anti-proliferation activity of a small molecule repressor of lrh-1 · 2014. 12. 3. · 1 can bind...
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Anti-proliferation activity of a small molecule repressor of LRH-1
Cesar Corzo, Yelenis Mari, Mi Ra Chang, Tanya Khan, Dana Kuruvilla, Philippe Nuhant, Naresh
Kumar, Graham M. West, Derek R. Duckett, William R. Roush, and Patrick R. Griffin
Departments of Molecular Therapeutics (C.C., Y.M., M.R.C., T.K., D.K., N.K., G.M.W., D.R.D., P.R.G.) and Chemistry (P.N., W.R.R.)
The Scripps Research Institute, Scripps Florida
Jupiter, FL33458, USA
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Running Title: LRH1 repression in cancer
Corresponding Author: Patrick R. Griffin, The Scripps Research Institute, Scripps, Florida,
130 Scripps Way, Jupiter, FL 33458, [email protected]
The number of text pages - 13
Number of tables - 1
Number of Figures - 6
Number of References - 31
Number of words in the:
Abstract - 184
Introduction – 748
Discussion – 584
Abbreviations: Liver receptor homolog 1 (LRH1), chromatin
immunoprecipitation (ChIP), nuclear receptor (NR), cytochrome p450 19 (Cyp19).
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ABSTRACT
The orphan nuclear receptor Liver Receptor Homolog 1 (LRH-1; NR5A2) is a potent
regulator of cholesterol metabolism and bile acid homeostasis. Recently, LRH-1 has been
shown to play an important role in intestinal inflammation and in the progression of ER positive
and negative breast cancers and pancreatic cancer. Structural studies have revealed that LRH-
1 can bind phospholipids and the dietary phospholipid DLPC activates LRH-1 activity in rodents.
Here we characterize the activity of a novel synthetic non-phospholipid small molecule
repressor of LRH-1, SR1848. In co-transfection studies SR1848 reduced LRH-1-dependent
expression of a reporter gene and in cells that endogenously express LRH-1, dose-dependently
reduced the expression of CyclinD1 and E1 resulting in inhibition of cell proliferation. The
cellular effects of SR1848 treatment are recapitulated following transfection of cells with siRNAs
targeting LRH-1. Immunocytochemistry analysis shows that SR1848 induces rapid translocation
of nuclear LRH-1 to the cytoplasm. Combined, these results suggest that SR1848 is a functional
repressor of LRH-1 impacting expression of genes involved in proliferation in LRH-1-expressing
cancers. Thus, SR1848 represents a novel chemical scaffold for the development of therapies
targeting malignancies driven by LRH-1.
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INTRODUCTION
Liver receptor homologue-1 (LRH-1; NR5A2) is a member of the NR5A subfamily of nuclear
receptors for which there are two members (Fayard et al, 2004). LRH-1 and steroidogenic
factor-1 (SF-1; NR5A1) both bind to identical DNA consensus sequences (response elements or
REs) in promoter regions of their target genes and both bind DNA as monomers (Krylova et al,
2005; Li et al, 2005; Solomon et al, 2005). LRH-1 and SF-1 are differentially expressed in
tissues and thus are likely to have non-overlapping, non-redundant functions. Whereas SF-1 is
confined to steroidogenic tissues where it plays a critical role in the regulation of development,
differentiation, steroidogenesis and sexual determination (Broadus et al, 1999; Lavorgna et al,
1991; Luo et al, 1994), LRH-1 is highly expressed in tissues of endodermal origin and is
essential for normal intestinal and pancreatic function. In the liver LRH-1 regulates cholesterol
metabolism and bile acid homeostasis (Francis et al, 2003). Most nuclear receptors (NRs)
require binding of ligand to become transcriptionally active, however LRH-1 appears to be
constitutively active when expressed in cells. A number of laboratories have identified the
presence of phospholipids in the ligand-binding pocket (LBP) of LRH-1 and their presence leads
to the recruitment of coactivators in vitro (Krylova et al, 2005; Li et al, 2005; Solomon et al,
2005), but whether phospholipids are endogenous ligands of LRH-1 remains unclear. Recently,
the dietary phospholipid DLPC was shown to activate LRH-1 activity in mice (Lee et al, 2011),
confirming that LRH-1 is capable of binding ligands (Musille et al, 2012) that can modulate its
activity in vivo.
