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The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 10 3464-3470
Copyright © 1997 by The Endocrine Society


Original Studies

Natural Antiestrogen Receptor Autoantibodies in Man with Estrogenic Activity in Mammary Carcinoma Cell Culture: Study of their Mechanism of Action; Evidence for Involvement of Estrogen-Like Epitopes1

Joël Tassignon and Françoise Haeseleer Abraham Borkowski

Service de Médecine, Laboratoire d’Investigation Clinique H. J. Tagnon, Laboratoire d’Endocrinologie, Institut Jules Bordet, Centre des Tumeurs de l’Université Libre de Bruxelles, B-1000 Brussels, Belgium

Address all correspondence and requests for reprints to: Abraham Borkowski, M.D., Service de Médecine, Institut Jules Bordet, 1 rue Héger-Bordet, B-1000 Bruxelles, Belgium.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We previously reported that human natural autoantibodies enriched in antiestrogen receptor Ig (IgGs) display estrogenic activity in MCF-7 mammary carcinoma cells. In this study, we investigated IgGs’ mechanism of action.

We showed that: 1) IgGs Fab fragments (which contain only one antigen binding site) induced an estrogenic response in MCF-7 cells, producing estrogen receptor (ER) down-regulation and an increase in progesterone receptor concentration; 2) IgGs specifically inhibited MCF-7 cell surface labeling with fluorescent estradiol (E2)-BSA conjugates; 3) this inhibition of E2-BSA binding to membrane estrogen binding sites was largely caused by natural anti-E2-BSA antibodies (Ab) selectively associated with the natural anti-ER Ab within IgGs; 4) furthermore, these natural anti-E2-BSA Ab accounted for most of IgGs estrogenic activity in cell culture; 5) however, when incubated with cytosolic ER, they did not behave like estrogens, but they decreased ER hormone binding capacity; and 6) although IgGs stimulated cAMP production, their anti-E2-BSA Ab subpopulation did not.

In conclusion, the estrogenic activity of IgGs does not involve Ab mimicking E2 molecular configuration or ligand-independent cAMP mediated pathways, membrane Fc receptors, and membrane receptor cross-linking mechanisms. On the contrary, IgGs seem to function by neutralizing estrogen-like epitopes, associated with ER-related peptides, which might inhibit ER activation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
WE PREVIOUSLY reported (1, 2) the presence in man of natural (nonimmune) antibodies (Ab) recognizing the estrogen receptor (ER). A subpopulation of Igs enriched in anti-ER Ab (IgGs) could behave like potent estrogens in MCF-7 mammary carcinoma cell cultures. Indeed, like 17ß-estradiol (E2), IgGs produced a dose-dependent down-regulation of ER protein concentration and increased progesterone receptor (PR) concentration and cathepsin D secretion. This biological activity was neutralized by anti-IgG Ab and by ICI 164,384, a pure steroid antagonist of E2.

The estrogen receptor is a 66-kDa ligand-inducible nuclear transcription factor (3). After estrogen binding, ER is thought to be phosphorylated and to undergo conformational changes that increase its affinity for a 13-nucleotide palindromic sequence, the estrogen response element, which controls the transcription of estrogen responsive genes (4). Recent reports also referred to the activation of steroid hormone receptors by ligand-independent pathways through cell surface receptors to neurotransmitters (5) and to growth factors (6). In this regard, data suggest the existence of cross-talks between steroid hormones and cAMP signaling pathways (7, 8), and there is evidence that phosphorylation mechanisms might activate steroid receptors, even in the absence of their steroid ligand (9, 10). On the other hand, estrogen binding sites identified in the plasma membrane of various cell types could be responsible for some rapid or nongenomic steroid actions (11, 12, 13).

The purpose of this study was to clarify IgGs’ biological mechanism of action and, therefore, to analyze: 1) the contribution of cell membrane receptor cross-linking and of Ab endocytosis through Fc receptors; 2) the interaction of IgGs with estrogen binding sites located at the cell surface; 3) the activation of ER through cAMP-mediated nonligand pathways; and 4) the possible presence and role of natural Ab recognizing estrogen-related molecules. Such receptor-like Ab, able to bind natural ligands, have been found for other hormones, and they do interfere with normal cellular functions (14, 15). With regard to estrogens, a monoclonal Ab being the internal image of E2 has been produced experimentally (16). Therefore, according to the idiotypic network theory (17) and to the unlimited diversity of the immune system (18), the antiidiotypic counterparts, i.e. Ab mimicking the estrogen binding domain of ER and thus recognizing estrogen-related structures, should also be synthesized by B lymphocytes. Such Ab might be found within the still very heterogeneous populations of Ab composing the IgGs and play a role in the biological properties of the latter.

Our data suggest that IgGs do not function like a ligand, by mimicking E2 molecular configuration, nor by stimulating a cAMP-mediated ligand-independent pathway. On the contrary, they seem to act mostly by neutralizing molecules that express estrogen-like epitopes and that might be inhibitors of ER activation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents

Unless otherwise specified, all reagents were purchased from Sigma-Aldrich (St. Louis, MO). Radioactive materials came from Amersham, Little Chalfont, UK.

