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Endocrinology Unit (C.M., M.R., K.E.C., R.A., J.R.S.), The Prostate Research Group (C.M., M.R., F.K.H.), Department of Oncology, University of Edinburgh Western General Hospital, and Department of Urology (P.B.), Western General Hospital, Edinburgh EH4 2XU, United Kingdom
Address all correspondence and requests for reprints to: Dr. Cécile Martin, Endocrinology Unit, Molecular Medicine Centre, Western General Hospital, University of Edinburgh, Edinburgh EH4 2XU, United Kingdom. E-mail: cecile.martin{at}ed.ac.uk.
| Abstract |
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-dihydrotestosterone. In the other, DHEA is metabolized to 7
-hydroxy-DHEA (7HD). Recently, CYP7B, a novel P450 enzyme originally characterized in mouse brain and expressed in rodent prostate, has been found to be responsible for all extrahepatic 7
-hydroxylase activity. In this study, we have investigated the expression and function of this novel enzyme in human prostate.
We have used reverse transcription combined with PCR and mRNA in situ hybridization to determine and localize the expression of CYP7B mRNA in human benign prostatic hyperplasia. High levels of CYP7B mRNA were localized in the epithelial cells together with estrogen receptor ß (ERß). 7
-Hydroxylation was the major metabolic fate of DHEA in human prostate. Furthermore, we have shown that human prostate epithelial cells in primary culture maintain a high level of 7
-hydroxylase activity, which was enhanced by coculture with stroma cells. To investigate the functional relevance of CYP7B expression to sex-steroid action in prostate, we used transient transfections and ligand binding assay to determine the ability of 7HD to bind and activate the sex-steroid receptors: androgen receptor, ER
, and ERß. 7HD specifically activates ERß-mediated transcription, mimicking the effects of 17ß-estradiol, but has no impact on ER
and androgen receptor. Given that DHEA, and its sulfate, circulate at micromolar concentrations, there is a clear possibility that CYP7B generates sufficient 7HD to activate ERß over and above that achieved with very low concentrations of intraprostatic 17ß-estradiol. In conclusion, our study suggests that CYP7B catalyzes oxysterol 7
-hydroxylation within the human prostate epithelium. By this reaction, an ERß-specific agonist, 7HD, is produced. Therefore, CYP7B may be a novel regulator of the androgens/estrogenic balance within the prostate.
| Introduction |
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and ERß. The two receptors differ in their binding affinity for a variety of estrogenic compounds and in their sublocalization in the human prostate (10, 11, 12, 13). ER
is expressed only at low levels and is confined to the stroma, where it may influence epithelial growth in a paracrine manner (14). In contrast, ERß is highly expressed in prostatic epithelium (13). The role of ERß in human prostate is not clear. In one study, ERß knockout mice have been reported to develop prostatic hyperplasia with age (15), suggesting antiproliferative functions. However, other ERß knockout models do not have this prostate phenotype. Although these studies show distinct roles for ER
and ERß, they do not establish the identity of the ligand responsible for these estrogenic actions. Whereas E2 may be the major ligand for ERß in most target cells, the levels of E2 in human prostate are probably too low to activate the receptors (16). This raises the possibility that other estrogenic ligands produced locally in the prostate might be responsible for ERß estrogenic activity. Indeed, local steroid metabolism is an important determinant of steroid action in various organs (17). Thus, local metabolism in prostate may be a key to steroid biological activity.
Recently, we have shown that CYP7B, a novel cytochrome P450 identified in rodent hippocampus (18, 19) that catalyzes the 7
-hydroxylation of DHEA to 7
-hydroxy-DHEA (7HD), is highly expressed in rodent prostate (20). 7
-Hydroxylase (CYP7B) is the only route for the 7
-hydroxylation of DHEA, as confirmed by the CYP7B knockout animals (21, 22, 23), which show no residual DHEA 7
-hydroxylation in prostate and brain (22). Moreover, Gustafsson and colleagues (23) have found that the prostate of CYP7B knockout mice are smaller than those of their wild-type littermates, suggesting that CYP7B is an important element regulating prostatic growth. CYP7B is unusual among P450s in being much more highly expressed in specific extrahepatic tissues, notably hippocampus and prostate (19), than in the liver. 7
-Hydroxylase activity has also been reported in humans (24). But the enzyme(s) responsible for this reaction in most tissues is unknown.
