Abstract
The aryl hydrocarbon receptor (AhR) is a ligand-activated transcription factor and a member of the basic helix-loop-helix PER/ARNT/SIM family of chemosensors and developmental regulators. The AhR is widely known as a mediator of dioxin toxicity; however, it also suppresses cancer cell proliferation and recent findings have implicated its role as a tumor suppressor. We conducted a chemical library screen to identify nontoxic AhR ligands with anti-cancer effects and discovered flutamide (Eulexin) as a putative AhR ligand. Flutamide is an androgen receptor (AR) antagonist approved by the United States Food and Drug Administration for the treatment of prostate cancer. We found that flutamide inhibited the growth of several cancer cell lines independent of AR status, and that suppression of AhR expression reversed the anti-proliferative effects of flutamide. We investigated the AhR-dependent mechanism of action of flutamide in human hepatocellular carcinoma cells and identified that transforming growth factor-β1 (TGF-β1) is induced by flutamide in an AhR-dependent manner. In contrast, the potent AhR agonist 2,3,7,8-Tetrachlorodibenzo-p-dioxin had no effect on TGF-β1 expression, indicating the ligand specificity of AhR activation. We also determined that TGF-β1 induction is required for the AhR-dependent growth inhibitory effects of flutamide. Therefore, flutamide may be effective in AhR-positive cancers that are sensitive to TGF-β1 signaling, such as hepatocellular carcinoma.
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Introduction
The aryl hydrocarbon receptor (AhR) is a ligand-activated transcription factor and member of the PER/ARNT/SIM (PAS) domain family of transcription factors and developmental regulators.1, 2 Exogenous ligands of the AhR include polycyclic aromatic hydrocarbons, flavones, and dioxins such as 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD). The latent AhR is compartmentalized in the cytosol complexed with p23, XAP2 and heat shock protein 90, whose association is required for ligand binding.3, 4, 5, 6, 7 Ligand binding to the PAS-B domain of the AhR results in dissociation from heat shock protein 90 and nuclear translocation. Upon nuclear localization, the AhR heterodimerizes with the AhR nuclear translocator forming the active transcription factor complex. The activated AhR transcription factor complex then binds to Ah responsive elements, and concomitant recruitment of transcriptional machinery initiates target gene transcription. Classical AhR target genes have been characterized in response to TCDD exposure and include the cytochrome P450 family of drug metabolizing enzymes.2, 8, 9 In murine models, TCDD has been characterized as a potent tumor promoter,10, 11 although there is no clear evidence between TCDD exposure and increased incidences of cancer in humans.12, 13, 14 TCDD exposure leads to prolonged activation of the AhR in vivo, and can induce toxic effects such as immune suppression,15, 16 chloracne,12 oxidative stress,17, 18 severe weight loss, reproductive19, 20 and developmental toxicity;21, 22 although the molecular interactions that lead to these complex toxic responses remain unclear.23, 24
Separate from xenobiotic-associated toxicity, the AhR has important endogenous roles influencing embryonic development and cell cycle regulation,25, 26 and may also function as a tumor suppressor.27 In the transgenic adenocarcinoma of the mouse prostate mouse model, AhR null mice develop aggressive advanced onset of prostate tumors.28 The presence of the AhR has been shown to suppress hepatic carcinogen diethylnitrosamine induced liver tumors,29 supporting the possibility that the absence of AhR increases tumorigenicity in distinct organs. Recently, a study describing a cancer cell line encyclopedia showed that AhR expression is closely associated with MEK inhibitor efficacy in NRAS mutant lines.30 Furthermore, multiple studies have suggested that ligand-mediated modulation of AhR activity can inhibit endocrine signaling and cancer cell proliferation.31, 32, 33, 34
We performed a small molecule screen to identify ligands capable of specifically activating the tumor suppressive functions of the AhR,35 from which we identified flutamide (Eulexin) as a putative AhR ligand, consistent with published reports.9 Flutamide is approved by the FDA (Food and Drug Administration) for the treatment of androgen-dependent prostate cancers, due to its antagonism of the androgen receptor (AR), resulting in a blockade of testosterone signaling.36 Following our initial screening effort, we confirmed that flutamide is an AhR ligand and modeled its docking orientation into the AhR ligand-binding pocket.37 We also determined that flutamide brings the AhR into a transcriptionally active state, and that flutamide, but not its primary metabolite 2-hydroxy flutamide (2HFL), is responsible for AhR activation. We found that flutamide suppresses proliferation of cancer cells that do not express the AR. We examined the AhR dependency of flutamide-induced growth suppression and demonstrated that the AhR mediates the anti-proliferative effects of flutamide. We further determined that flutamide-activated AhR leads to upregulation of transforming growth factor-β1 (TGF-β1) and activation of TGF-β1-dependent signaling. Suppression of AhR expression or TGF-β1 expression abrogated the anti-proliferative effects of flutamide. We conclude that selective AhR ligands such as flutamide can promote the tumor suppressive functions of the AhR through activation of TGF-β signaling.
