Estrogen induced expression of tissue factor pathway inhibitor-2 in MCF7 cells involves lysine-specific demethylase 1

Marianne S Andresen1, Huda Omar Ali2, Christiane Filion Myklebust1

  • 1Department of Haematology, Oslo University Hospital Rikshospitalet, 0424 Oslo, Norway; Research Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, 0424 Oslo, Norway.

Insights

Estrogens can increase Tissue Factor Pathway Inhibitor type 2 (TFPI-2) expression in hormone-sensitive cancers. This estrogen-mediated induction, primarily through estrogen receptor alpha (ERα), may improve patient survival.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Cancer Research

Background:

  • Hormone-sensitive cancers are influenced by estrogens, often via the estrogen receptor (ER).
  • Tissue Factor Pathway Inhibitor type 2 (TFPI-2) regulates the extracellular matrix and is a Kunitz-type serine protease inhibitor.
  • TFPI-2 expression is investigated in relation to estrogen signaling in cancer.

Purpose of the Study:

  • To investigate the effect of estrogens on Tissue Factor Pathway Inhibitor type 2 (TFPI-2) expression.
  • To determine the role of estrogen receptor alpha (ERα) in estrogen-induced TFPI-2 expression.
  • To explore the involvement of epigenetic modifiers in this process.

Main Methods:

  • Analysis of breast cancer data (GOBO) for TFPI-2 levels and patient survival.
  • Treatment of MCF7 cells (ERα+) with estrogens (17β-estradiol, 17α-ethinyl estradiol) and anti-estrogen (fulvestrant).
  • Gene knockdown of ERα, DNA cytosine-5 methyltransferase 1 (DNMT1), and lysine-specific demethylase 1 (LSD1).
  • Measurement of TFPI-2 mRNA and protein levels.

Main Results:

  • Increased TFPI-2 levels and improved survival were observed in ERα+ tumors.
  • Estrogens significantly increased TFPI-2 mRNA and protein in MCF7 cells.
  • The estrogen-induced TFPI-2 expression was dependent on ERα, as shown by fulvestrant treatment and ERα knockdown.
  • Knockdown of DNMT1 or LSD1 reduced the effect of estrogen on TFPI-2 mRNA levels.

Conclusions:

  • Estrogen induces TFPI-2 expression in ERα-positive breast cancer cells.
  • Estrogen receptor alpha (ERα) is the primary mediator of this induction.
  • Epigenetic factors, specifically LSD1, also play a role in estrogen-mediated TFPI-2 expression.

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