In addition to the normal physiological processes already mentioned, LRH-1 also
transcriptionally regulates pathways involved in cancer development. The aromatase
cytochrome p450 (CYP19) regulates much of the post-menopause estrogen synthesis and
higher amounts of estrogen in the blood are linked to an increased risk of breast cancer
(Fabian, 2007; Key et al, 2011). Simpson and coworkers first reported high expression of LRH-1
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in preadipocytes and they associated LRH-1 expression with transcriptional activation of CYP19
(Clyne et al, 2002). In addition to aromatase regulation, LRH-1 was shown to contribute to
cancer progression by promoting motility and cell invasiveness of estrogen receptor (ER)-
positive and ER-negative breast cancer cell lines (Chand et al, 2010). In intestinal and
pancreatic cancer LRH-1 has been implicated in the regulation of cellular proliferation with a
tumor-promoting role. Overexpression of LRH-1 in murine pancreatic cells more than doubled
their growth rates and induced rapid colony formation in soft agar. LRH-1 mediated these
effects by acting synergistically with β-CATENIN to activate CyclinD1 and E1 expression.
Furthermore, these effects were reversed by introducing LRH-1 siRNA and by overexpression
of SHP, demonstrating LRH-1’s role in cell proliferation (Benod et al, 2011; Schoonjans et al,
2005). These studies were extended to examine the tumor-promoting role of LRH1 in two
independent mouse models of intestinal cancer as LRH1 expression is elevated in intestinal
crypt cells; APCmin/+ mice that were haplo-insufficient for LRH-1 displayed lower LRH-1
expression and significantly reduced tumor formation than wild-type mice, and mice lacking one
LRH-1 allele that were treated with a chemical inducer of colon cancer, also showed reduced
number of aberrant crypt foci than wild-type mice (Schoonjans et al, 2005). Collectively, these
studies suggest that inhibition of LRH-1 signaling presents a great opportunity for the therapy of
some cancers.
Whitby and coworkers (Whitby et al, 2006; Whitby et al, 2011) described the development of
small molecule agonists for both LRH-1 and SF-1. These compounds induced the activation of
the SUMO-dependent transrepression function of LRH-1 and subsequent inhibition of induction
of pro-inflammatory genes in the liver acute phase response (Venteclef et al, 2010). More
recently, synthetic repressors of LRH-1 activity have been reported (Benod et al, 2013; Busby et
al, 2010; Rey et al, 2012). Here we report the characterization of SR1848 [ML180; CID
3238389] (Fig. 1) as an effective repressor of LRH-1 activity. SR1848 inhibits LRH-1-dependent
transactivation of the CYP19 aromatase gene in a promoter-reporter assay and reduces the
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expression of LRH-1 target genes. Interestingly, treatment of cells with SR1848 causes rapid
loss of LRH-1 message in an LRH-1-dependent manner. SR1848 triggers cytoplasmic
translocation of LRH-1 from the nucleus which ultimately abrogates its ability to induce
transcription of its targets and its potentiation of cell proliferation. SR1848 was well tolerated
when administered to mice and treatment resulted in a reduction of LRH-1 target gene
expression. Taken together, these studies suggest that SR1848 represents an anti-cancer
strategy for malignancies in which LRH-1 plays a critical role.
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MATERIALS AND METHODS:
Chemicals. SR1848 [ML180; CID 3238389] was synthesized as previously described (Busby et
al, 2010).
Cell Culture and transcriptional Assays. The human embryonic kidney HEK293T, hepatoma
Huh-7, and ovarian adenocarcinoma SK-OV-3 cells were obtained from American Type Culture
Collection (ATCC). HEK293T cells were maintained in Dulbecco’s modified Eagle’s medium
(DMEM); Huh-7 and SK-OV-3 were maintained in RPMI 1640. All media was supplemented with
10% fetal bovine serum (FBS) and cells maintained by incubation at 37 °C under 5% CO2.
Transient transfections were performed in bulk by plating 3x106 cells per 10 cm plate and 9μg of
total DNA (1:1 ratio of receptor to reporter and FuGene6 (Roche) in a 1:3 DNA to lipid ratio).
After 24 hours, cells were re-plated in 384 well plates at a density of 10,000 cells/well. After 4h,
cells were treated with the indicated concentration of compound or DMSO as control. Luciferase
levels were assayed following an additional 20h incubation period by a one-step addition of
BriteLite Plus (Perkin Elmer) and read using an Envision plate reader (Perkin Elmer). Data was
normalized as fold change over DMSO treated cells.
Animals. All animal experiments were performed according to procedures approved by the
Scripps-Florida IACUC Committee. 8-week old C57Bl/6J mice were obtained from the Jackson
Laboratory and fed a regular chow diet through experiments. Mice were dosed by
intraperitoneal (i.p.) injection with 30mg kg-1 SR1848 formulated in 10% DMSO and 10% Tween
80 in PBS for 10 days. A total of 5 animals per group were studied. Tissues were immediately
preserved in RNAlater (Qiagen) for gene expression analysis after QIAzol (Qiagen) extraction
Proliferation and Cytotoxicity Assays. Cells were seeded in 96-well plates at a density of
5x103 cells/ml 24h prior to treatment. After 24h, cells were treated with various concentrations of
the SR1848 or DMSO. Cell proliferation was determined with the CellTiter-Glo (Promega)
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luminescent assay 48 hours after treatment with SR1848 compound using manufacturer’s
instructions. Cytotoxicity was determined 24h after treatment using the CytoTox-Glo Citotoxicity
Assay Reagent (Promega).
