Abstract
Objective. More than 50% of human breast cancers express receptors for luteinizing hormone-releasing hormone (LHRH-R). These receptors can be used for targeted chemotherapy with agents like AN-152, in which doxorubicin is linked to analog [D-Lys<sup>6</sup>]LHRH. We compared the effects of AN-152 and doxorubicin in human breast cancer cells.
Methods. MCF-7, T47D, HCC-70 and ZR-75-1 cells were analysed for expression of LHRH-R using RT-PCR, immunostaining and flow cytometry. Apoptosis and expression of MDR-1 gene product Pgp were measured by flow cytometry. Cleavage of doxorubicin from AN-152 by serum carboxylesterase (CE) was inhibited by DFP.
Results. In MCF-7, T47D and HCC-70 cells we found cell surface expression of LHRH-R. In ZR-75-1 cells only sparse surface expression was found. In HCC-70 cells, induction of apoptosis by AN-152 was stronger than by doxorubicin in medium containing fetal calf serum (FCS). Pretreatment with DFP increased AN-152-induced apoptosis in LHRH-R positive MCF-7 and HCC-70 cells and reduced apoptosis in ZR-75-1 cells. In serum-free medium apoptosis induced by AN-152 was stronger than that induced by doxorubicin in HCC-70, T47D and MCF-7 cells, but weaker in ZR-75-1 cells. In medium containing FCS, both AN-152 and doxorubicin induced surface expression of MDR-1 gene product Pgp, but the effect of AN-152 was weaker. Pgp-expression induced by AN-152 was inhibited by pretreatment with DFP. AN-152 did not induce Pgp-expression in serum-free medium.
Conclusion.The cytotoxic LHRH analog AN-152 induces apoptosis independent of MDR-1 in LHRH-R positive breast cancer cells. The efficacy and/or specificity of AN-152 is improved by suppression or absence of CE activity.
Similar content being viewed by others
References
Fekete M, Wittli JL, Schally AV:Characteristics and distribution of receptors for [D-TRP6]-luteinizing hormone-releasing hormone,somatostatin,epidermal growth factor, and sex steroids in 500 biopsy samples of human breast cancer.J Clin Lab Anal 3:137–147,1989
Baumann KH, Kiesel L, Kaufmann M, Bastert G, Runne-baum B:Characterization of binding sites for a GnRH-agonist (buserelin)in human breast cancer biopsies and their distribution in relation to tumor parameters.Breast Cancer Res Treat 25:37–46,1993
Moriya T, Suzuki T, Pilichowska M, Ariga N, Kimura N, Ouchi N, Nagura H, Sasano H:Immunohistochemical expression of gonadotropin releasing hormone receptor in human breast carcinoma.Pathol Int 51:333–337,2001
Eidne KA, Flanagan CA, Harris NS, Millar RP:Gonado-tropin releasing hormone (GnRH)-binding sites in human breast cancer cell lines and inhibitory effects of GnRH-agonists.J Clin Endocrinol Metab 64:425–432,1987
Mullen P, Scott WN and Miller WR:Growth inhibition observed following administration of an LHRH agonist to a clonal variant of the MCF-7 breast cancer cell line is accompanied by an accumulation of the cells in the G0 /G1 phase of the cell cycle.Br J Cancer 63:930–932,1991
Klijn JG:LH-RH agonists in the treatment of metastatic breast cancer:ten years' experience.Recent Results Cancer Res 124:75–90,1992
Yano T, Korkut E, Pinski J, Szepeshazi K, Milovanovic S, Groot K, Clarke R, Comaru-Schally AM, Schally AV: Inhibition of growth of MCF-7 MIII human breast carcinoma in nude mice by treatment with agonists or antagonists of LH-RH.Breast Cancer Res Treat 21:35–45, 1992
