The effect of retinoic acid and dexamethasone on alkaline phosphatase (AP)
expression was investigated in human breast cancer MCF-7 cells. Cellular AP
activity was induced significantly by retinoic acid or dexamethasone in a
time-dependent and dose-dependent fashion. A marked synergistic induction o
f AP activity was observed when the cells were incubated with both agents s
imultaneously. Two AP isozymes, tissue-nonspecific (TNAP) and intestinal (I
AP), were shown to be expressed in MCF-7 cells as confirmed by the differen
tial rate of thermal inactivation of these isozymes and RT-PCR. Based on th
e two-isozyme thermal-inactivation model, the specific activities for TNAP
and IAP in each sample were analyzed. TNAP activity was induced only by ret
inoic acid and IAP activity was induced only by dexamethasone. Whereas dexa
methasone conferred no significant effect on TNAP activity, retinoic acid w
as shown to inhibit IAP activity by approximate to 50%. Interestingly, TNAP
was found to be the only isozyme activity superinduced when the cells were
costimulated with retinoic acid and dexamethasone. Northern blot and RT-PC
R analysis were then used to demonstrate that the steady-state TNAP mRNA le
vel was also superinduced, which indicates that the superinduction is regul
ated at the transcriptional or post-transcriptional levels. In the presence
of the glucocorticoid receptor antagonist RU486, the dexamethasone-mediate
d induction of IAP activity was blocked completely as expected. However, th
e ability of RU486 to antagonize the action of glucocorticoid was greatly c
ompromised in dexamethasone-mediated superinduction of TNAP activity. Furth
ermore, in the presence of retinoic acid, RU486 behaved as an agonist, and
conferred superinduction of TNAP gene expression in the same way as dexamet
hasone. Taken together, these observations suggest that the induction of IA
P activity by dexamethasone and the superinduction of TNAP by dexamethasone
were mediated through distinct regulatory pathways. In addition, retinoic
acid plays an essential role in the superinduction of TNAP gene expression
by enabling dexamethasone to exert its agonist activity, which otherwise ha
s no effect.