TLR4 inhibition suppresses growth in oestrogen-induced prolactinoma models

in Endocrine-Related Cancer
Authors:
Yu Zhang Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China
Department of Pharmacy, Pulmonary Hospital of Wuhan, Wuhan, China
Faculty of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China

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Li Ma Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Shuguang Dong Department of Cardiology, Tongren Hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Qiaoyan Ding Department of Pharmacy, Pulmonary Hospital of Wuhan, Wuhan, China

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Shuman Wang Department of Pharmacy, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine

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Qi Wu Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Ping Ni Faculty of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China

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Hong Zhang Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Yonggang Chen Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Jinhu Wu Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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https://orcid.org/0000-0002-7630-9528
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Xiong Wang Department of Pharmacy, Tongren hospital affiliated to Wuhan University (The Third Hospital of Wuhan), Wuhan, China

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Correspondence should be addressed to Y Chen, J Wu or X Wang: cyg508@163.com, wujinhuyx@163.com, 15971479069@whu.edu.cn

*(Yu Zhang and Li Ma contributed equally to this work)

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Prolactinomas have harmful effects on human health. Bromocriptine is the only commercially available drug in China, but about 25% of prolactinoma patients do not respond to it in clinic, its pathogenesis remains unknown. Thus, its pathogenesis needs to be determined to develop new therapeutic methods for prolactinomas. The expression of ERβ, TLR4, and prolactin (PRL) in the pituitary gland of C57BL/6 mice and human prolactinoma specimen was examined by immunofluorescence or immunohistochemistry. The role of TLR4 in prolactinoma was determined using estradiol-induced models of C57BL/6 wild-type and TLR4−/− mice. MMQ cells were treated with estradiol, fulvestrant, and lipopolysaccharide (LPS) or transfected with TLR4 siRNA to study the expression of ERβ, TLR4, and PRL in these cells. Furthermore, the interaction between ERβ and TLR4 was investigated by immunoprecipitation analysis. The expression of PRL and TLR4 was co-located and increased in the pituitary gland of mice and human prolactinoma specimen compared to that in the control specimen. Meanwhile, TLR4 knockout or treatment with the TLR4 inhibitor TAK242 not only significantly inhibited tumor overgrowth but also decreased the expression of PRL in estradiol-treated mice through p38 MAPK pathway regulation. However, MMQ treated with estradiol and LPS enhanced PRL expression than treated with estradiol or LPS alone. Finally, ERβ or TLR4 inhibition prevented the estradiol-induced PRL increase by regulating the TLR4/p38 MAPK pathway in vitro. Estradiol promoted prolactinoma development by activating the TLR4/p38 MAPK pathway through ERβ, and TLR4 is a potential therapeutic target for prolactinoma treatment.

 

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  • Anthoney N, Foldi I & Hidalgo A 2018 Toll and toll-like receptor signalling in development. Development 145. (https://doi.org/10.1242/dev.156018)