Marini L, Iacopino F, Schinzari G, Robustelli della Cuna FS, Mantovani G, Sica G:Direct antiproliferative effect of triptorelin on human breast cancer cells.Anticancer Res 14: 1881–1885,1994
Segal-Abramson T, Kitroser H, Levy J, Schally AV, Sharoni Y:Direct effects of luteinizing hormone-releasing hormone agonists and antagonists on MCF-7 mammary cancer cells.Proc Natl Acad Sci USA 89:2336–2339, 1992
Vo ¨lker P, Gru ¨ndker C, Schmidt O, Schulz KD, Emons G: Expression of receptors for luteinizing hormone-releasing hormone in human ovarian and endometrial cancers: frequency,autoregulation,and correlation with direct antiproliferative activity of luteinizing hormone-releasing hormone analogues.Am J Obstet Gynecol 186:171–179, 2002
Verschraegen CF, Westphalen S, Hu W, Loyer E, Kudelka A, Volker P, Kavanagh J, Steger M, Schulz KD, Emons G: Phase II study of cetrorelix,a luteinizing hormone-releasing hormone antagonist in patients with platinum-resistant ovarian cancer.Gynecol Oncol 90:552–559,2003
Schally AV, Nagy A:New approaches to treatment of various cancers based on cytotoxic analogs of LHRH, somatostatin and bombesin.Life Sci 72:2305–2320,2002
Emons G, Ortmann O, Schulz KD, Schally AV:Growth-inhibitory actions of luteinizing hormone-releasing hor-mone on tumor cells.Trends Endocrinol Metab 8:355–362, 1997
Schally AV:Luteinizing hormone-releasing hormone ana-logs;their impact on the control of tumorigenesis.Peptides 20:1247–1262,1999
Krebs LJ, Wang X, Pudavar HE, Bergey EJ, Schally AV, Nagy A, Prasad PN, Liebow C:Regulation of targeted chemotherapy with cytotoxic lutenizing hormone-releasing hormone analogue by epidermal growth factor.Cancer Res 60:4194–4199,2000
Halmos G, Nagy A, Lamharzi N, Schally AV:Cytotoxic analogs of luteinizing hormone-releasing hormone bind with high a.nity to human breast cancers.Cancer Lett 136: 129–136,1999
Wang X, Krebs LJ, Al-Nuri M, Pudavar HE, Ghosal S, Liebow C, Nagy AA, Schally AV, Prasad PN:A chemically labeled cytotoxic agent:two-photon.uorophore for optical tracking of cellular pathway in chemotherapy.Proc Natl Acad Sci USA 96:11081–11084,1999
Szepeshazi K, Schally AV, Nagy A, Halmos G, Groot K: Targeted cytotoxic luteinizing hormone-releasing hormone (LHRH)analogs inhibit growth of estrogen independent MXT mouse mammary cancers in vivo by decreasing cell proliferation and inducing apoptosis.Anticancer Drugs 8: 974–987,1997
Baja AM, Schally AV, Halmos G, Nagy A:Targeted doxorubicin-containing luteinizing hormone-releasing hor-mone analogue AN-152 inhibits the growth of doxorubicin-resistant MX-1 human breast cancers.Clin Cancer Res 9: 3742–3748,2003
Early Breast Cancer Trialists' Collaborative Group:Poly-chemotherapy for early breast cancer:an overview of the randomised trials.The Lancet 352:930–942,1998
Booser DJ, Hortobagyi GN:Anthracycline antibiotics in cancer therapy:focus on drug resistance.Drugs 47:223–258,1994
Zhang W, Ling V:Cell-cycle-dependent turnover of P-glycoprotein in multidrug-resistant cells.J Cell Physiol 184:17–26,2000
Nagy A, Plonowski A, Schally AV:Stability of cytotoxic luteinizing hormone-releasing hormone conjugate (AN-152) containing doxorubicin 14-O-hemiglutarate in mouse and human serum in vitro:implications for the design of preclinical studies.Proc Natl Acad Sci USA 97:829–834, 2000
