TLR4 inhibition suppresses growth in oestrogen-induced prolactinoma models

Yu Zhang1,2,3, Li Ma1, Shuguang Dong4

  • 1Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China.

Endocrine-Related Cancer
|October 11, 2022
PubMed

Insights

Prolactinomas develop when estradiol activates the TLR4/p38 MAPK pathway via ERβ. Targeting TLR4 offers a new therapeutic strategy for prolactinoma treatment.

Area of Science:

  • Endocrinology
  • Oncology
  • Immunology

Background:

  • Prolactinomas are detrimental to human health, with current treatments like bromocriptine being ineffective for approximately 25% of patients.
  • The underlying pathogenesis of prolactinoma remains largely unknown, necessitating further research for novel therapeutic development.
  • Estrogen receptor beta (ERβ) and Toll-like receptor 4 (TLR4) are implicated in various cellular processes and warrant investigation in prolactinoma.

Purpose of the Study:

  • To elucidate the pathogenesis of prolactinoma by examining the roles of ERβ, TLR4, and prolactin (PRL).
  • To investigate the therapeutic potential of targeting TLR4 in prolactinoma.
  • To understand the interaction between ERβ and TLR4 in the context of prolactinoma development.

Main Methods:

  • Immunofluorescence and immunohistochemistry were used to assess ERβ, TLR4, and PRL expression in mouse pituitary glands and human prolactinoma specimens.
  • Estradiol-induced prolactinoma models in wild-type and TLR4 knockout mice were employed.
  • In vitro studies involved treating MMQ cells with estradiol, fulvestrant, lipopolysaccharide (LPS), or TLR4 siRNA, followed by immunoprecipitation analysis to study ERβ-TLR4 interactions.

Main Results:

  • Elevated co-localization and expression of PRL and TLR4 were observed in both mouse and human prolactinoma tissues compared to controls.
  • TLR4 knockout or inhibition significantly reduced tumor growth and PRL expression in estradiol-treated mice, mediated by the p38 MAPK pathway.
  • Estradiol and LPS synergistically increased PRL expression in MMQ cells, while ERβ or TLR4 inhibition counteracted estradiol-induced PRL elevation via the TLR4/p38 MAPK pathway.

Conclusions:

  • Estradiol promotes prolactinoma development by activating the TLR4/p38 MAPK pathway through ERβ.
  • TLR4 plays a crucial role in prolactinoma pathogenesis and represents a potential therapeutic target.
  • Targeting the TLR4/p38 MAPK pathway offers a promising strategy for developing new prolactinoma treatments.