ERbeta impedes prostate cancer EMT by destabilizing HIF-1alpha and inhibiting VEGF-mediated snail nuclear

Paul Mak1, Irwin Leav, Bryan Pursell

  • 1Department of Cancer Biology, University of Massachusetts Medical School, Worcester, MA 01605, USA.

Cancer Cell
|April 14, 2010
PubMed

Insights

Estrogen receptor beta (ERbeta) loss promotes aggressive prostate cancer by enabling epithelial-mesenchymal transition (EMT). Restoring ERbeta may offer a therapeutic strategy for high Gleason grade tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Endocrinology

Background:

  • High Gleason grade prostate carcinomas are aggressive and poorly differentiated.
  • These tumors show reduced estrogen receptor beta (ERbeta) expression.

Purpose of the Study:

  • To investigate the role of ERbeta and its ligand (3beta-adiol) in maintaining prostate cancer cell phenotype.
  • To elucidate the mechanism by which ERbeta influences epithelial-mesenchymal transition (EMT) and its clinical relevance.

Main Methods:

  • Investigated the effect of stimuli like TGF-beta and hypoxia on ERbeta expression.
  • Assessed the impact of ERbeta loss on EMT.
  • Analyzed the molecular mechanism involving HIF-1alpha, VEGF-A, and Snail1.
  • Compared molecular markers in high versus low Gleason grade prostate cancers.

Main Results:

  • ERbeta and 3beta-adiol maintain epithelial phenotype and repress mesenchymal traits in prostate cancer.
  • EMT-inducing stimuli (TGF-beta, hypoxia) decrease ERbeta expression.
  • Loss of ERbeta is sufficient to induce EMT.
  • ERbeta destabilizes HIF-1alpha, repressing VEGF-A; VEGF-A receptor neuropilin-1 promotes Snail1 nuclear localization, driving EMT.
  • High Gleason grade cancers show increased HIF-1alpha, VEGF, and nuclear Snail1 compared to low Gleason grade cancers.

Conclusions:

  • ERbeta plays a critical role in suppressing EMT in prostate cancer.
  • The ERbeta/HIF-1alpha/VEGF-A/Snail1 pathway is crucial for maintaining an epithelial phenotype and is dysregulated in aggressive prostate cancers.
  • Targeting this pathway could be a therapeutic strategy for high Gleason grade prostate cancer.

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