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Copyright © 2009 The Author(s) Estradiol downregulates miR-21 expression and increases miR-21 target gene expression in MCF-7 breast cancer cells Department of Biochemistry & Molecular Biology, Center for Genetics and Molecular Medicine, University of Louisville School of Medicine, Louisville, KY 40292, USA *To whom correspondence should be addressed. Tel: Phone: +1 502 852 3668; Fax: +1 502 852 6222; Email: carolyn.klinge/at/louisville.edu Received December 3, 2008; Revised February 3, 2009; Accepted February 3, 2009. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC.Abstract Select changes in microRNA (miRNA) expression correlate with estrogen receptor α (ERα) expression in breast tumors. miR-21 is higher in ERα positive than negative tumors, but no one has examined how estradiol (E2) regulates miR-21 in breast cancer cells. Here we report that E2 inhibits miR-21 expression in MCF-7 human breast cancer cells. The E2-induced reduction in miR-21 was inhibited by 4-hydroxytamoxifen (4-OHT), ICI 182 780 (Faslodex), and siRNA ERα indicating that the suppression is ERα-mediated. ERα and ERβ agonists PPT and DPN inhibited and 4-OHT increased miR-21 expression. E2 increased luciferase activity from reporters containing the miR-21 recognition elements from the 3′-UTRs of miR-21 target genes, corroborating that E2 represses miR-21 expression resulting in a loss of target gene suppression. The E2-mediated decrease in miR-21 correlated with increased protein expression of endogenous miR-21-targets Pdcd4, PTEN and Bcl-2. siRNA knockdown of ERα blocked the E2-induced increase in Pdcd4, PTEN and Bcl-2. Transfection of MCF-7 cells with antisense (AS) to miR-21 mimicked the E2-induced increase in Pdcd4, PTEN and Bcl-2. These results are the first to demonstrate that E2 represses the expression of an oncogenic miRNA, miR-21, by activating estrogen receptor in MCF-7 cells. INTRODUCTION Although the precise sequence of events leading to breast tumors are not understood, lifetime exposure to estrogens is widely accepted as a major risk factor for the development of breast cancer. Estrogens promote cell replication by binding to the estrogen receptors α and β (ERα and ERβ). Ligand-activated ER acts genomically by binding directly to estrogen response elements (EREs) or by a ‘tethering mechanism’, e.g. by interacting with AP-1 (1) or Sp1 (2). These interactions recruit coregulators to initiate chromatin remodeling resulting in increased gene transcription (3). ER can also suppress target gene transcription, although the mechanisms involved are unresolved (4). In addition to its ER-mediated, genomic activity, E2 also has ‘non-genomic’ or ‘membrane-initiated’ effects, i.e. independent of ER-mediated transcription, that occur within minutes after estradiol (E2), or other ER ligand, administration (5,6). Inhibition of estrogen action is used as the adjuvant therapy of choice to treat both pre- and post-menopausal women with breast cancer. The anti-estrogen/Selective ER Modulator (SERM) tamoxifen (TAM) is the ‘gold standard’ of treatment of women with ER positive tumors (7). TAM is a SERM because it has mixed agonist/antagonist activity in a cell- and gene-specific manner whereas Faslodex (Fulvestrant, ICI 182 780) has pure antiestrogen activity (8). Ablation of endogenous estrogen production using aromatase inhibitors (AIs, e.g. anastrozole, letrozole and exemestane) has an efficacy greater than TAM in preventing disease recurrence in post-menopausal breast cancer patients (9). Together, these data demonstrate the importance of endogenous estrogens in promoting breast cancer recurrence. MicroRNAs (miRNAs) are a class of naturally occurring, small, non-coding RNA molecules distinct from small interfering RNAs (siRNAs) (10–12). miRNA genes are mostly transcribed by RNA polymerase II, processed by Drosha into short hairpin RNAs that are exported from the nucleus, and processed by Dicer to form mature 21–25 nucleotide miRNAs which are transferred to Argonaute proteins in RISC. miRNAs