Molecular and structural basis of androgen receptor responses to dihydrotestosterone, medroxyprogesterone acetate and D4-tibolone

Tina Bianco-Miotto, Andrew Trotta, Eleanor Need, Alice Lee, Aleksander Ochnik, Lauren Giorgio, Damien Leach, Erin Swinstead, Melissa O'Loughlin, Michelle Newman, Stephen Birrell, Lisa Butler, Jonathan Harris, Grant Buchanan

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    Abstract

    Medroxyprogesterone acetate (MPA) has widely been used in hormone replacement therapy (HRT), and is associated with an increased risk of breast cancer, possibly due to disruption of androgen receptor (AR) signaling. In contrast, the synthetic HRT Tibolone does not increase breast density, and is rapidly metabolized to estrogenic 3α-OH-tibolone and 3β-OH-tibolone, and a delta-4 isomer (δ4-TIB) that has both androgenic and progestagenic properties. Here, we show that 5α-dihydrotestosterone (DHT) and δ4-TIB, but not MPA, stabilize AR protein levels, initiate specific AR intramolecular interactions critical for AR transcriptional regulation, and increase proliferation of AR positive MDA-MB-453 breast cancer cells. Structural modeling and molecular dynamic simulation indicate that δ4-TIB induces a more stable AR structure than does DHT, and MPA a less stable one. Microarray expression analyses confirms that the molecular actions of δ4-TIB more closely resembles DHT in breast cancer cells than either ligand does to MPA.

    Original languageEnglish
    Pages (from-to)899-908
    Number of pages10
    JournalMOLECULAR AND CELLULAR ENDOCRINOLOGY
    Volume382
    Issue number2
    DOIs
    Publication statusPublished - 2014

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    Bianco-Miotto, T., Trotta, A., Need, E., Lee, A., Ochnik, A., Giorgio, L., Leach, D., Swinstead, E., O'Loughlin, M., Newman, M., Birrell, S., Butler, L., Harris, J., & Buchanan, G. (2014). Molecular and structural basis of androgen receptor responses to dihydrotestosterone, medroxyprogesterone acetate and D4-tibolone. MOLECULAR AND CELLULAR ENDOCRINOLOGY, 382(2), 899-908. https://doi.org/10.1016/j.mce.2013.11.002