In the present study, we have investigated the expression of CYP7B in human prostate and demonstrated that 7
-hydroxylation is a major route for DHEA metabolism in human prostate producing 7HD. Furthermore, reporter gene experiments have shown that 7HD specifically activates ERß.
| Subjects and Methods |
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Paraffin-embedded archival prostate tissues from BPH patients were provided by the Department of Pathology (Western General Hospital, Edinburgh, UK). Fresh prostate samples for CYP7B activity measurements and cell culture were obtained from patients (aged 5670 yr) undergoing transurethral resection of the prostate who have not been treated with hormone ablation. No biopsy samples were used in this study. Randomly selected prostate chips from each specimen were evaluated histopathologically to establish their benign status and the presence of hyperplasia. Only samples taken with informed consent were studied, and our protocol was approved by the local Research Ethics Committee.
Steroids
[1,2,6,7-3H]4-DHEA (60 Ci/mmol), [4-14C]-DHEA (53.8 mCi/mmol), and [1,2-3H]2-5
-androstenediol (A/enediol) (42 Ci/mmol) were purchased from NEN Life Science Products (Boston, MA), and [2, 4, 6, 7-3H]4-E2 was purchased from Perkin-Elmer Life Sciences (Boston, MA). Nonradioactive steroids and clotrimazole were obtained from Sigma-Aldrich (Poole, UK). 7HD was purchased from Steraloids, Inc. (Newport, RI). Trilostane was kindly provided by Sanofi Winthrop Development Centre (Newcastle Upon Tyne, UK), and ICI 182,780 was purchased from Tocris (Bristol, UK).
7
-Hydroxylase activity
7
-Hydroxylase activity was measured in whole human prostate pieces. Surgical BPH samples were incubated at 37 C for up to 48 h in RPMI 1640 medium supplemented with 5% dextran-coated charcoal-stripped fetal calf serum and the radiolabeled steroid substrates at a concentration of 0.3 µM. Steroids were extracted from the medium with ethyl acetate, dried, and stored at 20 C until analysis. Recovery was approximately 90% (20). The DHEA-to-7HD conversion was assessed by TLC (thin-layer chromatography) as previously described (20) and quantified using a phosphor imager (FLA-2000, Fujifilm, Raytek Scientific, Ltd., Sheffield, UK).
HPLC
HPLC (Waters, Herts, UK) with on-line scintillation counting (Berthold, Leeds, UK) was carried out with a reverse-phase C18 column (Luna, Phenomenex, Cheshire, UK) using a mobile phase (H2O, methanol and acetonitrile, 55:25:20, by volume at 1 ml/min) that gave retention times for 7HD and DHEA at 7 min and 24 min, respectively (20).
RNA extraction
Total RNA was isolated from human prostate tissue and cells as described previously (25), resuspended in ribonuclease (RNase)-free H2O, and stored at 70 C. All samples had intact 18S and 28S RNAs, as judged by ethidium bromide staining after agarose gel electrophoresis.
