PMID- 12554765 OWN - NLM STAT- MEDLINE DCOM- 20040226 LR - 20220317 IS - 0888-8809 (Print) IS - 0888-8809 (Linking) VI - 17 IP - 4 DP - 2003 Apr TI - Insulin-like growth factor-I inhibits progesterone receptor expression in breast cancer cells via the phosphatidylinositol 3-kinase/Akt/mammalian target of rapamycin pathway: progesterone receptor as a potential indicator of growth factor activity in breast cancer. PG - 575-88 AB - Although interactions between estrogen and growth factor signaling pathways have been studied extensively, how growth factors and progesterone regulate each other is less clear. In this study, we found that IGF-I sharply lowers progesterone receptor (PR) mRNA and protein levels in breast cancer cells. Other growth factors, such as epidermal growth factor, also showed the same effect. The decrease of PR levels was associated with reduced PR activity. Unlike progestins, IGF-I does not utilize the proteasome for down-regulating PR. Instead, the IGF-I-mediated decrease in PR levels is via an inhibition of PR gene transcription. In addition, the phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway was found to be specifically involved in this IGF-I effect. Our data also suggest that the IGF-I down-regulation of PR is not mediated via a reduction of estrogen receptor (ER) levels or activity. First, IGF-I induced ligand-independent ER activity while reducing ER-dependent PR levels. Second, whereas PR and cyclin D1 are both ER up-regulated, IGF-I increased cyclin D1 levels while decreasing PR levels. Third, constitutively active PI3K or Akt induced ER activity but reduced PR levels and activity. Taken together, our data indicate that IGF-I inhibits PR expression in breast cancer cells via the PI3K/Akt/mTOR pathway. Because low or absent PR in primary breast cancer is associated with poor prognosis and response to hormone therapy, our results suggest that low PR status may serve as an indicator of activated growth factor signaling in breast tumor cells, and therefore of an aggressive tumor phenotype and resistance against hormonal therapy. FAU - Cui, Xiaojiang AU - Cui X AD - Breast Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030, USA. FAU - Zhang, Ping AU - Zhang P FAU - Deng, Wanleng AU - Deng W FAU - Oesterreich, Steffi AU - Oesterreich S FAU - Lu, Yiling AU - Lu Y FAU - Mills, Gordon B AU - Mills GB FAU - Lee, Adrian V AU - Lee AV LA - eng GR - R01CA94118/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20030102 PL - United States TA - Mol Endocrinol JT - Molecular endocrinology (Baltimore, Md.) JID - 8801431 RN - 0 (Enzyme Inhibitors) RN - 0 (Growth Substances) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Progesterone) RN - 136601-57-5 (Cyclin D1) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM EIN - Mol Endocrinol. 2003 Sep;17(9):1892 MH - Breast Neoplasms/drug therapy/*metabolism MH - Cyclin D1/drug effects/metabolism MH - Enzyme Inhibitors/pharmacology MH - Female MH - Growth Substances/metabolism/pharmacology MH - Humans MH - Insulin-Like Growth Factor I/*metabolism/pharmacology MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Phosphoinositide-3 Kinase Inhibitors MH - Predictive Value of Tests MH - Protein Kinases/genetics/metabolism MH - *Protein Serine-Threonine Kinases MH - Proto-Oncogene Proteins/antagonists & inhibitors/*metabolism MH - Proto-Oncogene Proteins c-akt MH - Receptors, Estrogen/drug effects/metabolism MH - Receptors, Progesterone/drug effects/genetics/*metabolism MH - Signal Transduction MH - Sirolimus/*metabolism MH - TOR Serine-Threonine Kinases MH - Transcription, Genetic MH - Tumor Cells, Cultured EDAT- 2003/01/30 04:00 MHDA- 2004/02/27 05:00 CRDT- 2003/01/30 04:00 PHST- 2003/01/30 04:00 [pubmed] PHST- 2004/02/27 05:00 [medline] PHST- 2003/01/30 04:00 [entrez] AID - me.2002-0318 [pii] AID - 10.1210/me.2002-0318 [doi] PST - ppublish SO - Mol Endocrinol. 2003 Apr;17(4):575-88. doi: 10.1210/me.2002-0318. Epub 2003 Jan 2.