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THE ROLE OF SEX HORMONE-BINDING GLOBULIN (SHBG) IN THE ANDROGEN RESPONSE OF HUMAN PROSTATE CANCER CELLS Yu-Hua Li1, Atif M. Nakhla 2,3, Daniel J. Hryb2,3,6, Richard A. Friedman7, Jenny Z. Xiang4, Nicholas Wagar1 William Rosner2,5, Nicholas A. Romas2,3,6, David Klatt2 and Scott M. Kahn2,3,6 Yerkes National Primate Research Center Microarray Core, Emory University, Atlanta, Ga.1; Dept. of Microbiology and Immunology, Weill Medical College, Cornell University, New York, N.Y.4 Departments of Medicine2 and Urology3, St. Luke's/Roosevelt Hospital Center, and Departments of Medicine5 and Urology6, and Biomedical Informatics7, College of Physicians and Surgeons, Columbia University, New York, N.Y ABSTRACT METHODOLOGY AND RESULTS Sex Hormone Binding Globulin (SHBG) is a multifunctional protein that not only regulates the concentration of free androgens and estrogens in plasma through its steroid binding properties, it also regulates membrane based steroid hormone signaling in the prostate through its specific membrane receptor (RSHBG), independent of the androgen receptor (AR). The SHBG gene locus on human chromosome 17p13.1, is only 30kb away from the p53 gene, and is thus a target for allelic deletions in tumors from many tissue types, including the prostate. Because it is now established that the prostate makes its own SHBG mRNA and protein, it is of great interest to ascertain the normal biologic function of SHBG in the prostate, and to address whether aberrant SHBG expression contributes to the progression of prostate cancer. To ascertain the effects that SHBG exerts on androgen signaling in prostate cells, we established an inducible cell line (L5S2) that can be stimulated to reproducibly overexpress SHBG, and its isogenic sister vector control (L5V4). Microarray analysis was performed on induced L5S2 cells in the absence and presence of dihydrotestosterone (DHT) (the latter simulating conditions required for RSHBG activation), as well as on mock treated cells. L5V4 vector control cells were similarly treated and examined. Upon analysis, SHBG was found to modulate the response of LNCaP cells to androgens in a manner consistent with two distinct modes of action, 1) through RSHBG signaling, and 2) by influencing androgen receptor (AR) signaling, implying that locally expressed SHBG in the prostate has both autocrine/paracrine and intracellular effects on androgen signaling. These studies lay the groundwork for further detailed characterizations of the biologic pathways controlled by SHBG in the prostate and the role of aberrant SHBG expression in prostate cancer. Cell lines and treatment conditions: The inducible L5S2 clonal cell line (which expresses SHBG in response to PonA) is indirectly derived from LNCaP cells, through an intermediate cell line, L5. L5 was generated by stably transfecting LNCaP cells with the plasmid, pVgRXR which encodes a hybrid transactivator that is activated by PonA. This transactivator recognizes and directs transcription from a promoter within a second plasmid, pINDhygro. L5S2 was generated by stably transfecting L5 cells with a pINDhygro construct that contains the full length human SHBG cDNA coding sequence cloned directly downstream of the inducible promoter. The L5V4 vector control cell line was generated by stably transfecting L5 cells with the empty vector, pINDhygro. Although detailed studies of AR function have greatly expanded our knowledge of how androgens act, new information about androgen action has been constrained by the relative neglect of mechanisms of androgen action not mediated by AR. It is these alternative androgen signaling pathways that could hold the key for why current prostate cancer treatment strategies are often lacking. One such pathway is based at the plasma membrane and involves SHBG and its receptor, RSHBG. SHBG, which was originally described as a protein in plasma that bound estrogens and androgens, is now known to participate in a membrane based steroid signaling pathway in certain hormonally responsive tissues, including the prostate. A model of the initial steps of SHBG signaling in prostate cells is shown in Figure 1. RSHBG is a biochemically characterized, high affinity receptor for SHBG, present on the outer cell membrane. When RSHBG is occupied by SHBG, subsequent binding of specific steroids such as DHT induces a signaling pathway that generates the second messenger cAMP, and activates protein kinase