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-Independent Repression of Prostate-Specific Antigen Expression by Thiazolidinediones in Prostate Cancer Cells
Division of Medicinal Chemistry, College of Pharmacy (C.-C.Y., C.-Y.K., S.W., C.-W.S., Cha.-S.C., Chi.-S.C.) and Divisions of Endocrinology and Oncology, Department of Internal Medicine (J.J.P., M.D.R.), The Ohio State University, Columbus, Ohio
Received August 19, 2005; accepted February 1, 2006
| Abstract |
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(PPAR
) agonists in prostate cancer treatment, this study assessed the mechanism by which these agents suppress prostate-specific antigen (PSA) secretion in prostate cancer cells. Two lines of evidence indicate that the effect of thiazolidinediones on PSA down-regulation is independent of PPAR
activation. First, this thiazolidinedione-mediated PSA down-regulation is structure-specific irrespective of the relative PPAR
agonist potency. Second, the PPAR
-inactive analogs of troglitazone and ciglitazone [
2TG (5-[4-(6-hydroxy-2,5,7,8-tetramethyl-chroman-2-yl-methoxy)-benzylidene]-thiazolidine-2,4-dione) and
2CG (5-[4-(1-methyl-cyclohexylmethoxy)-benzylidene]-thiazolidine-2,4-dione), respectively] exhibit higher potency than the parent compound in inhibiting dihydrotestosterone (DHT)-stimulated PSA secretion. Although 10 µM troglitazone and
2TG significantly inhibit PSA secretion, they do not alter the expression level of androgen receptor (AR) or interfere with DHT-activated nuclear translocation of AR. However, reporter gene and chromatin immunoprecipitation studies indicate that troglitazone and
2TG block AR recruitment to the androgen response elements within the PSA promoter. Thus, this study raises the question of whether the ability of oral troglitazone to reduce PSA levels in prostate cancer patients is therapeutically relevant. A major concern is that the concentration for troglitazone to mediate antitumor effects is severalfold higher than that of PSA down-regulation, which is difficult to attain at therapeutic doses. Nevertheless, it is noteworthy that troglitazone and
2TG at high doses were able to inhibit AR expression. From a translational perspective, separation of PPAR
agonist activity from AR down-regulation provides a molecular basis to use troglitazone as a platform to design AR-ablative agents.
(PPAR
) agonists increases transcription of certain insulin-sensitive genes involved in the metabolism and transport of lipids through PPAR
activation, thereby improving insulin sensitivity. Moreover, at high doses, these agents exhibit in vitro and in vivo antitumor effects against human prostate cancer (Kubota et al., 1998
in the regulation of prostatic epithelial proliferation and differentiation, thiazolidinediones have been suggested to be useful in the setting of adjuvant and chemopreventive treatments of prostate cancer (Lieberman, 2002
agonist activity (Sugimura et al., 1999
activation. In addition, the antitumor effect seems to be structure-specific, irrespective of potency in PPAR
activation (i.e., troglitazone and ciglitazone are active, whereas rosiglitazone and pioglitazone are not). More recently, we demonstrated that the effect of thiazolidinediones on apoptosis and cell cycle arrest in cancer cells was attributable, in part, to their ability to inhibit Bcl-xL/Bcl-2 functions and to ablate cyclin D1 expression (Huang et al., 2005
Considering the potential use of these agents in inhibiting prostate carcinogenesis, the mechanism whereby these PPAR
agonists repress PSA expression warrants investigation. By using PPAR
-inactive thiazolidinedione derivatives, we obtained evidence that the effect of troglitazone and ciglitazone on PSA down-regulation was independent of PPAR
activation. Moreover, the ability of low doses (
10 µM) of troglitazone and ciglitazone to suppress PSA expression was caused not by reduced AR expression but by a decrease in the AR response element (ARE) activity in the PSA promoter.
