Horm Metab Res 2004; 36(7): 437-444
DOI: 10.1055/s-2004-825724
Original Basic
© Georg Thieme Verlag Stuttgart · New York

Impairment of the Antiproliferative Effect of Glucocorticosteroids by 11β-hydroxysteroid Dehydrogenase Type 2 Overexpression in MCF-7 Breast-cancer Cells

C.  Lipka 1 , J.  Mankertz 2 , M.  Fromm 3 , H.  Lübbert 2 , H.  Bühler 4 , W.  Kühn 1 , V.  Ragosch 1 , S.  Hundertmark 1
  • 1Department of Obstetrics and Gynecology, Charité, Germany
  • 2Department of Gastroenterology, Infectiology, and Rheumatology, Charité, Germany
  • 3Department of Clinical Physiology, Charité, Germany
  • 4Department of Obstetrics and Gynecology, Marienhospital Herne, Ruhr-Universität Bochum
Weitere Informationen

Publikationsverlauf

Received 21 October 2003

Acceped after Revision 26 January 2004

Publikationsdatum:
11. August 2004 (online)

Abstract

To verify the relevance of 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) activity in controlling breast-cancer cell growth, we have evaluated the correlation of 11β-HSD2 expression and antiproliferative effects of glucocorticosteroids (GCs) on breast cancer cell proliferation. We cloned human 11β-HSD2 cDNA into the expression vector pBK-CMV. The interspersing lac promoter region was deleted, achieving differential translational efficiency. The constructs were stably transfected into wild-type MCF-7 breast-cancer cells possessing almost no oxidative and no reductive 11β-HSD activity. Low (times 7) and high (times 718) 11β-HSD2 overexpression was achieved. We compared growth behavior of transfected cells In the presence of GCs to MCF-7 cells transfected with pBK-CMV alone (internal control). The antiproliferative effects of GCs were reversed and total cell growth boosted by overexpression of 11β-HSD2; about 50 % of the increase in cell proliferation was attained by low 11β-HSD2 overexpression, while high enzyme overexpression led to an increase in cell growth of about 120 %. Using direct evidence, this study shows 11β-HSD2 to impair antiproliferative glucocorticosteroid effects, thus acting as an enzymatic shield aggravating breast-cancer cell growth. These results indicate a possible therapeutic role for 11β-HSD inhibitors in the treatment of breast cancer.