A (SHBG, when prebound to DHT, can not bind to RSHBG,). Little is known about the downstream effects of RSHBG activation in prostate cells and the biologic functions of androgen signaling through RSHBG. SHBG mRNA and protein has been detected in normal prostate tissue, prostate tumors and prostate cancer cell lines. Given the known properties attributed to SHBG, it is plausible to speculate that, in the prostate, endogenously made SHBG acts in an autocrine/paracrine manner to activate RSHBG, and that it binds steroids intracellularly. To investigate the function of endogenously made SHBG in prostate cells, we established an in vitro system, consisting of L5S2, an inducible clonal cell line derived from LNCaP cells, that overexpresses SHBG when treated with Ponasterone A (PonA), and its isogenic noniducible sister vector control cell line, L5V4. A series of microarray assays was performed to examine the effects of SHBG, in the presence and absence of androgen, on overall gene expression in LNCaP cells. We show evidence of genes whose expression is modulated in a manner consistent with RSHBG activation, and evidence that SHBG can affect the expression of androgen responsive genes. Total Number of Induced Genes Total Number of Repressed Genes Genes Induced > 1.5-fold Genes Repressed <0.66-fold expression 1250 1770 665 1068 Note: L5V4 vector control cells treated with PonA and DHT induced gene expression in a manner consistent with data in the NCBI microarray repository on DHT-treated LNCaP cells L5V4 and L5S2 cells were each seeded into two groups of multiple six well plates for 24 h. One group was treated with the inducing agent, PonA (10mM), and the other with an equal volume of ethanol, for 24 h. Triplicate wells from the PonA-treated cells were treated for an additional 24 h with either carrier or 10 nM DHT, giving six treatment conditionsVector(control) - L5V4 vector control cells treated with carrier alone (mock treated) Vector(PonA) - L5V4 vector control cells treated with 10uM PonA 24 hrs Vector(PonA+DHT) - L5V4 vector control cells treated with 10uM PonA 24 hrs, then with 10nM DHT 24 hrs L5S2(control) - L5S2 inducible SHBG cells treated with carrier alone (mock treated) L5S2(PonA) - L5S2 inducible SHBG cells treated with 10uM PonA 24 hrs L5S2(PonA+DHT) - L5S2 inducible SHBG cells treated with 10uM PonA 24 hrs, then with 10nM DHT 24 hrs Total RNAs were isolated and their integrities were verified on an Agilent Bioanalyzer. Each triplicate RNA preparation was used for microarray analysis. First-strand cDNAs were synthesized from 5 µg of each RNA sample. After RNase H-mediated second-stranded cDNA synthesis, doublestranded cDNAs were purified and biotinylated complementary RNAs (cRNAs) were generated by in vitro transcription. Biotinylated cRNAs were cleaned up, fragmented, and hybridized to Affymetrix Human Genome U133 Plus 2.0 Array chips. Chips were processed using an Affymetrix fluidics station and scanned on an Affymetrix scanner 3000 with workstation. Images were processed and raw data were extracted with GeneChip Operating Software (GCOS). Microarray analysis: Microarray data were analyzed using the RMA (Robust Multichip Algorithm) method implemented in the Bioconductor package. All 18 CEL files used in this study were included in the normalization. Differential expression was obtained using LIMMA (LInear Models for MicroArrays). Genes estimated to have an odds >1 of being differentially expressed (Bayesian log odds score B >0) were chosen for further analysis. Gene lists corresponding to the following biological effects were obtained. Table 3. SHBG participates in DHT signaling in LNCaP cells in a manner consistent with two distinct mechanisms- through RSHBG signaling, and by modulating the expression of DHT responsive genes. CONDITION Gene Set 1. [Vector(PonA)]-[Vector(control)] 2. [Vector(PonA+DHT)]-[Vector(PonA)] 3. [L5S2(PonA)]-[L5S2(control)] 4. [L5S2(PonA+DHT)]-[Vector(PonA+DHT)] 5. [L5S2(PonA+DHT)]-[L5S2(PonA)] 6. [L5S2(control)]-[Vector(control)] 7. [L5S2(PonA)]-[Vector(PonA)] Distinguishing Parameters Effect of PonA alone Effect of DHT alone Effect of SHBG and PonA together Effects due to SHBG+DHT plus/or from SHBG alone DHT effects in the presence of SHBG Clonality of the L5S2 and L5V4 cell lines Effects of SHBG alone GENES REPRESSED <0.66-fold expression 682 157 77 110 REPRESSED GENES RSHBG responsive genes 927 DHT responsive genes modulated by SHBG 121 FKBP5 Fold Change STEAP4 Fold Change 1000000 