| Materials and Methods |
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2TG (5-[4-(6-hydroxy-2,5,7,8-tetramethyl-chroman-2-yl-methoxy)-benzylidene]-thiazolidine-2,4-dione),
2CG (5-[4-(1-methyl-cyclohexylmethoxy)-benzylidene]-thiazolidine-2,4-dione),
2RG (5-{4-[2-(methyl-pyridin-2-yl-amino)-ethoxy]-benzylidene}-thiazolidine-2,4-dione), and
2PG (5-{4-[2-(5-ethyl-pyridin-2-yl)-ethoxy]-benzylidene}-thiazolidine-2,4-dione) are thiazolidinedione derivatives with attenuated or unappreciable activity in PPAR
activation (Huang et al., 2005
-tubulin were from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). Goat anti-rabbit and rabbit anti-mouse immunoglobulin G horseradish peroxidase conjugates were from Jackson ImmunoResearch Laboratories (West Grove, PA). Cell Culture. LNCaP and 22RV1 cells were purchased from the American Type Culture Collection (Manassas, VA). LNCaP cells were cultured in a T-75 flask with RPMI 1640 medium containing 10% heat-inactivated FBS at 37°C in a humidified incubator containing 5% CO2; 22RV1 cells were cultured in the same media supplemented with 4.5 mg/ml of glucose. For individual experiments, 10% FBS-supplemented RPMI 1640 medium was replaced by phenol red-free RPMI 1640 medium containing 10% charcoal/dextran-stripped FBS. The cells were cultured for 2 days before drug treatments.
PSA Immunoassay. Quantitative determinations of PSA in culture medium were performed by using a human PSA enzyme-linked immunosorbent assay kit (Anogen, Mississauga, ON, Canada). In brief, LNCaP and 22RV1 cells were plated in 96-well plates (6000 cells/well) in phenol red-free RPMI 1640 medium with 10% charcoal/dextran-stripped FBS without and with glucose, respectively, incubated for 48 h, and treated with the test agent at the indicated concentrations in the same medium in six replicates. Control cells received dimethyl sulfoxide vehicle at a concentration equal to that of drug-treated cells. At different time intervals, 20 µl of the cultured medium was collected, diluted 10-fold with the sample diluent, and the amount of PSA was determined by following the manufacturer's instructions. Absorbance at 450 nm was determined on a microtiter plate reader.
Transfections and Luciferase Assay. The 6.0-kilobase PSA-promoter-linked reporter plasmid PSA6.0-Luc and the human AR expression construct pCMVhAR were provided by Dr. Chawnshang Chang (University of Rochester Medical Center, Rochester, NY) and Dr. James Dalton (The Ohio State University, Columbus, OH), respectively. The PPRE-x3-TK-Luc reporter vector contains three copies of the PPAR-response element (PPRE) upstream of the thymidine kinase promoter-luciferase fusion gene and was kindly provided by Dr. Bruce Spiegelman (Harvard University, Cambridge, MA). LNCaP or DU145 cells were incubated in phenol red-free RPMI 1640 medium with 10% FBS until they reached 50 to 70% confluence on a 100-mm plate and were transfected with 6 µg of each of the afore-mentioned plasmids using Fugene 6 (Roche, Indianapolis, IN) in RPMI 1640 medium. For each transfection, herpes simplex virus thymidine kinase (TK) promoter-driven Renilla reniformis luciferase was used as an internal control for normalization. After transfections, cells were incubated in 10% charcoal-stripped FBS and RPMI 1640 medium, subject to different treatments for the times indicated in Figs. 1 and 6 and collected with passive lysis buffer (Promega, Madison, WI). Luciferase activity in the cell lysates was determined by luminometry. All transfection experiments were carried out in triplicate wells and repeated separately at least three times.
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-mercaptoethanol, 20% glycerol, and 0.1% bromphenol blue). The mixture was sonicated briefly and then boiled for 5 min. Equal amounts of proteins were loaded onto 10% SDS-polyacrylamide gel electrophoresis gels. After electrophoresis, protein bands were transferred to nitrocellulose membranes in a semidry transfer cell. The transblotted membrane was washed twice with Tris-buffered saline containing 0.1% Tween 20 (TBST). After blocking with TBST containing 5% nonfat milk for 40 min, the membrane was incubated with the appropriate primary antibody in TBST-1% nonfat milk at 4°C overnight. All primary antibodies were diluted 1:1000 in 1% nonfat milk-containing TBST. After treatment with the primary antibody, the membrane was washed three times with TBST for a total of 15 min, followed by incubation with goat anti-rabbit or anti-mouse IgG-horseradish peroxidase conjugates (diluted 1:5000) for 1 h at room temperature and three washes with TBST for a total of 1 h. The immunoblots were visualized by enhanced chemiluminescence.