Cell cultures

MCF-7 mammary carcinoma cells were cultured in MEM with 10% FCS, glutamine (4 mmol/L), and penicillin-streptomycin (100 IU/mL-100 µg/mL) (Life Technologies, Paisley, Scotland) and seeded at least twice in MEM with 10% dextran-coated charcoal (DCC)-treated FCS before experiments. ERC cells (derived from ER409: CHO cells transformed with the ER gene) were cultured as previously described (19) and were a kind gift of Dr. Kushner.

Purification of anti-ER Ab (IgGs)

Purifications were performed as previously described (1, 2). Briefly, total IgG (IgGt) from normal blood donor plasmas was purified on a DEAE-Sephacel column (Pharmacia, Uppsala, Sweden). An IgG subpopulation with enhanced reactivity for ER (IgGs) was isolated by adsorption of IgGt on a calf uterine cytosol-Blue B Matrex gel (Amicon, Danvers, MA) column that selectively binds the ER. Flow through Ab was designated as IgGe.

Preparation of Ab Fab fragments

Immobilized papain (Pierce, Rockford, IL) was used to prepare Fab fragments from IgGs, following the manufacturer’s protocol. Separation of Fab fragments from the intact Ig and Fc fragments was carried out by adsorption of the digested mixture on a protein A-sepharose column (Pharmacia).

Measurement of ER down-regulation and of increase of PR concentration in MCF-7 cell monolayer cultures (whole cell assays)

Experiments were carried out as previously described (1, 2).

Labeling of MCF-7 cells with E2-BSA-fluorescein isothiocyanate conjugates (E2-BSA-FITC); inhibition by IgGs

MCF-7 cells were removed from flasks by incubation with 2.5 mmol/L ethylenediamine tertra-acetate-phosphate-buffered saline (EDTA-PBS) (10 mmol/L NaHPO4, 150 mmol/L NaCl, pH 7.4), centrifuged 10 min at 1,000 x g, and washed twice with 0.01% BSA-10-2 mol/L NaN3-PBS. The cells (106) were suspended in 200 µL of the same buffer and 1–10 µg of E2-BSA-FITC (E2 17ß-hemisuccinate:BSA-fluorescein isothiocyanate containing 4–9 mol steroid and 2–5 mol FITC per mol BSA) were added for 30 min at 4 C. The cells were finally washed three times with BSA-NaN3-PBS, suspended in 200–500 µL of this buffer and analyzed by fluorescent activated cell sorter. For competition experiments, the cells were preincubated during 20 min with competitors before labeling with E2-BSA-FITC.

Enzyme-linked immunosorbent assay (ELISA) on E2-BSA-coated plates

Briefly, 96-well plates were coated with 0.5 µg per well (50 µL) of E2-BSA (17 ß-E2 17-hemisuccinate:BSA containing 40 mol E2 per mol of BSA) in PBS. After washing, the plates were saturated with 1% BSA-PBS, and dilutions of the Ab to be tested were added overnight in 0.1% BSA-0.01% Tween80-PBS. After washing, the plates were incubated with goat antihuman biotinylated Ab (Amersham) for 2 h and with streptavidin-peroxidase (Amersham) for 20 min. O-phenylenediamine was used as chromogen. For inhibition assays, the Ab to be tested and potential competitors (E2 or E2-hemisuccinate = 17 ß-E2 17-hemisuccinate) were preincubated overnight together and put on E2-BSA-coated plates for 4 h.

Preparation of E2-BSA columns

E2-BSA-sepharose columns were prepared by coupling E2-BSA to AH-sepharose 4B beads (Pharmacia) using the carbodiimide method described in: Affinity Chromatography, Principles and Methods, edited by Pharmacia. Coupling was realized with N-ethyl-N'-(3-dimethylaminopropyl) carbodiimide hydrochloride with a ratio of 5 mg E2-BSA per mL of gel.

Purification of natural anti-E2-BSA Ab

Either total plasma IgG (IgGt) or the IgGs subpopulation were incubated overnight with E2-BSA columns in 0.2 mol/L Tris, 0.5 mol/L NaCl (pH 7.8). After extensive washing with the same buffer, bound Ab (anti-E2-BSA Ab) were eluted with 0.2 mol/L glycine, 0.5 mol/L NaCl (pH 3.6), and the pH was immediately neutralized with 1 mol/L Tris. Controls corresponding to bound and flow through Ab were, respectively: 0.2 mol/L glycine, 0.5 mol/L NaCl (pH3.6) buffer passed through E2-BSA columns and 0.2 mol/L Tris, 0.5 mol/L NaCl (pH 7.8) incubated 18 h with the columns. Both were supplemented thereafter with IgGt. Bound and flow through Ab (FT-E2-BSA Ab), as well as controls, were then treated with DCC (final concentration: 0.5%), dialyzed in 10 mmol/L Tris, 10 mmol/L MgCl2 (pH 7.5), and purified on DEAE-Sephacel columns to remove any potential free E2 or E2-BSA.