Oligonucleotide primers, reverse transcription (RT), and PCR amplification of CYP7B cDNA
5' and 3' primers for PCR (Oswel DNA Service, Southampton, UK) were 5'-dAAGCCTAAATGATGTGCTCC-3' and 5'-dGAGTGGTCCTGAACTTACG-3', corresponding to nucleotides 329347 and 10061025, respectively, of the human CYP7B cDNA (26). RT was carried out in 20 µl containing 10 mM Tris-HCl (pH 9.0), 50 mM KCl, 2.5 mM MgCl2, 0.1% (wt/vol) Triton X-100, 1 mM deoxynucleotide 5'-triphosphates, 10 U of RNase inhibitor (Promega, Southampton, UK), 1 µg total RNA, 12 U avian myeloblastosis virus reverse transcriptase (Promega), and 0.1 nmol 3' PCR primer. Reactions were incubated for 10 min at room temperature, followed by 30 min at 42 C, then 95 C for 5 min (to inactivate the reverse transcriptase). Subsequent PCR amplification was carried out by adding 80 µl of buffer containing 50 mM KCl, 10 mM Tris-HCl (pH 9.0), 2.5 mM MgCl2, 0.2 mM deoxynucleotide triphosphates, 0.1 nmol of 5' PCR primer, and 2.5 U Taq polymerase (Promega, Southampton, UK). After a "hot start" of 5 min at 94 C, 30 cycles of PCR were carried out: 94 C for 1 min, 56 C for 1 min, and 72 C for 1 min followed by 72 C for 10 min. Amplified products were analyzed by electrophoresis on 1% (wt/vol) agarose gels. No products were detected in reactions from which reverse transcriptase had been omitted.
Cloning and sequencing of RT-PCR products
PCR products were subcloned into pGEM-(T) Easy (Promega) and sequenced on both strands.
CYP7B probe for mRNA in situ hybridization
CYP7B PCR fragment subcloned into pGEM-(T) Easy was used as a template for SP6 or T7 RNA polymerase to generate the antisense and sense cRNA probes as previously described (27).
CYP7B mRNA in situ hybridization
Paraffin-embedded sections (5 µm) were deparaffinized in xylene, soaked in PBS, and treated with proteinase K treatment in PBS (20 mg/ml) for 10 min at 37 C. Sections were fixed in 4% paraformaldehyde (vol/vol) for 20 min, then treated with 0.25% acetic anhydride (vol/vol) in 0.1 M triethanolamine for 10 min. Hybridization with digoxigenin (DIG)-labeled riboprobes at 50 C for 1416 h in moist chamber, RNase A treatment, and washing were as previously described (27). After hybridization, DIG-labeled riboprobes were visualized using DIG-alkaline phosphatase-conjugated antibody at 1:2500 (Roche Molecular Biochemicals, Lewes, UK) for 30 min at room temperature, washed, and developed overnight using a Roche Molecular Biochemicals developing reagent. Nonspecific hybridization was determined by incubation with a DIG-labeled sense probe under identical conditions.
ERß immunohistochemistry
Immunohistochemistry study was carried out as previously described (28) using a commercial monoclonal antibody against human ERß (hERß) (Serotec, Oxford, UK).
Primary cell cultures of prostate
BPH chips were used to establish primary cultures of separated stroma and epithelial cells (29, 30). Cocultures of epithelial and stroma cells was as previously described (30).
Luciferase reporter assays
COS-1 cells and HepG2 cells were maintained in high-glucose DMEM containing penicillin (25 U/ml), streptomycin (25 µg/ml), and 10% fetal calf serum (vol/vol). Cells were seeded at a density of 5 x 105 cells/dish and left to adhere overnight. On the day of the transfection, the medium was replaced with DMEM lacking phenol red supplemented with 10% dextran-coated charcoal-stripped fetal calf serum (vol/vol). Transfections were carried out using the calcium phosphate procedure according to standard protocols with 10 µg DNA [1 µg expression plasmid, 15 µg reporter plasmid, 1 µg pCH110 encoding ß-galactosidase used as internal control (Pharmacia, Milton Keynes, UK), and 37 µg pGEM3]. Expression plasmids were as follows: the mouse ER
[mER
; gift from Professor M. Parker, Imperial College London, London, UK (31)], hERß [from Dr. R. White, Imperial College London, London, UK (32)], and human androgen receptor (AR) (pSVARo, from Professor A. Brinkmann, Erasmus University, Rotterdam, Holland). mER
shows 88% identity with the hERß, and both species have the same selectivity for the majority of the steroids. Reporter plasmids were as follows: estrogen response element (ERE)-TK-Luc (gift From Dr. V. Giguere, McGill University, Montreal, Canada) for estrogen responsivity and prostate-specific antigen (PSA) (PSA61-luc, Professor J. Trapman, Erasmus University, Rotterdam, Holland) for androgen responsivity. After 24 h, the medium was changed, and the cells were treated with steroid [E2, 5
-dihydrotestosterone (DHT), 7HD, or an appropriate concentration of ethanol]. After cell lysis, luciferase and ß-galactosidase activities were measured as described (33). Data are expressed as relative luciferase/ß-galactosidase and are means ± SEM from at least three independent experiments.
