SURE: Web Posters from SURE 2002

The Effect of Aromatase Overexpression on Cervical Cancer Cell Proliferation and Biochemical Changes
Hisani Horne, Roopa Luthra, Nameer Kirma, and R.R. Tekmal
Department of Gynecology and Obstetrics, Emory University School of Medicine

Abstract

Using the human carcinoma cell line CaSki, we have investigated the effects of aromatase overexpression on cell proliferation and the expression of various estrogen responsive genes. The cervical cancer cell line CaSki, found to be aromatase negative, was transfected with aromatase cDNA to achieve a stable line that overexpresses aromatase. CaSki untransfected negative cells were used as the control and CaSki transfected aromatase positive cells as the experimental line. A Proliferation Assay was done using [3H] thymidine to monitor the effects of aromatase on the growth of the CaSki cells in the presence of substrate androstenedione and treated with an aromatase inhibitor (Letrozole) or an antiestrogen (ICI 164384). The results indicate a decrease in cell growth in the aromatase positive cells when subjected to the above-mentioned treatments, while showing no overall change in the growth of the CaSki untransfected aromatase negative cells. To examine the effects of aromatase overexpression on RNA levels, we used Reverse Transcription Polymerase Chain Reactions. Our results show altered expression of various growth factors (e.g. TGF a, b, and VEGF) and receptors (e.g. EGFR and ER b) in the CaSki transfected aromatase positive cells as compared to the CaSki untransfected cells. To study the effects of aromatase overexpression on protein expression, Western Blot analyses were used with antibodies specific for various proteins. Western analysis confirmed the results from the RT-PCR. Overall, the observations indicate that the overexpression of aromatase and high levels of estrogen leads to the increase or decrease in the expression of several genes and growth factors, which may result in cellular proliferation.

Introduction

Worldwide cervical cancer is the second or third most common cancer among women. About 400,000 new cases are diagnosed each year, according to the National Cancer Institute. Each year, 15,000 women in the U.S. learn that they have cervical cancer. The prevalence and magnitude of this problem leads researchers to find new ways of combating this disease. The primary risk factor for cervical cancer is infection with certain types of human papillomavirus (HPV). However, there has been evidence of the involvement of estrogen in cervical cancer. Transgenic mice models that harbor HPV genes resulting in precancerous cervical lesions have been found to produce malignant transformation when chronically treated with estrogen. In addition, women taking estrogen-containing contraceptives over long periods of time have an increased risk of developing cervical cancer. These observations suggest that estrogen may play an important role in the etiology of cervical cancer. The biosynthesis of estrogen from androgen is catalyzed by an enzyme called aromatase. Aromatase is the terminal rate-limiting step in estrogen biosynthesis. Aromatase overexpression, resulting in increased estrogen production, has been implicated in female cancers such as breast cancer. The focal point of our research deals with the effects of aromatase overexpression on cervical cancer cell lines to understand the role of estrogen in this malignant disease. Elucidating the role of aromatase in cervical cancer could provide a target for future treatment of the disease..

Methods and Materials

Cell Proliferation Assay: Counted cells using a Hemacytometer. Thinly plated cells in a twelve well plate at a density depending growth. Next day remove regular media and replace with charcoal stripped media. The following day add treatments to the cells and leave for 48 hrs.

Treatments:

  1. Control
  2. Androstenedione
  3. Letrozole (aromatase inhibitor)
  4. ICI 164384 (anti-estrogen)
  5. Androstenedione + Letrozole
  6. Androstenedione + ICI

On the following day add [3H] Thymidine and leave for 24 hrs then wash cells, lysate cells and count cells. RNA Analysis: Isolated RNA using Tri Reagent. The expression of specific factors was done using RT-PCR under the following conditions: RT: 42ºC (1hr), 99ºC (5 min) PCR: 95ºC (19 sec), 60ºC (15 sec), 72 ºC (20 sec) 42 cycles. The products were then visualized on 1% agarose gel with ethidium bromide staining. Protein Analysis: Protein was isolated using lysis buffer. Equal amounts (60 µg per well) of protein from each sample were separated on a denaturing polyacrylamide gel and transferred to a nylon membrane. Western blot analysis was performed according to the manufacturers protocol.

Results

Fig 1. Effect of Aromatase Overexpression on RNA Levels of ERb , TGFb, and PR on CaSki Cell Line

Fig 2. Effect of Aromatase Overexpression on RNA Levels of EGFR , TGFa , Amphiregulin and VEGF on CaSki Cell Line Both Figures demonstrate an increase in the expression of most factors due to the presence of aromatase while the expression of PR decreased.

Fig 3. Effect of Aromatase Overexpression on Protein Levels of ERâ, PR, Cyclin D, and PCNA on CaSki Cell Line Confirmed the results done using RT-PCR.

Fig 4. Cell Proliferation Assay Demostrates that cell proliferation can be controlled in aromatase positive cells using Letrozole, an aromatase inhibitor and ICI 164384, and anti-estrogen.

Conclusions and Future Studies

  • Expression of aromatase in CaSki cell line affects a wide range of growth factors and receptors.
  • Increased estrogenic activity due to the expression of aromatase has a significant effect on the deregulation of various genes known to be involved in cellular proliferation and tumorigenesis.
  • We observed that most factors showed an increase in response to aromatase expression levels, while PR decreased significantly both at transcriptional as well as protein level. Low levels of PR may be related to aggravated conditions of cervical tumors.
  • Proliferation of cells could be inhibited using Letrozole (aromatase inhibitor) and ICI 164384 (anti-estrogen) confirming the role of estrogen in increased cellular proliferation.
  • Some cervical tumors may be hormone responsive, therefore designing a suitable hormone therapy may prove useful.