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Frontiers in Reproductive Endocrinology Serono Symposia International Mechanisms of Hormone Action: Steroid Hormones Kelly Mayo Northwestern University General Mechanisms of Action of Steroid and Peptide Hormones Steroid Hormone S S P P Binds to cell surface receptor Hormone-activated receptor S Cytoplasmic or nuclear receptor Protein Hormone Diffuses across plasma membrane Binds to DNA in target genes Regulates gene transcription S Non-genomic effects via protein -protein interaction Changes in enzyme activity Receptor-associated Activation of effector changes in enzyme activity enzymes Generation of second messengers Biological output Activation of transcription factors P Biological output New mRNAs Changes in enzyme activity TF P Biological output New mRNAs Synthesis of new proteins Biological output Synthesis of new proteins Biological output 1 Select Families of Nuclear Hormone Receptors Steroid Receptors Mevalonate Pathway Estrogen Receptor (ER) Androgen Receptor (AR) Progesterone Receptor (PR) Glucocorticoid Receptor (GR) Mineralocorticoid Receptor (MR) Liver X Receptor (LXR) Pregnane X Receptor (PXR) Farnesoid X Receptor (FXR) Non-Steroid Hormones Thyroid Hormone Receptor (TR) Vitamin D Receptor (VDR) Retinoic Acid Receptor (RAR) 9-Cis Retinoic Acid Receptor (RXR) Ecdysone Receptor (EcR) Ex-Orphan Receptors Benzoate X Receptor (BXR) Steroid and Xenobiotic Receptor (SXR) Constitutive Androstane Receptor (CAR) Also RXR, LXR, FXR, PPARs Peroxisome Proliferators PPARa (fibrates) PPARg (thiazolidinediones) PPAR b/d Orphan Receptors ERR family NGF1-B family COUP TF family NGF1-B family RVR family SF-1 LRH-1 Dax-1 HNF-4 GCNF Metabolic Pathways of Nuclear Receptor Ligands Chawla et al Science 294:1866, 2001 2 Domain Structure of Nuclear Receptors and Dimerization and DNA Binding Properties AF-1 1 A/B ER DBD hinge 180 C LBD 263 304 D E AF-2 554 595 F ? LBD LBD LBD RXR LBD DBD DBD DBD DBD DBD DBD Homodimeric Binding to Inverted Repeats Steroid Receptors ER, GR, MR, AR, PR Some Orphan Receptors Heterodimeric Binding to Direct Repeats With RXR Partner Non-Steroid Receptors TR, RAR, VDR, PPAR Monomeric Binding to Half Site Orphan Receptors Ligand Binding Unknown SF-1, NGF1-B, ERR DNA Binding by Nuclear Hormone Receptors Sanchez et al, BioEssays 24:244, 2002 3 DNA Binding by Nuclear Hormone Receptors ER LBD Homodimer RAR-RXR LBD Heterodimer NGF1-B LBD Monomer Nuclear Receptor Signaling Pathways H Cytoplasm RAPs hsp90 hsp70 Inactive Receptor Complex Nucleus H H H Receptor Activation And Dimerization Hormone Enters Nucleus And Interacts with Receptor Coactivators H H Basal Txn HATs Factors RNAP Local Chromatin Remodeling Activation of Target Gene Transcription 4 Nuclear Receptor Coactivators and Corepressors Coactivators Integrators/Complexes Corepressors SRC-1, NCoA-1 GRIP-1, TIF-2, SRC-3 pCIP, ACTR, SRC-3 Many others CBP, p300 TRAPs, DRIPs SWI/SNF pCAF/CARM bHLH PAS-A PAS-B SRC-1 RID 1 632 759 NCoR SMRT REA TRUP, SURF-3 AD Q-rich HAT RID 907 955 1440 NHR CBP Interaction Interaction LXXLL motifs Repression Domains SID1 NCoR 1 92 751 Su(H)D 1035 SID2 RID RID 1944 2453 Sin 3 NHR Interaction Interaction LXX IXX I/L helices Coregulators and Chromatin Remodeling TRAP DRIP CBP Med/ARC SRC-1 BTFs HR CARM-1 RNAP Sin3 NCoR HDAC HR Inactive Corepressors HDACs Active Hormone SWI/SNG HR BRG/BGM Coactivators HATS/MTs Txn Complexes Remodeling Chromatin Modifying ATPases 5 Some Nuclear Receptor Ligand-Binding Domains TR LBD ER LBD RAR LBD RXR LBD H1 H12 Weatherman et al, Ann Rev Biochem 68: 559, 1999 Structures of Agonist and Antagonist Bound Estrogen Receptor Ligand Binding Domain H4 H4 H5 H5 NRII Box H12 (AF-2) H12 (AF-2) H3 H3 ER + Diethylstilbestrol + NR Box II Peptide ER + 4-Hydroxytamoxifen Shiau