Ligand-competition studies
hERß clone was synthesized in vitro using the TnT-coupled reticulocyte lysate system following manufacturer instructions (Promega). Translation reaction mixtures were diluted five times with TEDGMo buffer (40 mM Tris/Hcl, pH 7.4/1 mM EDTA/10% (vol/vol) glycerol/10 mM Na2MoO4/10 mM dithiothreitol), and 0.1-ml aliquots were incubated for 16 h at 4 C with 0.5 nM [2,4,6,7-3H]4-E2 (specific radioactivity, 89 Ci/mmol) in presence of either 0, 1, 5, 10, 20, 50, or 250 µM 7HD. Bound and unbound steroids were separated by filtration.
Statistics
Statistical comparisons (SigmaStat, SPSS, Inc., Chicago, IL) were by ANOVA and the rank sum test. Significance was set at P < 0.05.
| Results |
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To determine whether CYP7B activity is present in human prostate, we measured DHEA metabolism in whole prostate chips. DHEA has been reported previously to be the best substrate for recombinant CYP7B in vitro (19). 7
-Hydroxylation of DHEA and A/enediol was clearly detectable in chips of whole human prostate and was time-dependent (Fig. 2
). The radioactive compound marked "E" (Fig. 2
) comigrated in an identical manner with unlabeled commercial reference compound, 7
-hydroxy-DHEA, with the major product of DHEA metabolism by protein extracts from HeLa cells transfected with recombinant CYP7B and also with the rat prostate product of DHEA metabolism, as previously described (20) (data not shown). A/enediol and 5
-androstenedione (both in spot "B") were also produced from DHEA, as previously reported in prostate tissue (34). Of all the new radioactive compounds produced from DHEA, the products of CYP7B represent 50% (of which 9% are 3ß-7
-17ß-androstenetriol), and only 37% were products of 3ß-hydroxysteroid dehydrogenase (HSD) and 17ß-HSD. For a better separation of the different labeled compounds produced during the reaction, we analyzed them by HPLC using cold steroid standards. 7
-Hydroxylation of DHEA by human prostate chips was inhibited by clotrimazole (1 µM), confirming that the production of 7HD was P450 dependent (Fig. 2
). Production of the minor products "C" and "D" was also reduced in the presence of clotrimazole, suggesting that they are also the products of a P450 enzyme. Trilostane, which specifically inhibits 3ß-HSD activity, increased radioactive 7HD production by 49 ± 23%, P < 0.05 (Fig. 2
), although it successfully blocked the production of A/anedione. Minor products "C" and "D" were not affected by trilostane. The 7
-hydroxylation of DHEA observed in human prostate was consistent with it being the product of CYP7B metabolism.
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To verify the expression of CYP7B in prostate, RT-PCR was carried out on RNA from four different human prostate samples. CYP7B-specific primers amplified the expected 696-bp fragment (Fig. 3
). The identity of the PCR product was verified by digestion with HindIII, Pst1, and Ssp1, which produced the predicted fragments (Fig. 3
). Sequencing of the subcloned PCR product confirmed its identity as human CYP7B (26).
