P. Diel et al., The pure antiestrogen ICI 182780 is more effective in the induction of apoptosis and down regulation of BCL-2 than tamoxifen in MCF-7 cells, BREAST CANC, 58(2), 1999, pp. 87-97
There is increasing evidence that induction of apoptosis by antihormones is
an important mechanism in regard to their growth inhibitory action on horm
one dependent tumors. In this report we have compared the efficiency of tam
oxifen (Tam) and the pure antiestrogen ICI 182780 (ZM) to induce apoptosis
in the estrogen dependent breast cancer cell line MCF-7. Clear evidence for
induction of apoptosis could be demonstrated after treatment with both ant
iestrogens. Application of the pure antiestrogen ZM led to a significantly
higher induction of apoptosis compared to the partial agonistic compound Ta
m. The ability of the two compounds to induce apoptosis correlated with the
ir growth inhibitory action. On the molecular level administration of ZM le
d to a time dependent steady decrease of BCL-2 mRNA and protein. Administra
tion of Tam also initially decreased the expression of BCL-2. In contrast t
o ZM treatment, BCL-2 expression increased again after 8 h of incubation wi
th Tam. After 96 h Tam treated cells expressed BCL-2 levels nearly as high
as untreated cells. In general, ZM decreased BCL-2 levels more effectively
than Tam. Our results demonstrate that ZM and Tam possess quantitative and
qualitative differences in their ability to down regulate BCL-2 expression.
The higher ability of the pure antiestrogen to down regulate BCL-2 express
ion may explain the superiority of the pure antiestrogen to induce apoptosi
s and to inhibit the growth of MCF-7 cells.