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Two distinct isoforms of the human progesterone the existence of two distinct forms of the hPR. (Mo-
receptor (hPR-A and hPR-B) have been identified lecular Endocrinology 7: 1244-1255, 1993)
previously. They differ only in that hPR-B contains
an additional 164 amino acids at the amino terminus.
Among various species these two forms arise as a INTRODUCTION
result of either alternate initiation of translation from
the same mRNA or by transcription from alternate
promoters within the same gene. In order to under- The steroid hormone progesterone is a potent hormonal
stand the reason for their existence, we studied the effector implicated in the control of proliferation, differ-
entiation, and development of mammary and uterine
transcriptional capacity of these individual receptors
tissues (1). The endocrine effects of this hormone are
and observed that their activity was influenced
manifested only in cells containing a specific intranu-
strongly by cell and promoter context. More surpris-
clear receptor, the progesterone receptor (PR). The
ing was the observation that in promoter and cell
interaction between PR and its cognate ligand induces
contexts where hPR-A was inactive, it acted as a
a series of structural and functional changes in the
potent frans-dominant repressor of hPR-B-mediated
protein, leading ‘ultimately to an association of the re-
transcription. This event occurred at substoichiom-
ceptor with specific DNA sequences in the regulatory
etric concentrations of hPR-A and was hormone
regions of target genes. The cellular and promoter
dependent. Human PR-A was not a general repres- context of the bound receptor determines the pheno-
sor of ligand-mediated transcription, as it had no typic consequence of this interaction (2, 3).
effect on vitamin D receptor function. Interestingly, The PR is a member of a closely related subgroup of
hPR-A but not hPR-B was capable of a similar inhi- nuclear receptors that includes the androgen, mineral-
bition of glucocorticoid, androgen, and mineralocor- ocortiroid, and glucocorticoid receptors (AR, MR, and
ticoid receptor-mediated gene transcription. This tiic, respectively) (4). Within this subgroup, human PR
suggests a specific role for the hPR-A isoform in this (hPR) is unique in that it occurs in target tissues as two
regulatory process. The trans-dominant effects of distinct subtypes, PR-A and PR-B, of 94 and 114
hPR-A were induced also by the antiprogestins kilodaltons, respectively (5, 6). The PR-B isoform con-
ZK112993 and ZK98299 and a DNA binding defective tains an N-terminal fragment of 164 amino acids (B164),
hPR-A mutant, suggesting that the inhibitory function which is absent on the PR-A isoform. It is likely that
of hPR-A does not require DNA binding. The dual both forms can arise as a result of either alternate
role of hPR-A as an activator or repressor of tran- initiation of translation from the same mRNA or by
scription defines a potential mechanism by which transcription from alternate promoters within the same
cells can generate dissimilar responses to a single gene (7, 8). Interestingly, Kastner et al. (8) have identi-
hormone and provides a molecular explanation for fied two distinct promoters in the hPR gene. These
promoters, which regulate the synthesis of specific
0688-8809/93/1244-1255$03.00/O transcripts corresponding to hPR-A and hPR-B, are
Molecular Endocrinology
Copyright 0 1993 by The Endocrine Society regulated independently. It is likely, therefore, that the
1244
hPR-A Effects on hPR-B Function 1245
expression levels of PR-A and PR-B can differ with between PR-A and PR-B in the regulation of progester-
respect to each other in certain target tissues. Two one-responsive genes.
forms of PR, corresponding to hPR-A and hPR-B, have
been identified in most species examined, the exception
being the rabbit, where PR may exist as a single unique RESULTS
B subtype. The specific role for each of these two PR
subtypes is unclear. However, the existence of elabo- Differential Transcriptional Activity of the A and B
rate mechanisms regulating their production suggests lsoforms of hPR
that the relative levels of hPR-A and hPR-B in cells is
critical for appropriate cellular response to progester- In order to define the activities of the hPR-A and hPR-
10
60 He@2
tion of MMTV transcription in CV-1 cells.
