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Department of Medicine (Division of Hematology, Oncology, and Transplantation) and Pharmacology, Masonic Cancer Center, University of Minnesota, MMC 806, 420 Delaware Street, Minneapolis, Minnesota 55455, USA
(Correspondence should be addressed to C A Lange; Email: lange047{at}umn.edu)
| Abstract |
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| Introduction |
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| PR interacts with c-Src and the MAP kinase module |
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(ER) independently interact with the c-Src SH3 (PR) and SH2 (ER) domains.
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A putative common-docking (CD) domain has recently been identified in the N-terminal BUS unique to PR-B. MAPKs, such as ERK1/2, interact with their upstream activators, MAPK kinases (MKKs), such as MEK1, through CD domains (Rubinfeld et al. 1999, Tanoue et al. 2000). MEK1 binding to the MAPK CD domain may serve to anchor MAPK in the cytoplasm of unstimulated cells (Rubinfeld et al. 1999). CD domains are characterized by a cluster of negatively charged amino acids (DxxD/E) thought to interact with positively charged amino acids on the partner protein. MKKs, MAPK phosphatases (MKPs), and other associated downstream kinases contain positively charged D domains (Tanoue et al. 2000, Ranganathan et al. 2006). CD domains, which are conserved throughout the MAPK family, contribute to the binding specificity of MAPKs with their respective MKKs. The putative CD domain within PR, DPSDE, exactly matches that of ERK2 and predicts direct PR binding to MEK1. We were able to detect endogenous PR/MEK1 interactions in T47D cells (Hagan et al. 2008). The functional significance of the PR CD domain is currently under investigation; PR/MEK1 complexes may stabilize, localize, and/or act to recruit MAPKs, in order to mediate post-translational phosphorylation events (i.e. at PR Ser294 and Ser345 MAPK consensus sites) required for nuclear PR actions. The interaction between PR/MEK1 may act as a scaffold to position MEK1 in close proximity to key components of the MAPK-signaling pathway (c-Src, EGFR, and ERK2) known to be rapidly activated by ligand-bound PR.
In summary, PRs contain multiple distinct domains (proline-rich, ERID-I and -II, and CD domain) that facilitate interactions with membrane-associated or cytoplasmic kinases, thereby modifying downstream signaling events. The significance of PR's role in extra-nuclear signaling, such as ERK1/2 activation, is supported by the presence of numerous protein kinase-interacting and scaffolding domains. PR's rapid signaling is fully integrated with its genomic actions as progesterone-activated protein kinases in turn directly phosphorylate PR and its coregulatory molecules leading to changes in gene regulation (Narayanan et al. 2005a, Daniel et al. 2007b, Faivre et al. 2008). Additionally, the PR DBD and the polyproline motif clearly contribute to the proliferative actions of progesterone (Faivre & Lange 2007).
| PR interacts with cyclins, cyclin-dependent kinases, and cell-cycle inhibitors |
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Acute exposure of cultured breast cancer cells to progestin rapidly upregulates cyclin D and initiates one or more rounds of cell-cycle progression, yet prolonged progesterone exposure subsequently induces growth arrest and insensitivity to further progesterone treatment. Progestin treatment is associated with upregulation of tyrosine kinase (erb B) growth factor receptors, in effect priming cells for alternate mitogenic stimuli such as EGF or heregulin (Musgrove et al. 1993, Groshong et al. 1997, Lange et al. 1998, 1999, Labriola et al. 2003, Lange 2004). By contrast, Musgrove et al. (1998) reported that long-term exposure of breast cancer cell lines to progestins resulted in decreased overall cyclin D1, cyclin D3, and cyclin E expressions as well as the inhibition of cyclin D1/CDK4, cyclin D3/CDK4, and cyclin E/CDK2 complex kinase activities. Breast cancer cells, which are continuously exposed to progestin, show increased expression of the CDK inhibitors p21Cip1 and p27Kip1 (Groshong et al. 1997) and increased association of cyclin E/CDK2 complexes with p27Kip1 (Musgrove et al. 1998). Addition of exogenous cyclin D1 to progestin-inhibited cells reinitiates cell-cycle progression and causes the return of CDK2 activity (Musgrove et al. 1998). These data suggest that one function of cyclin D1 overexpression in breast cancer cells may be to provide a sink for upregulated p27Kip1, thereby removing it from cyclin E/CDK2 complexes. Similarly, cells that continually overexpress cyclin D1 were not cell-cycle inhibited following long-term progestin treatment, yet showed increases in the proportion of cyclin E/CDK2 complexes associated with p27Kip1. These data suggest that cyclin D may also contribute to progestin-regulated cell-cycle progression by mechanisms that are