Gene Expression Analysis Huh-7 and SK-OV-3 cells were treated with indicated amounts of
SR1848. After 24 hours RNA was isolated following the Qiagen RNeasy mini prep
manufacturer's protocol. cDNA was prepared from total RNA using the Applied Biosystems high
capacity cDNA archive kit following the manufacturer's protocol and analyzed with the Applied
Biosystems 7900HT real-time PCR instrument. GAPDH was used as the housekeeping gene.
Sequences of primers used are listed in Table 1 of supplementary figures.
Western Blot Analysis. For the detection of endogenous LRH-1 protein in Huh-7 and SK-OV-
3 cell lines, cells were harvested at the indicated time points by adding iced-cold PBS and
scraping them off the plates followed by centrifugation to collect the cell pellet. Cells were then
lyzed and nuclear extracts were collected using either the Qproteome Cell Compartment Kit or
the Qproteome Nuclear Protein Kit (QIagen) as indicated following manufacturer’s directions.
Protein concentration was determined by BCA protein assay (Pierce). Membranes were probed
with anti-human LRH-1 mouse monoclonal antibody (R&D Systems). Lamin A/C (Cell Signaling
Technology) was used as the nuclear loading control.
Chromatin immunoprecipitation (ChIP) assay. Immunoprecipitations were performed using
mouse monoclonal anti-LRH-1 antibody (R&D Systems, cat.# PP-H2325-00). Preparation of
chromatin-DNA and ChIP assay were performed with ChIP-IT Express Enzymatic Kit (Active
Motiff, cat.#53009) per the manufacturer's instructions, using antibody against LRH-1, normal
mouse IgG (Santa Cruz Biotechnology), and protein G agarose/salmon sperm DNA (EMD
Millipore). After reversal of cross-linking, purified DNA was subjected to PCR with the following
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primers spanning potential LRH-1 binding sites in the SHP promoter: forward 5′-
GACACCTGCTGATTGTGCAC-3′; reverse, 5′-GGCACTGATATCACCTCAGTCAAT-3′.
Reduction of Endogenous Gene Expression by Small Interfering RNAs. Huh-7 cells were
transfected with ON-TARGETplus Human NR5A2 siRNA (GE Dharmacon, cat #: L-003430-00-
0005) following instructions for DharmaFECT transfection reagent. Briefly, cells were seeded
onto 6 well plates (2X105 cells/well) overnight in complete 10% FBS media. The following day,
media was removed and replaced with RPMI containing a final siRNA concentration of 25nM
and 1uL DharmaFECT transfection reagent per 1ml of media. Cells were harvested and RNA
and nuclear protein were isolated. To evaluate cell proliferation after LRH-1 knockdown, 2X103
cells were plated in 96 well plates and transfected following the above protocol. Proliferation
was evaluated at the indicated time points after transfection.
Immunocytochemistry. Huh-7 cells were serum starved for 16 hours and treated with 5 μM
SR1848. Cells were then fixed in 4% paraformaldehyde for 30 minutes at room temperature and
processed for immunocytochemistry. Briefly, the fixed cells were incubated with 0.25% TritonX-
100 to permeabilize the cells and incubated with monoclonal anti-human LRH-1 (R & D
Systems) for 1 hour at 4oC. Alexa488- anti mouse IgG was used as the secondary antibody and
incubated for 1 hour at 4oC. The samples were mounted in Gold prolong with DAPI (Invitrogen)
and analyzed by confocal microscopy. Negative controls, incubated without primary antibody,
showed no staining. Quantification of the mean fluorescence intensity in cytoplasm and nucleus
regions was carried out by using the ImageJ software. For image analysis, at least three fields
from two independent experiments were examined.
Statistical Data Analysis. Results were analyzed using GraphPad Prism software. Statistical
differences were determined using unpaired t-tests to compare treatment groups and were
considered significant if p < 0.05 (*p < 0.05, **p < 0.01, and ***p < 0.001). For multiple group
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comparisons a 1-way ANOVA was used. When significant differences were determined with an
ANOVA, post-hoc analysis was conducted using a Dunnett Test to compare all treatment
groups or time points to a control group.