References

  • 1 Lippman M, Bolan G, Huff K. The effects of glucocorticoids and progesterone on hormone-responsive human breast cancer in long-term tissue culture.  Cancer Res. 1976;  36 4602-4609
  • 2 Osborne C K, Monaco M E, Kahn C R, Huff K, Bronzert D, Lippman M E. Direct inhibition of growth and antagonism of insulin action by glucocorticoids in human breast cancer cells in culture.  Cancer Res. 1979;  39 2422-2428
  • 3 Zhou F, Bouillard B, Pharaboz-Joly M O, Andre J. Non-classical antiestrogenic actions of dexamethasone in variant MCF-7 human breast cancer cells in culture.  Mol Cell Endocrinol. 1989;  66 189-197
  • 4 Poulin R, Baker D, Poirier D, Labrie F. Multiple actions of synthetic ‘progestins’ on the growth of ZR-75-1 human breast cancer cells: an in vitro model for the simultaneous assay of androgen, progestin, estrogen, and glucocorticoid agonistic and antagonistic activities of steroids.  Breast Cancer Res Treat. 1991;  17 197-210
  • 5 Goya L, Maiyar A C, Ge Y, Firestone G L. Glucocorticoids induce a G1/GO cell cycle arrest of Con8 rat mammary tumor cells that is synchronously reversed by steroid withdrawal or addition of transforming growth factor-alpha.  Mol Endocrinol. 1993;  7 1121-1132
  • 6 Penning T M, Ricigliano J W. Mechanism based inhibition of hydroxysteroid dehydrogenases.  J Enzyme Inhib. 1991;  5 165-198
  • 7 Roy A K. Regulation of steroid hormone action in target cells by specific hormone-inactivating enzymes.  Proc Soc Exp Biol Med. 1992;  199 265-272
  • 8 Hundertmark S, Ragosch V, Schein B, Buhler H, Lorenz U, Fromm M, Weitzel H K. Gestational age dependence of 11 beta-hydroxysteroid dehydrogenase and its relationship to the enzymes of phosphatidylcholine synthesis in lung and liver of fetal rat.  Biochim Biophys Acta. 1994;  1210 348-354
  • 9 Seckl J R. 11 beta-hydroxysteroid dehydrogenase isoforms and their implications for blood pressure regulation.  Eur J Clin Invest. 1993;  23 589-601
  • 10 Chapman K E, Kotelevtsev Y V, Jamieson P M, Williams L J, Mullins J J, Seckl J R. Tissue-specific modulation of glucocorticoid action by the 11 beta-hydroxysteroid dehydrogenases.  Biochem Soc Trans. 1997;  25 583-587
  • 11 Rabbitt E H, Lavery G G, Walker E A, Cooper M S, Stewart P M, Hewison M. Prereceptor regulation of glucocorticoid action by 11beta-hydroxysteroid dehydrogenase: a novel determinant of cell proliferation.  FASEB J. 2002;  16 36-44
  • 12 Kotelevtsev Y, Holmes M C, Burchell A, Houston P M, Schmoll D, Jamieson P, Best R, Brown R, Edwards C R, Seckl J R, Mullins J J. 11 beta-hydroxysteroid dehydrogenase type 1 knockout mice show attenuated glucocorticoid-inducible responses and resist hyperglycemia on obesity or stress.  Proc Natl Acad Sci USA. 1997;  94 14 924-14 929
  • 13 Monder C, Shackleton C H. 11 beta-Hydroxysteroid dehydrogenase: fact or fancy?.  Steroids. 1984;  44 383-417
  • 14 Brown R W, Chapman K E, Edwards C R, Seckl J R. Human placental 11 beta-hydroxysteroid dehydrogenase: evidence for and partial purification of a distinct NAD-dependent isoform.  Endocrinology. 1993;  132 2614-2621
  • 15 Stewart P M, Mason J I. Cortisol to cortisone: glucocorticoid to mineralocorticoid.  Steroids. 1995;  60 143-146
  • 16 Jamieson P M, Chapman K E, Edwards C R, Seckl J R. 11 beta-hydroxysteroid dehydrogenase is an exclusive 11 beta-reductase in primary cultures of rat hepatocytes: effect of physiochemical and hormonal manipulations.  Endocrinology. 1995;  136 4754-4761
  • 17 Hammami M M, Siiteri P K. Regulation of 11 beta-hydroxysteroid dehydrogenase activity in human skin fibroblasts: enzymatic modulation of glucocorticoid action.  J Clin Endocrinol Metab. 1991;  73 326-334
  • 18 Low S C, Chapman K E, Edwards C R, Seckl J R. ‘Liver type’ 11 beta-hydroxysteroid dehydrogenase cDNA encodes reductase but not dehydrogenase activity in intact mammalian COS-7 cells.  J Mol Endocrinol. 1994;  13 167-174
  • 19 Rajan V, Chapman K E, Lyons V, Jamieson P, Mullins J J, Edwards C R, Seckl J R. Cloning, sequencing and tissue-distribution of mouse 11 beta-hydroxysteroid dehydrogenase-1 cDNA.  J Steroid Biochem Mol Biol. 1995;  52 141-147
  • 20 Voice M W, Seckl J R, Edwards C R, Chapman K E. 11 beta-hydroxysteroid dehydrogenase type 1 expression in 2S FAZA hepatoma cells is hormonally regulated: a model system for the study of hepatic glucocorticoid metabolism.  Biochem J. 1996;  317 621-625
