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Calcitriol 1,dihydroxyvitamin D 3 , the hormonally active form of vitamin D, suppresses proliferation and promotes apoptosis and differentiation of malignant cells and inhibits tumor angiogenesis and invasion, raising the possibility of its use as an anticancer agent 9 — Calcitriol has been shown to increase aromatase expression in human osteoblasts and fibroblasts 14 , Interestingly, our observations reveal that calcitriol down-regulates aromatase expression in BCa cells.

In BCa cells, calcitriol also decreases the levels of biologically active prostaglandins PGs , which are major stimulators of estrogen production, by suppressing the expression of the PG-synthesizing enzyme cyclooxygenase COX -2 and increasing that of hydroxyprostaglandin dehydrogenase PGDH , which initiates PG catabolism.

The mechanism of calcitriol-mediated aromatase down-regulation in BCa cells therefore appears to be 2-fold: 1 a direct transcriptional repression of the aromatase gene by calcitriol and 2 an indirect effect to reduce aromatase transcription by reducing the levels PGs, which are known stimulators of aromatase transcription in BCa cells 1.

Importantly our data reveal that calcitriol regulation of aromatase expression is tissue specific with a significant suppression in BCa cells and adipocytes surrounding breast tumors, whereas a substantial increase is seen in osteosarcoma cells, used as a model for bone cells.

Due to its ability to suppress both the synthesis and biological activity of estrogens, calcitriol exhibits significant inhibitory effects on BCa cell growth. Furthermore, in this paper, we show that combinations of calcitriol and AIs are cooperative and cause enhanced inhibition of BCa cell growth. We therefore postulate that combining an AI enzyme inhibitor with calcitriol transcriptional regulator would be a useful therapeutic strategy in BCa.

We hypothesize that cumulatively these actions contribute to the beneficial effect of combining calcitriol with an AI to treat BCa patients.

Herndon, VA. Total RNA was isolated from cells treated with vehicle 0. Promoter-specific aromatase transcript levels were determined using primers designed for each of the promoter regions of aromatase exon I and PCR conditions as described Aromatase enzyme activity has been assessed in cell cultures and recombinant enzyme preparations by measuring the conversion of androgenic substrates androstenedione or testosterone T into estrone or estradiol E 2 24 , We determined aromatase activity in cultures of BCa and osteosarcoma cells by measuring the conversion of T to E 2.

After 24 h, the growth media were replaced with serum-free medium OptiMEM; Life Technologies containing the aromatase substrate T n m and various concentrations of calcitriol or letrozol and incubated for 48 h. Aromatase activity was expressed as picograms of E 2 synthesized per hour per milligram protein. COX-2 proteins was visualized as an approximately kDa immunoreactive band.

After 24 h the growth media were replaced with serum-free medium OptiMEM; Life Technologies containing vehicle or 10 or n m calcitriol. A plasmid containing the aromatase promoter I.

After transfections the cells were treated with vehicle 0. Reporter and renilla luciferase activities were measured using the dual-luciferase assay kit Promega. ZR cells treated with vehicle or calcitriol were subjected to ChIP analysis as described Fresh media and the drugs were replenished every other day and cell proliferation was assessed at the end of 6 d by measuring the DNA content When tumors attained a size of about 70 mm 3 or more, the mice were given ip injections of vehicle 0.

This calcitriol dosing regimen has been established to be effective in eliciting changes in tumor gene expression in xenograft models of squamous cell carcinoma and prostate cancer in nude mice 28 , IC 50 values for growth inhibition by individual drugs were calculated from dose-response data.

Dose-response analyses were also carried out for the combinations of calcitriol and the various AIs. Higher calcitriol concentrations up to n m did not further decrease aromatase mRNA levels in these cells.

