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Accepted Preprint first posted online on 4 March 2009

Endocrine-Related Cancer 2009;16:549.

DOI: 10.1677/ERC-08-0232
Copyright © 2009 by the Society for Endocrinology.
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RESEARCH

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 Vuorenoja, Bidut Mohanty, Johanna Arola, Ilpo Huhtaniemi, Jorma Toppari and Nafis Rahman

S Vuorenoja, Physiology, University of Turku, Turku, Finland
B Mohanty, Physiology, University of Turku, Turku, Finland
J Arola, University of Helsinki, Department of Pathology, Helsinki, Finland
I Huhtaniemi, Department of Reproductive Biology, Imperial College, London, United Kingdom
J Toppari, Departments of Physiology and Pediatrics, University of Turku, Turku, Finland
N Rahman, Physiology, University of Turku, Turku, 20520, Finland

Correspondence: Nafis Rahman, Email: nafis.rahman{at}utu.fi

Abstract

Lytic peptide Hecate (23-AA) fused with a 15-AA fragment of human chorionic gonadotropin-β (CGβ), Hecate-CGβ conjugate (H-CGβ-c) selectively binds to and destroys tumor cells expressing luteinizing hormone/chorionic gonadotropin receptor (Lhcgr). Transgenic (TG) 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 mg 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 to controls (330 +/- 70 mg). Adrenal morphometry, cell proliferation markers, post-treatment suppression of serum progesterone and qRT-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 gonadotrophin 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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Mol Hum ReprodHome page
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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Copyright © 2009 by the Society for Endocrinology.