Studies of [3H]-E2 binding to isolated ER in the presence of Ab

We studied [3H]-E2 binding to ER from MCF-7 and from ERC cell cytosols. Cells were removed from the culture dishes with 2.5 mmol/L EDTA-PBS, disrupted in a potter tube (Weaton,) at 240 rpm (3 cycles of 20 strokes each) and centrifuged 30 min at 30,000 x g. Hundred microliters of cytosol, 100 µL Ab or buffer, and 100 µL 3H-E2 (final concentrations: 0.75–6.7 x 10-9 mol/L) were incubated together for 18 h at 4 C. Unbound 3H-E2 was removed by addition of 300 µL 0.5% DCC solution and centrifugation; the supernatant was added to scintillation solution (National Diagnostics, Atlanta, GA) and counted. Nonspecific binding was obtained by adding 10-5 mol/L unlabeled E2 to the tubes. The buffer used was 10 mmol/L KHPO4, 10% glycerol, 1 mmol/L {alpha}-monothioglycerol (pH 7.4) containing protease inhibitors (1 µg/mL leupeptin, 2 µg/mL aprotinin, and 100 µg/mL phenyl methane sulfonyl fluoride) (Boehringer, Mannheim, Germany), 0.2% gelatin, and 1 mmol/L EDTA. LIGAND program (20) was used for Scatchard plot analyses of the data (21).

Measurement of cAMP level in MCF-7 cell cultures

MCF-7 cells cultured in 10% DCC-treated FCS-MEM were seeded in 24-well plates. When cells were three fourths confluent, the medium was replaced by RPMI 1640 without phenol red and with 2 µmol/L isobuthylmethylxanthine (IBMX). After 20 min, E2 and the Ab to be tested were added to the plates for 30 to 60 min in RPMI plus IBMX. The medium was then discarded, plates were washed once with PBS, and cAMP was extracted with 0.5 mL 95% isopropanol for 1 h, on ice. Isopropanol was evaporated in a Buchler vortex-evaporator and the dried material suspended in 0.05 mol/L acetate (pH 6.2). The concentrations of cAMP were measured by ELISA kits from Amersham.

Statistical analyses

Data are expressed as the means ± SD. The statistical significance was analyzed by Student’s t test using Statworks Macintosh program. Differences between groups were considered significant at P < 0.05. For ELISA, Scatchard plot analyses, and whole-cell assays, we show representative experiments to illustrate the Ab variability among individuals. However, whenever feasible, means ± SD are specified in the text.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Estrogen-like activity of the IgGs Fab fragments in MCF-7 cell culture (Fig. 1Go)

Because Ab could function through their constant or through their variable regions, we first investigated whether the mechanism of IgGs estrogenic activity resulted from the interaction of their antigen binding site (IgGs Fab part) with specific molecules or from the interaction of their Fc part with putative Fc receptors. For this purpose, we measured the estrogenic activity of isolated IgGs Fab fragments in MCF-7 cell cultures. As shown in Fig. 1Go, the IgGs Fab fragments were as active as intact IgGs, or as E2, in producing a dose-dependent increase in PR concentration and a down-regulation of ER content. In three different experiments, maximal PR induction was 167 ± 25% for IgGs Fab fragments, 165 ± 20% for IgGs, and 232 ± 55% for E2 (P < 0.05 in unpaired t tests between E2 and IgGs or IgGs Fab fragments). The concentrations of Fab fragments and IgGs required to achieve these increases were, respectively: 20 ± 26 µg/mL and 25 ± 20 µg/mL. Although IgGs data for ER down-regulation do not appear in Fig. 1Go, these IgGs were tested apart for this parameter, and they do down-regulate the ER. Comparatively, IgGs Fab fragments and IgGs induced 50% ER down-regulation, respectively, at 10 ± 9 µg/mL and 12 ± 10 µg/mL (n = 3).



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Figure 1. Estrogen-like activity of IgGs Fab fragments: down-regulation of ER and increase in PR concentrations in MCF-7 cell culture. MCF-7 cells were incubated for 18 h with various concentrations of E2 ({blacksquare}), IgGs ({triangleup}), and IgGs Fab fragments (•). The binding of [3H]-E2 (5 x 10-10 mol/L) or [3H]-ORG 2058 (6 x 10-10 mol/L) to the cells was measured to estimate ER and PR concentrations, respectively. Results are expressed in percent, considering the control (medium alone) as 100%. Results above and below the 100% line correspond, respectively, to the PR induction and to the ER down-regulation. This figure illustrates one of three similar experiments.

 
Labeling of MCF-7 cell surface with E2-BSA-FITC; inhibition by IgGs. (Table 1Go)

We first incubated 106 MCF-7 cells with various concentrations of E2-BSA-FITC (5–50 µg/mL) and observed a similar cell surface staining, which ranged from 50–80% of the cells. Thereafter, we used a constant concentration of E2-BSA-FITC (20 µg/mL, which corresponds to approximately 3.6 x 10-6 mol/L E2) to investigate the inhibition of cell surface labeling caused by various reagents. As shown in Table 1Go, MCF-7 labeling was inhibited after incubation with IgGs, whereas IgGe (although used at 10-fold higher concentrations) were ineffective.