Immunocytochemical Analysis of DHA-Stimulated AR Nuclear Localization. LNCaP cells were cultured on slides in six-well plates (200,000 cells/well) in 10% charcoal-stripped, FBS-supplemented phenol red-free RPMI 1640 and exposed to 10 nM DHT, 10 nM DHT plus 10 µM troglitazone, or
2TG for 48 h, washed with Dulbecco's PBS, fixed with 4% paraformaldehyde for 30 min at 37°C, and then washed with PBS twice. For staining of AR, the cells were permeabilized with 0.1% Triton X-100 in 1% FBS-containing PBS and treated with mouse monoclonal anti-AR (1:100 dilution) in PBS containing 0.1% Triton X-100 and 0.2% bovine serum albumin at 4°C overnight and washed with PBS. For fluorescent microscopy, Alexa Fluor 488 goat anti-mouse IgG (1:200 dilution; Molecular Probes) was used for conjugating AR. The nuclear counterstaining was performed using a 4,6-diamidino-2-phenylindole-containing mounting medium (Vector Laboratories, Burlingame, CA) before examination. Images of immunocytochemically labeled samples were observed using a Nikon microscope (Eclipse E800) with an argon laser and a helium-neon, and appropriate filters (excitation wavelengths, 488 nm for AR and 543 nm for 4,6-diamidino-2-phenylindole).
Chromatin Immunoprecipitation. ChIP was performed by using an EZ-Chip kit (Upstate Biotechnology, Inc., Lake Placid, NY) according to the manufacturer's instructions. LNCaP cells were cultured in 10 ml of 10% charcoal/dextran stripped, FBS-supplemented phenol red-free RPMI 1640 medium for 48 h. After drug treatment for 12 h, cells were cross-linked with 10 ml of fresh medium containing 1% formaldehyde at room temperature for 10 min. Glycine solution (1 ml, 1.25 M) was added to stop the cross-linking reaction, and cells were washed twice with 5 ml of PBS. The cells were collected, suspended in 350 µl of SDS lysis buffer, sonicated on wet ice by using a Virtis model Sonic 300 sonicator with five sets of 10-s pulses and 8% of max power, and centrifuged at 15,000g at 4°C for 10 min. Supernatants were collected, diluted with the dilution buffer, and treated with protein G agarose at 4°C for 1 h to preclean the chromatin. After a brief centrifugation at 4000g, the supernatant was collected into a fresh 1.5-ml microcentrifuge tube. Ten microliters of the supernatant was stored away at 4°C to be used as input, and the remaining supernatant was incubated with anti-AR (Upstate Biotechnology) at 4°C overnight. After immunoprecipitation, the solution was treated with 60 µl of protein G agarose slurry at 4°C for 1 h, followed by a brief centrifuge at 4000g. The protein G beads were washed, 1 ml each in tandem, with ice-cold low-salt wash buffer, high-salt wash buffer, LiCl wash buffer, and Tris/EDTA buffer, followed by extraction with elution buffer twice. The eluted solution was added 8 µl of 5 M NaCl and incubated at 65°C overnight. A spin column provided in the kit was used to purify DNA fragments. For PCR analysis, 1 µl of input DNA extraction and 5 µl of immunoprecipitated DNA extraction were used for 36 cycles of amplification. The primers for androgen response element (ARE)I (A/B), AREII (C/D), and the middle region (E/F) (Shang et al., 2002
) were obtained from Integrated DNA Technologies (Coralville, IA). The sequences were as follows: A, TCTGCCTTTGTCCCCTAGAT; B, AACCTTCATTCCCCAGGACT; C, AGGGATCAGGGAGTCTCACA; D, GCTAGCACTTGCTGTTCTGC; E, CTGTGCTTGGAGTTTACCTGA; F, GCAGAGGTTGCAGTGAGCC.