independent of its ability to bind and sequester p27Kip1 (Musgrove et al. 2001). While cyclin E/CDK2 complex kinase activity is generally hindered by elevated p27Kip1, cyclin D/CDK4 complexes are sensitive to the CDK4/6 inhibitor p18INK4. Exposure of T47D cells to progestin increased p18INK4 expression leading to the inhibition of both cyclin E/CDK2 activity and cell-cycle progression (Swarbrick et al. 2000). Thus, chronic exposure of epithelial-derived breast cancer cells to progestin results in the upregulation of multiple CDK inhibitors that may initially nucleate and activate cyclin/CDK complexes (LaBaer et al. 1997), but ultimately decreases the activity of cyclin E/CDK2 and blocks cell-cycle progression (i.e. in the absence of other mitogenic stimuli). Overexpression of cyclin D, E, or A molecules or the loss of p21Cip1 or p27Kip1 in PR-positive breast cancer is predicted to bypass these cell-cycle controls (Musgrove et al. 1998). Additionally, these data are relevant to understanding the consequences of cyclical (i.e. as in menarche) versus chronic administration (i.e. as during post-menopausal hormone replacement therapy) of progestins; translation of these studies to the clinic must consider the complex biphasic actions of progesterone on breast epithelial cells.
| CDK2-dependent regulation of PR Ser400 |
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| Phosphorylation of PR MAPK sites mediates promoter selectivity |
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PR phosphorylation at Ser294 contributes to the regulation of hormone responsiveness, in part by directing promoter selectivity through a mechanism of PR sumoylation/desumoylation. Activation of the MAPK (ERK1/2) signaling pathway by growth factor receptor tyrosine kinases (e.g. via EGF; Qiu et al. 2003) or progestin-dependent PR/c-Src rapid signaling results in PR Ser294 phosphorylation (Shen et al. 2001, Skildum et al. 2005). Breast cancer cells (T47D) pretreated for 15–30 min with EGF prior to progestin exposure displayed heightened PR transcriptional activity relative to growth factor naive cells (Qiu & Lange 2003); cells expressing phospho-mutant S294A PR remained insensitive to EGF pretreatment (Qiu & Lange 2003, Daniel et al. 2007b). The insensitivity of mutant S294A PR to growth factors suggests that phosphorylation at Ser294 may induce PR hypersensitivity to low-progestin concentrations relative to non-phosphorylated receptors. Notably, S294A phospho-mutant PRs often exhibit impaired transcriptional responses when stably expressed (i.e. at levels comparable with endogenous PRs; Shen et al. 2001). However, decreased transcriptional activities are overcome when S294A PR is expressed at high concentrations (i.e. as in transient transfection assays; Shen et al. 2001, Qiu & Lange 2003). Thus, progestin and/or growth factor-induced phosphorylation on Ser294 may function to block/remove a repressive modification of PR in association with PRE-driven promoters, perhaps mediated by a limiting factor(s).
Related to these findings, transcriptional repression of target genes is often mediated by sumoylated transcription factors, and many transcription factors are modified by small ubiquitin-like modifier (SUMO) attachment in a phosphorylation-dependent manner (e.g. ELK-1, c-FOS, and AIB1; Yang et al. 2003, Bossis et al. 2005, Wu et al. 2006). SUMO (
10 kDa) can be reversibly attached to lysine residues of target proteins thereby altering protein–protein interactions, subcellular localization, stability, and/or transcriptional activity (reviewed in Geiss-Friedlander & Melchior (2007)). Sumoylation, similar to ubiquitination, is a post-translational event requiring an enzymatic cascade in which SUMO molecules are processed and attached to target proteins via E1, E2 (UBC9), and E3 enzymes. The enzymes responsible for desumoylation, SENPs, are regulated in a hormone-dependent manner in prostate (Cheng et al. 2006) and mammary epithelial cells (Daniel et al. 2007a). A subset of PR is sumoylated at Lys388 in response to treatment with progestins (Abdel-Hafiz et al. 2002). The SUMO-deficient mutant receptor, K388R PR, displays tenfold increased transcriptional activity when expressed in breast cancer cells either transiently or stably (Abdel-Hafiz et al. 2002, Daniel et al. 2007a). Additionally, sub-physiological concentrations of progestin (10–11 M R5020) activated SUMO-deficient (20-fold) but not wild-type PR-B in breast cancer cells (Daniel et al. 2007a), demonstrating that K388R PR-B is transcriptionally hyperactive relative to the wild-type receptor. Alternatively, phospho-mutant S294A PR-B functions as a weak transcription factor and is more sumoylated relative to wt PR. These data suggest that sumoylation at PR Lys388 results in transcriptional repression, while phosphorylation at Ser294 reverses this effect. Indeed, Daniel et al. (2007a) have recently demonstrated that PR Ser294 phosphorylation negatively regulates sumoylation at PR Lys388.
