Chisamore M J, Ahmed Y, Bentrem D J, Jordan V C, Tonetti D A
Robert H. Lurie Comprehensive Cancer Center, Northwestern University Medical School, Chicago, IL 60611, USA.
Clin Cancer Res. 2001 Oct;7(10):3156-65.
Resistance to tamoxifen (TAM) represents a significant challenge to the management of breast cancer. We previously reported that the estrogen receptor (ER)-negative hormone-independent T47D:C42 cell line has both elevated protein kinase Calpha (PKCalpha) protein expression and basal activator protein-1 activity compared with the parental ER+ (hormone-dependent) T47D:A18 cell line. Stable transfection of PKCalpha to the T47D:A18 breast cancer cell line results in increased basal activator protein-1 activity, reduced ER function, increased proliferation rate, and hormone-independent growth (Tonetti et al., Br. J. Cancer, 83: 782-791, 2000). In this report, we further characterize the role of PKCalpha overexpression in vivo to elucidate a possible molecular mechanism of tamoxifen resistance.
To determine whether the T47D:A18/PKCalpha cell line would produce hormone-independent tumors in athymic mice, we injected T47D:A18, T47D:A18/neo, or the T47D:A18/PKCalpha20 cell clones bilaterally into the mammary fat pads of athymic mice. Tumor growth was evaluated following treatment with estradiol (E2), TAM, and the pure antiestrogen, ICI 182,780.
Mice receiving either T47D:A18 or T47D:A18/neo cells produced tumors that grew in response to E2 treatment, whereas the untreated control and TAM-treated groups showed no tumor growth. Interestingly, mice receiving the T47D:A18/PKCalpha20 clone produced tumors in both the control and TAM groups, whereas tumor growth was inhibited in mice treated with E2. PKCalpha was also overexpressed in an MCF-7 tumor model that also exhibited TAM-stimulated and E2-induced regression.
These results suggest that overexpression of PKCalpha in breast tumors results in hormone-independent tumor growth that cannot be inhibited by TAM treatment. Furthermore, the finding that E2 has an antitumor effect on breast tumors overexpressing PKCalpha is a novel observation that may have important therapeutic implications.
对他莫昔芬(TAM)产生耐药性是乳腺癌治疗面临的重大挑战。我们之前报道过,与亲代雌激素受体(ER)阳性(激素依赖性)的T47D:A18细胞系相比,ER阴性的激素非依赖性T47D:C42细胞系的蛋白激酶Cα(PKCα)蛋白表达升高且基础激活蛋白-1活性增强。将PKCα稳定转染至T47D:A18乳腺癌细胞系会导致基础激活蛋白-1活性增加、ER功能降低、增殖率提高以及激素非依赖性生长(托内蒂等人,《英国癌症杂志》,83: 782 - 791, 2000)。在本报告中,我们进一步阐述PKCα过表达在体内的作用,以阐明他莫昔芬耐药可能的分子机制。
为确定T47D:A18/PKCα细胞系是否会在无胸腺小鼠体内产生激素非依赖性肿瘤,我们将T47D:A18、T47D:A18/neo或T47D:A18/PKCα20细胞克隆双侧注射到无胸腺小鼠的乳腺脂肪垫中。用雌二醇(E2)、TAM和纯抗雌激素药物ICI 182,780处理后评估肿瘤生长情况。
接受T47D:A18或T47D:A18/neo细胞的小鼠产生的肿瘤在E2处理后生长,而未处理的对照组和接受TAM处理的组未出现肿瘤生长。有趣的是,接受T47D:A18/PKCα20克隆的小鼠在对照组和TAM组均产生了肿瘤,而接受E2处理的小鼠肿瘤生长受到抑制。PKCα在MCF - 7肿瘤模型中也过表达,该模型也表现出TAM刺激和E2诱导的肿瘤消退。
这些结果表明,乳腺癌中PKCα的过表达导致激素非依赖性肿瘤生长,且TAM治疗无法抑制。此外,E2对过表达PKCα的乳腺肿瘤具有抗肿瘤作用这一发现是一项新的观察结果,可能具有重要的治疗意义。