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Table 1. Labeling of MCF-7 cell surface with E2-BSA-FITC: inhibition by IgGs

 
The specificity of E2-BSA-FITC binding to the cells was supported by the inhibition caused by unlabeled E2 and E2-BSA, whereas BSA in a 250-fold excess was ineffective. The experiments were performed at 4 C and in the presence of NaN3 to prevent E2-BSA-FITC endocytosis.

Binding of IgGs, IgGe, and IgGt on E2-BSA-coated plates (Fig. 2Go)

Because of the specific inhibition of MCF-7 cell surface labeling with E2-BSA-FITC in the presence of IgGs, we investigated the binding of IgGs, IgGe, and IgGt to E2-BSA. ELISA in Fig. 2AGo shows that IgGs are much enriched in anti-E2-BSA Ab, as compared with IgGt or IgGe. The relative concentration of anti-E2-BSA Ab within IgGs varied greatly from preparation to preparation, IgGs concentrations required to reach 50% of maximum binding in ELISA ranging from 0.2–60 µg/mL. Of 10 plasmas, IgGs contained, in mean, 20x more anti-E2-BSA Ab than the corresponding IgGt or IgGe (range: 5–100x).



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Figure 2. Recognition of E2-BSA by IgGs, IgGe (uterine cytosol column IgGe), and IgGt (total plasma Ig) in ELISA: IgGs are much enriched in anti-E2-BSA Ab. A, Binding studies: dilutions of various Ab were added to E2-BSA coated plates, and bound Ab were detected with biotinylated goat antihuman Ig. Binding of two different IgGs preparations (1 and 2) is compared with that of their corresponding IgGe and IgGt. Symbols: {blacksquare}, IgGs1; •, IgGe1; *, IgGt1; {square}, IgGs2; O, IgGe2; +, IgGt2. This represents one of five similar experiments. B, Inhibition studies: a constant amount of various Ab was incubated on E2-BSA-coated plates in the presence of increasing concentrations of E2 or E2-hemisuccinate as potential competitors. Symbols: {square}, IgGs1; {blacksquare}, IgGs2; {triangleup}, anti-E2 Ab (anti-E2 Ab from immune rabbit serum) in the presence of E2; O, IgGs1; and •, IgGs2; +, anti-E2 Ab in the presence of E2-hemisuccinate. Results are expressed as percentage of inhibition, considering the binding of the various Ab to the plates in the absence of competitors as 0% inhibition. This represents one of four similar experiments.

 
On the other hand, similar ELISA on E2-BSA-coated plates were carried out by incubating simultaneously a constant amount of IgGs and various concentrations of E2 or E2-hemisuccinate used as competitors. Figure 2BGo shows that even 5 x 10-5 mol/L in E2 and 10-4 mol/L in E2-hemisuccinate did not inhibit the binding of the two different IgGs preparations. On the contrary, binding to E2-BSA of a standard anti-E2 Ab obtained from immune rabbit serum was efficiently inhibited by both free E2 and free E2-hemisuccinate. On the other hand, free E2-BSA used as inhibitor did prevent IgGs binding to E2-BSA, and IgGs were not found to bind to BSA or phosphotyrosine-BSA-coated plates (data not shown). This indicates that IgGs recognize a distinct epitope on the E2-BSA molecule, resulting from the association of both E2 and BSA, but neither free E2, nor BSA, nor the linker (hemisuccinate), nor E2-unrelated molecules coupled to BSA.

Similar results were obtained with the natural anti-E2-BSA Ab, purified by adsorption of IgGt on E2-BSA columns (data not shown).

Estrogen-like activity of the natural anti-E2-BSA Ab in MCF-7 cell culture (Fig. 3Go)

To assess the contribution of the anti-E2-BSA Ab subpopulation in IgGs biological activity, we studied ER down-regulation in MCF-7 cell culture, comparing IgGs, IgGs adsorbed on E2-BSA column (IgGs-anti-E2-BSA Ab), and IgGs not retained by the column (IgGs-FT-E2-BSA Ab). As shown in Fig. 3AGo, IgGs-anti-E2-BSA Ab were much more active than IgGs, because at least 10x higher concentrations of the latter were needed to achieve the same ER down-regulation. IgGs-FT-E2-BSA Ab were even less efficient. All purifications and cell experiments were run in parallel with buffers previously incubated with E2-BSA columns, supplemented with IgG, and finally treated like the various IgGs subpopulations (see Materials and Methods). No estrogenic effects were observed with these nonspecific IgG (NS IgG), thus ruling out E2 contamination.