100000 10000 1 0.1 6 5 4 3 2 1 0 S2 untrt MOCK TREATED PonA trt PonA TREATED V4 S2 unt rt MOCK TREATED PonA PonAt rt TREATED DHT responsive genes, modulated by SHBG are taken to be genes that are: 1. Not found to be significantly modulated in Gene Set 1, AND 2. Are found to be significantly modulated in Gene Set 2, AND 3. Not found to be significantly modulated in Gene Set 3, AND 4. Are found to be significantly modulated in Gene Set 4 (in all cases the criterion for modulation is B>0 for the comparison under consideration). KEGG pathways that were overrepresented in the gene lists were found using Pathway Express ; Gene Ontology categories that were overrepresented in the gene lists were found using Onto-express . Table 1. PonA treatment reproducibly induces SHBG overexpression in the L5S2 cell line; PonA and DHT have minimal effects on SHBG expression in vector control L5V4 cells. P Value B value 1.34E-19 38.3 1.03E-19 39.8 4.73E-05 7.02 5.53E-13 26.8 N/A N/A N/A PonA rt DHT + DHT PonAt + TREATED 24hrs GPR30 Fold Change V4 DHT 24hrs 0.2 0 MOCK untrt TREATED PonAtrt + DHT PonA + DHT TREATED 24hrs V4 S2 1.5 0.8 0.6 0.5 0.4 0 0.2 0 PonAtrt PonA TREATED 1 1 PonA +trt DHT PonA + TREATED 0.6 c-MYC Fold Change 1.2 PonAtrt PonA TREATED 0.8 V4 S2 1.4 MOCK untrt TREATED S2 1.4 1.2 0.4 PonA trt + DHT PonA + DHT 24hrs TREATED S2 V4 1 GPR89a Fold Change 2.5 2 1.5 1 0.5 0 TIMP2 Fold Change 7 V4 100 10 RSHBG responsive genes, whose expression is modulated SHBG + DHT, are taken to be genes that are: 1. Not found to be significantly modulated in Gene Set 1, AND 2. Not found to be significantly modulated in Gene Set 2, AND 3. Not found to be significantly modulated in Gene Set 3, AND 4. Are found to be significantly modulated in Gene Set 4, (in all cases the criterion for modulation is B>0 for the comparison under consideration). CELL LINES AND CONDITIONS EFFECTS TESTED SHBG Fold change L5S2: PonA vs. L5V4: PonA PonA induction 83.7 L5S2: PonA + DHT vs. L5V4: PonA + DHT PonA induction and DHT 89.3 L5V4:PonA vs. L5V4: Mock treated PonA effects alone 1.57 L5S2: Mock treated vs. L5V4: Mock treated Leakiness of L5S2 cells 4.82 L5V4: PonA + DHT vs. L5V4: PonA DHT on L5V4 cells N/D N/A L5S2: PonA + DHT vs. L5S2: PonA DHT on L5S2 cells N/D (N/D- no difference detected; N/A- Not applicable) 927 GENES INDUCED > 1.5-fold 449 INDUCED GENES 1000 INTRODUCTION Figure 1. Model of the initial steps of SHBGmediated, membrane based androgen signaling in prostate cells. Table 2. L5S2 cells, induced to overexpress SHBG and treated with DHT, display gene expression differences compared to L5V4 vector control cells similarly treated with PonA and DHT (analysis of gene set #4) MOCK unt rt TREATED PonA PonA t rt TREATED PonA + DHT PonA t rt + DHT 24hrs TREATED MOCK untrt TREATED PonA PonA trt TREATED PonAtrt + DHT PonA + DHT TREATED 24hrs Figure 2. Confirmation, by quantitative PCR analysis, of microarray results showing the combined effects of SHBG + DHT on the expression of selected genes in LNCaP cells. Taqman qPCR amplifications were performed in triplicate using primers specific for the indicated genes. cDNA templates were generated from the same RNAs used for microarray analysis. Gene expression values were normalized to GAPDH expression for each cell line and treatment condition. Comparisons of specific gene expression among cell lines and treatment conditions are presented as ratios to their expression in mock-treated L5V4 vector control cells. CONCLUSION Our results further support a biologic role for RSHBG signaling in LNCaP cells. In addition, we provide the first evidence that endogenous SHBG may function intracellularly to directly or indirectly regulate AR activity. We have identified putative downstream targets of SHBG + DHT signaling that include STEAP4, FKBP5, TIMP2, GPR89a, GPR30, and c-MYC. These genes have important and provocative cellular functions, especially with respect to androgen signaling and to prostate cancer. If confirmed, we plan to identify the intermediaries in SHBG-mediated androgen signaling, and to address the functional role of dysregulated SHBG expression in prostate cancer. ACKNOWLEDGEMENTS- This work was supported by: Department of the Army Grant W81XWH-04-1-0228, and Awards from the American Hellenic Educational Progressive Association-Daughters of Penelope Cancer Research Foundation, the St. Luke’s-Roosevelt Associate Trustees Foundation, and Ed Randall’s Bat For the Cure Foundation to Strike Out Prostate Cancer