Department of Medicine/Endocrinology, Weill Cornell Medical College, New York, NY, USA.
Prostate. 2013 Jul;73(10):1069-81. doi: 10.1002/pros.22654. Epub 2013 Feb 19.
Androgen modulation of angiogenesis in prostate cancer may be not directly mediated by androgen receptor (AR) as AR is not detected in the prostatic endothelial cells.
We examined the paracrine stimulation of cell proliferation by prostate tumor cells and its modulation by androgen and estrogens in a murine endothelial cell line (MEC) that does not express AR.
Tumor cell conditioned media (TCM) collected from LAPC-4 or LNCaP prostatic tumor cells produced a time- and concentration-dependent induction of cell growth in MECs, which was parallel to the VEGF concentration in the TCM. This TCM-induced cell growth in MECs was enhanced by the treatment of prostatic tumor cells with dihydrotestosterone (DHT). Both the TCM-stimulation and DHT-enhancement effects in MECs were completely blocked by SU5416, a specific VEGF receptor antagonist. Co-administration of 17α-estradiol or 17β-estradiol with DHT in prostatic tumor cells completely inhibited the DHT-enhancement effect while treatment with DHT, 17α-estradiol or 17β-estradiol did not produce any significant direct effect in MECs. Moreover, administration of 17α-estradiol or 17β-estradiol in xenograft animals with LAPC-4 or LNCaP prostate tumor significantly decreased the microvessel number in the tumor tissues.
Our study indicated that prostate tumor cells regulate endothelial cell growth through a paracrine mechanism, which is mainly mediated by VEGF; and DHT is able to modulate endothelial cell growth via tumor cells, which is inhibited by 17α-estradiol and 17β-estradiol. Thus, both17α-estradiol and 17β-estradiol are potential agents for anti-angiogenesis therapy in androgen-responsive prostate cancer.
前列腺癌中的血管生成受雄激素的调节,可能并非直接由雄激素受体 (AR)介导,因为 AR 未在前列腺内皮细胞中检测到。
我们检查了前列腺肿瘤细胞的旁分泌刺激作用及其对 AR 不表达的鼠内皮细胞系 (MEC)中细胞增殖的调节作用。
从 LAPC-4 或 LNCaP 前列腺肿瘤细胞中收集的肿瘤细胞条件培养基 (TCM) 可在 MEC 中产生时间和浓度依赖性的细胞生长诱导作用,这与 TCM 中的 VEGF 浓度平行。这种 TCM 诱导的 MEC 细胞生长作用通过二氢睾酮 (DHT) 处理前列腺肿瘤细胞得到增强。TCM 刺激和 MEC 中 DHT 增强作用均被特异性 VEGF 受体拮抗剂 SU5416 完全阻断。在前列腺肿瘤细胞中共同给予 17α-雌二醇或 17β-雌二醇与 DHT 完全抑制了 DHT 增强作用,而单独用 DHT、17α-雌二醇或 17β-雌二醇处理 MEC 并未产生任何明显的直接作用。此外,在 LAPC-4 或 LNCaP 前列腺肿瘤的异种移植动物中给予 17α-雌二醇或 17β-雌二醇可显著降低肿瘤组织中的微血管数量。
我们的研究表明,前列腺肿瘤细胞通过旁分泌机制调节内皮细胞生长,该机制主要由 VEGF 介导;DHT 能够通过肿瘤细胞调节内皮细胞生长,该作用被 17α-雌二醇和 17β-雌二醇抑制。因此,17α-雌二醇和 17β-雌二醇都是治疗对雄激素有反应的前列腺癌的抗血管生成治疗的潜在药物。