An endogenous aryl hydrocarbon receptor ligand inhibits proliferation and migration of human ovarian cancer cells
Introduction
To date, ovarian cancer is still the most lethal female genital cancer, largely because cancer cells acquire a chemoresistant phenotype after initial cytoreductive surgery and chemotherapy in the majority of cases [1], [2]. Another major challenge of current cancer therapies is severe side effects and toxicity of chemotherapy drugs used. Thus, since human ovarian cancer is characterized by its high degree of heterogeneity at the cellular and molecular levels, understanding individual type of ovarian cancer is critical to develop an efficacious, but low side-effect cancer therapy [1], [2].
The aryl hydrocarbon receptor (AhR) is a ligand-activated transcriptional factor [3]. A classic AhR ligand is 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), which is a potent environmental toxicant and carcinogen [3]. The AhR mediated biological action is well known to involve a multi-step signal transduction process. Specifically, upon binding to its ligand and dissociation from its associated proteins, AhR translocates from the cytoplasm into the nucleus and dimerizes with AhR nuclear translocator (ARNT), activating a series of downstream genes (e.g., enzyme cytochrome P450 [CYP], family 1, member A1 and B1 [CYP1A1 and CYP1B1]), ultimately initiating the xenobiotic metabolizing process [3]. Once the metabolizing process is initiated, AhR in the nucleus transports back to the cytoplasm, in which AhR is degraded by the 26S proteasome system [4]. To date, it is well established that besides its participations in metabolizing xenobiotics, AhR also mediates a variety of other biological processes such as normal ovarian growth and function as evidenced by the fact that either AhR knockdown in mice or exposure to TCDD in rats could decrease the number of pre-antral and antral follicles and reduce or block ovulation [5], [6], [7].
The AhR ligand also can adversely impact estrogen receptor (ER) signaling directly via binding to ER target gene promoters [8] or indirectly via regulating the CYP family (e.g., CYP1A1 and CYP1B1) [9], which is also the key enzyme for estrogen metabolism. Thus, the AhR signaling could potentially affect behaviors of those estrogen-sensitive cells such as ovarian cancer cells [9], even though estrogen may differently regulate ovarian cancer cell growth, plausibly depending on individual subtypes of ovarian cancer, concentrations of estrogen, and patients’ ages (e.g., pre- vs. post-menopause) [1], [10].
The reports on potential roles of AhR in human cancer are controversial. Epidemiological studies have suggested that occupational exposures to high levels of TCDD did not increase risk of human ovarian cancer and endometriosis [11]; however, such exposures could be associated with a decreased risk in breast and endometrial cancers [12], [13] and with an increased mortality from other cancer sites (e.g., lung cancer in men) [11], [12], [13], [14], [15]. Paradoxically, levels of AhR expression may not be positively correlated with the incidences of these cancers as the increased AhR expression has been reported in human breast and lung cancers [15], [16]. Moreover, AhR gene polymorphisms are also closely associated with an increased risk of lung and breast cancers [16], [17]. Nonetheless, AhR activation has been reported to suppress growth of breast, pancreatic, and liver cancers [15], [18], [19], [20]. To date, little is known regarding the role of AhR in human ovarian cancer [20], [21], although TCDD has been shown to stimulate proliferation of CAOV-3 cells, a human ovarian cancer cell line [21], suggesting that AhR could be used as a therapeutic target for treating ovarian cancer.
Many endogenous AhR ligands have been discovered [22], including 2-(1’H-indole-3’-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), which was first isolated from porcine lungs [23]. Based on its activity on the dioxin responsive element, the biological potency of ITE was ∼ 100-fold lower than that of TCDD [23]. Moreover, the estimated Kd value for ITE in mouse hepatoma cells was ∼5–6-fold greater than that of TCDD [23]. However, given its naturally producing feature and specific binding to AhR [23], ITE could potentially be used for interfering ovarian cancer growth, particularly because of its lack of toxicity (e.g., cleft palate and hydronephrosis, which typically associated with perinatal TCDD exposure in the mouse fetus) [24], [25].
To date, the roles of AhR in human ovarian cancer are poorly understood, and it is also unknown if activation of AhR by its endogenous ligand can affect ovarian cancer growth. Thus, given that the AhR signaling has been shown to suppress growth of breast, pancreatic, and liver cancers [12], [15], [16], [17], in this study, we tested the hypothesis that the AhR activation by its endogenous ligand inhibited human ovarian cancer progress via attenuating growth and/or migration of human ovarian cancer cells. We first determined AhR expression in human ovarian tissues and then examined if ITE regulated ovarian cancer cell proliferation and migration via AhR using in vitro and/or in vivo models.
Section snippets
Immunohistochemistry
Immunolocalization of AhR was performed using the human ovarian cancer tissue microarray (US Biomax, Rockville, MD) as described [26], [27]. This microarray contained 192 cases of ovarian cancer, 8 adjacent normal ovarian tissues, and 8 normal ovarian tissues. Major cancer histotypes include adult granular cell tumor (AGCT; n = 4), disgerminoma (DISG; n = 5), adenocarcinoma (ADEN; n = 8), teratoma malignant change (TMC; n = 5), yolk sac tumor (YST; n = 6), mucinous adenocarcinoma (Mu-ADEN; n = 20), and
AhR immunolocalization
In the ovarian cancer tissue microarray, the AhR immunoreactivity was present in DISG, ADEN, TMC, YST, Mu-ADEN, and L- and H-Se-ADEN, but not in NORM (Note: no epithelial cells were seen on the surface of all 16 NORM cases in this tissue microarray) and AGCT (Fig. 1A). In Mu-ADEN and Se-ADEN, the AhR staining was localized primarily in epithelial cells, but not other cell types. No positive staining was observed in the preimmune rabbit IgG (data not shown). The positive AhR staining was clearly
Discussion
Herein we have shown that (1) AhR is widely expressed in human cancer tissues; (2) ITE inhibits OVCAR-3 cell proliferation and SKOV-3 cell migration in vitro via AhR; and (3) ITE suppresses OVCAR-3 cell growth in mice without significant side effect. Thus, these data are the first as far as we are aware, to demonstrate that activation of the ITE/AhR suppresses ovarian cancer cell proliferation and/or migration, suggesting that ITE might potentially be used as a therapeutic drug for treating at
Disclosure statement
Dr. Jia-Sheng Song, PhD., is a major stakeholder and Chief Scientific Officer of the AhR Pharmaceuticals, Inc.
Acknowledgements
This work was supported in part by the US National Institutes of Health Grant HD38843 (Magness/JZ) & the National Natural Science Foundation of China No. 81100429 (KW).
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These authors Contributed equally to this work.