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Figure 3. Estrogen-like activity of Ab purified on E2-BSA columns: anti-E2-BSA Ab display estrogenic properties in MCF-7 cell culture. A, ER down-regulation induced by IgGs purified on E2-BSA column. MCF-7 cells were incubated for 18 h with increasing concentrations of E2 ({blacksquare}), IgGs (•), IgGs-anti-E2-BSA Ab (IgGs adsorbed on E2-BSA column) (O), IgGs-FT-E2-BSA Ab (flow through IgGs) ({triangleup}) and NS IgG (nonspecific IgG: total plasma IgG added to buffers that had been previously incubated with E2-BSA columns, see Materials and Methods) ({square}). B, ER down-regulation and increase in PR concentration produced by IgGt purified on E2-BSA column. MCF-7 cells were incubated 18 h with increasing concentrations of E2 ({blacksquare}), anti-E2-BSA Ab (IgGt adsorbed on E2-BSA column) (O), FT-E2-BSA Ab (flow through IgGt) ({triangleup}). Results are expressed as described in Fig. 1Go. These figures were obtained with Ab from two different plasmas and in two different cell cultures. They represent two of five similar experiments.

 
Figure 3BGo shows that total plasma IgG, similarly purified on E2-BSA column (anti-E2-BSA Ab), also have estrogenic effects on MCF-7 cells (induction of PR and down-regulation of ER) and are 100x more active than the Ab not retained by the column (FT-E2-BSA Ab). In the three experiments carried out, we observed that natural anti-E2-BSA Ab were, in mean, 40x more active than FT-E2-BSA Ab. For example, a 50% ER down-regulation was obtained, respectively, with 31 ± 14 µg/mL of anti-E2-BSA Ab and 1250 ± 600 µg/mL of FT-E2-BSA Ab. IgGt purified on BSA columns had no estrogenic activity (data not shown).

Scatchard plot analysis of [3H]-E2 binding to ER in the presence of anti-E2-BSA Ab (Fig. 4Go)

As shown in Fig. 4Go, Ab not adsorbed on the E2-BSA-sepharose column (FT-E2-BSA Ab) did not modify [3H]-E2 binding to ER, whereas Ab that were retained by the resin (anti-E2-BSA Ab) decreased the number of ER hormone binding sites and might also reduce the ER affinity for E2, but only at highest Ab concentrations and for 10% of plasmas. The decrease in the number of estrogen binding sites was an anti-E2-BSA Ab dose-dependent response (data not shown) but varied from plasma to plasma, as illustrated in the figure. Similar decreases in the number of ER hormone binding sites were observed in the presence of IgGs, whereas IgGe did not modify the ER ligand binding properties (data not shown). On the contrary, as expected, increasing E2 concentrations always progressively decreased ER affinity but never decreased its number of hormone binding sites.



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Figure 4. Scatchard plot analysis of [3H]-E2 binding to ER in the presence of E2-BSA purified Ab: anti-E2-BSA Ab decrease the number of hormone binding sites. Cytosols from ERC cells were incubated 18 h at 4 C with increasing concentrations of [3H]-E2 (final concentrations 0.75–6.7 x 10-9 mol/L). Experiments were carried out in the absence (control) or in the presence of Ab adsorbed on E2-BSA column (anti-E2-BSA Ab) and of flow through Ab (FT-E2-BSA Ab). Two different Ab preparations (1 and 2) were used, and Ab concentration was 40 µg/mL. Symbols and Kd values: •, control, 0.12 nmol/L; {triangleup}, anti-E2-BSA Ab1, 0.18 nmol/L; {blacksquare}, anti-E2-BSA Ab2, 0.62 nmol/L; {square}, FT-E2-BSA Ab1, 0.12 nmol/L; O, FT-E2-BSA Ab2, 0.11 nmol/L. This is one of five similar experiments.

 
On the other hand, [3H]-E2 binding experiments carried out in the same fashion confirmed that anti-E2-BSA Ab and IgGs did not bind free [3H]-E2 (data not shown).

For practical reasons, i.e. higher amounts of ER per cell, we mainly used ER from ERC cell cytosols; however, the same patterns of Scatchard plot analysis were observed with ER from MCF-7 cells.

cAMP production in MCF-7 cell culture (Fig. 5Go)

We measured cAMP accumulation in MCF-7 cells after 30–60 min incubation with E2 and various Ab in the presence of IBMX as phosphodiesterase inhibitor. As shown in Fig. 5Go, only IgGs significantly (P < 0.001) increased cAMP production; E2 (0.5 nmol/L) was inactive, as were the other Ab tested. Forskolin (10-6 mol/L), used as positive control, always produced at least a 10-fold increase of cAMP content (data not shown).