bind to the 3′-untranslated region (3′ UTR) of target mRNAs and either block the translation of the message or target the mRNA transcript to be degraded (13). miRNAs may also increase translation of select mRNAs in a cell cycle-dependent manner (14). The human genome contains >700 miRNAs (15) and miRNAs are expressed in a tissue-specific manner (16). Each miRNA targets ~200 transcripts directly or indirectly (17). Aberrant patterns of miRNA expression have been reported in human breast cancer (16–40). A number of genes involved in breast cancer progression have been identified by in silico analysis to be targets of miRNAs that are deregulated in breast cancer (41) and some, e.g. AIB1 have been experimentally proven (42). We recently reported that miR-21 downregulates the translation of human PDCD4, a tumor suppressor in MCF-7 cells (43). Although miR-21 was identified as an ‘oncomiR’, was the most significantly up-regulated miRNA in breast tumor biopsies (37), and was significantly higher in ERα+ than ERα– breast tumors (40), no one has examined whether E2 or SERMs regulate miR-21 expression in human breast cancer cells. In this study, we tested the hypothesis that miR-21, an ‘oncomiR’, is regulated by E2 in MCF-7 breast cancer cells. Although E2 increases proliferation of MCF-7 cells, we found that E2 inhibits miR-21 expression. Experiments were performed to test the effect of E2 on targets of miR-21. In silico analysis identified miR-21 seed elements in six target genes and these miRNA recognition elements (MREs) were cloned into the 3′UTR of a Renilla reporter for subsequent transcriptional evaluation and examination of the effect of antisense to miR-21 on Renilla luciferase. Antisense to miR-21 was used to confirm the importance of miR-21-MRE interaction in response to E2. Importantly, the E2-mediated decrease in miR-21 correlated with increased expression of miR-21-targets PDCD4, PTEN and Bcl-2 at the protein level. These results identify miR-21 as an E2-ER- regulated miRNA in MCF-7 cells. MATERIALS AND METHODS Cells and treatments MCF-7 cells were purchased from ATCC and maintained as previously described (44). 17β-estradiol (E2), 4-hydroxytamoxifen (4-OHT), Actinomycin D (ActD, a transcriptional inhibitor) and cycloheximide (CHX, a protein synthesis inhibitor) were purchased from Sigma; ICI 182 780 (ICI), 4,4′,4′′-(4-propyl-[1H]-pyrazole-1,3,5-triyl)trisphenol (PPT, an ERα-selective agonist) and 2,3-bis(4-hydroxyphenyl)-propionitrile (DPN, an ERβ-selective agonist) were purchased from Tocris. Prior to ligand treatment, the medium was replaced with phenol red-free IMEM supplemented with 5% dextran charcoal-stripped FBS (DCC-FBS) for 48 h (serum-starved). Where indicated, MCF-7 cells were pre-treated with 10 μg/ml ActD or 10 μg/ml CHX, for 1 h before ligand treatment. Cells were treated with ethanol (EtOH, the vehicle control) 0.01% final volume, 10 nM E2, 100 nM 4-OHT, 10 nM PPT, or 10 nM DPN, alone or in combination with 100 nM ICI for 6 h. For the indicated experiments, cells were pretreated with 100 nM ICI for 6 h prior to EtOH or E2 treatment. miRNA microarray RNA was isolated from MCF-7 cells treated with EtOH or 10 nM E2 for 6 h using the mirVana miRNA Isolation Kit from Ambion (Austin, TX) and was sent to LC Sciences (Houston, TX) (http://lcsciences.com/) where the RNA samples were labeled either with Cy3 or Cy5 and were hybridized with two identical, dual-color miRNA microarray chips (MRA-1001, LC Sciences). The array contains probes to detect mature miRNA sequences as well as pre-miRNAs in the Sanger miRNA registry (http://microrna.sanger.ac.uk/sequences/). Each human miRNA on the chip contains seven redundancies for each sequence to increase sensitivity. Microarray analysis was performed by LCS including background subtraction and data normalization to the statistical median of all detectable transcripts. Two lists of differentially expressed transcripts (based on a P-value < 0.01) from two chips were merged into one list and a statistical correlation between the two sets of data was