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Endocrine-Related Cancer 16 (2) 549 -564     DOI: 10.1677/ERC-08-0232
Copyright © 2009 by the Society for Endocrinology
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Hecate-CGβ conjugate and gonadotropin suppression shows two distinct mechanisms of action in the treatment of adrenocortical tumors in transgenic mice expressing Simian Virus 40 T antigen under inhibin-{alpha} promoter

Susanna Vuorenoja1,2, Bidut Prava Mohanty1, Johanna Arola3, Ilpo Huhtaniemi1,4, Jorma Toppari1,2 and Nafis A Rahman1

Departments of
1 Physiology
2 Pediatrics, University of Turku, Kiinamyllynkatu 10, FIN-20520 Turku, Finland
3 Department of Pathology, University of Helsinki and HUSLAB, Helsinki, Finland
4 Institute of Reproductive and Developmental Biology, Imperial College, London, UK

(Correspondence should be addressed to N A Rahman; Email: nafis.rahman{at}utu.fi)

Lytic peptide Hecate (23-amino acid (AA)) fused with a 15-AA fragment of human chorionic gonadotropin-β (CG-β), Hecate-CGβ conjugate (H-CGβ-c) selectively binds to and destroys tumor cells expressing LH/chorionic gonadotropin receptor (Lhcgr). Transgenic mice (6.5 month old) expressing SV40 T-antigen under the inhibin-{alpha} promoter (inh{alpha}/Tag) presenting with Lhcgr expressing adrenal tumors were treated either with H-CGβ-c, GnRH antagonist (GnRH-a), estradiol (E2; only females) or their combinations for 1 month. We expected that GnRH-a or E2 in combination with H-CGβ-c could improve the treatment efficacy especially in females by decreasing circulating LH and eliminating the potential competition of serum LH with the H-CGβ-c. GnRH-a and H-CGβ-c treatments were successful in males (adrenal weights 14±2.8 mg and 60±26 vs 237±59 mg in controls; P<0.05). Histopathologically, GnRH-a apparently destroyed the adrenal parenchyma leaving only the fibrotic capsule with few necrotic foci. In females, H-CGβ-c was totally ineffective, whereas GnRH-a (19±5 mg) or E2 (77±50 mg) significantly reduced the adrenal weights compared with controls (330±70 mg). Adrenal morphometry, cell proliferation markers, post-treatment suppression of serum progesterone, and quantitative RT-PCR of GATA-4, Lhcgr, and GATA-6 further supported the positive outcome. H-CGβ-c selectively killed the Lhcgr expressing tumor cells, whereas GnRH-a blocked tumor progression through gonadotropin suppression, emphasizing the gonadotropin dependency of these adrenocortical tumors. If extrapolated to humans, H-CGβ-c could be considered for the treatment of gonadotropin-dependent adrenal tumors in males, whereas in females gonadotropin suppression, but not H-CGβ-c, would work better.




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N. A. Rahman and C.V. Rao
Recent progress in luteinizing hormone/human chorionic gonadotrophin hormone research
Mol. Hum. Reprod., November 1, 2009; 15(11): 703 - 711.
[Abstract] [Full Text] [PDF]




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