et al Cell 95:927-937, 1998 6 Complexities in Steroid Hormone Action: Estrogen Receptor Genes Receptor Variants Interactors ER-a and ER-b Diverse promoters Alternative RNA splicing Post-translational modifcation ERR Orphan Receptors Multiple Mechanisms Coregulators Genomic actions Complex response elements Non-genomic actions Tissue specific coregulators Combinatorial coregulator code Agonist versus antagonist actions Tissue-Specific Responses SERMS Generation of Diversity in Nuclear Receptors: Multiple Estrogen Receptor Genes AF-1 DBD LBD AF-2 ER-a ER-b Homology: 23% 86% 24% 58% 12% ER-a predominates: Kidney, Adrenal, Pituitary, Testis, Epididymis Equivalent expression: Mammary gland, Uterus, Bone, Heart, Gut, Brain ER-b predominates: Prostate, Ovary, Lungs, Bladder 7 Generation of Diversity in Nuclear Receptors: Multiple Estrogen Receptor Gene Promoters Human ER-a Promoters Potential Implications: Tissue- or cell-specific ER expression Developmental-specific ER expression Alternative splicing of ER transcripts Kos et al, Mol Endocrinol 15:2057, 2001 Generation of Diversity in Nuclear Receptors: Multiple Estrogen Receptor Splice Variants ER-a ER-b DBD ER-a 1 2 3 LBD 4 5 6 7 8 DBD 1 2 3 LBD 4 5 6 7 8 d4 (P,H) ER-b 1-d3 (P,H) d3 (P) d3,4 (P,H) d5,6 (P,H) 18aa 1-d4 (B) 18aa 2 (P>H) 2-d3 (P>H) TERP (P) Shupnik, J Neuroendocrinol 14:85, 2002 8 Generation of Diversity in Nuclear Receptors: Phosphorylation of the Estrogen Receptor In response to estrogen binding: AF-1 CDK2 DBD AF-2 MAPK? Ser Ser 104/106 118 In response to second messenger pathways: AF-1 MAPK DBD Ser Ser 118 167 RSK Ser 236 AF-2 PKA Lannigan, Steroids 68:1, 2003 Generation of Diversity in Nuclear Receptors: Interaction with Other Nuclear Receptor Pathways ERa ERb Estradol DES/OHT ERRa ERRb ERRg AF-1 DBD ER a,b Natural Ligands? ERR a,b,g CoA LDB/AF-2 ERa RERa CoR 68% ERE AGGTGAnnnTGACCT 37% ERRE TnAAGGTCA ERE ERRE Other ERa Cell-Specific Responses ERRa Giguere, Trends Endocrinol Metab 13:220, 2002 9 Generation of Diversity in Nuclear Receptors: Multiple Mechanisms of Action Genomic Actions E2 E2 E2 Kinase X ERE SP1/AP1 Classical NF-kB ERE X Ligand-Independent Non-Classical Non-Genomic Actions E2 E2 E2 ER Novel ER? Membrane-Bound ER Novel Estrogen Receptor Other Proteins Interaction with Other Membrane Proteins Falkenstein et al, Physiol Rev 52:523, 2000 Generation of Diversity in Nuclear Receptors: Combinatorial use of Coregulatory Proteins CoActivators CoRepressors p160/SRC family CBP/p300 TRAP/DRIP “SRA” NCoR/SMRT Sin3/HDACs “REA” Differential Regulation of Receptors Tissue-Specific Expression “Combinatorial Code” Factor-Specific Modification (Phosphorylation Methylation) Receptor and Tissue-Selective Effects 10 Selective Estrogen Receptor Modulators (SERMs) Examples of SERMs: Tamoxifin (breast cancer) Antagonist in breast, but agonist in bone/endometrium Roloxifene (osteoporosis) Agonist in bone, antagonist in breast/endometrium Determinants of SERM Action: Each ligand (SERM) will induce a unique conformation of the estrogen receptor that impacts its interaction with coregulatory proteins Each tissue or cell type will contain a unique complement of coregulatory Proteins and a distinct pattern of activation state of these proteins Cell-Selective Actions of SERMs Jordan Cancer Cell 1:215, 2002 11 Additional Pathways of Intracellular Hormone Action Extrinsic Signals Arylhydrocarbon Receptor Nitric Oxide Receptor Intracellular dioxin receptor Ligand activated transcription factor Binds to xenobiotic response element Cytoplasmic form of guanylyl cyclase a/b heterodimer with heme cofactor Increases cGMP and PKG activity Intrinsic Signals Sterol Sensing Oxygen Sensing P roteolysis of membrane-bound SREBP bHLH domain regulates transcription Proteolysis regulated by sterols