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Figure 5. Production of cAMP in MCF-7 cells: IgGs increase cAMP production, whereas anti-E2-BSA Ab do not. MCF-7 cells were incubated during 30–60 min with 0.5 nmol/L E2 and 100 µg/mL of IgGs, IgGe, or anti-E2-BSA Ab in the presence of IBMX. Results are expressed as percent of control (considering MCF-7 in medium as 100%) and represent the means and SD of duplicate measurements from five different experiments. Statistical comparisons (Student’s t test) with the control result in P > 0.05 for all reagents except IgGs (*) (P < 0.001). Comparison between IgGs and anti-E2-BSA Ab in unpaired t test results in P < 0.01 (**).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We previously reported the presence of natural anti-ER Ab in healthy man (1, 2). Igs specifically enriched in anti-ER Ab (IgGs) and obtained by adsorption chromatography on ER from uterine cytosol were found to behave like potent estrogens in MCF-7 cell culture. Estrogens are thought to diffuse through the cell plasma membrane before they reach and activate their intranuclear receptors (4). On the contrary, because of the intrinsic characteristics of Ab, such as their large molecular weight and hydrophylicity, the first step in IgGs biological activity should take place at the cell surface. This cell surface recognition could be mediated either by the constant Fc part of the IgGs, or by their antigen binding site, recognizing specific antigens. Our studies with the Ig Fab fragments (which contain one antigen binding region) clearly demonstrate that the antigen binding site of the Ab is responsible for IgGs estrogenic activity and exclude IgGs endocytosis through Fc receptors, as well as any other contribution of Fc cell surface receptors. Indeed, Fab fragments of IgGs were found to be as active as the whole IgGs molecules in cell culture experiments. In addition, these observations indicate that cell activation by a membrane receptor cross-linking mechanism is not involved in the estrogenic properties of the natural Ab, because the monovalent Fab fragments would not be able to bridge neighboring receptors.

We then decided to investigate cell surface receptors that might be recognized by the Fab part of the natural Ab and be a source of estrogenic activity. Estrogen binding sites have been identified in the outer membrane of various cells, especially by methods using fluorescent E2 conjugates (12, 13). We confirm these observations in MCF-7 mammary carcinoma cells and show a specific membrane staining by E2-BSA-FITC molecules. However, as previously reported by Berthois et al (12), E2-BSA was much more efficient than E2 in inhibiting cell labeling, thus suggesting some distinct properties for the membrane sites. In addition, we show that IgGs also did specifically and efficiently inhibit cell surface labeling by E2-BSA-FITC. Such inhibition is compatible with a competition between IgGs and E2-BSA-FITC for the same cell membrane receptors. However, it might also be caused by Ab recognizing the E2-BSA-FITC molecules and, therefore, behaving themselves like soluble estrogen binding sites. The IgGs would then compete with the cell membrane receptors for the same ligand.

Natural anti-E2-BSA Ab were found, in ELISA, to be present in all normal human plasmas. Furthermore, these Ab were selectively concentrated within the IgGs population. Indeed, they were copurified with the anti-ER Ab and thus might be directed towards uterine proteins that are bound to ER-related peptides or that, like ER, bind to the Blue B Matrex column. These natural anti-E2-BSA Ab seem to recognize a distinct epitope resulting from the association between E2 and BSA. In addition, Scatchard plot analyses indicate that, although the anti-E2-BSA Ab do modify the ligand binding properties of cytosolic ER, they do not behave like estrogens, because they reduce the total number of detected ER estrogen binding sites. This decrease may result from the steric hindrance of [3H]-E2 binding to ER or from the modification of ER molecular configuration and may occur either through the direct recognition of the ER molecule itself by the Ab or indirectly through the interaction of the Ab with ER-associated proteins (22). The last hypothesis is more probable because, using eight different Ab preparations, we never detected any direct anti-E2-BSA Ab recognition of ER, both in Western blots and in immunoprecipitation studies carried out with labeled ER (personal observations).

By acting as antiligand Ab, which neutralize the E2-BSA-FITC molecules, the natural anti-E2-BSA Ab may thus account, to a significant extent, for the inhibition of E2-BSA-FITC cell surface labeling caused by the IgGs.

The anti-E2-BSA Ab also were found (and this was totally unexpected) to account for a major part of the estrogenic properties of IgGs in cell experiments, producing ER down-regulation and an increase in PR concentration. Therefore, it seems again that IgGs do not behave like the internal image of an estrogen but, on the contrary, like a soluble hormone binding site that recognizes estrogen-like molecules looking like E2-BSA.

Natural autoantibodies can behave like hormones by recognizing and activating receptors (23). This biological mimicry of antireceptor Ab is attributed to their molecular resemblance to the hormones (24). Conversely, considering the diversity potential of the Ig-variable regions (18) and the idiotypic network theory (17), Ab mimicking the hormone binding sites of receptors can also be found. They are then internal images of receptors and, by neutralizing normal ligands, such receptor-like Ab can be a source of hormone resistance, as shown in man by autoantibodies to erythropoietin (14) or insulin (15). In our experiments, the Ab with estrogenic activity seem to function like hormone binding sites and bind estrogen-related molecules. To explain the paradoxical hormonal activity of these receptor-like Ab, we suggest that they neutralize a ligand that functions like a natural inhibitor of the ER activation. Although our arguments supporting this hypothesis are indirect, the latter would account for all our experimental observations, including the inhibition by IgGs of E2-BSA-FITC binding to cell membrane. Indeed, as this neutralization occurs at cell surface, it might then somehow reflect a physiological situation where a natural antiestrogenic molecule is prevented, by natural Ab, from binding to its receptor.

However, Ab might also be endocytosed and activate ER within the cell. Indeed, Ab have been shown to penetrate into living cells (16, 25, 26). One cannot exclude, therefore, an intracellular activity of the anti-E2-BSA Ab, but as discussed above, inside the cells again, they should similarly neutralize ER repressors bearing estrogen-like determinants and/or modify ER molecular configuration by interacting with ER-associated proteins.

