PMID- 32031965 OWN - NLM STAT- MEDLINE DCOM- 20210721 LR - 20210721 IS - 1479-6821 (Electronic) IS - 1351-0088 (Linking) VI - 27 IP - 4 DP - 2020 Apr TI - FOXO1 as a tumor suppressor inactivated via AR/ERbeta signals in urothelial cells. PG - 231-244 LID - 10.1530/ERC-20-0004 [doi] AB - Androgen receptor (AR) and estrogen receptor-beta (ERbeta) have been implicated in urothelial tumor outgrowth as promoters, while underlying mechanisms remain poorly understood. Our transcription factor profiling previously performed identified FOXO1 as a potential downstream target of AR in bladder cancer cells. We here investigated the functional role of FOXO1 in the development and progression of urothelial cancer in relation to AR and ERbeta signals. In non-neoplastic urothelial SVHUC cells or bladder cancer lines, AR/ERbeta expression or dihydrotestosterone/estradiol treatment reduced the expression levels of FOXO1 gene and induced those of a phosphorylated inactive form of FOXO1 (p-FOXO1). In chemical carcinogen-induced models, FOXO1 knockdown via shRNA or inhibitor treatment resulted in considerable induction of the neoplastic transformation of urothelial cells or bladder cancer development in mice. Similarly, FOXO1 inhibition considerably induced the viability, migration, and invasion of bladder cancer cells. Importantly, in FOXO1 knockdown sublines, an anti-androgen hydroxyflutamide or an anti-estrogen tamoxifen did not significantly inhibit the neoplastic transformation of urothelial cells, while dihydrotestosterone or estradiol did not significantly promote the proliferation or migration of urothelial cancer cells. In addition, immunohistochemistry in surgical specimens showed that FOXO1 and p-FOXO1 expression was down-regulated and up-regulated, respectively, in bladder tumor tissues, which was further associated with worse patient outcomes. AR or ERbeta activation is thus found to correlate with inactivation of FOXO1 which appears to be their key downstream effector. Moreover, FOXO1, as a tumor suppressor, is likely inactivated in bladder cancer, which contributes in turn to inducing urothelial carcinogenesis and cancer growth. FAU - Ide, Hiroki AU - Ide H AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Mizushima, Taichi AU - Mizushima T AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Jiang, Guiyang AU - Jiang G AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Goto, Takuro AU - Goto T AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Nagata, Yujiro AU - Nagata Y AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Teramoto, Yuki AU - Teramoto Y AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Inoue, Satoshi AU - Inoue S AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. FAU - Li, Yi AU - Li Y AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. FAU - Kashiwagi, Eiji AU - Kashiwagi E AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Baras, Alexander S AU - Baras AS AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Netto, George J AU - Netto GJ AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama, USA. FAU - Kawahara, Takashi AU - Kawahara T AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. FAU - Miyamoto, Hiroshi AU - Miyamoto H AD - Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. AD - Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, New York, USA. AD - James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA. AD - Department of Urology, University of Rochester Medical Center, Rochester, New York, USA. LA - eng PT - Journal Article PL - England TA - Endocr Relat Cancer JT - Endocrine-related cancer JID - 9436481 RN - 0 (Estrogen Receptor beta) RN - 0 (FOXO1 protein, human) RN - 0 (Forkhead Box Protein O1) RN - 0 (Receptors, Androgen) SB - IM MH - Cell Line, Tumor MH - Cell Proliferation MH - Estrogen Receptor beta/*genetics MH - Forkhead Box Protein O1/*metabolism MH - Humans MH - Receptors, Androgen/*metabolism MH - Urothelium/*metabolism OTO - NOTNLM OT - FOXO1 OT - androgen receptor OT - estrogen receptor-beta OT - urothelial cancer EDAT- 2020/02/08 06:00 MHDA- 2021/07/22 06:00 CRDT- 2020/02/08 06:00 PHST- 2020/02/05 00:00 [received] PHST- 2020/02/07 00:00 [accepted] PHST- 2020/02/08 06:00 [pubmed] PHST- 2021/07/22 06:00 [medline] PHST- 2020/02/08 06:00 [entrez] AID - ERC-20-0004.R1 [pii] AID - 10.1530/ERC-20-0004 [doi] PST - ppublish SO - Endocr Relat Cancer. 2020 Apr;27(4):231-244. doi: 10.1530/ERC-20-0004.