Tamoxifen Modulates Apoptotic Pathways in Primary Endometrial Cell Cultures

Clinical data indicate that tamoxifen (TAM) therapy may cause an increased risk of endometrial pathology in postmenopausal but not in premenopausal women. Molecular mechanisms of the uterotrophic activity of TAM have not been clearly established nor its relevance to apoptosis in endometrial cells. T...

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Veröffentlicht in:Clinical cancer research 2001-02, Vol.7 (2), p.415-420
Hauptverfasser: STACKIEVICZ, Rodica, DRUCKER, Liat, RADNAY, Judith, BEYTH, Yoram, YARKONI, Shai, COHEN, Ilan
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container_issue 2
container_start_page 415
container_title Clinical cancer research
container_volume 7
creator STACKIEVICZ, Rodica
DRUCKER, Liat
RADNAY, Judith
BEYTH, Yoram
YARKONI, Shai
COHEN, Ilan
description Clinical data indicate that tamoxifen (TAM) therapy may cause an increased risk of endometrial pathology in postmenopausal but not in premenopausal women. Molecular mechanisms of the uterotrophic activity of TAM have not been clearly established nor its relevance to apoptosis in endometrial cells. The present study was implemented to evaluate the apoptotic effect of TAM on primary endometrial cell cultures in the presence or absence of steroid hormones (SHs). A total of 14 primary endometrial cell cultures were established and maintained both with and without SHs. Cell cultures were treated for 24 h with either 20μ m TAM or 10 n m estradiol. Apoptotic cells presented in a pre-G 1 peak and the expression of bcl-2 were studied using flow cytometry. All endometrial cell cultures maintained in a SH-containing environment, except one, responded to TAM by a significant increase ( P = 0.03) in the pre-G 1 cell fraction, indicating a proapoptotic effect. A significant ( P = 0.03) reduction in the pre-G 1 peak equivalent to an antiapoptotic response was observed in 6 of 13 cell cultures maintained in a SH-deficient environment. In 4 of 10 cell cultures evaluated in both media, the pre-G 1 population was medium dependent. In 8 of 10 cultures evaluated for Bcl2 levels, no trend was found in either media, but a dependency on SH content was observed. Comparison between effects of TAM and estradiol demonstrated identical trends, regardless of the menstrual phase or SH content in cell environments. These results suggest that TAM acts as an estrogen agonist on endometrial tissue in both environments. We conclude that TAM modulates apoptotic pathways in primary endometrial cell cultures. The SH content in the cell environment influences the apoptotic effect of TAM and determines the propensity for a cell to undergo apoptosis or, on the contrary, to resist apoptotic death in response to TAM treatment. This is in concordance with the observed clinical risk of endometrial pathologies in postmenopausal versus premenopausal women.
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Molecular mechanisms of the uterotrophic activity of TAM have not been clearly established nor its relevance to apoptosis in endometrial cells. The present study was implemented to evaluate the apoptotic effect of TAM on primary endometrial cell cultures in the presence or absence of steroid hormones (SHs). A total of 14 primary endometrial cell cultures were established and maintained both with and without SHs. Cell cultures were treated for 24 h with either 20μ m TAM or 10 n m estradiol. Apoptotic cells presented in a pre-G 1 peak and the expression of bcl-2 were studied using flow cytometry. All endometrial cell cultures maintained in a SH-containing environment, except one, responded to TAM by a significant increase ( P = 0.03) in the pre-G 1 cell fraction, indicating a proapoptotic effect. A significant ( P = 0.03) reduction in the pre-G 1 peak equivalent to an antiapoptotic response was observed in 6 of 13 cell cultures maintained in a SH-deficient environment. In 4 of 10 cell cultures evaluated in both media, the pre-G 1 population was medium dependent. In 8 of 10 cultures evaluated for Bcl2 levels, no trend was found in either media, but a dependency on SH content was observed. Comparison between effects of TAM and estradiol demonstrated identical trends, regardless of the menstrual phase or SH content in cell environments. These results suggest that TAM acts as an estrogen agonist on endometrial tissue in both environments. We conclude that TAM modulates apoptotic pathways in primary endometrial cell cultures. The SH content in the cell environment influences the apoptotic effect of TAM and determines the propensity for a cell to undergo apoptosis or, on the contrary, to resist apoptotic death in response to TAM treatment. 