation-Sucrose density gradient centrifugation was used to separate the subpolysomal and polysomal fractions as in Refs. 32 and 36. MDA-MB-435 cells were treated with vehicle or equol (25 M) for 24 h. Five minutes before harvest, 100 g/ml cycloheximide was added to the culture medium. Cells were washed in ice-cold phosphate-buffered saline supplemented with 100 g/ml cycloheximide and harvested in polysome lysis buffer (10 mM Tris-HCl at pH 7.4, 40 mM KCl, 3 mM MgCl 2 , 5% glycerol, 0.2% Nonidet P-40, 150 g/ml cycloheximide, 1 mM PMSF, 20 mM DTT, 200 g/ml heparin). Samples were incubated on ice for 10 min and centrifuged at 12,000 ϫ g for 10 min at 4°C. The resulting supernatant was layered onto 10 -50% sucrose density gradients and centrifuged in a Beckman SW41 rotor at 35,000 rpm for 3 h at 4°C. The A 260 of sucrose density gradient fractions (200 l) was determined through the fractions collected from top to bottom. Consecutive fractions were pooled, generating a total of nine fractions. Sucrose density gradient fractions were resuspended in guanidine thiocyanate buffer containing 10% mercaptoethanol (RLT buffer, RNeasy Mini Kit, Qiagen). RNA was extracted using the RNeasy Mini Kit for isolation of total RNA (Qiagen) following the manufacturer's instructions. RNA preparations from each fraction were subjected to qRT-PCR for CTNND1 (p120-catenin), GAPDH, and EIF4G as described above.
eIF4G Immunoprecipitation-MDA-MB-435 cells were treated with vehicle or 25 M equol for 24 h. Cells were lysed in radioimmune precipitation assay buffer (50 mM HEPES, pH 7.0, 2 mM EDTA, 250 mM NaCl, 50 mM NaF, 25 mM Na 4 O 7 P 2 , 2 mM Na 3 VO 4 , 1 mM PMSF, 0.1 mM DTT, and 0.5% IGEPAL), and 500 g each of total protein extracts were incubated with anti-eIF4G antibody (Cell Signaling) (1:50) or control antibody (1:50) for 2 h at 4°C followed by incubation with protein A Sepharose (cell signaling) for an additional hour. Immunoprecipitates were washed and processed for SDS-PAGE and Western blotting as described in Ref. 40. Immunoprecipitates of eIF4G antibody or control monoclonal antibody, supernatants, and total lysates were immunoblotted with anti-eIF4G (top half of gel) or anti-eIF4E (bottom half of same gel) to visualize eIF4G as a 220-kDa band and eIF4E as a 25-kDa band.
Luciferase Reporter Assays-MDA-MB-435 cells were transfected with a bicistronic reporter system (a kind gift of Dr. Robert Schneider, New York University Langone Medical Center) or control plasmid containing the luciferase constructs without IRES using Lipofectamine 2000 (Invitrogen) as the per manufacturer's directions. As described in Ref. 32, this plasmid contains a cap-dependent Renilla luciferase followed by a 5Ј-UTR containing the p120 catenin IRES-mediated firefly luciferase. 24 h after transfection, cells were treated with equol for an additional 24 h. The relative IRES activity was analyzed as 570-nm firefly luciferase/480-nm Renilla luciferase in a luminometer using a dual luciferase assay kit (Promega) according to the manufacturer's instructions.
Statistical Analysis-Data were analyzed and reported as the mean Ϯ S.E. in triplicate. Statistical analyses were done using Microsoft Excel and GraphPad Prism. Differences between means were determined using Student's t test, and p Յ 0.05 was considered significant.

Dietary Daidzein Up-regulates Expression of eIF4G and eIF4E and Increased Protein Levels of mRNAs with IRES Sites in
Vivo but Not in Vitro-We recently reported that daidzein increased mammary tumor growth and metastasis in nude mice with mammary tumors established from the ER (Ϫ) highly metastatic human cancer cell line MDA-MB-435. Mammary tumors from mice treated with daidzein diets demonstrated a significant 2-3-fold up-regulation of EIF4G1 gene and protein expression and a ϳ7.0-fold increase in eIF4E protein levels compared with vehicle controls. Combined soy treatment resulted in a 1.8-fold increase in EIF4E gene and a 2.5-fold increase in protein expression (30).