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To determine the site of CYP7B mRNA expression in the human prostate, in situ mRNA hybridization was carried out on paraffin-embedded sections of prostate using cRNA probe generated from the subcloned PCR product. CYP7B mRNA was highly expressed in the epithelium with very little expression in the stroma and in the vasculature (Fig. 4A
). Control sections hybridized to sense RNA probe showed low background levels of hybridization (Fig. 4B
). We also determined the localization of ERß in human prostate samples using a specific ERß antibody (Fig. 4C
). Interestingly, ERß was also expressed in the epithelial cells, predominantly in basal regions of the epithelium as confirmed by high-molecular-weight cytokeratins labeling. This result suggests a coexpression of ERß with CYP7B.
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Both CYP7B mRNA and 7
-hydroxylase activity were detected in primary culture of human prostate epithelial cells (Fig. 5
). Moreover, epithelial CYP7B activity was enhanced after 5 d of coculture of epithelial cells with stroma cells (P < 0.001; Fig. 5C
), suggesting that high epithelial expression of CYP7B is dependent on a diffusible factor produced by coculture of stroma and epithelial cells. No CYP7B mRNA was found in the stroma cells alone, consistent with the in situ hybridization findings that CYP7B mRNA is restricted to the epithelium.
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or AR
To further assess the possible function of the CYP7B product 7HD, we analyzed its ability to transactivate ER
, ERß, and AR in a cotransfection assay with estrogen- and androgen-responsive reporter genes. Both COS-1 cells and HepG2 cells were used, and both these cell lines require exogenous AR, ER
, and ERß to activate androgen (PSA) or estrogen-responsive reporter genes (ERE). In primary experiments, maximal activation of ER
by E2 was found with 10 nM E2, whereas maximal activation of ERß was obtained with 50 nM E2. Remarkably, 7HD also activated ERß (Fig. 6
, A and B). 7HD significantly activated ERß-mediated transcription with an EC50 of 6.2 µM. 7HD transcriptional activity effect was additive to a subminimal dose of E2 (0.1 nM; P < 0.01) (Fig. 6B
). This effect was specific for ERß because a similar concentration of 7HD caused only a minimal, nonspecific activation of ER
(Fig. 6C
). Moreover, 7HD was unable to activate AR-dependent transcription of a PSA-luciferase reporter, whereas DHT clearly produced strong activation (Fig. 6D
). To confirm that 7HD is activating transcription through ER, we used the specific antiestrogen ICI 182,780. As expected, ICI 182,780 (1 µM) alone could not stimulate ER
or ERß activity but completely abolished both E2 and 7HD-induced transcription of luciferase in cells cotransfected with ER
or ERß receptors (Fig. 6B
).
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| Discussion |
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or AR, suggesting that 7HD may act as an endogenous ligand for ERß in the human prostate. Together, the data support the notion that CYP7B generates active steroids within the prostate that may affect the intracrine estrogen:androgen balance and, potentially, pathogenesis.
7
-Hydroxylation of DHEA in humans has been known about for many years, initially with the identification of 7HD in urine (35, 36) and subsequently with the detection of 7HD production in skin, brain, mammary tissue, and fetal tissues (37, 38). 7
-Hydroxylation of 3ß-hydroxysteroids in prostate has been previously described, but the enzyme(s) responsible were hitherto unidentified (24, 39). In the present study, we used a combination of RT-PCR, in situ hybridization, biochemical, and cell culture approaches to show that CYP7B mRNA, along with its functional enzyme activity, is localized to the epithelium. Whereas this report confirms that CYP7B is a prime candidate to catalyze the 7
-hydroxylation in prostate, other enzymes might conceivably also be involved. However, mice lacking CYP7B show absolutely no residual 7
- (or 7ß-) hydroxylation of DHEA in prostate (22), confirming that CYP7B is the only enzyme involved.