calculated. Constructs of miRNA-recognition elements (MREs) For MRE sequences, synthetic DNA oligonucleotides (~35 bp) containing the MRE sequence (Supplementary Table 1) and ~5 bp adjacent sequences from each end were annealed and ligated into the NotI/XhoI sites located in the 3′UTR region of the pRL-TK Renilla luciferase reporter from Promega. Full-length (FL) 3′-UTRs of PDCD4 and RASA1 were amplified by PCR and inserted into the phRL-TK vector, similarly. All constructs were confirmed by DNA sequencing. Quantitative real-time PCR (Q-PCR) analysis of miRNA and mRNA expression miRNA-enriched total RNA was extracted from MCF-7 cells using the mirVana miRNA isolation kit (Ambion). Quantification of miRNAs was performed using TaqMan MicroRNA Assays (Applied Biosystems). U6 RNA was used for normalization of miRNA expression. For analysis of PTEN, PDCD4, BCL2 and TMEM49 mRNA expression, RNA was extracted using Trizol and quantitation was performed using TaqMan primers and probes from ABI using 18S for normalization. Analysis and fold change were determined using the comparative threshold cycle (Ct) method. The change in miRNA or mRNA expression was calculated as fold-change, i.e. relative to EtOH-treated (control). Western blot Cells were treated as indicated in individual figure and whole cell extracts (WCE) were prepared in modified RIPA buffer as described (22). Western analysis was performed and quantitated as described (19). Membranes were probed with ERα antibodies AER320 from NeoMarkers or HC-20 from Santa Cruz Biotechnology, ERβ antibody H150 (Santa Cruz Biotechnology), polyclonal PDCD4 antibody from Genetex, monoclonal PTEN antibody from Cell Signaling, or monoclonal Bcl-2 antibody from Assay Designs. Membranes were stripped and re-probed for β-actin (Sigma). Transient transfection MCF-7 cells were plated in 24-well plates at a density of 1.5 × 104 cells/well in phenol red-free OPTI-MEM I reduced serum medium (GIBCO/Invitrogen) supplemented with 10% DCC-FBS. Transient transfection was performed using FuGene6 (Roche). For experiments in Figures 2
AS-control and AS-miR-21 transfection MCF-7 cells were transfected with AS- duplexes and control-nonspecific siRNA obtained from Ambion using Lipofectamine RNAiMAX from Invitrogen according to the manufacturer's protocol. Twenty-four hours post-transfection, the medium was replaced with phenol red-free IMEM with 5% DCC for 48 h and the cells were treated with ethanol (EtOH) vehicle control, 10 nM E2, 10 nM PPT or 10 nM DPN for 24 h prior. Total RNA was isolated for Q-PCR analysis and WCEs were prepared and stored for 24 h at −80°C until western blot analysis. Each experiment was repeated for a total of three biological replicates. Western blots were quantified as above and the ratio of each protein/β-actin in the AS-control in EtOH-treated samples was set to 1 in each experiment. ERα and ERβ knockdown by siRNA MCF-7 cells were transfected with siRNA duplexes and control-nonspecific siRNA obtained from New England Biolabs (44). Forty-eight hours post-transfection, the cells were treated with 10 nM E2, 10 nM PPT or 10 nM DPN for 6 h for mRNA analysis, or 24 h for protein analysis. Total RNA was isolated for Q-PCR analysis and WCEs were prepared and stored for 24 h at −80°C until western blot analysis. Statistics Statistical analyses were performed using Student's t-test or one-way ANOVA followed by Student–Newman–Keuls or Dunnett's post-hoc tests using GraphPad Prism (San Diego, CA). RESULTS E2 regulates miR-21 expression in MCF-7 breast cancer cells Estrogens promote breast tumor development by increasing transcription of protooncogenes and growth factors (46) and by negatively modulating the expression or functional activity of tumor suppressors (47). To determine the identity of primary E2-regulated miRNAs in estrogen-responsive human breast cancer cells, ERα-positive MCF-7 human breast cancer cells were treated with 10 nM E2 or EtOH (vehicle control) for 6 h. Among the E2-down-regulated miRNAs, we selected miR-21 for further evaluation because miR-21 is an oncomiR and its expression is higher in ERα positive versus negative tumors (40). Furthermore, no one has examined if E2 regulates miR-21 expression in breast cancer cells. Q-PCR using the TaqMan primer/probe sets from ABI indicated a ~60% reduction in mature miR-21 by E2 (Figure 1