High levels of eukaryotic initiation factors, specifically eIF4G1, have been correlated with increased cap independent translation of specific mRNAs that contain IRESs and longstructured 5Ј-UTRs (32,33,41). To investigate the effect of the overexpressed eIF4F complex on translation of mRNAs sensitive to elevated eIF4F initiation factors, we analyzed protein expression levels of pro-survival, -angiogenesis, and -proliferation molecules known to have mRNAs with long UTRs and/or IRESs (32,33,42) from primary tumors of mice after daidzein or combined soy (genistein:daidzein:glycitein, 5:4:1) diets. As shown in Fig. 2, the pro-survival proteins survivin (2-fold), Bcl2 (2.2-fold), and Bcl-XL (2.3-fold) and total and active phospho-p120 catenin (8-and 4-fold, respectively) were significantly increased in tumors after daidzein diets. Combined soy also demonstrated significant increases in expression of Bcl-XL (4-fold) and VEGF (2.3-fold). However, the expression of ␤-actin, a constitutively expressed mRNA with a short 5Ј-UTR was not affected by dietary soy isoflavones. Both actin and GFP expression were used as standards for the analysis of -fold dif-ferences of IRES containing molecules compared with vehicle controls to ensure analysis of GFP-MDA-MB-435 cells.
This data implicate dietary daidzein in eIF4F-controlled translation of proteins that regulate cancer progression. Therefore, the molecular mechanisms of daidzein action were further investigated in vitro using the same cell line from the in vivo study, ER (Ϫ) MDA-MB-435 cells as well as the ER␤ (ϩ) metastatic breast cancer cell line MDA-MB-231. Cells were treated with vehicle or daidzein at 0 -50 M. These concentrations fall within the range of 1-10 M that has been shown to accumulate in the circulation after consumption of soy products (43). However, we did not detect any significant changes in eIF4E, p-eIF4E, eIF4G, or p-eIF4G in both cell lines after 24 or 48 h treatment of daidzein at all concentrations tested. There were slight increases in eIF4G and p-eIF4G in MDA-MB-231 cells treated with 25 and 50 M daidzein; nevertheless, these increases were not statistically significant (Fig. 3).
The Daidzein Metabolite Equol Up-regulates Gene and Protein Expression of eIF4G and c-Myc and Protein Expression of mRNAs with IRESs-Daidzein can be further metabolized to equol (70%) and O-desmethylangolensin (5-20%) (Fig. 1). In rodents, equol is the major circulating metabolite, and all rodents are equol producers (6,11). Therefore, we reasoned that the daidzein effects on MDA-MB-435 metastatic cell lines in vivo may be due to the metabolite equol. MDA-MB-435 and MDA-MB-231 cells were treated with (R,S)-equol at different concentrations (0 -50 M) and tested for eIF4E and eIF4G expression by Western blotting. Fig. 4 demonstrates that similar to dietary daidzein in mice, equol increased the expression of total and p-eIF4G in a concentration-dependent manner. Elevation of eIF4G preceded the p-eIF4G levels. Therefore, equol may not specifically affect phosphorylation of eIF4G, but only eIF4G expression. Similar to the effect of dietary daidzein on mammary tumor growth in nude mice, we found that equol enhanced cancer cell viability. Treatment of equol (0 -50 M) to MDA-MB-435 cells increased cell viability starting at 1 M in a concentration-dependent and statistically significant manner (Fig. 5). This increase in cell number reflects the effect of equol on gene and protein expression of eIF4G.
A recent study from ER (Ϫ) inflammatory breast cancer cells demonstrated that overexpression of eIF4G with no changes in the cap-binding protein eIF4E and its negative regulator 4E-BP1 promotes cap-independent protein synthesis of IREScontaining mRNAs (32). The protein products of these mRNAs have been shown to regulate cancer cell survival and proliferation (44 -48). To determine whether increased eIF4G in response to equol may drive IRES-dependent protein synthesis, we tested the protein and gene expression of mRNAs with or without IRESs.   this increase dropped off to ϳ1.4-fold at 50 M equol (Fig. 6,  A and B).