This calcitriol concentration n m was used to assess its effects in MDA-MB cells in various experiments described below. In all other cells 10 n m calcitriol was used as a single high dose unless otherwise stated. The levels of promoter-specific aromatase transcripts were determined in MCF-7 cells Fig. Tissue-selective regulation of aromatase mRNA by calcitriol. B, Calcitriol decreases various promoter-specific aromatase transcript levels in BCa cells.

The levels of promoter-specific aromatase transcripts were determined in MCF-7 cells treated as in A. C, Calcitriol increases aromatase mRNA in human osteosarcoma and ovarian cancer cells. D, Calcitriol increases various promoter-specific aromatase transcript levels in osteosarcoma cells. MG cells were treated as in A and the levels of various promoter-specific aromatase transcripts determined.

E and F, Calcitriol decreases aromatase expression in 3T3-L1 preadipocytes. The cultures were then exposed to a differentiation-inducing medium with and without calcitriol addition for the final 24 h and aromatase mRNA was measured E, Post-diff. In contrast to BCa cells, in the human osteosarcoma cells MG and SaoS-2, which exhibit osteoblastic features in culture, calcitriol induced an approximately fold and approximately 7-fold increase in total aromatase mRNA levels, respectively Fig.

The levels of transcripts derived from the bone-specific aromatase promoter I. Calcitriol also increased promoter I. To examine calcitriol effects in adipocytes, we used 3T3-L1 mouse fibroblasts preadipocytes , which can be induced to undergo differentiation into mature adipocytes by manipulating culture conditions.

Calcitriol treatment of undifferentiated preadipocytes resulted in a significant decrease in aromatase mRNA Fig. The induction of differentiation Fig. Addition of 10 n m calcitriol to the differentiated cells for 24 h maintained the suppression of aromatase mRNA without causing a further decrease Fig. The effect of calcitriol on aromatase activity in BCa cells and osteosarcoma cells was examined by measuring E 2 production after the addition of the substrate T.

The changes in aromatase activity in the various cells due to calcitriol treatment reflected the changes seen in aromatase mRNA levels Fig. Calcitriol decreased aromatase activity in a dose-dependent manner in MCF-7 cells with an IC 50 of 1. In contrast, in MG osteosarcoma cells, calcitriol at 10 and n m caused an approximately 4-fold and an approximately fold increase in aromatase activity respectively Fig. Tissue-selective regulation of aromatase activity by calcitriol.

A, Calcitriol decreases aromatase activity in MCF-7 cells. MCF-7 cells were treated with vehicle Cal, 0 or various concentrations of calcitriol Cal, 0. Aromatase activity was determined by measuring the concentrations of E 2 formed in the conditioned media by an EIA and expressed as picograms of E 2 formed per hour per milligram protein.

B, Calcitriol decreases aromatase activity in other BCa cells. C, Calcitriol increases aromatase activity in MG cells. MG human osteosarcoma cells were treated with 10 and n m calcitriol and aromatase activity was determined as in A. Calcitriol administration to nude mice carrying MCF-7 xenografts in their mammary fat pads decreased total aromatase mRNA in the xenograft tumors in both intact mice Fig.

No significant change was observed in ovarian aromatase mRNA in the intact mice Fig. COX-2 mRNA expression in the tumors also showed a significant decrease after calcitriol treatment in the intact mice Fig. The same negative trend in COX-2 expression was also seen in OVX mice treated with calcitriol, although the decrease did not attain statistical significance Fig.

Serum calcium levels in the mice receiving calcitriol at a high dose for 3 d assayed approximately 14 h after the final calcitriol injection registered only a slight increase, which, however, was not statistically significant. Vehicle Veh or calcitriol Cal, 0. Total aromatase mRNA was measured in tumors, mammary fat tissue surrounding the tumors, and ovaries. Calcitriol decreases PG synthesis in BCa cells. BCa cells were treated with calcitriol as described in Fig. B, Calcitriol decreases COX-2 protein levels.