  • 21 Albiston A L, Obeyesekere V R, Smith R E, Krozowski Z S. Cloning and tissue distribution of the human 11 beta-hydroxysteroid dehydrogenase type 2 enzyme.  Mol Cell Endocrinol. 1994;  105 R11-R17
  • 22 Stewart P M, Murry B A, Mason J I. Human kidney 11 beta-hydroxysteroid dehydrogenase is a high affinity nicotinamide adenine dinucleotide-dependent enzyme and differs from the cloned type I isoform.  J Clin Endocrinol Metab. 1994;  79 480-484
  • 23 Brown R W, Chapman K E, Murad P, Edwards C R, Seckl J R. Purification of 11 beta-hydroxysteroid dehydrogenase type 2 from human placenta utilizing a novel affinity labelling technique.  Biochem J. 1996;  313 997-1005
  • 24 Edwards C R, Stewart P M, Burt D, Brett L, McIntyre M A, Su tanto W S, de Kloet E R, Monder C. Localisation of 11 beta-hydroxysteroid dehydrogenase - tissue specific protector of the mineralocorticoid receptor.  Lancet. 1988;  2 986-989
  • 25 Funder J W, Pearce P T, Smith R, Smith A I. Mineralocorticoid action: target tissue specificity is enzyme, not receptor, mediated.  Science. 1988;  242 583-585
  • 26 Murphy B E. Ontogeny of cortisol-cortisone interconversion in human tissues: a role for cortisone in human fetal development.  J Steroid Biochem. 1981;  14 811-817
  • 27 Seckl J R, Benediktsson R, Lindsay R S, Brown R W. Placental 11 beta-hydroxysteroid dehydrogenase and the programming of hypertension.  J Steroid Biochem Mol Biol. 1995;  55 447-455
  • 28 Hundertmark S, Buhler H, Rudolf M, Weitzel H K, Ragosch V. Inhibition of 11 beta-hydroxysteroid dehydrogenase activity enhances the antiproliferative effect of glucocorticosteroids on MCF-7 and ZR-75-1 breast cancer cells.  J Endocrinol. 1997;  155 171-180
  • 29 Takahashi K, Shibata S, Yano S, Harada M, Saito H, Tamura Y, Kumagai A. Chemical modification of glycyrrhetinic acid in relation to the biological activities.  Chem Pharm Bull (Tokyo). 1980;  28 3449-3452
  • 30 Stewart P M, Wallace A M, Valention R, Burt D, Shackleton C H, Edwards C R. Mineralocorticoid activity of liquorice: 11-beta-hydroxysteroid dehydrogenase deficiency comes of age.  Lancet. 1987;  2 821-824
  • 31 Monder C, Stewart P M, Lakshmi V, Valentino R, Burt D, Edwards C R. Licorice inhibits corticosteroid 11 beta-dehydrogenase of rat kidney and liver: in vivo and in vitro studies.  Endocrinology. 1989;  125 1046-1053
  • 32 Hundertmark S, Buhler H, Ragosch V, Dinkelborg L, Arabin B, Weitzel H K. Correlation of surfactant phosphatidylcholine synthesis and 11 beta-hydroxysteroid dehydrogenase in the fetal lung.  Endocrinology. 1995;  136 2573-2578
  • 33 Smith P K, Krohn R I, Hermanson G T, Mallia A K, Gartner F H, Provengano M D, Fujimoto E K, Goeke N M, Olson B J, Klenk D C. Measurement of protein using bicinchoninic acid.  Analytical Biochemistry. 1985;  150 76-85
  • 34 Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays.  J Immunol Methods. 1983;  65 55-63
  • 35 Quirk S J, Slattery J, Funder J W. 11 beta-hydroxysteroid dehydrogenase activity in the mammary gland.  J Steroid Biochem. 1990;  35 623-625
  • 36 Quirk S J, Slattery J A, Funder J W. Epithelial and adipose cells isolated from mammary glands of pregnant and lactating rats differ in 11 beta-hydroxysteroid dehydrogenase activity.  J Steroid Biochem Mol Biol. 1990;  37 529-534
  • 37 Yang K, Khalil M W, Strutt B J, Killinger D W. 11 beta-hydroxysteroid dehydrogenase 1 activity and gene expression in human adipose stromal cells: effect on aromatase activity.  J Steroid Biochem Mol Biol. 1997;  60 247-253
  • 38 Sasano H, Frost A R, Saitoh R, Matsunaga G, Nagura H, Krozowski Z S, Silverberg S G. Localization of mineralocorticoid receptor and 11 beta-hydroxysteroid dehydrogenase type II in human breast and its disorders.  Anticancer Res. 1997;  17 2001-2007
  • 39 Nath N, Lakshmi V, Rosenthal J C. Presence of 11 beta-hydroxysteroid dehydrogenase enzyme in the human prostate tumor cell line LNCaP.  Prostate. 1993;  23 225-233
  • 40 Suzuki S, Suzuki T, Tsubochi H, Koike K, Tateno H, Krozowski Z S, Sasano H. Expression of 11 beta-hydroxysteroid dehydrogenase type 2 and mineralocorticoid receptor in primary lung carcinomas.  Anticancer Res. 2000;  20 323-328
  • 41 Takahashi K, Sasano H, Fukushima K, Hirasawa G, Miura H, Sasaki I, Matsuno S, Krozowski Z S, Nagura H. 11 beta-hydroxysteroid dehydrogenase type II in human colon: a new marker of fetal development and differentiation in neoplasms.  Anticancer Res. 1998;  18 3381-3388
