PMID- 22965848 OWN - NLM STAT- MEDLINE DCOM- 20130708 LR - 20211021 IS - 1868-8500 (Electronic) IS - 1868-8497 (Print) IS - 1868-8497 (Linking) VI - 4 IP - 1 DP - 2013 Feb TI - Raloxifene inhibits growth of RT4 urothelial carcinoma cells via estrogen receptor-dependent induction of apoptosis and inhibition of proliferation. PG - 24-35 LID - 10.1007/s12672-012-0123-9 [doi] AB - Bladder cancer is the fifth most common type of cancer in the USA, with over 70,000 new cases diagnosed each year. Treatment often involves invasive surgical therapies, as chemotherapy alone is often ineffective and associated with high recurrence rates. Identification of estrogen receptor-beta (ERbeta) in up to 75 % of urinary tumors raises the question of whether this receptor could be targeted to effectively treat bladder cancer. In this study, a panel of five bladder cancer cell lines representing a variety of disease stage and grades were treated with the antiestrogens 4-hydroxytamoxifen, raloxifene, or the pure antagonist ICI 182,780. All cell lines were ERbeta positive while only a few expressed estrogen receptor-alpha (ERalpha). Notably, all but the TCCSUP cell line were growth inhibited 20-100 % by at least two antiestrogens. Using RT4 cells, we demonstrate that growth inhibition by raloxifene is ER dependent and either ERalpha or ERbeta can mediate this response. Activation of caspase-3 and its effector poly-ADP ribose polymerase (PARP) demonstrate that raloxifene-induced growth inhibition is in part the result of increased apoptosis; this PARP cleavage was ER dependent. Moreover, changes in the expression of cell cycle genes indicate that cell proliferation is also affected. Specifically, raloxifene treatment results in the stabilization of p27 protein, likely via the downregulation of S-phase kinase-associated protein (SKP2). Expression of the negative cell cycle regulator B-cell translocation gene (BTG2) is also increased, while cyclin D1 transcription is reduced. These results indicate that antiestrogens may be useful therapeutics in the treatment of bladder cancer by targeting ER and inhibiting growth via multiple mechanisms. FAU - Hoffman, Kristi L AU - Hoffman KL AD - Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston, TX, USA. FAU - Lerner, Seth P AU - Lerner SP FAU - Smith, Carolyn L AU - Smith CL LA - eng GR - R03 CA119271/CA/NCI NIH HHS/United States GR - CA119271/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20120911 PL - United States TA - Horm Cancer JT - Hormones & cancer JID - 101518427 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Antagonists) RN - 0 (Estrogen Receptor alpha) RN - 0 (Estrogen Receptor beta) RN - 0 (Immediate-Early Proteins) RN - 0 (S-Phase Kinase-Associated Proteins) RN - 0 (Tumor Suppressor Proteins) RN - 094ZI81Y45 (Tamoxifen) RN - 136601-57-5 (Cyclin D1) RN - 141490-22-4 (BTG2 protein, human) RN - 17197F0KYM (afimoxifene) RN - 22X328QOC4 (Fulvestrant) RN - 4F86W47BR6 (Raloxifene Hydrochloride) RN - 4TI98Z838E (Estradiol) RN - EC 2.4.2.30 (Poly(ADP-ribose) Polymerases) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Apoptosis/*drug effects/genetics MH - Carcinoma, Transitional Cell/*drug therapy/genetics/metabolism/pathology MH - Caspase 3/genetics/metabolism MH - Cell Line, Tumor MH - Cell Proliferation/*drug effects MH - Cyclin D1/genetics/metabolism MH - Down-Regulation/drug effects/genetics MH - Estradiol/analogs & derivatives/pharmacology MH - Estrogen Antagonists/pharmacology MH - Estrogen Receptor alpha/genetics/*metabolism MH - Estrogen Receptor beta/genetics/*metabolism MH - Fulvestrant MH - Humans MH - Immediate-Early Proteins/genetics/metabolism MH - MCF-7 Cells MH - Poly(ADP-ribose) Polymerases/genetics/metabolism MH - Raloxifene Hydrochloride/*pharmacology MH - S-Phase Kinase-Associated Proteins/genetics/metabolism MH - Tamoxifen/analogs & derivatives/pharmacology MH - Tumor Suppressor Proteins/genetics/metabolism MH - Urinary Bladder Neoplasms/*drug therapy/genetics/metabolism/pathology PMC - PMC3541450 MID - NIHMS407030 COIS- The authors declare that they have no conflict of interest. EDAT- 2012/09/12 06:00 MHDA- 2013/07/09 06:00 PMCR- 2012/09/11 CRDT- 2012/09/12 06:00 PHST- 2012/07/05 00:00 [received] PHST- 2012/08/28 00:00 [accepted] PHST- 2012/09/12 06:00 [entrez] PHST- 2012/09/12 06:00 [pubmed] PHST- 2013/07/09 06:00 [medline] PHST- 2012/09/11 00:00 [pmc-release] AID - 123 [pii] AID - 10.1007/s12672-012-0123-9 [doi] PST - ppublish SO - Horm Cancer. 2013 Feb;4(1):24-35. doi: 10.1007/s12672-012-0123-9. Epub 2012 Sep 11.