We also considered the possibility of a ligand-independent stimulation of membrane receptors by the natural Ab. Cross-talks between the ER and membrane signal transduction pathways, involving adenylate cyclase and protein kinases activation, have been documented and may play an important role in modulating ER-dependent transcription (5, 10, 27). We undertook, therefore, the study of cAMP production in MCF-7 cell cultures in the presence of various Ab. Our results show that IgGs produce a specific increase of intracellular cAMP concentration, whereas IgGe, anti-E2-BSA Ab, and 0.5 nmol/L E2 (a concentration that, in our experience, produces maximal estrogenic effects on MCF-7 cells) are ineffective. This suggests that some Ab within IgGs, but not their anti-E2-BSA component, could activate the ER through nonligand cAMP-dependent pathways. Because the anti-E2-BSA Ab are responsible for most of the estrogenic properties of IgGs on MCF-7 cells, a significant contribution of cAMP-dependent nonligand pathways in IgGs estrogenic activity is improbable. Our results and others (28), showing no cAMP induction by E2 in MCF-7 cells, do not correspond with those reported by Aronica et al (8). This discrepancy might be caused by differences in cell lines and/or culture conditions. Nevertheless, our results suggest that although cAMP cascade may participate in ER activation by E2, it is not an absolutely necessary pathway.

We cannot exclude, however, ER activation through the stimulation of membrane receptors that are not associated with the cAMP pathways (29, 30, 31) but that share cross-reactive epitopes with E2-BSA.

In conclusion, neither Ab mimicking the E2 molecular configuration nor cAMP-mediated nonligand pathways, membrane Fc receptors, or membrane receptor cross-linking mechanisms play a significant role in the estrogenic properties of natural autoantibodies in MCF-7 cell culture. On the contrary, Ab with estrogenic activity seem to function, to a major extent, through their Fab regions and to recognize estrogen-like epitopes that can associate with ER-related peptides. They might function by neutralizing some natural inhibitors of ER activation expressing estrogen-like epitopes at the cell surface and/or inside the cells.

Our observations could be particularly helpful in understanding the hormonal control of normal mammary cells and breast cancer in man.


    Acknowledgments
 
We thank P. Kushner (University of California, San Francisco) for providing ERC cell line.


    Footnotes
 
1 This work was supported by grants from the Caisse Générale d’Epargne et de Retraite, the Fonds National de la Recherche Scientifique, the Fondation Rik et Nele Wouters, and the Association contre le Cancer. Back

Received December 2, 1996.

Revised April 17, 1997.