Emons G, Ortmann O, Becker M, Irmer G, Springer B, Laun R et al.:High a.nity binding and direct antiprolif-erative effects of LHRH analogues in human ovarian cancer cell lines.Cancer Res 53:5439–5446,1993
Emons G, Schro¨der B, Ortmann O, Westphalen S, Schulz K-D, Schally AV:High a.nity binding and direct antipro-liferative e.ects of luteinizing hormone-releasing hormone analogs in human endometrial cancer cell lines.J Clin Endocrinol Metab 77:1458–1464,1993
Vo¨lker P, Gru¨ndker C, Schmidt O, Schulz KD, Emons G: Expression of receptors for luteinizing hormone-releasing hormone in human ovarian and endometrial cancers: frequency,autoregulation and correlation with direct anti-proliferativer activity of LHRH analogues.Am J Obstet Gynecol 186:171–179,2002
Nicoletti I, Migloriati G, Pagliacci MC, Grignani F, Ricardi C:A rapid and simple method for measuring thymocyte apoptosis by propidium iodide staining and.ow cytometry.J Immunol Meth 139:271–279,1991
Nagy A, Schally AV, Armatis P, Szepeshazy K, Halmos G, Kovacs M et al.:Cytotoxic analogs of luteinizing hormone-releasing hormone containing doxorubicin or 2-pyrollino-doxorubicin,a derivate 500–1000 times more potent.Proc Natl Acad Sci USA 93:7269–7273,1996
Chatzistamou I, Schally AV, Nagy A, Armatis P, Szepes-hazi K, Halmos G:Effective treatment of metastatic MDA-MB-435 human estrogen-independent breast carcinomas with a targeted cytotoxic analogue of luteinizing hormone-releasing hormone AN-207.Clin Cancer Res 6:4158–4165, 2000
Westphalen S, Kotulla G, Kaiser F, Krauß W, Werning G, Elsa¨sser HP et al.:Receptor mediated antiproliferative effects of the cytotoxic LHRH agonist AN-152 in human ovarian and endometrial cancer cell lines.Int J Oncol 17: 1063–1069,2000
Miyazaki M, Nagy A, Schally AV, Lamharzi N, Halmos G, Szepeshazi K et al.:Growth inhibition of human ovarian cancers by cytotoxic analogues of luteinizing hormone-releasing hormone.J Natl Cancer Inst 89:1803–1809,1997
Arencibia JM, Schally AV, Krupa M, Bajo AM, Nagy A, Szepeshazi K, Plonowski A:Targeting of doxorubicin bES-2 human ovarian cancers in nude mice by linking to an analog of luteinizing hormone-releasing hormone improves its e.ectiveness.Int J Oncol 19:571–577,2001
Gru¨ndker C, Vo¨lker P, Griesinger F, Ramaswamy A, Nagy A, Schally AV, Emons G:Antitumor effects of the cytotoxic luteinizing hormone-releasing hormone analog AN-152 on human endometrial and ovarian cancers xenografted into nude mice.Am J Obstet Gynecol 187:528–537, 2002
Letsch M, Schally AV, Szepeshazy K, Halmos G, Nagy A: Preclinical evaluation of targeted cytotoxic luteinizing hormone-releasing hormone analogue AN-152 in andro-gen-sensitive and insensitive prostate cancers.Clin Cancer Res 9:4505–4513,2003
Mechetner E, Kyshtoobayeva A, Zonis S, Kim H, Stroup R, Garcia R, Parker RJ, Fruehauf JP:Levels of multi-drug resistance (MDR1)P-glycoprotein expression by human breast cancer correlate with in vitro resistance to taxol and doxorubicin.Clin Cancer Res 4:389–398, 1998
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gumlnthert, A.R., Grumlndker, C., Bongertz, T. et al. Induction of apoptosis by AN-152, a cytotoxic analog of luteinizing hormone-releasing hormone (LHRH), in LHRH-R positive human breast cancer cells is independent of multidrug resistance-1 (MDR-1) system. Breast Cancer Res Treat 87, 255–264 (2004). https://doi.org/10.1007/s10549-004-8806-8
Issue Date:
DOI: https://doi.org/10.1007/s10549-004-8806-8