7
-Hydroxylation of DHEA is restricted to prostate epithelial cells in vivo and in vitro. This is the first report demonstrating a steroid-metabolizing enzyme associated exclusively with one type of tissue in the prostate, raising the possibility that 7HD activity might be confined exclusively to the epithelium. Our cotransfection assays show that 7HD is able to activate ERß, which is also localized in the epithelium (12, 13). At subminimal concentrations of E2, 7HDs effect on ERß is additive to E2. Although 7HD was clearly much less potent than E2, it achieved similar maximal activation of ERß. Given that DHEA, and its sulfate, circulate at micromolar concentrations, whereas serum estrogens are at picomolar levels, there is a clear possibility that CYP7B generates sufficient 7HD within the prostatic epithelia to activate ERß over and above that achieved the very low concentrations of intraprostatic E2 (40). Indeed, it is conceivable that 7HD may be a more important ERß ligand than E2 itself. A similar proposal has been advanced for 5
-androstanediol, which is also an ERß ligand locally produced in the prostate (15, 23, 41). Both 7HD and 5
-androstanediol can add to the low level of E2 in the prostate to activate ERß. The data reported herein support the notion that DHEA is a prohormone and 7HD is its active metabolite. In the presence of CYP7B, DHEA is metabolized to an estrogenic steroid acting as an ERß agonist, 7HD, which may influence the prostatic growth and pathogenesis.
Interestingly, epithelial CYP7B activity was enhanced by coculture of epithelial and stroma cells. Whether this reflects a differentiation effect in epithelia in cocultures or is a result of a cross-talk signaling between stromal and epithelial cells is uncertain. Previous characterizations of prostate cocultures suggest the presence of diffusible factors produced by one cell type, which in turn influences the differentiation and gene expression of the other (30, 42, 43). It is conceivable that the cross-talk between stromal and epithelial components of the prostate is an important regulator of DHEA metabolism and may therefore modulate the hormonal status of the gland.
The possibility of a biological role for 7HD, in prostate and elsewhere, has so far been unconfirmed, and any attempt to elucidate this problem has been hampered by the lack of an established receptor for 7HD. The findings reported here might overcome this impasse and establish a function for 7HD in the prostate. Recent studies have shown that CYP7B expression decreases during development in rodents (44) and is also altered by stress and in Alzheimers disease (45, 46), suggesting that the expression of CYP7B may change in response to environmental signals and during aging, at least in the brain. Loss of prostatic CYP7B may alter the balance between estrogens and androgens, favoring androgenic over estrogenic pathways, by reducing synthesis of the selective ERß agonist. Concomitantly, any decrease of CYP7B expression increases the availability of native DHEA within the prostate for synthesis of potent androgens. The exact effects of 7HD binding to ERß on human prostate epithelium and whole prostate are still unknown. One possible role for ERß, as shown in bone, is to modulate ER
-mediated gene transcription (47). Reporter gene assays have demonstrated that ERß has the capacity to repress the transcriptional activity of ER
(48). By binding to ERß, 7HD can modulate ER
activity in the stroma compartment and therefore can control the growth of the stroma cells. Also, ERß is suggested to play a role in the differentiation and proliferation of the prostate cells as well as to modulate both the initial phases of prostate carcinogenesis and androgen-dependent tumor growth (49). Thus, CYP7B may have a significant role in the regulation of the intraprostatic concentration of active steroids and may be a useful tool in the prevention or clinical management of prostate diseases.
| Acknowledgments |
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| Footnotes |
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Abbreviations: A/enediol, [1,2-3H]2-5
-Androstenediol; AR, androgen receptor; BPH, benign prostatic hyperplasia; DHEA, dehydroepiandrosterone; DHT, 5
-dihydrotestosterone; DIG, digoxigenin; E2, 17ß-estradiol; ER, estrogen receptor; ERE, estrogen response element; h, human; 7HD, 7
-hydroxy-DHEA; HSD, hydroxysteroid dehydrogenase; m, mouse; PSA, prostate-specific antigen; RNase, ribonuclease; RT, reverse transcription; TLC, thin-layer chromatography.
Received October 22, 2003.
Accepted February 23, 2004.
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transcriptional activity and is a key regulator of the cellular response to estrogens and antiestrogens. Endocrinology 140:55665578This article has been cited by other articles:
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