  • Arafah BM & Nasrallah MP 2001 Pituitary tumors: pathophysiology, clinical manifestations and management. Endocrine-Related Cancer 8 287305. (https://doi.org/10.1677/erc.0.0080287)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Arzt E, Buric R, Stelzer G, Stalla J, Sauer J, Renner U & Stalla GK 1993 Interleukin involvement in anterior pituitary cell growth regulation: effects of IL-2 and IL-6. Endocrinology 132 459467. (https://doi.org/10.1210/endo.132.1.8419142)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bhattacharya D & Yusuf N 2012 Expression of toll-like receptors on breast tumors: taking a toll on tumor microenvironment. International Journal of Breast Cancer 2012 716564. (https://doi.org/10.1155/2012/716564)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Calippe B, Douin-Echinard V, Delpy L, Laffargue M, Lelu K, Krust A, Pipy B, Bayard F, Arnal JF & Guery JC et al.2010 17Beta-estradiol promotes TLR4-triggered proinflammatory mediator production through direct estrogen receptor alpha signaling in macrophages in vivo. Journal of Immunology 185 11691176. (https://doi.org/10.4049/jimmunol.0902383)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ding QY, Zhang Y, Ma L, Chen YG, Wu JH, Zhang HF & Wang X 2020 Inhibiting MAPK14 showed anti-prolactinoma effect. BMC Endocrine Disorders 20 138. (https://doi.org/10.1186/s12902-020-00619-z)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fan S, Liao Y, Qiu W, Huang Q, Xiao H, Liu C, Li D, Cao X, Li L & Liang H et al.2020 Estrogen promotes the metastasis of nonsmall cell lung cancer via estrogen receptor beta by upregulation of Tolllike receptor 4 and activation of the myd88/NFkappaB/MMP2 pathway. Oncology Reports. (https://doi.org/10.3892/or.2020.7574)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fox EM, Davis RJ & Shupnik MA 2008 ERbeta in breast cancer--onlooker, passive player, or active protector? Steroids 73 10391051. (https://doi.org/10.1016/j.steroids.2008.04.006)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Garcia MM & Kapcala LP 1995 Growth of a microprolactinoma to a macroprolactinoma during estrogen therapy. Journal of Endocrinological Investigation 18 450455. (https://doi.org/10.1007/BF03349744)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Garcia-Cano J, Roche O, Cimas FJ, Pascual-Serra R, Ortega-Muelas M, Fernandez-Aroca DM & Sanchez-Prieto R 2016 P38MAPK and chemotherapy: we always need to hear both sides of the story. Frontiers in Cell and Developmental Biology 4 69. (https://doi.org/10.3389/fcell.2016.00069)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gillam MP, Molitch ME, Lombardi G & Colao A 2006 Advances in the treatment of prolactinomas. Endocrine Reviews 27 485534. (https://doi.org/10.1210/er.2005-9998)