Although ERα expression is higher than ERβ in MCF-7 cells, both ER subtypes are expressed (44). To examine the contributions of ERα and ERβ to the E2-induced reduction in miR-21, MCF-7 cells were treated with 10 nM PPT or 10 nM DPN, concentrations at which each is an ERα- or ERβ- selective agonist, respectively (50). PPT and DPN, like E2, reduced miR-21 (Figure 1 Effect of E2 on miR-21 target gene reporter activity in MCF-7 cells The biological activity of miRNAs is primarily mediated by interaction with matching recognition sequences in the 3′ UTRs of target genes and reducing translation. A ~33-bp region from the 3′UTR centering on the putative miR-21 miRNA regulatory element (miRNA recognition elements (MREs), also called a ‘seed element’, 5′-ATAAGCTA-3′), and minimally 4 bp flanking this sequence from the six genes listed in Supplementary Table 1 were cloned into the 3′UTR of pRL-TK Renilla reporter plasmid. The pRL-TK-MRE or pRL-TK parental plasmids were transiently transfected into MCF-7 cells with pGL3-pro-luciferase as a control and cells were treated with EtOH or E2 (Figure 2 Effect of antisense to miR-21 target gene reporter activity in MCF-7 cells If the E2-induced increase in Renilla luciferase from the MREs of the TGFB1, PDCD4, RASA1 and RASGRP1 genes seen in Figure 2
MRE and FL 3′-UTRs activities of PDCD4 and RASA1 in reporter assays in MCF-7 cells Since sequences flanking the MRE affect miRNA binding and activity (55), it is important to compare the effect of E2 and AS-miR-21 in reporters bearing the MRE versus the FL 3′UTR of PDCD4 and RASA1 genes (Figure 2 Regulation of primary (pri)-miR-21 promoter activity by E2, 4-OHT and ICI 182,780 in MCF-7 cells miR-21 is located in the 10th intron of the TMEM49 gene (56). To test whether E2 regulates miR-21 gene expression through the ~−1 kb 5′flanking region previously reported to function as a promoter for miR-21 (45), transient transfection assays were performed using two constructs: pmiR-21s-luc and pmiR-21as-luc, corresponding to the sense (s) and antisense (as) orientations of this ~1 kb region cloned in front of the Firefly luciferase gene (45) (Figure 3 Actinomycin D (ActD) and cycloheximide (CHX) block E2-mediated miR-21 expression To determine whether the E2-mediated reduction in miR-21 expression is a direct effect of ER at the genomic level or requires synthesis of a secondary estrogen-responsive protein, MCF-7 cells were pretreated with the transcriptional inhibitor ActD or the protein synthesis inhibitor CHX prior to EtOH or E2 treatment (Figure 3 Effect of E2, PPT and DPN on endogenous miR-21 target genes in MCF-7 cells Since E2 reduced miR-21 expression in MCF-7 cells and increased the expression of miR-21 target reporter gene activity, the effect of E2 on the mRNA and protein levels of endogenous miR-21-target genes PDCD4, PTEN and BCL2 was examined by Q-PCR (Figure 4
AS-miR-21 inhibits endogenous miR-21 target gene protein expression in MCF-7 cells To confirm the role of downregulation of miR-21 in the increase in protein expression of Pdcd4, PTEN and Bcl-2, MCF-7 cells were transfected with AS-control and AS-miR-21 plasmids followed by treatment with EtOH, E2, PPT and DPN for 24 h. If the ER-ligand-induced reduction in miR-21 causes an increase in target protein expression, then the AS-miR-21 should have the same effect. AS-miR-21 reduced miR-21 by 92% (Figure 5 Effect of ERα knock-down on E2-induced endogenous miR-21 target gene expression in MCF-7 cells To confirm the role of ERα in the observed decrease in miR-21 and increase in miR-21-target gene expression in response to E2 and PPT, MCF-7 cells were transfected with siRNA targeting ERα or control siRNA for 48 h and then treated with EtOH, 10 nM E2, PPT, or DPN for 6 h. Transfection of MCF-7 cells with siRNA for ERα reduced ERα mRNA expression by ~62% (Supplementary Figure 3) and ERα protein by 61%. In contrast, ERβ protein levels were unaffected (Figure 6
