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Glucocorticoid receptor structure and function in an adrenocorticotropin-secreting small cell lung cancer

D Gaitan1, C R DeBold, M K Turney

  • 1Division of Endocrinology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA.

Insights

Tumors secreting ACTH (adrenocorticotropic hormone) often resist feedback regulation due to glucocorticoid receptor (GR) defects. This study identified a novel truncated GR variant in lung cancer cells, potentially explaining resistance.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Oncology

Background:

  • Adrenocorticotropic hormone (ACTH) secretion by nonpituitary tumors typically shows resistance to glucocorticoid negative feedback.
  • A potential cause for this resistance is a structural defect in the intracellular glucocorticoid receptor (GR).

Purpose of the Study:

  • To investigate the glucocorticoid receptor (GR) in DMS-79 cells from a human ACTH-secreting small cell lung cancer.
  • To identify molecular mechanisms underlying glucocorticoid resistance in these tumor cells.

Main Methods:

  • Studied GR in DMS-79 cells, comparing ligand-binding activity and immunoreactive GR content to control cells.
  • Utilized Northern blot analysis to examine GR transcript expression.
  • Cloned and sequenced a full-length GR cDNA from DMS-79 cells and screened a cDNA library for other GR variants.

Main Results:

  • DMS-79 cells exhibited significantly reduced GR ligand-binding activity and 94-kDa GR content.
  • A single codon alteration (N363S) was found in the cloned full-length GR, outside the steroid-binding domain; this variant retained normal function in gene activation assays.
  • A second, novel GR mRNA variant (GR delta) was identified, predicting a truncated protein lacking the ligand-binding domain, which did not exhibit dominant-negative effects.

Conclusions:

  • The identified N363S GR variant in DMS-79 cells is functional and does not explain glucocorticoid resistance.
  • A novel truncated GR delta variant, lacking the ligand-binding domain, is expressed in these cells and may contribute to ACTH-secreting tumors' resistance to glucocorticoid feedback.

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