Results
Flutamide is an AhR ligand
Our group is interested in identifying and characterizing AhR ligands with potential therapeutic applications. To this end, we conducted a small molecule screen for transcriptional activators of the AhR,35 and identified flutamide as a potent activator of AhR-mediated transcription. Flutamide treatment inhibits testosterone signaling via antagonism of the AR,36 and is clinically utilized in the treatment of prostate cancer under the trademark name Eulexin. We confirmed that flutamide stimulated AhR-dependent transcriptional activity in a dose-dependent manner using an AhR reporter assay (Figure 1a). The endogenous AhR target gene CYP1A1 was also strongly upregulated in flutamide treated HepG2 human hepatocellular carcinoma cells (Figure 1b). We have previously shown that homology modeling of the AhR ligand-binding domain can successfully identify new AhR agonists.37 Molecular docking studies with flutamide in the AhR ligand-binding domain model revealed structural affinity to both the human and mouse AhR orthologs (Figure 1c and Supplementary Figure S1). As a member of the AhR transcription factor complex, the AhR translocates from the cytosol to the nucleus upon ligand binding. The compartmentalization of AhR was monitored in both human and mouse hepatoma cells upon flutamide treatment. Potent nuclear localization of the AhR upon treatment with flutamide was observed within 90 min in both human and mouse hepatoma cells (Figure 1d and Supplementary Figure S2). Therefore, we concluded that flutamide is able to bind to the AhR ligand-binding domain, resulting in AhR nuclear translocation and promotion of AhR-mediated transcriptional activity.
Flutamide is subject to first pass metabolism in vivo, where it is converted to 2-hydroxy flutamide (2HFL) via addition of a hydroxyl group (Figure 1d). Thus, we next examined whether the parent compound flutamide, or its metabolite 2HFL, is responsible for induction of AhR transcriptional activity. Treatment with 2HFL did not significantly increase AhR-mediated transcription (Figure 1e). In support of this observation, we found that 2HFL does not alter cytosolic localization of the AhR as determined by immunostaining (Figure 1d and Supplementary Figure S2). These observations indicate that flutamide, but not its metabolite 2HFL, is an AhR agonist.
Flutamide suppresses cancer cell growth independent of the AR
We next determined whether AhR activation contributes to the anti-cancer effects of flutamide in the absence of the AR. We examined multiple cell lines for expression of both AR and AhR by immunoblotting (Figure 2a). AR expression was observed in the hormone-dependent LNCaP human prostate and MCF-7 human breast cancer cell lines. In contrast, the AhR was expressed across multiple cell lineages regardless of tissue type and is consistent with our earlier findings (Figure 2a).38 We also compared the AR mRNA levels present in the human hepatocellular carcinoma cell lines HepG2 and HuH-7 with that of the LNCaP prostate cancer cell line, which is known to express the AR. We found that AR mRNA expression in hepatocellular carcinoma cell lines was ~1000-fold less than that of LNCaP cells (Figure 2b).
Having compared AhR and AR expression across a number of cell lines, we next examined the responses of these various cancer cell lines to flutamide. As expected, flutamide reduced proliferation of the AR expressing LNCaP prostate cancer cell line, and also that of MCF-7 breast cancer cells (Figure 2c and Supplementary Figure S3). Excitingly, we also observed decreased cell numbers in cell lines that do not express AR upon flutamide treatment (Figure 2c and Supplementary Figure S3). The most potent anti-proliferative effects of flutamide treatment were observed in HepG2 human hepatocellular carcinoma cells, which do not express the AR but express high levels of AhR (Figures 2a and c and Supplementary Figure S3). To ensure that these effects were not due to the low basal expression of AR, we conducted cell viability experiments in HepG2 cells in the presence of AR agonists dihydrotestosterone and dehydroepiandrosterone (Figure 2d and Supplementary Figure S3). The effect of flutamide alone on HepG2 cells was the same regardless of co-treatment with dihydrotestosterone or dehydroepiandrosterone, suggesting that any potential residual expression of AR did not influence flutamide-induced effects. Of note, flutamide also activated AhR-mediated transcription and inhibited the growth of AR-negative HuH-7 cells (Supplementary Figure S3). Together, these experiments illustrate the AR-independent growth suppression by flutamide.
The observed reduction in cell numbers could be due to apoptosis or decreased proliferation. In order to distinguish which endpoint was responsible for the observed effects of flutamide, we conducted apoptosis and proliferation assays. Flutamide induced a robust anti-proliferative response in HepG2 cells as determined by decrease in BrdU incorporation (Figure 2c), but did not induce apoptosis (Supplementary Figure S4). These observations were corroborated by flow cytometry using carboxyfluorescein succinimidyl ester and ethidium monoazide staining to monitor proliferation and apoptosis, respectively, in HepG2 cells (Figure 2e). Higher carboxyfluorescein succinimidyl ester fluorescence intensity, an indication of fewer cellular divisions, was observed in flutamide-treated cells compared with vehicle-treated cells. There was no change in ethidium monoazide positive cells after flutamide treatment. Taken together, these data indicated that flutamide causes AR-independent suppression of cancer cell growth through non-apoptotic pathways.