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RESULTS
SR1848 inhibits LRH-1 activity in luciferase-reporter assays. The first indications
that repressors could be identified for the NR5A family of nuclear receptors was revealed by a
publication from the Scripps Florida MLPCN center describing a HTS campaign for SF-1
(Madoux et al, 2008). In this report, chemically tractable small molecule repressors of SF-1
were discovered in a HTS campaign where the primary assay was a Gal4-SF-1/UAS luciferase
reporter assay using the constitutively active herpes virus protein 16 fused to Gal4 (Gal4-VP16)
and the yeast UAS luciferase reporter as a control for non-specific transcriptional modulation
and cytotoxicity. Eight compounds were selected based on selectivity for SF-1 activity (at least
10–fold difference compared to Gal4-VP16). To assess whether these compounds could
modulate LRH-1 activity, we performed a luciferase reporter assay where HEK293T cells were
cotransfected with full-length LRH-1 and a luciferase reporter driven by the CYP19 aromatase
promoter. As a control for repression of LRH-1’s constitutive activity, we also cotransfected the
nuclear corepressor SHP along with the full-length receptor and CYP19 luciferase reporter
construct. Of the eight compounds evaluated, one of them (SR1848) was able to inhibit LRH-1
dependent transactivation of the CYP19 luciferase reporter by 50% which was similar to that
observed with overexpression of the SHP (Fig. 1A). Fig. 1B demonstrates that treatment of
these cells with 5 μM SR1848 did not affect the ability of the Gal4 VP-16 fusion protein to
transactivate the UAS luciferase reporter. Thus, the effects of SR1848 were not due to non-
specific transcriptional modulation or cytotoxicity, but require the presence of LRH-1. To
determine whether SR1848 could also inhibit SF-1 dependent transactivation using native
reporters and DNA binding domains, we performed a dose response experiment on HEK293T
cells expressing either full length SF-1 or full-length LRH-1 cotransfected with a luciferase
reporter gene driven by the promoter for StAR (steroidogenic acute regulatory protein), a known
downstream target of both LRH-1 and SF-1. Both LRH-1 and SF-1 displayed a dose-dependent
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reduction in receptor-mediated transcription in HEK293T cells following increasing doses of
SR1848 (Fig. 1C). Finally, we evaluated the ability of this compound to inhibit endogenously
expressed LRH-1 dependent gene expression. Unlike HEK293T cells that express moderate
levels of SF-1 and very low levels of LRH-1, JEG3 endometrial cancer cells express high levels
of LRH-1 and very low levels of SF-1 (Lin et al, 2009). Therefore, to determine if SR1848
affected endogenously expressed LRH-1 dependent transactivation of aromatase, JEG3 cells
were transfected with the CYP19 aromatase reporter (Fig. 1D). Consistent with our previous
observations, increasing doses of SR1848 led to a dose-dependent decrease in endogenous
LRH-1 dependent transactivation of the CYP19 luciferase reporter. This result indicates that
SR1848 is capable of repressing CYP19 aromatase expression by endogenously expressed
LRH-1 in JEG3 cells to the same degree as it repressed CYP19 aromatase expression by
overexpressed LRH-1 in HEK293T cells.
SR1848 inhibits endogenous LRH-1 signaling in hepatic cell lines. LRH-1 is highly
abundant in hepatic cells. We therefore evaluated the effects of SR1848 in the hepatocellular
carcinoma cell line, Huh-7. Quantitative PCR analysis confirmed significant expression of
endogenous LRH-1 mRNA in this cell line (Fig. 2A). The consensus LRH-1 response element is
(T/C) CAAGG (T/C) C (A/G). Analysis of the human LRH-1 promoter reveals the presence of
such binding site (CCAAGGCCA) 89bp upstream of the LRH-1 start codon. LRH-1 has been
shown to bind to this promoter region and regulate transcription of its own promoter (Hadizadeh
et al, 2008). This phenomenon has been documented for other NRs, such as liver x receptor
(LXRα; NR1H3) (Laffitte et al, 2001) and peroxisome proliferator-activated receptor alpha
(PPARα; NR1C1) (Pineda Torra et al, 2002). Accordingly, SR1848 inhibited LRH-1 mRNA
expression in a dose-dependent manner (Fig. 2B). Similar effects on LRH-1 message by
SR1848 treatment were also observed in HepG2 cells, which express moderate LRH-1 levels
(data not shown). We also assessed the effect of SR1848 on the expression of well-established
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targets of LRH-1, including CYP19 and the nuclear receptor SHP. As shown in Fig. 2C and 2D,
analysis of mRNA levels in Huh-7 cells demonstrated that SR1848 inhibits the expression of
both CYP19 and SHP in a dose dependent manner. These results indicate that SR1848 leads
to a rapid decrease of LRH-1 expression and efficiently represses endogenous LRH-1 signaling.