| Results |
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-Independent Repression of PSA Secretion and Expression in LNCaP Cells. We have developed PPAR
-inactive thiazolidinediones by introducing a double bond adjoining the terminal thiazolidine-2,4-dione ring (Fig. 1A). Two lines of evidence indicate that this structural modification abrogated the PPAR activity. First, these
2 analogs (
2TG,
2RG,
2PG, and
2CG) were inactive in PPAR
activation according to a PPAR
transcription factor enzyme-linked immunosorbent assay (Shiau et al., 2005
transactivation. Although LNCaP cells transfected with PPRE-X3-TK-Luc did not respond to any the four thiazolidinedione-PPAR
agonists regarding luciferase induction, the transfected DU-145 cells exhibited differential increase in luciferase activity in response to these agents (10 µM), ranging from 3.5-fold (ciglitazone) to 7.5-fold (rosiglitazone) after 24-h exposure (Fig. 1B). In contrast, none of the
2 derivatives elicited any significant activation of the reporter.
These resulting
2 analogs (
2TG,
2RG,
2PG, and
2CG), through lack of global PPAR activity, exhibited similar antiproliferative potency against prostate cancer cells as their parent compounds (Shiau et al., 2005
). Among them,
2TG and
2CG were active in inducing apoptosis with IC50 in the range between 15 and 20 µM (compared with 20-25 µM for troglitazone and ciglitazone) in serum-free medium against various prostate cancer cell lines, whereas
2RG and
2PG exhibited no significant effect on apoptosis even at 50 µM (Shiau et al., 2005
). The apoptosis-inducing activity of troglitazone, ciglitazone, and their
2 analogs, however, was attenuated in the presence of serum because of the effects of growth factors on the activation of intracellular signaling and the high serum protein-binding affinity of these agents. As shown in Fig. 2A, no appreciable antiproliferative activity was noted with up to 50 µM troglitazone or
2TG in the presence of 10% FBS, whereas these agents were able to elicit significant antitumor effects as low as 10 µM in serum-free medium.
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-inactive
2 analogs allowed us to discern the role of PPAR
activation in various pharmacological effects of thiazolidinediones, including those on Bcl-xL/Bcl-2 inhibition and cyclin D1 repression (Huang et al., 2005
2 counterparts, 10 µM each, on the secretion of PSA in LNCaP cells in 10% FBS-supplemented medium (Fig. 2B). As shown, DHT (10 nM) stimulated significant accumulations of secretary PSA in the medium by 9-fold throughout the 3-day time course, which could be differentially suppressed by individual thiazolidinediones. Although exposure to troglitazone and ciglitazone for 3 days reduced the PSA secretion by 55% (P < 0.01), rosiglitazone and pioglitazone, which are more potent PPAR
agonists, were only marginally effective. It is noteworthy that the PPAR
-inactive
2 analogs were more effective than their parental thiazolidinediones, suggesting the dissociation of the effect on PSA down-regulation from PPAR
activation. Treatment of LNCaP cells with
2TG or
2CG for 3 days inhibited PSA excretion by as much as 80% (P < 0.001), whereas
2RG and
2PG attenuated PSA in medium by 50% and 40%, respectively (P < 0.01). This decrease in PSA secretion was not due to reduced cell viability because these agents at 10 µM were not able to induce appreciable apoptotic death in the presence of 10% FBS. Together, these findings suggest that troglitazone and ciglitazone mediated PSA down-regulation through a PPAR
-independent mechanism.
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2 analogs on the intracellular protein levels of PSA and AR in LNCaP cells in 10% FBS-supplemented medium. As shown, DHT treatment increased PSA expression in a time-dependent manner, and the effect of individual agents on intracellular PSA production paralleled that of secretary PSA. Troglitazone, ciglitazone,
2TG, and
2CG were effective in reducing PSA expression as early as 24 h after treatment. The effect of troglitazone on repressing PSA expression is reminiscent of that reported in the literature (Hisatake et al., 2000
2 derivatives did not give rise to appreciable reduction in PSA expression. Moreover, the expression level of AR was not altered by any of the test agents at 10 µM, suggesting that this PSA down-regulation was not attributable to decreased AR expression.
Nevertheless, it is noteworthy that troglitazone and
2TG at much higher concentrations were capable of lowering AR levels in LNCaP cells, although the underlying mechanism remained unclear. The IC50 values for suppressing AR expression were approximately 40 and 30 µM for troglitazone and
2TG, respectively (Fig. 3B). Together, these data indicate that the effects of troglitazone and
2TG on the repression of PSA and AR were mediated through distinct mechanisms.
