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Endocrine-Related Cancer 17 (1) 203 -213     DOI: 10.1677/ERC-09-0241
Copyright © 2010 by the Society for Endocrinology
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Glucocorticoid receptor over-expression promotes human small cell lung cancer apoptosis in vivo and thereby slows tumor growth

Paula Sommer, Rachel L Cowen2, Andrew Berry1, Ann Cookson1, Brian A Telfer2, Kaye J Williams2, Ian J Stratford2, Paul Kay1, Anne White1,3 and David W Ray1,3

School of Biological Sciences, University of KwaZulu-Natal, Westville Campus, Durban 4001, South Africa
1 Endocrine Sciences Research Group,
2 School of Pharmacy and Pharmaceutical Sciences, Faculty of Medical and Human Sciences
3 Faculty of Life Sciences, University of Manchester, AV Hill Building, Manchester, M13 9PT, UK

(Correspondence should be addressed to D W Ray; Email: david.w.ray{at}manchester.ac.uk; A White; Email: anne.white{at}manchester.ac.uk)

This is an Open Access article distributed under the terms of the Society for Endocrinology's Re-use Licence which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Small cell lung cancer (SCLC) is an aggressive tumor, associated with ectopic ACTH syndrome. We have shown that SCLC cells are glucocorticoid receptor (GR) deficient, and that restoration of GR expression confers glucocorticoid sensitivity and induces apoptosis in vitro. To determine the effects of GR expression in vivo, we characterized a mouse SCLC xenograft model that secretes ACTH precursor peptides, and so drives high circulating corticosterone concentrations (analogous to the ectopic ACTH syndrome). Infection of SCLC xenografts with GR-expressing adenovirus significantly slowed tumor growth compared with control virus infection. Time to fourfold initial tumor volume increased from a median of 9 days to 16 days (P=0.05; n=7 per group). Post-mortem analysis of GR-expressing tumors revealed a threefold increase in apoptotic (TUNEL positive) cells (P<0.01). Infection with the GR-expressing adenovirus caused a significant reduction in Bcl-2 and Bcl-xL transcripts. Furthermore, in both the GR-expressing adenovirus-infected cells and tumors, a significant number of uninfected cells underwent apoptosis, supporting a bystander cell killing effect. Therefore, GR expression is pro-apoptotic for human SCLCs in vivo, as well as in vitro, suggesting that loss of GR confers a survival advantage to SCLCs.







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