Proteins with mRNAs with short 5Ј-UTRs that do not contain IRESs (JunB, GAPDH, and actin (49, 50)) were not increased in response to all concentrations of equol tested (0 -50 M) (Fig. 6, A and B). In contrast to JunB, equol increased protein expression of p120-catenin, a molecule with an IRES containing mRNA, by 1.5-fold 6 h after treatment, which remained constant up to 24 h in equol (Fig. 6C).
To determine whether the increased protein expression in response to equol was due to an increase in gene expression, the expression of representative IRES-positive mRNAs was determined by qRT-PCR of cell lysates after vehicle or equol treatment. The IRES containing mRNAs CCND1 (cyclin D), CTNND1 (p120 catenin), and VEGF did not change in response to equol. However, 5-50 M equol up-regulated gene expression of eIF4G and c-Myc (Fig. 6D).
Because the effect of equol on increased protein levels of IRES-containing mRNAs saturated at 25 M equol for 24 h, we selected these conditions for the subsequent in vitro assays. This concentration of equol has been found in the urine of humans after consumption of soy foods (51).
To determine whether the up-regulated eIF4G levels in response to equol resulted in increased protein synthesis initiation, we performed polysomal fractionations of cell lysates after vehicle or equol. The ribosomal and polysomal fractions were isolated from sucrose gradients, and potential association of mRNAs was determined by A 260 measurements. Compared  DECEMBER 7, 2012 • VOLUME 287 • NUMBER 50 with vehicle treatments, equol increased the total mRNA associated with the polysomal fractions (Fig. 7A). qRT-PCR analyses for GAPDH, CTNND1, and EIF4G (with B2M as the control) demonstrated that the IRES containing mRNAs CTNND1 and EIF4G, but not GAPDH, were associated with the heavier polysomal fractions from equol-treated cells. CTNND1 mRNA was increased by 1.5-fold, and EIF4G was significantly increased by 1.7-fold in heavier polysomal fractions from equol-treated cells compared with vehicle controls (Fig. 7B). Similar to the results on protein expression, association of the IRES-negative GAPDH mRNA was not changed by equol treatment. Therefore, the observed equol-mediated up-regulation of p120-catenin protein expression without changes in CTNND1 gene expression (Fig. 6) may indicate preferential synthesis of IRES containing mRNAs in equol-treated cells. The enhanced affinity of EIF4G for the polysome fractions indicates that the EIF4G mRNA elevated in response to equol is translated into protein, thus accounting for the elevated eIF4G protein levels.

Equol Increases eIF4G Expression in Cancer Cells
To determine if the increased eIF4G in response to equol was associated at the 5Ј cap with eIF4E, synthetic m 7 GTP co-capture assays were performed from MDA-MB-435 cell lysates treated with vehicle or equol. Fig. 8A demonstrates that total, m 7 GTP-bound, or free eIF4E or 4E-BP levels remain unchanged after equol treatment. This is consistent with our results that showed no effect of equol on phospho or total eIF4E or 4E-BP protein expression (Fig. 4), indicating that equol does not affect eIF4E expression or activity. Intriguingly, equol treatment significantly decreased the amount of eIF4G co-captured with eIF4E in the m 7 GTP beads by ϳ75% compared with vehicle controls. However, there was a 3-fold increase in eIF4G levels recovered in the total cell lysate and the free pool of eIF4G in the m 7 GTP pulldown assays (supernatants). This result indicates that the equol-mediated elevated eIF4G is not associated with cap-dependent protein synthesis. Fig. 8C shows the association of eIF4E and eIF4G from anti-eIF4G immunoprecipitates that pulled down equal amounts of eIF4G from vehicle or equol-treated cells. Equol treatment resulted in a statistically significant 32% less eIF4E co-immunoprecipitating with eIF4G. The excess eIF4E was recovered in the supernatants after equol, demonstrating reduced association of eIF4G and eIF4E after equol treatment. The increased eIF4G in response to equol was also recovered in the supernatant.
