Estrogen is a mitogen in most estrogen receptor-␣ (ER␣)-Estrogens regulate differentiation and maintenance of reproductive, skeletal, and other tissues by activating their receptors (1). Ligands of estrogen receptors (ERs) 1 induce binding of ERs to specific DNA response elements to regulate target gene expression (2, 3). The DNA-bound receptor can then either positively or negatively regulate target gene transcription in specific cells or tissues. Agonist-bound ER in breast cancer cells recruits transcriptional coactivators. Conversely, when occupied by antagonists, the DNA-bound receptor actively recruits corepressors, resulting in suppression of gene transcription (4 -6). Structural studies indicate that estrogen and tamoxifen induce distinct conformational changes in ER␣ (7). In turn, these distinct conformations determine the recruitment of coactivators or corepressors, thereby leading to their diverse biological effects. Estrogen antagonists such as tamoxifen have been clinically effective in halting or delaying the progression of breast cancer (8, 9). Estrogens also act as mitogens to promote cell proliferation in both normal breast tissue and breast carcinomas, and ER␣ is a prognostic marker and therapeutic target for breast cancer (10, 11). In contrast, transforming growth factor- (TGF-) is an inhibitor of cell cycle progression in epithelial cells and antagonizes the mitogenic effect of ER␣ (12, 13). Loss of responsiveness to TGF- is believed to be a major factor in tumor formation and progression (14 -17). We have shown that Smad4 acts as a corepressor in vivo by interacting with ER␣ and repressing estrogen-induced transcriptional activity (18). Smad4 is the common signal transducer for both TGF- and bone morphogenetic protein and is also known as a tumor suppressor. In Smad4 mammary epithelium conditional knock-out mice, almost 100% of female mice develop squamous cell carcinomas and mammary abscesses. However, male knock-out mice only rarely develop tumors and abscesses (19). In this study, we demonstrate that Smad4 inhibits breast tumor growth in nude mice by inducing apoptosis in ER␣-positive cells. Furthermore, we show that Smad4 induces expression of the pro-apoptotic proteins Bim and Bax and release of cytochrome c in ER␣-positive (but not ER␣-negative) cells. Our results indicate that ER␣ is required for Smad4-induced apoptosis in breast cancer cells.
MATERIALS AND METHODSCell Culture-All human breast cancer cell lines used in this study were originally obtained from American Type Culture Collection. MCF-7 and MDA-MB-231 cells were cultured at 37°C and 5% CO 2 in RPMI 1640 medium and Dulbecco's modified Eagle's medium, respectively, Both media were supplemented with 10% fetal bovine serum, 100 IU/ml penicillin, and 100 g/ml streptomycin.Transfection and Retroviral Infection-Retrovirus containing ⌬3-green fluorescent protein (GFP) or ⌬3-Smad4 was overlaid with MCF-7, T47D, MDA-MB-231, and MDA-MB-468 cells for 4 h at 37°C. The infection medium was replaced with 3 ml of complete RPMI 1640 med...