This PSA down-regulation was also confirmed in another androgen-dependent human prostate carcinoma cell line, 22RV1. 22RV1 cells exhibit two aberrant forms of AR (van Bokhoven et al., 2003
) and expressed substantially higher levels of PPAR
compared with LNCaP cells (Fig. 4A). Although 22RV1 cells secreted low levels of PSA in the presence of 10 nM DHT, treatment with these agents resulted in a significant suppression of PSA secretion, especially after 48 h (B). As observed in LNCaP cells, intracellular PSA levels in 22RV1 cells were down-regulated by 10 µM troglitazone and
2TG in a time-dependent manner, whereas AR expression was unaffected (C).
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Troglitazone and
2TG Do Not Affect Nuclear Translocation of AR. Pharmacological agents might interfere with PSA expression at different stages of AR-mediated PSA transactivation, including AR expression, ligand binding, AR dimerization, and nuclear translocation, and AR binding to the androgen response elements (AREs). To discern these possibilities, we carried out immunocytochemical analysis to envisage the cellular distribution of AR in LNCaP cells treated with 10 µM troglitazone or
2TG. Figure 5 demonstrates that DHT treatment facilitated the translocation of AR from the cytoplasm to the nucleus. Exposure to 10 µM troglitazone or
2TG had no effect on this DHT-mediated AR translocation, and the total AR-staining intensity was not affected. This finding suggested that the down-regulation occurred at the level of ARE transactivation.
Troglitazone and
2TG Block Androgen Activation of the AREs in the PSA Promoter. To analyze the effect of troglitazone and
2TG on DHT-mediated transactivation of the PSA promoter, we transfected LNCaP cells with the PSA6.0-Luc vector, a luciferase reporter linked with the 6.0-kilobase PSA promoter (Zhang et al., 2002
). DHT increased the reporter activity in a dose-dependent manner, and both troglitazone and
2TG at 10 µM could significantly suppress the luciferase activity (P < 0.001) (Fig. 6A). For example, in the presence of 10 nM DHT, the extent of inhibition by troglitazone and
2TG was 52 and 60%, respectively. To confirm this was an AR-dependent effect, LNCaP cells were cotransfected with the PSA6.0-Luc vector and a human AR expression construct (pCMVhAR), resulting in increase in AR expression by 2.2-fold (Fig. 6B). Expression of ectopic AR not only increased the basal activity of luciferase but could also rescue the suppressing effect of 10 µM troglitazone and
2TG on DHT-induced increase of luciferase activity in PSA6.0-Luc-transfected LNCaP cells (Fig. 6C).
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2TG affected AR-mediated transactivation of the PSA promoter, ChIP assays were performed to detect the binding of AR to ARE I and ARE II in the promoter region. LNCaP cells were cultured in phenol red-free RPMI 1640 medium containing 10% charcoal-dextran-stripped FBS for 2 days, followed by exposure to 10 nM DHT in the absence of presence of 10 µM troglitazone or
2TG for 12 h. After formaldehyde treatment of cells, AR antibodies were used to immunoprecipitate AR-bound genomic DNA fragments, followed by PCR analysis of the genomic DNA using pairs of primers spanning the AREs according to a published procedure (Shang et al., 2002
2TG diminished the DHT-induced AR binding to AREI by 34 and 47%, respectively, and caused approximately 16 and 45% reduction, respectively, in the AR binding to AREII. | Discussion |
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activation. First, this thiazolidinedione-mediated PSA down-regulation was structure-specific irrespective of the relative potency in PPAR
activation. For example, while 10 µM troglitazone and ciglitazone were active, the more potent PPAR
agonists rosiglitazone and pioglitazone at the same concentration were not. Second,
2TG and
2CG, although devoid of PPAR
activity, exhibited higher potency than their parent molecules in suppressing PSA secretion.
Although PSA secretion was significantly inhibited by 10 µM troglitazone and
2TG in both LNCaP and 22RV1 cells, no appreciable changes in AR levels were noted even after 72-h exposure, refuting a possible link between PSA down-regulation and decrease in AR expression. This finding indicates that the mode of troglitazone- and
2TG-mediated PSA repression was different from that of vitamin E succinate (Zhang et al., 2002
), even thought these molecules share the chroman substructure. Vitamin E succinate mediated PSA repression by inhibiting AR expression, whereas troglitazone and
2TG at 10 µM exhibited no appreciable effect on AR expression. In addition, the finding that ciglitazone and
2CG could also cause the down-regulation of PSA secretion argues against the involvement of the chroman moiety in mediating the PSA repressing effect of troglitazone.