The AhR mediates anti-proliferative effects of flutamide in hepatoma cells
To investigate a potential role for the AhR in mediating the anti-proliferative effects of flutamide, we employed cell lines with or without AhR expression. 5L rat hepatoma cells express high levels of AhR, whereas BP8 cells (derived from 5L cells) are AhR negative (Figure 2a); AR is not expressed in either 5L or BP8 cells (Figure 2a). Treatment with flutamide induced potent growth inhibition of 5L cells in a dose and time-dependent manner, whereas flutamide had a minimal effect on BP8 cell proliferation (Figure 3a). In order to directly determine the role of AhR in flutamide-induced growth inhibition, we utilized small interfering RNAs (siRNAs) to suppress AhR expression in HepG2 cells (Figure 3b). In control luciferase siRNA transfected cells, flutamide treatment resulted in a strong decrease in proliferation (Figures 3c and d). On the other hand, suppression of the AhR expression by AhR siRNA transfection strongly reversed the growth inhibitory effects of flutamide (Figures 3c and d). Taken together, these data provide compelling evidence that the AhR mediates the anti-proliferative effects of flutamide in hepatoma cell lines from distinct species.
In an effort to determine whether a structural template from flutamide can be inferred for AhR activation, we identified a number of structural analogs (Figure 4). Specifically, we selected analogs based on a subtle chemical substitutions of the side groups. We also included the known AR antagonist nilutamide. Surprisingly, none of the analogs exhibited AhR agonist activity (Figure 4a), although some of the flutamide analogs were AhR antagonists (Figure 4b). We examined whether these AhR antagonists could exhibit growth inhibitory effects similar to flutamide. BrdU incorporation assays revealed that these analogs did not have anti-proliferative effects in HepG2 cells (Figure 4c). Thus, the absence of growth inhibitory effects coupled with the failure of flutamide analogs to activate AhR signaling suggests that transcriptional activation of the AhR is required for flutamide-induced growth suppression.
AhR activation by flutamide results in increased levels of p27Kip1, p15INK and TGF-β1
To investigate the mechanism of the AhR-dependent effects of flutamide, we examined the ability of flutamide to alter expression of genes known to regulate cellular proliferation. Previous studies have shown that the p27Kip1 cell cycle inhibitor is upregulated in 5L cells in an AhR-dependent manner by TCDD.32 We monitored p27Kip1 protein levels upon flutamide treatment in 5L cells and observed increased p27Kip1 expression similar to TCDD treatment while BP8 cells (AhR negative) did not exhibit increased levels of p27Kip1 (Figure 5a). These data indicated that the increased expression of p27Kip1 by flutamide was AhR dependent. We next determined whether p27Kip1 levels were also increased in HepG2 cells treated with flutamide. Western blotting identified increased protein levels of both p27Kip1 and p15INK cell cycle inhibitors from flutamide treatment (Figure 5b). Examination of the transcript levels of p27Kip1 and p15INK in HepG2 cells revealed that p15INK, but not p27Kip1, was upregulated by flutamide (Figure 5c). Therefore, treatment of HepG2 cells with flutamide results in increased protein levels of both p27Kip1 and p15INK, but increased mRNA levels of only p15INK.
TGF-β is known to regulate p27Kip1 and p15INK expression39 by protein stabilization and transcriptional upregulation, respectively. TGF-β is an extracellular cytokine that can influence cell proliferation, differentiation and apoptosis.40 TGF-β is processed and secreted with its latency-associated peptide (LAP).40 Activated TGF-β binds to membrane-bound serine–threonine kinase receptors, which phosphorylate Smad family member proteins. Activated SMAD complexes compartmentalize to the nucleus where they stimulate expression of target genes contingent on expression profiles of master transcription factors,40 which can result in a variety of responses including decreased proliferation. We examined mRNA expression of the three known isoforms of TGF-β and discovered that TGF-β1, but not TGF-β2 or TGF-β3, was upregulated by flutamide (Figure 5d). We next asked whether the increase in p15INK and TGF-β1 mRNA was a consequence of cells undergoing growth arrest upon treatment with flutamide. To address this possibility, HepG2 cells were growth arrested by serum starvation for 48 h before treatment with flutamide for an additional 16 h. Flutamide significantly increased p15INK and TGF-β1 mRNA levels even in growth arrested HepG2 cells (Figure 5e), suggesting that TGF-β1 and p15INK upregulation is not a consequence of a halt in cell proliferation by flutamide.
The mature isoforms of human and bovine TGF-β1 share 100% sequence homology. Therefore, to detect TGF-β1 under culture conditions using fetal bovine serum, we utilized an latency associated peptide (hLAP) antibody specific to human TGF-β1 as a pro-form complex in HepG2 cells. Immunoblotting for hLAP specific to TGF-β1 also revealed increased expression of TGF-β1 in flutamide-treated cells for up to 48 h compared with vehicle (Figure 5f). Examination of the protein levels by immunostaining experiments also showed a strong increase in TGF-β1 detection upon flutamide treatment (Figure 5g). We further confirmed upregulation of TGF-β1 protein levels by flow cytometry in flutamide-treated cells (Figure 5h). Interestingly, TCDD did not affect TGF-β signaling in HepG2 cells (Figures 5b–f and h). These studies revealed that flutamide, but not TCDD, upregulates TGF-β1, providing further evidence of a ligand selective regulation of downstream target genes by the AhR.