Inhibition of LRH-1 signaling pathways in vivo. Next we investigated if SR1848 could
repress LRH-1 signaling in vivo. Compound or vehicle only (10%DMSO, 10% Tween 80) was
administered daily (intraperitoneal) for 10 days to 8-week old male C57Bl/6 mice with vehicle. A
dose of 30mg/kg was selected as it gave an average plasma concentration of 12.4 μM 8h post
administration, a concentration above that required to observe repression of target genes in
Huh-7 cells. LRH-1 is strongly expressed in the liver, pancreas, and adrenal glands, therefore
we evaluated expression of genes regulated by LRH-1 (Fig. 2 E) in these organs. Livers of
SR1848-treated animals showed significant repression of SHP and CYP7A1. In adrenal glands
and pancreatic tissue we observed significant decrease of both LRH-1 and SHP mRNA.
Furthermore, blood analysis of mice treated with SR1848 showed no significant difference in
key physiological analytes (Supplemental Figure 1). These results demonstrate the safety and
efficacy of SR1848 as an LRH-1 inhibitor in vivo.
SR1848 inhibits proliferation of LRH-1 expressing cell lines. As a means to establish
whether SR1848 requires LRH-1 for its anti-proliferative action we utilized a cell line that lacks
expression of LRH-1. The ovarian adenocarcinoma cell line SK-OV-3 expresses very little LRH-
1 message relative to Huh-7 cells (Fig. 3A). Using sub-cellular fractionation, LRH-1 can be
detected in the nuclear compartment of Huh-7 cells but there is no evidence of LRH-1 protein in
SK-OV-3 cells (Fig. 3B). LRH-1 plays a significant role in cancer cell proliferation through the
upregulation of cyclins D1 and E1, (Benod et al, 2011; Schoonjans et al, 2005). SR1848
showed a significant inhibition of cyclin D1 and cyclin E1 expression in hepatic cells (Fig. 3C-D),
but had little effect on repression in SK-OV-3 cells. To assess the anti-proliferative effects of
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SR1848, Huh-7 and SK-OV-3 cells were treated with SR1848 or DMSO for 48h and proliferation
was measured using CellTiter-Glo (Promega) luminescent assay. Compared to DMSO-treated
controls, SR1848-treated cells showed diminished capacity to proliferate at concentrations
above 1 μM, the EC50 being roughly 2.8 μM in Huh-7 (Fig. 3E). Inhibition of proliferation was not
observed in SK-OV-3 cells, suggesting that SR1848-mediated repression of proliferation in Huh-
7 cells is LRH-1 dependent (Fig. 3E).
SR1848 appears to behave as a cytostatic compound, as in our proliferation assays we
observed that the amount of Huh-7 cells at the pre-treatment time-point was equal to the
amount of cells 48h after SR1848 treatment (5 μM) range (Supplemental Figure 2). However, to
ensure that the decrease in proliferation was not caused by general toxicity of the compound,
cytotoxicity was measured using the CytoTox-Glo citotoxicity assay, which measures the activity
of proteases after cells lose membrane integrity. Results show that the percentage of dead Huh-
7 cells in culture after 24h was almost identical in DMSO-treated cells to cells treated with
SR1848 up to a 10 μM concentration (Fig. 3F, DMSO= 3.3%; 5 μM SR1848= 3.9%). The SK-
OV-3 cell line was equally unaffected by SR1848 and the percentage of dead cells was not
significantly changed up to a 10 μM concentration (Fig. 3F). Beyond 10 μM, percentage cell
death dramatically increased in both cell lines, explaining the reduced proliferation of SK-OV-3
after 10 μM concentrations (Fig. 3F). These data suggest that SR1848 limits the proliferative
ability of LRH-1 expressing cells without inducing cytotoxic side effects in non-LRH-1 expressing
cells. The lack of inhibition in SK-OV-3 suggests that LRH-1 is necessary to mediate the effects
of SR1848, as transcriptional repression of similarly expressed targets was only observed in the
LRH-1 expressing Huh-7 cells.
Knockdown of LRH-1 reproduces the biological effects of SR1848. The effects of
SR1848 on LRH-1 protein were first tested by treating Huh-7 cells with a moderate (5 µM)
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concentration of SR1848. Following 24 hours of treatment, cells were harvested and the nuclear
fraction analyzed. As expected, LRH-1 protein levels were significantly reduced (Fig. 4A).
Transfection of cells with siRNAs directed against LRH-1 efficiently knocked down LRH-1
protein expression (Fig 4B). Knocking down LRH-1 resulted in the significant reduction of LRH-
1 mRNA expression and the expression level of LRH-1 targets CYP19, SHP and CYP8B1 (Fig,
4C). In addition, the anti-proliferative effect of SR1848 treatment in Huh-7 cells was reproduced
by siRNA against LRH-1. 96h after transfection, LRH-1 siRNA transfected cells were unable to
proliferate as efficiently as control-transfected cells (Fig. 4D). These results show that
pharmacological repression of the LRH-1 pathway with SR1848 achieves similar biological
effects as knock down of the receptor and support the compound’s efficacy is mediated via
LRH-1 signaling.