Effect of ERβ knock-down on miR-21 expression in MCF-7 cells To examine ERβ's role in mediating E2-suppression of miR-21 transcription, MCF-7 cells were transfected with siRNA targeting ERβ or control siRNA for 48 h and then treated with EtOH or 10 nM E2 for 6 h. siERβ reduced ERβ mRNA expression by ~70% and protein by 64% (Supplementary Figure 5A and B). Knockdown of ERβ reduced basal miR-21 by 73% and E2 treatment had no further effect (Figure 6 DISCUSSION Since the oncomiR miR-21 was the most significantly up-regulated miRNA in breast tumor biopsies compared to normal breast tissue (37) and because estrogen stimulates breast tumorigenesis, the goal of this study was to determine if E2 regulates the expression of miR-21 in MCF-7 cells as an established human breast cancer model of estrogen responses. To our knowledge, this is the first report that E2 downregulates miR-21 and thus upregulates the protein expression of miR-21 target genes PDCD4, PTEN and BCL2 in MCF-7 human breast cancer cells. Furthermore, the ability of 4-OHT, ICI and siERα to block the E2 repression of miR-21 and the subsequent increase in Pdcd4, Pten and Bcl-2 proteins provide a mechanism for the E2 effect, i.e. through ERα activation. ERβ appears to regulate basal miR-21 expression in MCF-7 cells since knockdown of ERβ reduced miR-21 expression. ERβ represses/opposes ERα transcriptional activity and E2-induced cell proliferation (57–61). Stable transfection of MCF-7 cells with ERβ inhibited xenograft tumor growth, indicating that ERβ is a tumor suppressor (62). We observed that ERβ knock down reduced basal miR-21 and there was no further reduction in miR-21 expression with E2 treatment. These data appear to indicate a relief of repression of ERα's inhibition of miR-21 transcription. Figure 7
At the same time, given the established link between estrogen and breast carcinogenesis (65,66), one might expect E2 to upregulate miR-21 rather than inhibit miR-21 as shown here. Likewise, the increase in miR-21 expression by 4-OHT appears to contradict its anticipated anti-tumor role, but is consistent with 4-OHT's gene-specific SERM activity as indicated by its activity opposing E2's inhibition of miR-21 expression. For complex phenotypes including cell proliferation, genes and proteins are up- and down- regulated by a variety of interacting mechanisms that we are only beginning to understand and integrate. Our data are supported by a recent report showing that miR-21 expression was reduced in TAM-resistant MCF-7 cells (67), a finding likely reflecting the loss of ER-regulated responses in TAM-resistant cells. It is well-established that E2 and 4-OHT regulate transcription in a gene- and cell-specific manner (68–72) and the findings reported here add miR-21 to the list of ER-regulated genes. We conclude that our apparent ‘contradictory data’ of E2 down-regulating and 4-OHT increasing miR-21 expression add unexpected complexity to understanding of E2 action in breast tumorigenesis. The reduction of miR-21 expression in response to E2 appears to be mediated, in part, by the −1kb promoter. However, because the reduction in transcription was only ~25% in the reporter assay compared to a ~80% reduction by Q-PCR analysis of miR-21 expression, it is possible that additional regions are also important in regulating miR-21 expression in response to E2. It has been established that E2 increases ERα binding to chromosome regions outside gene promoters (73,74). Analysis of the miR-21 promoter using TRANSFAC (http://www.gene-regulation.com/) identified a non-consensus ERE with a 2-bp spacer: 5′-AGCTGAgcTGACC-3′ located 883-bp upstream of the TATA-binding site. Previous studies showed no binding of ERα to an ERE with a 2-bp spacer in vitro (75). However, in addition to direct ERE binding, ERα regulates gene transcription by tethering to other transcription factors. Genes repressed by E2-ERα in MCF-7 cells lack EREs and