Vehicle
We wanted next to evaluate the role of PR-A as a
50 n PROG repressor of PR-B-activated MMTV promoter transcrip-
tion in HeLa cells where PR-A was found to be minimally
active. As shown in Fig. 28, the transcriptional repres-
sion was 84%, 78%, and 56% at l:l, 1:5, 1:25 A:B
ratios, respectively, confirming that PR-A-mediated in-
hibition of PR-B activity correlated with the inability of
PR-A to trans-activate. As expected, coexpression of
PR-A and PR-B in HepG2 cells, where these receptor
isoforms were shown to be independently active, re-
sulted in an overall additive effect of the coexpressed
-- receptors on MMTV transcription (data not shown).
-R hPR-A hPR-B To eliminate the possibility that inhibition of PR-B
activity was due to an alteration of the levels of the
Fig. 1. Transcriptional Activity of PR-A and B lsoforms on the individual activators, we performed a Western immu-
MMTV Promoter in Different Mammalian Cell Lines
noblot and in vitro hormone binding analysis on extracts
Increasing amounts of the phPR-A or phPR-B plasmid DNA
(0.05, 0.1, 0.25, 0.5, 2.5, and 5 fig) together with 5 fig/ml prepared from transfected CV-1 cells. The results indi-
MMTV-LUC reporter DNA and 5 @g/ml pCHll0 (an SV40-p-
galactosidase expression vector) as an internal control, were at a given point by that obtained in the absence of transfected
transiently transfected into CV-1 (A), HeLa (B), or HepGP (C) receptor or ligand. Expression of PR-A or PR-B had no direct
ceil lines as described in Materials and Methods. Cells were effect on S/40-driven P-galactosidase activity. A representa-
treated with or without lo-’ M progesterone as indicated for tive experiment is detailed above. Data shown indicate the
24 h and assayed for fl-galactosidase and LUC activity. (LUC mean + the average deviation from the mean of triplicate
activity was normalized to @-galactosidase activity.) The rela- estimations. -R, Transcriptional activity in the absence of any
tive LUC activity is calculated by dividing the normalized LUC transfected receptor.
hPR-A Effects on hPR-6 Function 1247
240 A
CV-1 cells were transfected with MMTV-LUC and either
0)
.+E
200
=I 160
; GR alone or GR in combination with phPR-A or phPR-
B in the presence of 5 x 1Om8 M dexamethasone
increasing concentrations of progesterone.
and
As shown
#
0
3 120
L in Fig. 5, progesterone had no significant effect (12%
n$
increase) on GR activity when transfected alone. How-
.-F
53 80 ever, when GR and PR-A were transfected together
2 there was a 50% reduction in GR activity at lo-’ M
40
0 : /I
I.I progesterone. These experiments suggested that PR-
A’s activity as a repressor occurred at physiological
A
160 1 +5 x 10~8M DEX T
20 n =H
q GRthPR.4
0
VDR - .25 .25 .25 .25 Blank 11 10 9 8 7 6
B
Fig. 6. Human PR-A is not a General Repressor of Nuclear 140, +5x IO-8M DEX ,
Receptor Transcriptional Activity
CV-1 cells were transfected with either an expression vector
producing the human VDR (pRShVDR) or hPR-A alone or with
both vectors in combination. In addition, the cells were trans-
fected with 5 pg/ml VDREztk-LUC reporter plasmid and 5 pg/
ml pCHll0 as an internal control. Cells were treated with
either 1 O-’ M 1 ,25(OH)nD3, progesterone, or both hormones in
combination as indicated. The data shown represent the mean
value + the average deviation from the mean of triplicate
..\
determinations. I-
Blank 11 10 9 6 7 6
-Log[M] ZK 112993
MPJA)
c
Binding
150 -
CV-1 cells were transfected individually with either phPR-B,
phPR-A587
increasing
or phPR-A
concentrations
tion, the cells were transfected
reporter and 5 fig/ml pCHll0
alone, or phPR-B in combination
of phPR-A587 or phPR-A.
with 5 wg/ml MMTV-LUC
as an internal control.
were grown in the presence or absence of 1 O-’ M progesterone
with
In addi-
Cells
.8=
5
125
ioo-
L
.2 75-
for 24 h. All values were normalized for transfection efficiency 2
by simultaneous estimation of LUC and P-galactosidase activ- 8 50-
ities. The relative LUC activity is calculated by dividing the
normalized LUC value at a given point by that obtained in the 25 -
absence of transfected receptor or ligand. Data shown repre-
sent the mean + the average deviation from the mean of O-
AR AR + hPR-A
triplicate estimations.