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Molecular mechanisms of the uterotrophic activity of TAM have not been clearly established nor its relevance to apoptosis in endometrial cells. The present study was implemented to evaluate the apoptotic effect of TAM on primary endometrial cell cultures in the presence or absence of steroid hormones (SHs). A total of 14 primary endometrial cell cultures were established and maintained both with and without SHs. Cell cultures were treated for 24 h with either 20μ m TAM or 10 n m estradiol. Apoptotic cells presented in a pre-G 1 peak and the expression of bcl-2 were studied using flow cytometry. All endometrial cell cultures maintained in a SH-containing environment, except one, responded to TAM by a significant increase ( P = 0.03) in the pre-G 1 cell fraction, indicating a proapoptotic effect. A significant ( P = 0.03) reduction in the pre-G 1 peak equivalent to an antiapoptotic response was observed in 6 of 13 cell cultures maintained in a SH-deficient environment. In 4 of 10 cell cultures evaluated in both media, the pre-G 1 population was medium dependent. In 8 of 10 cultures evaluated for Bcl2 levels, no trend was found in either media, but a dependency on SH content was observed. Comparison between effects of TAM and estradiol demonstrated identical trends, regardless of the menstrual phase or SH content in cell environments. These results suggest that TAM acts as an estrogen agonist on endometrial tissue in both environments. We conclude that TAM modulates apoptotic pathways in primary endometrial cell cultures. The SH content in the cell environment influences the apoptotic effect of TAM and determines the propensity for a cell to undergo apoptosis or, on the contrary, to resist apoptotic death in response to TAM treatment. 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Drug treatments</topic><topic>Proto-Oncogene Proteins c-bcl-2 - metabolism</topic><topic>Receptors, Estrogen - metabolism</topic><topic>Signal Transduction</topic><topic>Tamoxifen - pharmacology</topic><topic>Toxicity: urogenital system</topic><topic>Tumor Cells, Cultured</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STACKIEVICZ, Rodica</creatorcontrib><creatorcontrib>DRUCKER, Liat</creatorcontrib><creatorcontrib>RADNAY, Judith</creatorcontrib><creatorcontrib>BEYTH, Yoram</creatorcontrib><creatorcontrib>YARKONI, Shai</creatorcontrib><creatorcontrib>COHEN, Ilan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STACKIEVICZ, Rodica</au><au>DRUCKER, Liat</au><au>RADNAY, Judith</au><au>BEYTH, Yoram</au><au>YARKONI, Shai</au><au>COHEN, Ilan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tamoxifen Modulates Apoptotic Pathways in Primary Endometrial Cell Cultures</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2001-02-01</date><risdate>2001</risdate><volume>7</volume><issue>2</issue><spage>415</spage><epage>420</epage><pages>415-420</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><abstract>Clinical data indicate that tamoxifen (TAM) therapy may cause an increased risk of endometrial pathology in postmenopausal but not in premenopausal women. 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subjects Adult
Antineoplastic Agents, Hormonal - pharmacology
Apoptosis - drug effects
Biological and medical sciences
Cell Line
Drug toxicity and drugs side effects treatment
Endometrial Neoplasms - drug therapy
Endometrial Neoplasms - metabolism
Endometrium - cytology
Endometrium - drug effects
Endometrium - metabolism
Estradiol - pharmacology
Female
Humans
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Proto-Oncogene Proteins c-bcl-2 - metabolism
Receptors, Estrogen - metabolism
Signal Transduction
Tamoxifen - pharmacology
Toxicity: urogenital system
Tumor Cells, Cultured
title Tamoxifen Modulates Apoptotic Pathways in Primary Endometrial Cell Cultures
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