BCa cells were treated as described in Fig. PGE 2 levels in conditioned media were measured. In silico analysis of the aromatase promoter I. We transiently transfected a plasmid containing an aromatase promoter I. In MCF-7 cells, addition of Fsk and Bu 2 cAMP caused an approximately 2-fold increase reporter activity, which was significantly attenuated by calcitriol cotreatment Fig.

Direct repression of aromatase transcription through promoter II by calcitriol. A, A schematic diagram of the aromatase promoter I. An aromatase I. Addition of the aromatase substrate T to cell cultures in media depleted of endogenous steroids caused a 2- to 3-fold increase in cell growth Fig. The growth stimulation by T was not abolished by the addition of the androgen receptor AR antagonist bicalutamide Cdx, Fig. Addition of graded concentrations of calcitriol inhibited T stimulation of cell growth Fig.

Complete inhibition down to the growth level in basal media without T was achieved at 10 n m calcitriol. A further increase in calcitriol concentration n m caused a significant reduction in cell growth below basal levels. Similarly when tested individually, the AIs letrozole, anastrozole, and exemestane inhibited T stimulation of cell growth in a dose-dependent manner with IC 50 values of 10—15 n m data not shown.

Enhanced inhibition of BCa cell growth by calcitriol-AI combinations. B—D, Enhanced inhibition of cell growth by calcitriol-AI combinations. Cells were grown as described in A in the absence or presence of calcitriol Cal , exemestane Exe, 6b , anastrozole Ana, 6c , letrozole Let, 6d , or combinations of calcitriol with each AI at the indicated concentrations.

We tested the growth-inhibitory effects of a series of concentrations of calcitriol 0. Figure 6 , B—D, illustrates the effect of combinations of suboptimal concentrations of calcitriol 0. Calcitriol alone at 0. The steroidal AI exemestane Fig. Calcitriol inhibits BCa cell growth and retards the growth of xenografts of human tumors in immunocompromised hosts by multiple pathways 9 , 10 , 13 , Calcitriol reduced total aromatase mRNA levels and decreased aromatase enzymatic activity in BCa cells.

Interestingly, the regulation of aromatase expression by calcitriol is tissue specific. Our data show significant increases in aromatase mRNA and estrogen synthesis in human osteosarcoma cells, confirming earlier reports of calcitriol-mediated up-regulation of aromatase in osteoblasts 14 , Other studies in keratinocytes 34 and prostate cancer cells 35 found no effect of calcitriol on aromatase expression.

Kinuta et al. Their results indicated that calcitriol plays a role in gonadal estrogen synthesis to a large extent by maintaining calcium homeostasis. However, aromatase deficiency in the VDR null mice was not totally corrected by normalization of serum calcium levels, suggesting that the direct regulation of aromatase by calcitriol might also play a role We observed a modest increase in aromatase mRNA in human ovarian cancer cells after calcitriol treatment, whereas in mice bearing BCa tumors, calcitriol administration did not alter ovarian aromatase mRNA.

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Download PDF. Subjects Cellular neuroscience Endocrinology. Abstract During development sex differences in aromatase expression in limbic regions of mouse brain depend on sex chromosome factors. Introduction The field of sexual differentiation has been receiving increasing contributions since the pioneering work of Phoenix et al.

Figure 1. Full size image. Figure 2. Figure 3. Figure 4. Figure 5. Figure 6. Figure 7. Figure 8. Discussion Previously we have demonstrated a sex difference in aromatase expression in the anterior amygdaloid area of the MF1 FCG mouse brain and culture 7.

Figure 9. Table 1 Primer sequences and conditions of qPCR assay. Full size table. References 1. Google Scholar Article PubMed Google Scholar Article Google Scholar View author publications. Ethics declarations Competing Interests The authors declare that they have no competing interests. Additional information Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

About this article. Cite this article Cisternas, C. Copy to clipboard. Further reading X-linked histone H3K27 demethylase Kdm6a regulates sexually dimorphic differentiation of hypothalamic neurons Lucas E. Cabrera Zapata , Carla D.

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