Moreover, immunocytochemical analysis demonstrates that these agents did not interfere with the DHT-stimulated nuclear translocation of AR. However, reporter gene and ChIP assays revealed that troglitazone and
2TG inhibited AR recruitment to the AREI and AREII within the PSA promoter region, thereby blocking transactivation of PSA gene expression.
Is the ability of oral troglitazone to reduce serum PSA levels in prostate cancer patients is therapeutically relevant? A major concern is that the concentration for troglitazone to mediate antitumor effects in prostate cancer cells is several-fold higher than that of PSA down-regulation, which is difficult to attain at therapeutic doses. For example, in the presence of 5 to 10% serum, neither troglitazone nor ciglitazone exhibited antiproliferative activity until the concentrations reached more than 50 µM. Therefore, decrease in serum PSA levels in response to troglitazone treatment might not truly reflect the growth status of the prostate tumor in patients.
Nevertheless, it is noteworthy that troglitazone and
2TG at doses higher than 30 µM were able to inhibit AR expression. Moreover, troglitazone at a very high dose (i.e., 500 mg/kg/day) has been shown to be effective in suppressing PC-3 xenograft growth in nude mice (Kubota et al., 1998
). From a translational perspective, separation of these two pharmacological activities, PPAR
activation versus AR down-regulation, provides a molecular basis to use
2TG as a molecular platform to design AR-ablative agents. In light of the important role of AR in prostate tumorigenesis, these AR-ablative agents have the translational relevance to be developed into antitumor agents for the prevention and/or therapy of prostate cancer, which constitutes the focus of this investigation.
| Footnotes |
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ABBREVIATIONS: PSA, prostate-specific antigen; PPAR
, peroxisome proliferator-activated receptor
; DHT, dihydrotestosterone; AR, androgen receptor; FBS, fetal bovine serum; PPRE, peroxisome proliferator-activated receptor response element; TK, thymidine kinase; PBS, phosphate-buffered saline; TBST, Tris-buffered saline/Tween 20; ChIP, chromatin immunoprecipitation; PCR, polymerase chain reaction; ARE, androgen response element;
2TG, 5-[4-(6-hydroxy-2,5,7,8-tetramethyl-chroman-2-yl-methoxy)-benzylidene]-2,4-thiazolidinedione;
2RG, 5-{4-[2-(methyl-pyridin-2-yl-amino)-ethoxy]-benzylidene}-thiazolidine-2,4-dione;
2PG, 5-{4-[2-(5-ethyl-pyridin-2-yl)-ethoxy]-benzylidene}-thiazolidine-2,4-dione;
2CG, 5-[4-(1-methyl-cyclohexylmethoxy)-benzylidene]-thiazolidine-2,4-dione.
Address correspondence to: Ching-Shih Chen, College of Pharmacy, The Ohio State University, 336 L. M. Parks Hall, Columbus, OH 43210. E-mail: chen.844{at}osu.edu
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C.-C. Yang, Y.-C. Wang, S. Wei, L.-F. Lin, C.-S. Chen, C.-C. Lee, C.-C. Lin, and C.-S. Chen Peroxisome Proliferator-Activated Receptor {gamma}-Independent Suppression of Androgen Receptor Expression by Troglitazone Mechanism and Pharmacologic Exploitation Cancer Res., April 1, 2007; 67(7): 3229 - 3238. [Abstract] [Full Text] [PDF] |
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S. Chintharlapalli, S. Papineni, and S. Safe 1,1-Bis(3'-Indolyl)-1-(p-substitutedphenyl)methanes Inhibit Growth, Induce Apoptosis, and Decrease the Androgen Receptor in LNCaP Prostate Cancer Cells through Peroxisome Proliferator-Activated Receptor {gamma}-Independent Pathways Mol. Pharmacol., February 1, 2007; 71(2): 558 - 569. [Abstract] [Full Text] [PDF] |
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