PR-B sumoylation occurs in response to both progestin and anti-progestin (Chauchereau et al. 2003, Daniel et al. 2007a). EGF pretreatment of cells induced ERK1/2 activation, phosphorylation of Ser294, and PR-B desumoylation (Daniel et al. 2007a), whereas EGF-naive cells were not persistently phosphorylated at Ser294 and retained PR-B sumoylation in the presence of ligand. Forced phosphorylation at PR Ser294, via expression of constitutively active CDK2 (CDK2-TY) or MEK-1, blocked ligand-induced PR sumoylation, creating a hyperactive receptor; Ser294-dephosphorylated PR remained heavily sumoylated (Daniel et al. 2007a). These data indicate that PR sumoylation/desumoylation provides a phosphorylation-dependent mechanism for rapid derepression of PR transcriptional activity. PR Lys388 sumoylation shifts the progestin dose–response curve to the right, while Ser294 phosphorylation reverses this effect.
Sumoylated (S294A) PR are transcriptionally repressed relative to desumoylated (i.e. phosphorylated wild-type or K388R) receptors on selected endogenous promoters. Daniel et al. (2007a) showed HB-EGF, an endogenous PR target gene, was upregulated fivefold by SUMO-deficient K388R PR-B compared with wild-type following progestin treatment. Interestingly, IRS-1 expression was insensitive to progestin, but dependent upon PR-B Ser294 phosphorylation (Qiu & Lange 2003), and IRS-1 is upregulated in breast cancer cells stably expressing SUMO-deficient PR (unpublished observation). Other endogenous classical PR target genes, such as tissue factor (Kato et al. 2005), MUC1 (Brayman et al. 2006), and SGK (Jeong et al. 2005), are regulated similarly by both wild-type or sumo-deficient K388R PR-B (Daniel et al. (2007a) and unpublished observations). These data demonstrate that PR-B Ser294 phosphorylation or Lys388 sumoylation can dramatically affect transcriptional activation at a subset of endogenous PR-regulated promoters, yet have no effect on others. The underlying mechanism for PR gene selectivity remains unknown, but likely involves SUMO-dependent recognition of complex sequences (that may be distant) in association with PRE- or PRE half-site-containing promoter regions and their associated proteins (Holmstrom et al. 2003).
Serine 345
The mechanism governing SR regulation of the so-called non-classical target genes lacking PREs is unknown. Of particular interest is how rapid signaling events may influence promoter selectivity. Recent work from Faivre et al. (2008) has uncovered a mechanism by which rapid progesterone/PR-initiated kinase signaling alters the phosphorylation state of PR resulting in the targeting of PR to SP1 sites in the promoter regions of endogenous genes. Following 10 min of progestin treatment, PR-B rapidly activated EGFR, c-Src, and MAPK signaling resulting in PR Ser345 phosphorylation in T47D cells (Faivre et al. 2008). PR Ser345 is a proline-directed MAPK consensus site located in the N-terminal region of the receptor. Phosphorylation of PR Ser345 is entirely ligand dependent (Fig. 2), yet completely blocked by inhibitors of EGFR, c-Src, and MAPK activity. To confirm that progestin-initiated rapid cytoplasmic signaling is required for PR Ser345 phosphorylation, the authors employed the mPro mutant PR lacking the polyproline motif required for PR interaction with c-Src (Boonyaratanakornkit et al. 2001). mPro PR-B fails to activate ERK1/2 MAPK and, in turn, these receptors do not undergo Ser345 phosphorylation. In the absence of progestins, EGF stimulation induced phosphorylation of a different PR MAPK consensus site, Ser294, but was unable to induce PR Ser345 phosphorylation indicating absolute specificity for progestin-initiated rapid signaling. Ligand-dependent PR/c-Src/MAPK complex formation and rapid signaling thus prime PR (i.e. via Ser345 phosphorylation) for downstream genomic actions (Figs 2 and 3).
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| Conclusions |
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| Declaration of interest |
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| Funding |
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| References |
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