Department of Clinical Sciences, University of Rome Sapienza, Rome, Italy.
J Endocrinol Invest. 2010 Jan;33(1):2-6. doi: 10.1007/BF03346542. Epub 2009 Sep 30.
Agents capable of increasing radioiodine concentration by stimulating the sodium/iodide symporter (NIS) expression have been extensively investigated for the treatment of certain well-differentiated breast cancers.
In this study, we analyzed the regulation of the NIS and lactoperoxidase (LPO) gene expression in 4 different human breast cancer cell lines, representative of different histotypes of breast cancer.
MCF-7, T-47D, MDA-MB231, and HCC-1937 (the latter carrying the BRCA-1 mutation) were exposed to different stimulators and the levels of NIS and LPO mRNA measured by a quantitative RT-PCR.
All-trans-Retinoic Acid (RA), Dexamethasone (DEX), Trichostatin A (TSA), and Sodium Butyrate (NaB) induced the expression of NIS mRNA in MCF-7 and T-47D cell lines, whereas HCC-1937 and MBA-MB231 were slightly responsive only to the histone-deacetylase inhibitors TSA and NaB. Minor stimulatory effects were detected on LPO mRNA in MCF-7 and T-47D treated with TSA and NaB or RA only in MCF-7, while no effect was detectable in the other two cell lines.
These data indicate that retinoic acid, alone or in combination with DEX, as well as HDAC-inhibitors are very promising agents for a radioiodine- based therapy in a large spectrum of breast cancers, including neoplasms from both basal and ductal cells, especially for the well-differentiated estrogen-dependent tumors. Other molecules or other drug combinations should be tested to extend the same strategy to the less differentiated and more aggressive tumor cells, including those carrying the BRCA mutation.
能够通过刺激钠/碘转运体(NIS)表达来增加放射性碘浓度的药物已被广泛研究用于治疗某些分化良好的乳腺癌。
本研究分析了 NIS 和乳过氧化物酶(LPO)基因在 4 种不同的人乳腺癌细胞系中的表达调控,这些细胞系代表了不同组织学类型的乳腺癌。
MCF-7、T-47D、MDA-MB231 和 HCC-1937(后者携带 BRCA-1 突变)细胞分别暴露于不同的刺激物,通过定量 RT-PCR 测量 NIS 和 LPO mRNA 的水平。
全反式维甲酸(RA)、地塞米松(DEX)、曲古抑菌素 A(TSA)和丁酸钠(NaB)均诱导 MCF-7 和 T-47D 细胞系中 NIS mRNA 的表达,而 HCC-1937 和 MBA-MB231 细胞对组蛋白去乙酰化酶抑制剂 TSA 和 NaB 仅有轻微的反应。在 TSA 和 NaB 或 RA 处理的 MCF-7 和 T-47D 中,LPO mRNA 也检测到较小的刺激作用,而在其他两种细胞系中则检测不到。
这些数据表明,维甲酸单独或与 DEX 联合使用,以及 HDAC 抑制剂是放射性碘治疗的很有前途的药物,适用于包括基底细胞和导管细胞来源的多种乳腺癌,尤其是分化良好的雌激素依赖性肿瘤。应该测试其他分子或其他药物组合,将这一策略扩展到分化较差和侵袭性更强的肿瘤细胞,包括携带 BRCA 突变的肿瘤细胞。