TGF-β signaling is activated by flutamide in an AhR-dependent manner
We postulated that flutamide activates the AhR, leading to increased levels of TGF-β1, which in turn upregulates p15INK and other TGF-β regulated genes to suppress cellular proliferation. To test this, we examined the temporal transcriptional profile of TGF-β1 and p15INK upon treatment with flutamide. As expected, TGF-β1 upregulation preceded the induction of its target gene, p15INK (Figure 6a). We next examined whether activation of the AhR by flutamide was required for upregulation of TGF-β1. Suppression of AhR expression by AhR-specific siRNA inhibited flutamide-induced TGF-β1 upregulation (Figures 6b and c). We also examined induction of p15INK by flutamide in the absence of AhR, and found that flutamide-induced upregulation of p15INK mRNA was abrogated upon suppression of AhR expression (Figure 6c). To provide an additional line of evidence confirming these observations, we transduced HepG2 cells with an short hairpin RNA (shRNA) targeting the AhR. While flutamide-induced TGF-β1 protein could be detected by immunostaining followed by flow cytometry, a similar induction was not seen in HepG2 cells with shRNA-mediated AhR knockdown (Figure 6d and Supplementary Figure S9). Likewise, TCDD failed to induce expression of TGF-β1 in the presence or absence of AhR, which was consistent with the data presented in Figures 5f and h. Taken together, these data indicated that flutamide, but not TCDD, induces TGF-β1 both at the transcript (Figure 6c) and protein levels (Figure 6d) in an AhR-dependent manner. To determine whether the AhR is a direct transcriptional activator of TGF-β1, we co-treated cells with the protein synthesis inhibitor cycloheximide. Interestingly, cycloheximide treatment blocked flutamide-induced upregulation of both TGF-β1 and p15INK mRNA (Figure 6e), suggesting that TGF-β1 may be a secondary target gene of the AhR.
As a secreted cytokine that initiates a SMAD signaling cascade, TGF-β activation upregulates a variety of downstream target genes governed by SMAD interactions with tissue-specific master transcription factors.40 In order to determine what other target genes are perturbed by TGF-β1 induction, we examined 84 TGF-β regulated genes using a targeted quantitative PCR array. We observed a number of TGF-β targets that were either up or downregulated after flutamide treatment and importantly, the quantitative PCR array independently confirmed upregulation of TGF-β1 and p15INK. In addition, several TGF-β downstream genes including latent-TGF-β-binding protein 2 (LTBP2), urokinase-type plasminogen activator (PLAU), bone morphogenic protein-6 (BMP6), and insulin-like growth factor-binding protein 3 (IGFBP3; Figure 6f and Supplementary Figure S11) were also upregulated by flutamide. Vascular endothelial growth factor-A mRNA levels remained unaltered by both TCDD and flutamide (Figure 6f and Supplementary Figure S11). These data provide compelling evidence that AhR activation by flutamide results in upregulation of TGF-β1, subsequent activation of TGF-β signaling, and induction of p15INK and several other TGF-β regulated genes. Importantly, this AhR regulated transcriptional signature was unique to flutamide as compared to TCDD.
Disruption of TGF-β1 expression attenuates growth suppressive effects of flutamide
The result of increased secretion of TGF-β has proven to be enigmatic in the context of cellular growth. Increases in TGF-β can have both tumor promoting and suppressive effects depending on the tissue and tumor profile.40 To determine the effect of TGF-β1 activation on HepG2 cells, we used recombinant TGF-β1 and found that HepG2 cells are sensitive to TGF-β1-induced growth suppression (Figure 7a). To directly interrogate the relationship of increased TGF-β1 expression with increased levels of p27Kip1, we treated HepG2 cells with TGF-β1 and monitored changes in the expression of p27Kip1. We observed increased p27Kip1 protein expression in both TGF-β1- and flutamide-treated cells (Figure 7b). As described above, we hypothesized that activation of the AhR by flutamide leads to increased expression of TGF-β1, which in turn is responsible for the observed anti-proliferative effects. To address this possibility, we generated stable TGF-β1 shRNA expressing HepG2 cells. Specifically, we utilized five different shRNA constructs from which three independent lines with substantially reduced levels of TGF-β were obtained, designated as HepG2ΔTGFβ (Figure 7c). We monitored flutamide-induced TGF-β protein levels in the HepG2ΔTGFβ clones by western blot. Flutamide induced increased expression of TGF-β protein levels at 24 and 48 h in control HepG2 cells but not in HepG2ΔTGFβ cells (Figure 7d), while CYP1A1 was induced regardless of TGF-β status (Supplementary Figures S12 and 13). Having shown that flutamide does not induce TGF-β in the HepG2ΔTGFβ lines, we next evaluated the response of these cells to flutamide. The three independent HepG2ΔTGFβ lines displayed a significant reduction in sensitivity to flutamide treatment (Figure 7e) compared with the parental line. Specifically, BrdU incorporation followed by flow cytometry of the control (HepG2ΔTGFβ#4) cells and TGF-β1 shRNA expressing cells (HepG2ΔTGFβ#3) confirmed the requirement of TGF-β1 for flutamide-induced growth inhibition (Figure 7f). Thus, flutamide induces TGF-β1 expression in an AhR-dependent manner, and this increased expression of TGF-β1 inhibits HepG2 cellular proliferation.