Fig. 9. Human PR-A is a Repressor of AR Transcriptional
Activity
DNA binding is not required, PR-A functions as a pro- CV-1 cells were transfected with an expression vector for
moter- and cell-specific transcriptional repressor. the hAR (pRShAR) alone or in combination with phPR-A to-
gether with 5 fig/ml MMTV-LUC reporter and 5 Kg/ml pCHll0
Modulation of AR and MR Activity as an internal control. A, The cells were treated with lo-’ M
progesterone (PROG), 5 x 1 O-’ M dihydrotestosterone (DHT),
The GR and PR are members of a subfamily of steroid lo-’ M ZK112993 (ZK993), or lo-’ M ZK98299 (ZK299) for
receptors that include also the AR and MR, all of which 24 h. The relative LUC activity is calculated by dividing the
can bind to and operate through similar DNA regulatory normalized LUC value at a given point by that obtained in the
sequences (4). In order to determine whether the activ- absence of transfected receptor or ligand. B, Cells were grown
ity of AR or MR could also be modulated by PR-A, we in the presence of 5 x lo-’ M DHT alone or in the presence
assayed their ability to activate the MMTV promoter in of 1 O-’ M progesterone, ZKll2993, or ZK98299 as indicated.
The data are presented as percent activation, where 100%
the presence of PR-A. This analysis was performed in
represents the maximal induction achieved by hAR at 5 x 1 O-’
the presence of either progesterone, ZKI 12993, or
M DHT. The experimental data represent mean values + the
ZK98299. As shown in Fig. 9A, the activity of AR average deviation from the mean of quadruplicate estimations.
induced by dihydrotestosterone (DHT) was influenced
directly by addition of progesterone. However, when
AR activity was assayed in the presence of PR-A, the A similar series of experiments was performed to
sensitivity of progesterone-mediated inhibition was sub- examine the effect of PR-A on MR regulation of MMTV-
stantially increased (Fig. 9B). Additional experiments LUC transcription and showed that PR-A efficiently
were performed in the presence of antiprogestins. Sur- inhibits MR transcriptional activity in a hormone-de-
prisingly, ZK112993 was an efficient inhibitor of DHT- pendent manner (data not shown). Cumulatively, these
activated AR. The efficacy of this antihormone (and data suggested that PR-A is capable of inhibiting the
potency; data not shown) was increased by the intro- transcriptional activity of all members of the GR subfam-
duction of PR-A into the cells. Similarly, the antiproges- ily of receptors.