  • 42 Marandi A, Monder C. Inhibition by glycyrrhetinic acid of rat tissue 11 beta-hydroxysteroid dehydrogenase in vivo.  Steroids. 1993;  58 153-156
  • 43 Stewart P M, Wallace A M, Valentino R, Burt D, Shackleton C H, Edwards C R. Mineralocorticoid activity of liquorice: 11-beta-hydroxysteroid dehydrogenase deficiency comes of age.  Lancet. 1987;  2 821-824
  • 44 Wang Z Y, Nixon D W. Licorice and cancer.  Nutr Cancer. 2001;  39 1-11
  • 45 Diederich S, Eigendorff E, Burkhardt P, Quinkler M, Bumke-Vogt C, Rochel M, Seidelmann D, Esperling P, Oelkers W, Bahr V. 11beta-hydroxysteroid dehydrogenase types 1 and 2: an important pharmacokinetic determinant for the activity of synthetic mineralo- and glucocorticoids.  J Clin Endocrinol Metab. 2002;  87 5695-5701
  • 46 Pompei R, Pani A, Flore O, Marcialis M A, Loddo B. Antiviral activity of glycyrrhizic acid.  Experientia. 1980;  36 304
  • 47 Badam L. Ammonium salt of glycyrrhizic acid as an antiviral.  Natl Med J India. 1997;  10 98
  • 48 Yano S, Harada M, Watanabe K, Nakamaru K, Hatakeyama Y, Shibata S, Takahashi K, Mori T, Hirabayashie K, Takeda M. Antiulcer activities of glycyrrhetinic acid derivates in experimental gastric lesions models.  Chem Pharm Bull. 1989;  37 2500-2504
  • 49 Okimasu E, Moromizato Y, Watanabe S, Sasaki J, Shiraishi N, Morimoto Y M, Miyahara M, Utsumi K. Inhibition of phospholipase A2 and platelet aggragation by glycyrrhizin, an antiinflammation drug.  Acta Med Okayama. 1983;  37 385-391
  • 50 Kim D H, Hong S W, Kim B T, Bae E A, Park H Y, Han M J. Biotransformation of glycyrrhizin by human intestinal bacteria and its relation to biological activities.  Arch Pharm Res. 2000;  23 172-177
  • 51 Agarwal R, Wang Z Y, Mukhtar H. Inhibition of mouse skin tumor-initiating activity of DMBA by chronic oral feeding of glycyrrhizin in drinking water.  Nutr Cancer. 1991;  15 187-193
  • 52 Abe H, Ohya N, Yamamoto K F, Shibuya T, Arichi S, Odashima S. Effects of glycyrrhizin and glycyrrhetinic acid on growth and melanogenesis in cultured B16 melanoma cells.  Eur J Cancer Clin Oncol. 1987;  23 1549-1555
  • 53 Rossi T, Galatulas I, Bossa R, Tampieri A, Tartoni P, Baggio G, Rub A I, Castelli M. Influence of glycyrrhizin on the evolution and respiration of Ehrlich ascites tumour cells.  In Vivo. 1995;  9 183-186
  • 54 Ge S, Lan X, Satoru S. The inhibiting effect of glycyrrhizin on proliferation of the mice submandibular gland fibrosarcoma cell line in vitro.  Zhonghua Kou Qiang Yi Xue Za Zhi. 1998;  33 341-343
  • 55 Stormer F C, Reistad R, Alexander J. Glycyrrhizic acid in liquorice - evaluation of health hazard.  Food Chem Toxicol. 1993;  31 303-312
  • 56 Armanini D, Lewicka S, Pratesi C, Scali M, Zennaro M C, Zovato S, Gottardo C, Simoncini M, Spigariol A, Zampollo V. Further studies on the mechanism of the mineralocorticoid action of licorice in humans.  J Endocrinol Invest. 1996;  19 624-629
  • 57 Buhler H, Perschel F H, Fitzner R, Hierholzer K. Endogenous inhibitors of 11 beta-OHSD: existence and possible significance.  Steroids. 1994;  59 131-135
  • 58 Morita H, Zhou M, Foecking M F, Gomez-Sanchez E P, Cozza E N, Gomez-Sanchez C E. 11 beta-Hydroxysteroid dehydrogenase type 2 complementary deoxyribonucleic acid stably transfected into Chinese hamster ovary cells: specific inhibition by 11 alpha-hydroxyprogesterone.  Endocrinology. 1996;  137 2308-2314
  • 59 Souness G W, Morris D J. 11 alpha- and 11 beta-hydroxyprogesterone, potent inhibitors of 11 beta-hydroxysteroid dehydrogenase, possess hypertensiogenic activity in the rat.  Hypertension. 1996;  27 421-425
  • 60 Seeger H, Wallwiener D, Mueck A O. The effect of progesterone and synthetic progestins on serum- and estriol-stimulated proliferation of human breast cancer cells.  Horm Met Res. 2003;  35 76-80
  • 61 Flötotto T, Djahansouzi S, Gläser M, Hanstein B, Niederacher D, Brumm C, Beckmann M W. Hormones and hormone antagonists: mechanisms of action in carcinogenesis of endometrial and breast cancer.  Horm Met Res. 2001;  33 451-457
  • 62 Alvaraz-Vasquez R B, Axelrod D, Frenkel K, Newman M C, Sepkovic D W, Bradlow H L, Zumoff B. Influence of postmenopausal hormone replacement therapy on an estrogen metabolite biomarker of risk for breast cancer.  Horm Met Res. 2003;  35 358-361

PD Dr. S. Hundertmark,
Dr. C. Lipka

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