Discussion
AhR biology has been historically characterized in the context of TCDD, a potent metabolically stable ligand that causes aberrant and constitutive activation of the AhR, although the endogenous role of the AhR is not completely understood. The standard measurement of AhR activation is the induction of CYP1A1, which is highly upregulated by TCDD.2 CYP1A1 is a non-specific biomarker for AhR activation, in that CYP1A1 induction is not synonymous with functional consequences of AhR activation or responsible for TCDD-induced toxicity.9, 41 Our independently conducted screens for AhR ligands have identified several putative AhR ligands including leflunomide, raloxifene and benzimidazoisoquinolines.35, 38, 42, 43 In this study, we found that the FDA-approved AR antagonist flutamide (Eulexin) is also an AhR ligand that initiates distinct AhR transcriptional activity and AhR-dependent growth inhibitory effects in human hepatocellular carcinoma cells. We carefully characterized these AR-independent effects of flutamide as AhR-dependent in order to build upon the emerging paradigm for the AhR as a therapeutic target in cancer.
Flutamide is utilized for the treatment of androgen-responsive prostate cancers. In the present study, we found that flutamide is an AhR ligand that induces AhR transcriptional activity and has AhR-dependent anti-proliferative effects on hepatocellular carcinoma cells. Specifically, we observed that flutamide induces nuclear translocation of the AhR as well as increased expression of the AhR target gene CYP1A1 (Figure 1). Because flutamide undergoes first pass metabolism, we also investigated the ability of 2HFL, the primary metabolite of flutamide, to activate the AhR. We showed that 2HFL did not cause nuclear translocation or increased transcriptional activity of the AhR, indicating that the parent compound flutamide, but not its metabolite 2HFL, is an AhR agonist (Figure 1e and Supplementary Figure S2).
Flutamide is known to reduce cellular growth in AR-positive cancer cells (Figure 2c).36 Therefore, we examined the potential role of AhR in mediating the effects of flutamide in AR-negative cells (Figures 2a and b). We established that even in the absence of the AR, flutamide exhibits growth-suppressive effects in distinct cancer cell lines (Figures 2c–e). Our studies also identified the AhR as the mediator of flutamide-induced effects in AR-negative hepatoma cells (Figure 3a). Specifically, transient knockdown of AhR in HepG2 cells confirmed that the AhR mediates the growth-suppressive effects of flutamide (Figures 3b–d). Likewise, flutamide analogs that acted as AhR antagonists did not exhibit growth-inhibitory effects (Figures 4b–d).
To identify the potential downstream mediators of flutamide-induced AhR-dependent growth inhibition, we began with the previous observation that AhR regulates expression of p27Kip1, a cyclin dependent kinase inhibitor.32 We examined p27Kip1 protein levels in 5L rat hepatoma cells and observed that flutamide treatment upregulated p27Kip1 similar to TCDD,32 and that these changes were AhR dependent (Figure 5a). We also found that flutamide upregulated cyclin dependent kinase inhibitor p15INK expression in addition to p27Kip1 in HepG2 cells (Figure 5b). This observation led us to investigate the role of TGF-β in mediating the effects of flutamide, as TGF-β is reported to mediate expression of p27Kip1 and p15INK at the protein and transcript levels, respectively.44, 45, 46 We discovered that TGF-β1 is upregulated by flutamide in HepG2 cells (Figure 5d) and showed that while expression of p27Kip1 was increased at the protein level by flutamide, there was no appreciable increase in p27Kip1 mRNA. Likewise, p15INK mRNA was upregulated by flutamide in accordance with known TGF-β1 signaling pathways.44 We also demonstrated that upregulation of TGF-β1 and p15INK mRNA by flutamide was not simply a consequence of a halt in cell proliferation, but rather due to AhR activation (Figure 5e). Importantly, loss of AhR expression attenuated TGF-β1 and p15INK upregulation, indicating that TGF-β1 expression is downstream of AhR activation (Figures 6b and c). Further investigation of the TGF-β pathway revealed that other downstream TGF-β1 target genes, including IGFBP3 and BMP6, were also upregulated in response to flutamide treatment (Figure 6f and Supplementary Figure S11). We determined that flutamide-induced TGF-β1 induction preceded upregulation of p15INK mRNA (Figure 6a) and BMP6 (Supplementary Figure S11). Specifically, siRNA knockdown of AhR demonstrated its requirement for induction of TGF-β signaling in response to flutamide treatment (Figures 6b–d and Supplementary Figure S9). HepG2 cells stably expressing a TGF-β1 shRNA (HepG2ΔTGFβ) were significantly less responsive to flutamide (Figure 7e), confirming that the TGF-β1 pathway is involved in the AhR-dependent anti-proliferative endpoints of flutamide. The residual effects of flutamide in HepG2ΔTGFβ cells may have been due to other proteins such as BMP6, a member of the TGF-β superfamily, which was also induced by flutamide (Figure 6f and Supplementary Figure S11). In accordance with this possibility, we also found that flutamide increased levels of IGFBP3 (Figure 6f), which is also known to interact with TGF-β signaling and influence cellular growth.47 Thus, these data strongly indicate that the AhR indirectly regulates a number of genes related to the TGF-β pathway.