Dual luciferase assays for cap-dependent and cap-independent, IRES-mediated protein synthesis were performed to determine a function for the excess eIF4G that is not associated with eIF4E. As shown in Fig. 8D, equol treatment of MDA-MB-435 cells, specifically increased IRES-driven firefly luciferase activity by 1.6-fold compared with vehicle (p Յ 0.01).

DISCUSSION
eIF4F family initiation factors that include eIF4E and eIF4G are overexpressed in advanced cancers and have been shown to be essential for translation of a subset of proteins that regulate cellular bioenergetics, survival, and proliferation (32, 33, 41, 42, 44 -48, 52, 53). These pro-cancer mRNAs often contain IRESs and are preferentially translated by elevated eIF4G in malignant cancer cells (32,33,54). Therefore, we hypothesized that our previously reported dietary daidzein and combined soy isoflavone-mediated increases in eIF4G and eIF4E expression in mammary tumors (30) may result in enhanced translation of IRES-containing pro-cancer mRNAs.
Results presented herein demonstrate that the effect of daidzein on eIF4G up-regulation could not be recapitulated in vitro with daidzein, but only with equol, the major daidzein metabolite in rodents. We also show that equol increased MDA-MB-435 cell viability similar to the previously reported increase in MDA-MB-435 tumor growth in response to dietary daidzein (30). Therefore, the observed effects of enhanced tumor growth and metastasis by dietary daidzein and soy isoflavones may, at least in part, be due to the metabolite equol.
Dietary daidzein significantly increased eIF4E protein levels and combined soy increased both gene and protein expression of eIF4E (30). However, equol treatment in vitro did not affect eIF4E or its negative regulator 4E-BP expression or activity. Thus, soy consumption may have more profound effects on protein synthesis initiation in cancer cells than the effects of equol described in this report.
The racemic (R,S)-equol used in this study demonstrated a more pronounced response in up-regulation of eIF4G in ER (Ϫ) MDA-MB-435 cells compared with ER␤ (ϩ) MDA-MB-231 cells. This result suggests that the effect of equol on eIF4G expression is not ER-dependent or that the presence of ER␤ has a protective effect on the cancer promoting action of equol. To our knowledge EIF4G does not have an estrogen response element and, therefore, cannot be directly under the regulation of ER.
A key finding is that Equol up-regulated gene and protein expression of c-Myc at all concentrations tested. The c-Myc transcription factor is one of the most important somatically mutated oncogenes in human cancer and confers a selective advantage to cancer cells by promoting protein synthesis, proliferation, cell survival, differentiation, genetic instability, angiogenesis, hypoxia-mediated cancer progression, and metastasis (33,33,47,(62)(63)(64)(65)(66). Studies have shown that c-Myc up-regulates both eIF4E and eIF4G gene expression (58). Myc also has an IRES site and thus, in turn, is sensitive to elevated eIF4G and eIF4E levels (48). In MDA-MB-435 cells, c-Myc and eIF4G levels were up-regulated by equol without a concomitant increase in eIF4E. Therefore, similar to a previous report where c-Myc did not affect the eIF4E mRNA or protein levels in a human B cell line (59), it is possible that c-Myc may not regulate eIF4E expression in our system.
MYC has an estrogen response element, and its expression is known to be regulated by estrogen and estrogen mimetics (60) as well as by a plethora of signaling pathways and mechanisms (61). Because the MDA-MB-435 cells are negative for ER␣ and ER␤ but may still express estrogen-related receptors as well as other steroid receptors, equol may activate these receptors to up-regulate MYC expression. The pulldown assays were washed and analyzed for eIF4G, eIF4E, and 4E-BP associated with the cap, supernatants, or total cell lysates. A, shown is a representative Western blot of m 7 G-bound proteins and the total protein (Tot) from cell lysates before pulldown assays. B, shown are -fold changes in eIF4G and eIF4E after vehicle (0) or equol treatment at the m 7 G cap relative to the total levels of eIF4G or eIF4E in cell lysate. n ϭ 3 Ϯ S.E. An asterisk indicates statistical significance of p Յ 0.05. C, association of eIF4G and eIF4E with anti-eIF4G immunoprecipitates in response to equol is shown. Quiescent MDA-MB-435 cells were treated with vehicle (V) or 25 M equol (E) and lysed, and lysates with equal protein were immunoprecipitated using an anti-eIF4G. Representative Western blots stained with eIF4G or eIF4E are shown for immunoprecipitates (IP), supernatants (Sup), and total protein lysates (Tot). The average -fold changes (n ϭ 3) from integrated densities of positive bands from equol-treated cells relative to vehicle are shown. D, relative IRES-dependent protein synthesis after equol treatment is shown. MDA-MB-435 cells expressing a plasmid with a cap-dependent Renilla luciferase followed by a 5Ј-UTR containing the p120 catenin IRES driving a firefly luciferase or control plasmid without an IRES were treated with vehicle or equol for 24 h. Cells were lysed, and the relative IRES activity analyzed as 570-nm firefly luciferase/480-nm Renilla luciferase. IRES activity was quantified relative to control activity for vehicle or equol-treated cells. Results show -fold change in IRES activity compared with vehicle for n ϭ 3 Ϯ S.E. An asterisk indicates statistical significance of p Յ 0.05.