Mechanism of Action of SR1848. To further elucidate the mechanism of action of
SR1848 on LRH-1 signaling, Huh-7 and HepG2 cells were treated with DMSO or SR1848 and
LRH-1 mRNA was analyzed in a time dependent manner. Within two hours of SR1848
treatment the mRNA levels of LRH-1 receptor and its downstream targets (CYP19, GATA3 and
GATA4) are rapidly and significantly decreased (Fig. 5A). Similar observations have been
shown in breast cancer cells where GATA factors and LRH-1 regulate human aromatase
(CYP19) PII promoter activity (Bouchard et al, 2005). However, during the early stages of
SR1848 treatment no changes in the level of LRH-1 protein were observed (Fig. 5B).
We hypothesized that the ability of LRH-1 to bind chromatin might be altered by SR1848. In
chromatin immunoprecipitation assays of Huh-7 cells, treatment with SR1848 reduced the
interaction of LRH-1 with the promoter regions of the SHP gene as early as 1h after treatment
(Fig. 5C). Immunohistochemistry assays conducted to visualize LRH-1 within the nucleus (Fig.
5D) show that 2 hours following SR1848 treatment, LRH-1 translocates from nucleus to the
cytoplasm. From these results it appears that SR1848 interferes with LRH-1 chromatin
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interaction in part by inducing nuclear export of the receptor to the cytoplasm which results in
reduced transcriptional activation of LRH-1 target genes. A cartoon depicting this mechanism of
action for SR1848 is shown in Fig. 6. In the top panel of Fig. 6, transcription is constitutively on
when LRH1 binds to the response elements in the promoter region of its target genes. SR1848
treatment leads to dissociation of LRH1 from chromatin and subsequently, inhibiting
transcription of the target gene (bottom panel Fig. 6).
While it is plausible that SR1848 represses LRH-1 activity by binding to the ligand binding
pocket (LBP) within its LBD to facilitate recruitment of co-repressors thus acting as a classical
inverse agonist, our efforts to detect direct binding of SR1848 to the LBD of LRH-1 expressed
and purified from E. coli has not proven fruitful. As described above, the LRH-1 LBD isolated
from bacterial expression systems contains phospholipids in the LBP (Musille et al, 2012).
Therefore, it is possible that a non-lipid like compound such as SR1848 is not capable of
competing out lipid within the LBP of the recombinant protein. It is also plausible that SR1848
binds to domains of the receptor outside of the LBD or that SR1848 impacts LRH-1 binding to
chromatin indirectly. Further detailed proteomic analysis or biophysical studies on the full length
receptor are required to elucidate this.
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DISCUSSION
The data presented in this paper characterizes SR1848 as an effective repressor of LRH-1
activity. In our initial reporter assays, SR1848 inhibited LRH-1-dependent transactivation of the
CYP19 aromatase gene, an established LRH-1 target gene. However, the transactivating ability
of a Gal4 VP-16 fusion protein was unaffected by SR1848 when cotransfected with a UAS
luciferase reporter in the same HEK293T cell line. SR1848 also inhibits endogenous LRH-1
signaling, decreasing the mRNA levels of target proteins (CYP19 and SHP) and causing the
rapid loss of LRH-1 message. Furthermore, treatment of mice with SR1848 is well tolerated and
results in efficient repression of LRH-1 responsive genes in vivo.
Silencing LRH-1 expression, using siRNAs directed against LRH-1 is sufficient to induce
biological effects similar to treatment of cells with SR1848. Transfection of siRNA targeting
LRH-1 inhibited known LRH-1 target genes and resulted in a reduced ability of cells to
proliferate. Protein levels in the nucleus begin to diminish four hours after treatment with
SR1848, whereas SR1848 starts to repress certain target genes in as early as two hours. The
initial mechanism of action of SR1848 suggested by ChIP and immunocytochemistry studies is
the release of LRH-1 from chromatin and translocation to the cytoplasm, which ultimately
abrogates its ability to induce transcription of its targets and its potentiation of cell proliferation.
The upstream signaling cascade events that lead to LRH-1 removal from chromatin remain to
be elucidated; further studies are needed to determine if post-translational modifications (i.e.
sumoylation, phosphorylation, acetylation) known to be associated with LRH-1 regulation (Lee
et al, 2006); Chalkiadaki & Talianidis, 2005) are involved in SR81848’s mechanism of action.