There have been reports implicating the AhR in the regulation of TGF-β signaling.48, 49, 50, 51, 52 AhR null fibroblasts grow slower and secrete TGF-β1, and inhibition of TGF-β/Smad signaling rescues the growth rates of AhR null fibroblasts.48, 49, 50, 51, 52 In addition, the AhR ligand Benzo(a)pyrene, but not TCDD, induces the expression of TGF-β1 in human placental choriocarcinoma JEG-3 cells.53 In this study, we found that flutamide induced AhR-dependent upregulation of TGF-β1, which we in turn linked to suppression of hepatocellular carcinoma cell proliferation. Although both TCDD and flutamide upregulated the AhR target gene CYP1A1, only flutamide upregulated TGF-β1, providing significant evidence for ligand selective outcomes of AhR activation (Figures 1b and 5d). In addition, pretreatment of HepG2 cells with the protein synthesis inhibitor cycloheximide abolished flutamide-induced TGF-β1 mRNA upregulation, suggesting that TGF-β1 may be a secondary target gene of the AhR (Figure 6e). We showed that HepG2 cells were sensitive to TGF-β1, and that upregulation of TGF-β1 by flutamide transcriptionally activated TGF-β1 target genes associated with cell cycle regulation (Figure 6f).
We previously characterized the AhR ligand-binding pocket and showed that a remarkable number of compounds are able to dock into the AhR ligand-binding pocket.37, 58 Importantly, virtual ligand screening utilizing such AhR ligand-binding pocket models can help to identify new AhR ligands with desired functionality.37, 54 In addition, numerous compounds currently used in the clinic including leflunomide, raloxifene, flutamide, tranilast, 4-hydroxytamoxifen and omeprazole have been reported to influence AhR signaling, and the effects of these compounds appear to be cell-type dependent.9, 35, 38, 43, 55, 56, 57, 58 We previously reported that leflunomide is an AhR agonist and that it induces AhR-dependent growth inhibition of A375 melanoma cells.38 Certain AhR agonists have been reported to induce differentiation of breast cancer cells31 and an antimetastic microRNA-335 has been reported to be upregulated by 6-methyl-1,3,-trichlorodibenzofuran and TCDD in BT474 and MDA-MB-231 cells.57 We also recently reported that raloxifene, an FDA-approved drug for breast cancer chemoprevention and treatment of osteoporosis, activates AhR-mediated transcription and induces AhR-dependent apoptosis in both hepatoma and estrogen receptor-negative breast cancer cells.43 In the same study, we reported the expression of AhR in different breast cancer subtypes, and that higher AhR expression is associated with both increased overall survival and distant metastasis-free survival.43 Taken together, these studies suggest a role for AhR in tumor suppression as well as the exciting possibility of utilizing AhR ligands for cancer prevention and treatment.
The ability of certain AhR ligands to induce regulatory T cells has generated interest in developing AhR ligands for therapeutic treatment of immune-mediated diseases, and has provided further evidence that the downstream effects of AhR activation can vary for different AhR ligands and are dependent on cell type. Specifically, we recently reported identification and detailed characterization of 10-chloro-7H-benzimidazo[2,1-a]benzo[de]Iso-quinolin-7-one (10-Cl-BBQ) as a nanomolar-affinity AhR ligand and potent inducer of AhR-dependent regulatory T cells.42 Non-toxic AhR ligands such as 10-Cl-BBQ are promising compounds for treatment of autoimmune diseases.42 We are also currently investigating the functional consequences of AhR activation by 10-Cl-BBQ in cancer cells.
In summary, our data indicate ligand selective coordination of AhR transcriptional programs. Specifically, we showed that the FDA-approved drug flutamide is an AhR ligand, and that the AhR mediates the growth-suppressive effects of flutamide in the absence of its known target, the AR. In terms of its mechanism of action, flutamide upregulated TGF-β1 via AhR and suppressed the growth of human hepatocellular carcinoma cells. Therefore, flutamide may be effective not only in AR-positive prostate cancers, but also in other AhR-positive cancers such as hepatocellular carcinomas that are sensitive to TGF-β1 signaling. Several compounds that have been used safely in the clinic for many years activate AhR signaling and have anti-cancer effects, raising the exciting possibility of repurposing some of these compounds or their higher affinity analogs as AhR-selective anti-cancer therapeutics.