Accepted July 1, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Borkowski A, Gyling M, Muquardt C, Body J-J, Leclercq G. 1987 A subpopulation of immunoglobulin G in man selectively interacts with the hormone-binding site of estrogen receptors. J Clin Endocrinol Metab. 64:356–363.[Abstract]
  2. Borkowski A, Gyling M, Muquardt C, Body J-J, Leclercq G. 1991 Estrogen-like activity of a subpopulation of natural anti-estrogen receptor autoantibodies in man. Endocrinology. 128:3283–3292.[Abstract]
  3. Jensen EV, Susuki T, Kawashima T, Stumpf WE, Jungblut PW, DeSombre ER. 1968 A two-step mechanism for the interaction of estradiol with rat uterus. Proc Natl Acad Sci USA. 59:632–638.[Free Full Text]
  4. Gronemeyer H. 1992 Control of transcription activation by steroid hormone receptors. FASEB J. 6:2524–2529.[Abstract]
  5. Power RF, Mani SK, Codina J, Conneely OM, O’Malley BW. 1991 Dopa-minergic and ligand independent activation of steroid hormone receptors. Science. 254:1636–1639.[Abstract/Free Full Text]
  6. Ignar-Trowbridge DM, Teng CT, Ross KA, Parker MG, Korach KS, McLachlan JA. 1993 Peptide growth factors elicit estrogen response dependent transcriptional activation of an estrogen-responsive element. Mol Endocrinol. 7:992–998.[Abstract]
  7. Beck C, Wiegel NL, Moyer ML, Nordeen SK, Edwards DP. 1993 The progesterone antagonist RU486 acquires agonist activity upon stimulation of cAMP signaling pathways. Proc Natl Acad Sci USA. 90:4441–4445.[Abstract/Free Full Text]
  8. Aronica SM, Kraus LW, Katzenellenbogen BS. 1994 Estrogenic action via the cAMP signaling pathway: stimulation of adenylate cyclase and cAMP-regulated gene transcription. Proc Natl Acad Sci USA. 91:8517–8521.[Abstract/Free Full Text]
  9. Denner LA, Wiegel NL, Maxwell BL, Schrader WT, O’Malley BW. 1990 Regulation of progesterone receptor-mediated transcription by phosphorylation. Science. 250:1740–1743.[Abstract/Free Full Text]
  10. Aronica S, Katzenellenbogen BS. 1993 Stimulation of estrogen receptor-mediated transcription and alteration in the phosporylation state of the rat uterine estrogen receptor by estrogen, cyclic adenosine monophosphate and insulin-like growth factor-1. Mol Endocrinol. 7:743–752.[Abstract/Free Full Text]
  11. Zänker KS, Prokscha GW, Blümel G. 1981 Plasma membrane-integrated estrogen receptors in breast tissue: possible modulator molecules for intracellular hormone level. J Cancer Res Clin Oncol. 100:135–148.[CrossRef][Medline]
  12. Berthois Y, Pourreau-Schneider N, Gandilhon P, Mittre H, Tubania N, Martin P. 1986 Estradiol membrane binding sites on human breast cancer cell lines. Use of a fluorescent estradiol conjugate to demonstrate plasma membrane binding systems. J Steroid Biochem Mol Biol. 25:963–972.
  13. Pappas TC, Gametchu B, Watson C. 1995 Membrane estrogen receptors identified by multiple antibody labeling and impeded-ligand binding. FASEB J. 9:404–410.[Abstract/Free Full Text]
  14. Casadevall N, Dupuy E, Molho-Sabatier P, Tobelem G, Varet B, Mayeux P. 1996 Autoantibodies against erythropoietin in a patient with pure red-cell aplasia. N Engl J Med. 334:630–633.[Free Full Text]
  15. Casali P, Nakamura M, Ginsberg-Fellner F, Notkins AL. 1990 Frequency of B cells committed to the production of antibodies to insulin in newly diagnosed patients with insulin-dependent diabetes mellitus and generation of high affinity human monoclonal IgG to insulin. J Immunol. 144:3741–3747.[Abstract]
  16. Mor G, Amir-zaltsman Y, Barnard G, Kohen F. 1992 Characterization of an antiidiotypic antibody mimicking the actions of estradiol and its interaction with estrogen receptors. Endocrinology. 130:3633–3640.[Abstract]
  17. Jerne NK. 1974 Towards a network theory of the immune system. Ann Immunol Inst Pasteur. 125C:373–389.
  18. Tonegawa S. 1983 Somatic generation of antibody diversity. Nature. 302:575–581.[CrossRef][Medline]
  19. Kushner PJ, Hort E, Shine J, Baxter JD, Greene GL. 1990 Construction of cell lines that express high level of human estrogen receptor and are killed by estrogens. Mol Endocrinol. 4:1465–1473.[Abstract]
  20. Munson PJ, Rodbar D. 1980 LIGAND: a versatile computerized approach for characterization of ligand-binding systems. Anal Biochem. 107:220–239.[CrossRef][Medline]
  21. Scatchard G. 1949 The attraction of proteins for small molecules and ions. Ann NY Acad Sci. 51:660–672.[CrossRef]
  22. Smith D, Toft DO. 1993 Steroid receptors and their associated proteins. Mol Endocrinol. 7:4–11.[CrossRef][Medline]
  23. Gaulton GN, Green MI. 1986 Idiotypic mimicry of biological receptors. Annu Rev Immunol. 4:253–280.[CrossRef][Medline]
  24. Fields B, Goldbaum FA, Ysern X, Poljak RJ, Mariuzza R. 1995 Molecular basis of antigen mimicry by an anti-idiotope. Nature. 374:739–742.[CrossRef][Medline]
  25. Alarcon-Segovia D, Ruiz-Argüelles A, Llorente L. 1996 Broken dogma: penetration of autoantibodies into living cells. Immunol Today. 17:163–164.[Medline]
  26. Okudaira K, Yoshizawa H, Williams RC. 1987 Monoclonal murine anti-DNA antibody interacts with living mononuclear cells. Arthritis Rheum. 30:669–678.[Medline]
  27. Ince BA, Montano MM, Katzenellenbogen BS. 1994 Activation of transcriptionally inactive human estrogen receptors by cyclic adenosine 3', 5'-monophosphate and ligands including antiestrogens. Mol Endocrinol. 8:1397–1406.[Abstract]
  28. Fissore F, Fortunati N, Comba A, et al. 1994 The receptor-mediated action of sex steroid binding protein (SBP, SHBG)/Accumulation of cAMP in MCF-7 cells under SBP and estradiol treatment. Steroids. 59:661–667.[CrossRef][Medline]
  29. Bunone G, Briand PA, Miksicek RJ, Picard D. 1996 Activation of the unliganded estrogen receptor by EGF involves MAP kinase pathway and direct phosphorylation. EMBO J. 15:2174–2183.[Medline]
  30. Galand P, Rooryck J. 1996 Mediation by epidermal growth factor of the estradiol-induced increase in cyclic guanosine 3',5'-monophosphate content in the rat uterus. Endocrinology. 137:1932–1937.[Abstract]
  31. Ignar-Trowbridge D, Pimentel M, Parker MG, McLachlan J, Korach K. 1996 Peptide growth factor cross-talk with the estrogen receptor requires the A/B domain and occurs independently of protein kinase C or estradiol. Endocrinology. 137:1735–1744.[Abstract]



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