instead have binding sites for Ikaros (IKZF1) and PAX homeobox factors, among others (76), that are also located in the miR-21 promoter. miR-21 is located in the 3′UTR of TMEM49 located at 17q23.1. Using data from Myles Brown's online database of genomic E2-ERα-binding sites in MCF-7 cells from chromatin immunoprecipitation of ERα on-human genome tiled microarray data (ChIP-on-chip) for human chromosome 17 (73) http://research.dfci.harvard.edu/brownlab/datasets/index.php?dir=ER_MCF7_whole_human_genome/, we found that both E2-ERα and RNA polymerase II binding overlap with the 71-bp miR-21 gene (Supplementary Figure 6). AP-1 was shown to activate miR-21 transcription by direct interaction with three binding sites in the miR-21 promoter in response to PMA treatment of HL-60 cells (56). Although both ERα and ERβ interact with AP-1 to regulate gene expression, the direction of regulation (up or down) varies depending on the ligand, cell type, chromatin context and neighboring transcription factor-binding events (77,78). Here we showed that E2 did not alter TMEM49 transcription which supports previous results that TMEM49 and miR-21 are independently regulated (56). Further studies will be required to analyze the precise mechanisms mediating E2 repression of miR-21. Both E2 and AS-miR-21 induced RASA1 reporter activity; however, the magnitude of luciferase induction was higher with E2 than AS-miR-21. Although normalized relative luciferase between EtOH versus controlAS transfected cells is an unequal comparison, one possible explanation for this difference is that E2 alters the expression of other genes or pathways that selectively impact the RASA1 reporter compared to the other reporters, e.g. TGFB1 and PDCD4, that show similar luciferase activity. Our data showing the downregulation of miR-21 by E2 correlated with upregulation of PDCD4 RNA and protein (Figure 4 miR-21 functions as an oncogene and modulates tumorigenicity through regulation of Bcl-2 in MCF-7 cells (38). Inhibition of miR-21 expression by AS-miR-21 reduced Bcl-2 protein expression and increased apoptosis in MCF-7 cells in vitro and in tumor xenografts in mice (38). Consistent with these findings, our data demonstrate that both E2 and PPT decrease miR-21 and increase BCL2 mRNA and protein expression in MCF-7 cells. BCL2 expression has long been considered a good prognostic marker in breast cancer (80). DPN increased BCL2 mRNA and protein expression; likely by ERα activation because E2 regulates BCL2 transcription in MCF-7 cells via ERα- Sp1 and AP1 interactions (81), we can not conclude that the increase in BCL2 mRNA is due solely to E2-mediated decreased miR-21. Further studies will be needed to dissect the relative contributions of multiple ERα-mediated pathways controlling BCL2 gene expression. PTEN is an important tumor suppressor (82) that has been identified as a breast cancer susceptibility gene (83). miR-21 regulates PTEN in human hepatocellular cancer cells and tumors (35,84) but to our knowledge, no one has examined miR-21 regulation of PTEN in breast cancer. We found that E2, PPT and DPN increased PTEN protein levels without affecting PTEN transcript levels (Figure 4 In summary, we report for the first time that miR-21 is down-regulated in response to E2 in an ERα-dependent manner and that ERβ regulates basal miR-21 expression. Furthermore, this inhibition correlates with up-regulation of miR-21 targets: PDCD4, PTEN and Bcl-2. The identification of miR-21 as a miRNA regulated by ER may open new avenues for potential therapeutic intervention in breast cancer treatment. FUNDING National Institutes of Health R21 CA124811 and an Intramural Research Incentive Grant from the Office of the Senior Vice President for Research [to C.M.K.]. Pre-doctoral fellowship from National Institutes of Environmental Health Sciences T32 ES011564 [to K.A.R.]. Funding for open access charge: National Institutes of Health R21 CA124811 to C.M.K. Conflict of interest statement. None declared. [Supplementary Data]
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