Materials and methods
Cell culture
Human HepG2 hepatocellular carcinoma cells, mouse Hepa1, mouse Hepa1c1c7, 5L, BP8, HuH-7, MCF-7 and MDA-MB-231 cells were cultured in Dulbecco's Modified Eagle's medium with l-glutamine (Mediatech, Manassas, VA, USA) supplemented with 10% fetal bovine serum (Tissue Culture Biologicals, Tulare, CA, USA) with 10 000 U/ml penicillin streptomycin (Mediatech) in a humidified 5% CO2 atmosphere. LNCaP and PC3 cells were cultured in RPMI 1640 (Mediatech). Cells were typically passaged every 3 days at a dilution of 1:4. Cell lines were obtained from ATCC(Manassas, VA, USA), with the exception of the C12/C12 AhR and 5L/BP8 cell lines, which were described previously.26, 37
Chemicals
Flutamide was purchased from Sigma (St Louis, MO, USA) (Cat#F9397-1G), and all other compounds were obtained from Sigma unless otherwise noted. All stock solutions were prepared in dimetyl sulfoxide and stored at −20 °C.
Viability and reporter gene assays
Cells were seeded in 96-well plates at a density of 10 000 cells/well in 100 μl of media. Cells were treated 24 h after plating as indicated. For reporter gene assays cells were lysed 24 h after treatment and reporter activity was measured. Values were presented as fold inductions relative to vehicle-treated cells. A TR717 microplate luminometer (Berthold Technologies, Bad Wildbad, Germany) was used to detect luciferase activity. Each experiment included at least three replicate wells, and three independent experimental replicates were evaluated. Viability assays utilized the MTS viability kit (Promega, Madison, WI, USA) and were assayed with a spectrophotometer according to the manufacturer’s instructions.
Gene inductions studies
HepG2 cells were seeded in 6-well plates and treated 24 h after plating as indicated. RNA was prepared using the GenElute Mammalian total RNA miniprep kit (Sigma). First strand synthesis of complementary DNA was generated using Superscript III reverse transcriptase kit (Invitrogen, Carlsbad, CA, USA). Transcript levels were monitored using the following pairs of primers: CYP1A1: FP 5′-GTCCCCTTCACCATCCC-3′, RP 5′-CAGGAAGAGAAAGACCTCC-3′, IGFBP3: FP 5′-CACTGAATCACCTGAAGTTCCTC-3′, RP 5′-AGGGCGACACTGCTTTTTCTT-3′; BMP6: FP 5′-AGCGACACCACAAAGAGTTCA-3′, RP 5′-GCTGATGCTCCTGTAAGACTTGA-3′; LTBP2: FP 5′-AGCACCAACCACTGTATCAAAC-3′, RP 5′-CTCATCGGGAATGACCTCCTC-3′; PLAU: FP 5′-GGGAATGGTCACTTTTACCGAG-3′, RP 5′-GGGCATGGTACGTTTGCTG-3′; GAPDH: FP 5′-ACCTTTGACGCTGGGGCTGG-3′, RP 5′-CTCTCTTCCTCTTGTGCTCTTGCTGG-3′; p27: FP 5′-AAGAGGCGAGCCAGCGCAAG-3′, RP 5′-ACCGGCATTTGGGGAACCGTC-3′; p15: FP 5′-GCCCCAAGCCGCAGAAGGAC-3′, RP 5′-GCCCATCATCATGACCTGGATCGC-3′; TGFβ1: FP 5′-CAAGCAGAGTACACACAGCAT-3′, RP 5′-TGCTCCACTTTTAACTTGAGCC-3′; TGFβ2: FP 5′-CCCCGGAGGTGATTTCCATC-3′, RP 5′-CAGACAGTTTCGGAGGGGA-3′; TGFβ3: FP 5′-TCAGCCTCTCTCTGTCCACTT-3′, RP 5′-CATCACCGTTGGCTCAGGG-3′; AR set 1: FP 5′-GACGACCAGATGGCTGTCATT-3′, RP 5′-GGGCGAAGTAGAGCATCCT-3′; AR set 2: FP 5′-GCTGCCTCACAGTATGGGAA-3′, RP 5′-CCCAGGCACTTCACTGTAGG-3′. Three experimental replicates were each normalized to housekeeping genes and compared with the vehicle-treated samples using the ΔΔCT method.
AhR localization and immunostaining
HepG2 cells were seeded at 20 000 cells/well in 8-well chamber slides. The following day, cells were treated with the indicated compounds for 90 min. At the end of the treatment, cells were fixed with 3.7% paraformaldehyde, followed by a 10-min incubation with 0.1% Triton X-100. After fixing, 1% bovine serum albumin (Fraction V) was used as the blocking reagent overnight at 4 °C. Primary staining was performed with an AhR antibody (1:600, ENZO, Farmingdale, NY, USA). Cells were washed 3 times with phosphate-buffered saline, and re-blocked for 1 h at room temperature. Cells were then stained with a fluorescein isothiocyanate-conjugated goat-anti-rabbit secondary antibody (Southern Biotech, Birmingham, AL, USA) for 1 h at room temperature. Slides were then washed with phosphate-buffered saline three times and stained with Pro-Fade staining reagent with DAPI (4',6-diamidino-2-phenylindole; Invitrogen), and slides were sealed. Cells were imaged with an Axiovert 200 IM (Zeiss, Jena, Germany) equipped with Metamorph image capture software. For detection of the AR, we utilized the AR (N-20): sc 816 from Santa Cruz Biotechnology (Dallas, TX, USA), which detects AR of mouse, rat and human origin. For detection of TGF-β, we utilized the hLAP antibody AF-246-NA from R&D systems (Minneapolis, MN, USA), which is specific to TGF-β1. Additional antibodies: CYP1A1 (AB1258 from EMD Millipore, Billerica, MA, USA; AHP611Z from AbD Serotech, Raleigh, NC, USA), p15 INK4B and p27Kip1 antibodies are from sampler kit 9867 from Cell Signaling Technology (Danvers, MA, USA).
