S. Swami et al., 1 alpha,25-dihydroxyvitamin D-3 down-regulates estrogen receptor abundanceand suppresses estrogen actions in MCF-7 human breast cancer cells, CLIN CANC R, 6(8), 2000, pp. 3371-3379
1 alpha,25-Dihydroxyvitamin D-3 [1,25(OH)(2)D-3], the active metabolite of
vitamin D, is a potent inhibitor of breast cancer cell growth. Because the
estrogen receptor (ER) plays a key role in breast cancer progression, we ha
ve studied the effects of 1,25(OH)(2)D-3 on the regulation of ER in the est
rogen-responsive MCF-7 human breast cancer cell line, which is known to pre
dominantly express ER alpha. 1,25(OH)(2)D-3 causes significant inhibition o
f MCF-7 cell growth, and it also decreases the growth-stimulatory effect of
BP-estradiol (E-2), Treatment of MCF-7 cells with 1,25(OH)(2)D-3 reduces E
R levels in a dose-dependent manner, as shown by ligand binding assays and
Western blot analysis, The 1,25(OH),D, analogues EB-1089, KH-1060, Ro 27-05
74, and Ro 23-7553 are more potent than 1,25(OH)(2)D-3 in both their antipr
oliferative actions as well as ER down-regulation. There is a striking corr
elation (R-2 = 0.98) between the growth-inhibitory actions of 1,25(OH)(2)D-
3 or analogues and their ability to down-regulate ER levels. Treatment with
1,25(OH)(2)D-3 shows that the reduction in ER is accompanied by a signific
ant decrease in the steady-state levels of ER mRNA, The decrease in ER mRNA
is not abolished by the protein synthesis inhibitor cycloheximide, Inhibit
ion of mRNA synthesis with actinomycin D reveals no significant differences
between ER mRNA half-life in control and 1,25(OH)(2)D-3 treated cells. Nuc
lear run-on experiments demonstrate significant decreases in ER gene transc
ription at the end of 17 h of treatment with 1,25(OH)(2)D-3. These findings
indicate that 1,25(OH)(2)D-3 exerts a direct negative effect on ER gene tr
anscription. Coincident with the decrease in ER levels there is an attenuat
ion of E-2-mediated bioresponses after 1,25(OH)(2)D-3 treatment. Induction
of progesterone receptor by E-2 is suppressed by 1,25(OH)(2)D-3, and the E-
2-mediated increase in breast cancer susceptibility gene (BRCA1) protein is
reduced by 1,25(OH)(2)D-3 treatment. Overall, these results suggest that t
he antiproliferative effects of 1,25(OH)(2)D-3 and its analogues on MCF-7 c
ells could partially be mediated through their action to down-regulate ER l
evels and thereby attenuate estrogenic bioresponses, including breast cance
r cell growth.