Prolyl and Asn hydroxylases regulated by O 2 Hydroxylation regulates HIF-a Heterodimer with ARNT regulates transcription Mutations of Hormones, Receptors and Signaling Proteins in Reproductive Disease Hormones FSH LH MIS Delayed puberty, primary amenorrhea in females; male hypogonadism Luteal insufficiency, infertility in female; delayed puberty, azoospermia in male Persistence of Mullerian duct derivatives in males Receptors GnRH-R FSH-R LH-R (Loss) LH-R (Gain) Estrogen R Androgen R MIS R-II RET Partial to complete hypogonadotropic hypogonadism, males and females Primary or secondary amenorrhea in females, variable/mild oligospermia in males Amenorrhea or oligomenorrhea in females, range of defects to complete feminization in males Male-limited precocious puberty, no phenotype in females Normal puberty, tall stature and unfused epiphyses in male Many mutations, broad range of phenotypes to complete feminization in males Persistence of Mullerian duct derivatives in males Multiple endocrine neoplasia type 2 Signaling Proteins Gs protein a McCune-Albright Syndrome (gain), male precocious puberty (loss/gain) Gi protein a Ovarian and adrenal tumors? Smads Mutations in many cancers, including Smad4 mutation in seminoma testicular germ cell tumor Transcription Factors Dax-1 SF-1 Prop-1 Hypogonadotropic hypogonadism/adrenal failure in male XY sex reversal/adrenal failure Variable hypogonadotropic hypogonadism in males and females 12 Emerging and Future Issues in Hormone Action •Cross-talk between different signaling pathways •Integration of multiple signals in target cell •Generation of diverse responses from common stimuli •Combinatorial codes for signaling diversity •Spatial regulation of signaling complexes •Temporal dynamics of cell signaling •Discovering new signaling pathways •Discovering ligands for orphan receptors •Structural solutions to membrane receptors •Mechanistic structural studies on signaling molecules •Genetic approaches to hormone action •Hormone action and human disease •Rationale drug design Additional Readings on Steroid Hormone Action •Evans (1988) The steroid and thyroid hormone receptor superfamily. Science 240:889. •Tsai and O’Malley (1994) Molecular mechanisms of action of steroid/thyroid receptor superfamily members. Ann Rev Biochem 63:451. •Rosenfeld and Glass (2001) Coregulator codes of transcriptional regulation by nuclear receptors. J Biol Chem 276:36875. •McKenna and O’Malley (2002) Combin atorial control of gene expression by nuclear receptors and coregulators. Cell 108:465. •Katzenellenbogen et al (2000) Estrogen receptors: selective ligands, partners and distinctive pharmacology. Rec Prog Horm Res 55:163. •Sanchez et al (2002) Diversity in the mechanisms of gene regulation by estrogen receptors. Bioessays 24:244. •Nilsson et al (2001) Mechanisms of estrogen action. Physiol Rev 81:1535. •McDonnell (1999) The molecular pharmacology of SERMs. Trends Endocrinol Metab 10:301. •Jordan (2002) The secrets of selective estrogen receptor modulation: cell-specific coregulation. Cancer Cell 1:215. •Weatherman et al (1999) Nuclear receptor ligands and ligand-binding domains. Ann Rev Biochem 68:559. •Kumar and Thompson (1999) The structure of nuclear hormone receptors. Steroids 64:310. •Chawla et al (2001) Nuclear receptors and lipid physiology: opening the X-files. Science 294:1867. •Willson and Moore (2002) Genomics versus orphan nuclear receptors: a half-time report, Mol Endocrinol 16:1135. •Yudt and Cidlowski (2002) The glucocorticoid receptor: coding a diversity of proteins and responses through a single gene. Mol Endocrinol 16:1719. •Gellman (2002) Molecular biology of the androgen receptor. J Clin Oncol 20:3005. •Conneely et al (2002) Reproductive functions of progesterone receptors. Rec Prog Horm Res 57:339. 13