The initial equol-mediated elevation of MYC and EIF4G1 gene expression may result in further synthesis of eIF4G and c-Myc via IRES-driven mechanisms, where eIF4G itself has an IRES site (42,67). We show that mRNAs for eIF4G are preferentially associated with the polysomal fractions from equoltreated cells, indicating enhanced protein synthesis of the elevated EIF4G mRNA by equol. Moreover, the majority of the equol-mediated up-regulated eIF4G is phosphorylated, thus suggesting it is functional and available for kinase activity in the cytosol. The functional consequence of phosphorylation of eIF4G in translation is not well established. Recent reports have implicated phosphorylation of eIF4G by PAK2 in inhibition of cap-dependent translation but not IRES-driven translation (77), thus implicating elevated p-eIF4G in response to equol in IRES-dependent protein synthesis initiation.
Our results from equol-treated breast cancer cells substantiate the hypothesis that elevated eIF4G by equol increases protein expression of specific mRNAs with IRESs without affecting their gene expression. Of the proteins that were elevated in response to equol, IRES-containing cyclin D1 and c-Myc up-regulation are hallmarks of cancer that have been directly associated with eIF4G up-regulation (32, 33, 42, 68 -70). The cell survival genes survivin, Bcl-2, and Bcl-XL and the angiogenesis promoter VEGF are also sensitive to eIF4G levels, have IRES sites, and are elevated in aggressive cancers (71)(72)(73)(74).
In MDA-MB-435 cells, p120 catenin protein expression, but not gene expression, was affected by equol. Moreover, p120catenin mRNAs from equol-treated cells had a higher affinity for the heavy polysomal fractions from sucrose density gradients. p-120 catenin and phosphorylated p Thr-916 -p120 catenin have been shown to stabilize the E-cadherin axis at cell adhesions and are implicated in regulation of Rho GTPase function leading to increased cancer cell invasion (75). However, the E-cadherin axis is lost in the metastatic cancer cells, used in our study, that have undergone epithelial to mesenchymal transition. Therefore, the elevated p120 catenin in response to equol may contribute to cancer progression via enhanced nuclear transcription regulated by free p120 catenin (76).
We also show that more mRNAs were associated with the polysome fraction from equol-treated cells, indicating enhanced protein synthesis initiation. However, equol treatment disassociated eIF4G from eIF4E in 5Ј caps, and the excess eIF4G synthesized in response to equol was not associated with eIF4E. Moreover, equol treatment preferentially increased the expression of IRES-driven luciferase relative to a cap-dependent luciferase. Therefore, taken together, our data suggest that equol-mediated up-regulation of eIF4G directs cap-independent protein synthesis initiation of IRES-containing cell survival and pro-proliferation molecules, whereas eIF4E remains at the 5Ј cap, bound to 4E-BP (Fig. 9). Nevertheless, these data do not rule out additional effects of equol on capdependent protein synthesis initiation, protein stability, or gene expression.
In conclusion, we have shown that the daidzein metabolite equol may act as a potent regulator of the cancer-promoting effects of dietary daidzein. Therefore, consumption of soy foods may not be advisable for patients with ER (Ϫ) breast cancer; however, more research needs to be conducted before definitive dietary recommendations.