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Altered nuclear receptor corepressor expression attenuates vitamin D receptor signaling in breast cancer cells
Claire M Banwell1, Donia P MacCartney, Michelle Guy
1Institute of Biomedical Research, Endocrinology and Metabolism and Division of Immunity and Infection, University of Birmingham Medical School, Edgbaston, Birmingham, United Kingdom.
Purpose:
We hypothesized that deregulated corepressor actions, with associated histone deacetylation activity, epigenetically suppressed vitamin D receptor (VDR) responsiveness and drives resistance towards 1alpha,25-dihydroxyvitamin D(3).
Experimental Design:
Profiling, transcriptional, and proliferation assays were undertaken in 1alpha,25(OH)(2)D(3)-sensitive MCF-12A nonmalignant breast epithelial cells, a panel of breast cancer cell lines, and a cohort of primary breast cancer tumors (n = 21).
Results:
Elevated NCoR1 mRNA levels correlated with suppressed regulation of VDR target genes and the ability of cells to undergo arrest in G(1) of the cell cycle. A similar increased ratio of corepressor mRNA to VDR occurred in matched primary tumor and normal cells, noticeably in estrogen receptor alpha-negative (n = 7) tumors. 1alpha,25(OH)(2)D(3) resistance in cancer cell lines was targeted by cotreatments with either 1alpha,25(OH)(2)D(3) or a metabolically stable analogue (RO-26-2198) in combination with either trichostatin A (TSA; histone deacetylation inhibitor) or 5-aza-2'-deoxycytidine (DNA methyltransferase inhibitor). Combinations of vitamin D(3) compounds with TSA restored VDR antiproliferative signaling (target gene regulation, cell cycle arrest, and antiproliferative effects in liquid culture) to levels which were indistinguishable from MCF-12A cells.
Conclusions:
Increased NCoR1 mRNA is a novel molecular lesion in breast cancer cells, which acts to suppress responsiveness of VDR target genes, resulting in 1alpha,25(OH)(2)D(3) resistance and seems to be particularly associated with estrogen receptor negativity. This lesion provides a novel molecular diagnostic and can be targeted by combinations of vitamin D(3) compounds and low doses of TSA.
Insights
Increased NCoR1 mRNA in breast cancer suppresses vitamin D receptor (VDR) function, leading to drug resistance. Combining vitamin D compounds with histone deacetylase inhibitors like TSA can restore VDR activity.
Area of Science:
- Molecular Biology
- Cancer Research
- Epigenetics
Background:
- Vitamin D receptor (VDR) plays a role in cell growth and differentiation.
- VDR signaling is often impaired in breast cancer, contributing to disease progression.
- Corepressors can epigenetically regulate gene expression, potentially impacting VDR activity.
Purpose of the Study:
- To investigate the role of corepressors, specifically NCoR1, in VDR responsiveness in breast cancer.
- To determine if NCoR1-mediated suppression of VDR contributes to resistance to 1alpha,25-dihydroxyvitamin D(3) (1,25(OH)2D3).
- To explore therapeutic strategies targeting NCoR1-mediated VDR resistance.
Main Methods:
- Gene expression profiling and transcriptional assays in breast epithelial cells and cancer cell lines.
- Analysis of primary breast cancer tumors (n=21) for NCoR1 and VDR levels.
- In vitro experiments testing combinations of 1,25(OH)2D3 (or analogue RO-26-2198) with epigenetic modifiers (TSA, 5-aza-2'-deoxycytidine).
Main Results:
- Elevated NCoR1 mRNA levels correlated with suppressed VDR target gene regulation and cell cycle arrest.
- A higher ratio of corepressor to VDR mRNA was observed in primary tumors, particularly in estrogen receptor alpha-negative (ERα-) cases.
- Combination therapy with 1,25(OH)2D3 and trichostatin A (TSA) restored VDR antiproliferative signaling in resistant cancer cells.
Conclusions:
- Increased NCoR1 mRNA is a novel molecular lesion in breast cancer, causing VDR target gene suppression and 1,25(OH)2D3 resistance.
- This NCoR1-mediated resistance is associated with ERα-negative breast cancer.
- The combination of vitamin D compounds and low-dose TSA represents a potential therapeutic strategy for overcoming VDR resistance.
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