tin ZK98299 had minimal direct effects on AR transcrip-
tional activity, but the addition of PR-A to the cells
increased AR’s sensitivity to this compound. This result DISCUSSION
reveals a mechanism whereby ZK98299, although hav-
ing a low affinity for AR, could in this cell and promoter This study describes a functional role for the A form of
context function as an efficient antiandrogen (Fig. 9B). the hPR (PR-A) that is distinct from that of PR-B. Using
MOL ENDO. 1993 Vol7No.10
1252
cell cotransfection assays we observed that in promoter and PR-B as a consequence of endocrine manipulations
and cell contexts, where PR-A was inactive as a tran- (28, 29). In the mammary gland of the mouse the levels
scriptional activator, it functioned as an extremely po- of mPR-A and mPR-B vary depending on the develop-
tent, ligand-dependent repressor of PR-B transcrip- mental state of the tissue (30). Additionally, seasonal
tional activity. In most cases, the PR-A effect was variations in the expression of the PR isoforms in
dominant, since repression was detected even at sub- chicken reproductive tissues also have been identified
stoichiometric concentrations of PR-A. Interestingly, (31). Although the functional consequences of these
PR-A functions also as a transcriptional activator in variations have not been described yet, taken together
certain cellular contexts. Most notable was its activity with our results, we suggest that minor alterations in
in HeLa cells, where PR-A effectively stimulated the the relative concentrations of the two PR isoforms could
differentially activated, depending on the cellular com- In the case of the hormone progesterone, a series of
plement of transcription factors. On other promoters cellular processes converge on the isoforms of its cog-
where both A and B are active, there may be no nate receptor and the resultant combination of their
requirement for such additional cofactors, or a different effects determine its transcriptional activity. Therefore,
class of transcriptional factors used by both isoforms PR function can be regulated at any of the following
are recruited, or the quantities of common cofactors levels: 1) progesterone concentration, as hormone pro-
are in vast excess. duction is tightly regulated by endocrine signals and
Several types of negative regulation cf transcription pathways; 2) PR gene transcription, which generates
have been shown to involve members of the nuclear both activators and repressors of transcription; 3) re-
receptor superfamily. In addition to transcriptional inter- ceptor activation, for example, phosphorylation, which
chloramphenicol acetyltransferase (CAT) [PRE2tk-CAT con- excitement predicted for the future. Mol Endocrinol
tains two copies of the PRE of the tyrosine aminotransferase 41363-369
TAT promoter linked to the herpes simplex virus tk promoter 3. Beato M 1989 Gene regulation by steroid hormones. Cell
(42)]. Both reporter plasmids were digested with Xhol and 561335-344
HindIll; a 6.7-kb fragment from MMTV-LUC and a 0.12-kb 4. Evans RM 1988 The steroid and thyroid receptor super-
fragment from PRE2tk-CAT were isolated and ligated, resulting family. Science 240:889-895
in a plasmid called PRE2tk-LUC. 5. Schrader WT, O’Malley BW 1972 Progesterone-binding
For the construction of TATA2950-LUC, the pTATCAT, a components of chick oviduct: characterization of purified
plasmid containing the 2950-base fragment of the TAT gene subunits. J Biol Chem 247:51-59
promoter sequence (a gift from Dr. Gunther Schutz, German 6. Horwitz KB, Alexander PS 1983 In situ photolinked nu-
Cancer Research Center, Heidelberg, Germany), and the clear progesterone receptors of human breast cancer
MMTV-LUC plasmids were digested with Sac1 and Xhol, re- cells: subunit molecular weights after transformation and
21. Strahle U, Klock G, Schutz G 1987 A DNA sequence of 34. Adler AJ, Danielsen M, Robins DM 1992 Androgen-spe-
15 base pairs is sufficient to mediate both glucocorticoid cific gene activation via a consensus glucocorticoid re-
and progesterone induction of gene expression. Proc Nat1 sponse element is determined by interaction with nonre-
Acad Sci USA 84:7871-7875 ceptor factors. Proc Natl Acad Sci USA 89:11660-l 1663
22. Berger TS, Parandoosh Z, Perry BW, Stein RB 1992 35. Koenig RJ, Lazar MA, Hodin RA, Brent GA, Larsen R,
Interaction of glucocorticoid analogues with the human Chin W, Moore DD 1989 Inhibition of thyroid hormone
glucocorticoid receptor. J Steroid Biochem Mol Biol action by a non-hormone binding c-erbA protein generated
411733-738 by alternate mRNA splicing. Nature 337:659-661
23. Klein-Hitpass L, Cato ACB, Henderson D, Ryffel GU 1991 36. Umesono K, Giguere V, Glass CK, Rosenfeld MG, Evans
Two types of antiprogestins identified by their differential RM 1988 Retinoic acid and thyroid hormone induce gene
action in transcriptionally active extracts from T47D cells. expression through a common responsive element. Na-
Nucleic Acids Res 19:1227-l 234 ture 336:262-265
24. Takimoto GS, Tasset DM, Eppert CA, Horwitz KB 1992 37. Glass CK, Holloway JM, Devary OV, Rosenfeld MG 1988