BrdU incorporation and immunostaining assays
HepG2 and HepG2ΔTGFβ1 cells were seeded at 7000 cells/well in 96-well plates. 5L and BP8 cells were seeded at 5000 cells/well in 96-well plates. Cells were then treated with compounds for the indicated time points after which the cells were pulsed with BrdU for 4 h and fixed. Plates were typically stored overnight at 4 °C followed by detection of incorporated BrdU with primary and secondary antibodies. BrdU was then detected with a Molecular Devices (Sunnyvale, CA, USA) spectramax 250 at 450 and 540 nm. The difference (450–540 nm) of the two wavelengths were used as raw data and values were normalized to the vehicle-treated wells.
For the immunostaining experiments cells were seeded at 25 000 cells/well in 8-well chamber slides. Treatments began the next day for 20 h and BrdU (10 μm) labeled for an additional 4 h. Cells were fixed using the BrdU fixative/denaturing solution (Calbiochem, Billerica, MA, USA) for 20 min at room temperature. Cells were then washed with phosphate-buffered saline and blocked with 1% bovine serum albumin (Fraction V) for 4 h at room temperature. Fixed samples were incubated with a BrdU antibody conjugated with Alexaflour 488 for 2 h at room temperature. Cells were washed with phosphate-buffered saline three times and stained with Pro-Fade staining reagent with DAPI (Invitrogen), and slides were then sealed. Cells were imaged with an Axiovert 200 IM (Zeiss) equipped with Metamorph image capture software.
AhR knockdown experiments
For AhR knockdown experiments HepG2 cells were seeded at 20 000 cells/well in 8-well chamber slides. After overnight incubation, cells were transfected with 400 ng AhR siRNA (Dharmacon, Lafayette, CO, USA, target sequence GAACAGAGCAUUUACGAA) or luciferase siRNA (Dharmacon) using the Dharmafect transfection reagent. Approximately 30 h after transfection with siRNAs, cells were treated as indicated. Twenty-four hours post treatment, cells were pulsed with BrdU (Calbiochem) for 4 h, fixed with BrdU fixative/denaturing solution (Calbiochem), and incubated overnight with 1% bovine serum albumin (Fraction V) at 4 °C.
Generation of HepG2ΔTGF-β1 cells
HepG2 cells stably expressing shRNAs (Open Biosystems, Lafayette, CO, USA) for constitutive knockdown of TGF-β1 were generated by a method described previously.38 TGF-β1 knockdown was confirmed by western blot.
Homology modeling and molecular Docking
The homology model of human and mouse AhR ligand-binding domain bound to agonist TCDD was used as described in our previous work.37 Molecular Docking was performed as previously reported.37
Carboxyfluorescein succinimidyl ester staining
Carboxyfluorescein succinimidyl ester staining was performed as previously described.38 The flow cytometry data were acquired on an FC500 instrument (Beckman Coulter, Brea, CA, USA) and the data were analyzed using WinList 7.0 (Verity Software House, Topsham, ME, USA) or FlowJo (FLOWJO, LLC, Ashland, OR, USA).
Statistical analysis
Data were analyzed with Prism software Version 5.0 (GraphPad, La Jolla, CA, USA) using one-way analysis of variance with Bonferroni’s post-test. Values of P<0.05 were considered statistically significant. Results were subjected to one-way analysis of variance statistical comparisons (*P⩽0.05, **P⩽ 0.01, ***P⩽0.001 and ****P⩽0.0001).
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Acknowledgements
This work was supported by American Cancer Society (RSG-13-132-01-CDD), the National Institute of Environmental Health Sciences (NIEHS) grant numbers ES016651 and ES019000, The US Army Medical Research and Material Command and The Cell Imaging and Analysis Facility Cores of the Environmental Health Sciences Center, NIEHS grant number P30 ES00210. DCK was supported by a National Research Service Award (1F31CA144571-01) pre-doctoral fellowship from the National Cancer Institute. DCK is currently supported by the Burroughs Wellcome Fund post-doctoral enrichment program. EFO was supported by a pre-doctoral fellowship from the Department of Defense Breast Cancer Research Program (W81XWH-10-1-0160). DCK and EFO were previously supported by NIEHS training grant (T32ES07060). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. We thank Samuel Bradford for excellent flow cytometry assistance, Sammy Khalil, Cathy Duong and Viktor Dikov for laboratory assistance.
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Koch, D., Jang, H., O'Donnell, E. et al. Anti-androgen flutamide suppresses hepatocellular carcinoma cell proliferation via the aryl hydrocarbon receptor mediated induction of transforming growth factor-β1. Oncogene 34, 6092–6104 (2015). https://doi.org/10.1038/onc.2015.55
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DOI: https://doi.org/10.1038/onc.2015.55
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