Our initial studies indicate that SR1848 has anti-proliferative properties. SR1848, at
moderate concentrations, behaves as a cytostatic compound, inhibiting cell proliferation through
the repression of cyclin D1 and cyclin E1 expression, without inducing cell death in the LRH-1
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expressing Huh-7 cells. The anti-proliferative properties of SR1848 were not observed in the
LRH-1 deficient SK-OV-3 cell line. The regulation of cyclin expression raises the possibility that
SR1848 may regulate β-CATENIN and the WNT signaling pathway. β-CATENIN is a direct
LRH-1 target gene (Yumoto et al, 2012) and in pancreatic cancer, increased proliferation has
been shown to be mediated through LRH-1 and β-CATENIN interaction ultimately impacting
cyclin expression (Botrugno et al, 2004). Therefore, the data presented in this study strongly
propose SR1848 as a novel potential therapy for targeting LRH-1 signaling in the context of
cancer. LRH-1 has been implicated in the growth deregulation and metastasis of ER-positive
and the more difficult to treat ER-negative breast cancers. Aromatase inhibitors are used
clinically in breast cancer treatment but resistance to these drugs is an emerging problem. In
addition, these drugs reduce estrogen production in all tissues giving rise to adverse effects. As
such, repressors of LRH-1-dependent activation of aromatase could represent a strategy for the
development of novel breast-specific tumor therapies. Additionally, overexpression of LRH-1 in
both ER-positive and ER-negative breast cancer cell lines was shown to promote motility and
cell invasiveness (Chand et al, 2010). This suggests that repression of LRH-1 could be useful in
treating not only ER-positive breast cancer subtypes but perhaps could provide a treatment
option for the more aggressive triple negative breast cancer subtype where therapies are
limited. While most nuclear receptors require binding of ligand to become transcriptionally
active, LRH-1 appears to be constitutively active when expressed in cells. The data presented
here demonstrates that SR1848 is a non-lipid-like synthetic repressor of LRH-1 activity and a
potential therapeutic agent for targeting LRH-1 dependent cancers.
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AUTHORSHIP CONTRIBUTIONS:
Participated in research design: Corzo, Mari, Chang, Duckett, Roush, Griffin
Conducted experiments: Corzo, Mari, Chang, Khan, Kuruvilla, Kumar, West.
Contributed new reagents or analytic tools: Nuhant, Roush,
Performed data analysis: Corzo, Mari, Chang, Kumar, Griffin
Wrote or contributed to the writing of the manuscript: Corzo, Mari, Chang, Duckett, Roush,
Griffin
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FOOTNOTES
This work was supported in part by the by the Intramural Research Program of the
National Institutes of Health National Institute of Mental Health [Grant U54-
MH074404] and by the National Institutes of Health National Cancer Institute [Grant R01-CA134873]
COI statement: None of the authors have conflicts of interest with the work presented in this
manuscript.
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Figure Legends
Figure 1. Activity of SR1848 in luciferase assays. A) HEK293T cells were co-transfected with
Cyp19 promoter driving luciferase in the absence and presence of 5 µM SR1848 without or with
SHP as positive control. Significant difference was observed with either SR1848 treatment or
SHP when compared to DMSO group, p < 0.05. B) HEK293T cells were transfected with UAS-
luc and Gal4-VP16 plasmids in the absence (DMSO) or presence of 5 µM SR1848. No
significant difference was observed. C) HEK293T cells were co-transfected with StAR promoter
driving luciferase with empty vector (pS6), SF-1 or LRH-1. Data were fit using a nonlinear
regression curve and IC50 values were calculated. D) JEG3 cells transfected with CYP19
promoter driving luciferase and treated at the indicated concentrations of SR1848. Luciferase
activity was determined using Brite-lite plus. For all panels, each data point was performed in
triplicate.
Figure 2. SR1848 inhibits LRH-1 target genes in vitro and in vivo. A) LRH-1 mRNA
expression analysis of Huh-7 cells at the indicated time points. One-way ANOVA analysis
shows a statistical significant difference when 2hr and 6hr time points are compared, p < 0.05.
There is no difference when the other time points are compared vs. 2 hours. B, C, D) Dose
dependent inhibition of LRH-1 (B), CYP19 (C) and SHP (D) mRNA expression. Each data point
was performed in triplicate. Data is represented as mean +/- SEM. Significant difference
between DMSO and SR1848 treatment as determined by t-test, p < 0.05, is depicted by
asterisks (***).E) Gene expression in tissues from C57Bl/6 mice dosed with SR1848 or vehicle
for 10 days (n=5 per group).
Figure 3. SR1848 inhibits cell proliferation in an LRH-1-dependent manner. A, B)
Endogenous LRH-1 expression comparison between Huh-7 and SKOV-3 cells; mRNA levels (A)
and nuclear protein (B). Figures are representative of 3 separate experiments with similar
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results. C, D) Dose dependent inhibition of cyclin D1 (C) and cyclin E1 (D) expression in Huh-7
versus SKOV-3 cells. Significant difference between DMSO and SR1848 treatment as
determined by t-test, p < 0.05, is depicted by asterisks (****). Each data point was performed in
triplicate. E) Anti-proliferative effects of SR1848 in a dose dependent manner. Data were fit
using a nonlinear regression curve and IC50 values were calculated. Each data point was
performed in triplicate. F) CytoTox-Glo cytotoxicity assay of SR1848 dose response in Huh-7
and SK-OV-3 cells. Each data point was performed in triplicate. Significant difference as
compared to control is noted at 10 and 30 µM SR1848 doses, p < 0.05.
Figure 4. LRH-1 knockdown reproduces the effects of SR1848. A) Huh-7 cells were treated
in culture with either DMSO or SR1848 (5 µM) for 24h followed by sub-cellular fractionation and
detection of LRH-1 protein by anti-LRH-1 antibody. Lamin A/C was used as a nuclear loading
control. Figure is representative of 3 separate experiments with same result. B-D) Huh-7 cells
were transfected with either siRNA control (siControl) or siRNA directed against LRH-1 (siLRH-
1). B) Knockdown of LRH-1 protein 48h after transfection. Figure is representative of 2
individual experiments with similar result C) Expression of LRH-1 target genes by qPCR 48h
after transfection. Data shown are representative of two independent experiments performed in
triplicate. Significant difference was noted when comparing siControl to siLRH-1 for all genes
tested, p < 0.05. D) Evaluation of cell proliferation 96h after siRNA transfection. Each data point
was performed in triplicate. Significant difference between siControl and siLRH-1 was noted at
96 and 120 hour time points, p < 0.05.
Figure 5. SR1848 treatment leads to export of LRH-1 from the nucleus. A) LRH-1 mRNA
expression analysis by QPCR from Huh-7 treated with DMSO or SR1848 (5 μM) for various
time points. Data represents 3 different experiments performed in triplicate. Significant
difference was observed when comparing DMSO and time points > 1hr, p < 0.05. B) Huh-7 cells
were treated in culture with either DMSO or SR1848 (5 µM) for 2 hours followed by sub-cellular
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fractionation and detection with anti-LRH-1 antibody. C) Chromatin was extracted from Huh-7
cells followed by precipitation with either anti-LRH-1 antibody or control mouse IgG. PCR was
performed with primers specific for promoter regions of the SHP gene. Input, PCR reaction
performed with DNA isolated from nuclear extract without immunoprecipitation. D)
Immunocytochemistry analysis of Huh-7 cells treated in culture with DMSO or SR1848 (5 µM)
for 30 minutes or 2 hours. Cells were fixed with 4% paraformaldehyde and incubated with anti-
LRH-1 antibody for 1hr followed by incubation with AlexaFluor488-anti mouse antibody for 1hr.
Dapi was used for counter staining and cells were visualized by fluorescence microscopy.
Quantification of the mean fluorescence intensity from cytoplasm and nucleus is shown. Figure
is representative of 2 separate experiments with similar results.
Figure 6. Proposed mechanism of SR1848. Top panel) LRH1 binding to the promoter region
of its target genes leads to transcription activation. Bottom panel) SR1848 treatment causes
release of LRH1 from chromatin resulting in reduced LRH1 interaction with promoter regions of
target genes and subsequently, decreasing or turning off transcription
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Table 1. List of QPCR primers used
Target Sense Anti-sense
hLRH-1 5’-CTGATAGTGGAACTTTTGAA-3’ 5’-CTTCATTTGGTCATCAACCTT-3’
hCyp19 5’-TCACTGGCCTTTTTCTCTTGGT-3’ 5’-GGGTCCAATTCCCATGCA-3’
hSHP 5’-AAAGGGACCATCCTCTTCAAC-3’ 5’-CTGGTCGGAATGGACTTGAC-3’
hCycD1 5’-GTTCGTGGCCTCTAAGATGAAG-3’ 5’-GTGTTTGCGGATGATCTGTTTG-3’
hCycE1 5’-GCTTCGGCCTTGTATCATTTC-3’ 5’-CTGTCTCTGTGGGTCTGTATG-3’
hCyp8b1 5’-GGCAAGAAGATCCACCACTAC-3’ 5’-CTTCATTTGGTCATCAACCTT-3’
hGATA3 5’-GAACTGTCAGACCACCACAA-3’ 5’-CTGGATGCCTTCCTTCTTCATA-3’
hGATA4 5’-TCTCGATATGTTTGACGACTTCT-3’ 5’-GGTTGATGCCGTTCATCTTG-3’
hGAPDH 5’-GAAATCCCATCACCATCTTCCAGG-3’ 5’-GAGCCCCAGCCTTCTCCATG-3’
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