  • Gittleman H, Ostrom QT, Farah PD, Ondracek A, Chen Y, Wolinsky Y, Kruchko C, Singer J, Kshettry VR & Laws ER et al.2014 Descriptive epidemiology of pituitary tumors in the United States, 2004–2009. Journal of Neurosurgery 121 527535. (https://doi.org/10.3171/2014.5.JNS131819)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gittoes NJ, McCabe CJ, Sheppard MC & Franklyn JA 1999 Estrogen receptor beta mRNA expression in normal and adenomatous pituitaries. Pituitary 1 99104. (https://doi.org/10.1023/a:1009928420333)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Heaney AP, Horwitz GA, Wang Z, Singson R & Melmed S 1999 Early involvement of estrogen-induced pituitary tumor transforming gene and fibroblast growth factor expression in prolactinoma pathogenesis. Nature Medicine 5 13171321. (https://doi.org/10.1038/15275)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hu B, Mao Z, Du Q, Jiang X, Wang Z, Xiao Z, Zhu D, Wang X, Zhu Y & Wang H 2019 miR-93-5p targets Smad7 to regulate the transforming growth factor-beta1/Smad3 pathway and mediate fibrosis in drug-resistant prolactinoma. Brain Research Bulletin 149 2131. (https://doi.org/10.1016/j.brainresbull.2019.03.013)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Huang Q, Zhang Z, Liao Y, Liu C, Fan S, Wei X, Ai B & Xiong J 2018 17Beta-estradiol upregulates IL6 expression through the ERbeta pathway to promote lung adenocarcinoma progression. Journal of Experimental and Clinical Cancer Research 37 133. (https://doi.org/10.1186/s13046-018-0804-5)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kadowaki N, Ho S, Antonenko S, Malefyt RW, Kastelein RA, Bazan F & Liu YJ 2001 Subsets of human dendritic cell precursors express different toll-like receptors and respond to different microbial antigens. Journal of Experimental Medicine 194 863869. (https://doi.org/10.1084/jem.194.6.863)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kashani B, Zandi Z, Pourbagheri-Sigaroodi A, Bashash D & Ghaffari SH 2021 The role of toll-like receptor 4 (TLR4) in cancer progression: A possible therapeutic target? Journal of Cellular Physiology 236 41214137. (https://doi.org/10.1002/jcp.30166)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kovats S 2015 Estrogen receptors regulate innate immune cells and signaling pathways. Cellular Immunology 294 6369. (https://doi.org/10.1016/j.cellimm.2015.01.018)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Li Z, Block MS, Vierkant RA, Fogarty ZC, Winham SJ, Visscher DW, Kalli KR, Wang C & Goode EL 2016 The inflammatory microenvironment in epithelial ovarian cancer: a role for TLR4 and MyD88 and related proteins. Tumour Biology 37 1327913286. (https://doi.org/10.1007/s13277-016-5163-2)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liu YT, Liu F, Cao L, Xue L, Gu WT, Zheng YZ, Tang H, Wang Y, Yao H & Zhang Y et al.2020 The KBTBD6/7-DRD2 axis regulates pituitary adenoma sensitivity to dopamine agonist treatment. Acta Neuropathologica 140 377396. (https://doi.org/10.1007/s00401-020-02180-4)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liu ZG, Jiao XY, Chen ZG, Feng K & Luo HH 2015 Estrogen receptorbeta2 regulates interlukin-12 receptorbeta2 expression via p38 mitogen-activated protein kinase signaling and inhibits non-small-cell lung cancer proliferation and invasion. Molecular Medicine Reports 12 248254. (https://doi.org/10.3892/mmr.2015.3366)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lupi LA, Cucielo MS, Silveira HS, Gaiotte LB, Cesario RC, Seiva FRF & de Almeida Chuffa LG 2020 The role of toll-like receptor 4 signaling pathway in ovarian, cervical, and endometrial cancers. Life Sciences 247 117435. (https://doi.org/10.1016/j.lfs.2020.117435)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lv H, Li C, Gui S & Zhang Y 2012 Expression of estrogen receptor alpha and growth factors in human prolactinoma and its correlation with clinical features and gender. Journal of Endocrinological Investigation 35 174180. (https://doi.org/10.3275/7607)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Maiter D 2016 Prolactinoma and pregnancy: From the wish of conception to lactation. Annales d’Endocrinologie 77 128134. (https://doi.org/10.1016/j.ando.2016.04.001)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Melmed S 2020 Pituitary-tumor endocrinopathies. New England Journal of Medicine 382 937950. (https://doi.org/10.1056/NEJMra1810772)

  • Meng XW, Gao JL, Zuo JL, Wang LN, Liu SL, Jin XH, Yao M & Namaka M 2017 Toll-like receptor-4/p38 MAPK signaling in the dorsal horn contributes to P2X4 receptor activation and BDNF over-secretion in cancer induced bone pain. Neuroscience Research 125 3745. (https://doi.org/10.1016/j.neures.2017.06.006)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Molitch ME 2014 Nonfunctioning pituitary tumors. Handbook of Clinical Neurology 124 167184. (https://doi.org/10.1016/B978-0-444-59602-4.00012-5)

  • Onofri C, Carbia Nagashima A, Schaaf L, Feirer M, Lohrer P, Stummer W, Berner S, Chervin A, Goldberg V & Stalla GK et al.2004 Estradiol stimulates vascular endothelial growth factor and interleukin-6 in human lactotroph and lactosomatotroph pituitary adenomas. Experimental and Clinical Endocrinology and Diabetes 112 1823. (https://doi.org/10.1055/s-2004-815722)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sabatino ME, Sosa Ldel Ldel V, Petiti JP, Mukdsi JH, Mascanfroni ID, Pellizas CG, Gutierrez S, Torres AI & De Paul AL 2013 Functional toll-like receptor 4 expressed in lactotrophs mediates LPS-induced proliferation in experimental pituitary hyperplasia. Experimental Cell Research 319 30203034. (https://doi.org/10.1016/j.yexcr.2013.08.012)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sapochnik M, Nieto LE, Fuertes M & Arzt E 2016 Molecular mechanisms underlying pituitary pathogenesis. Biochemical Genetics 54 107119. (https://doi.org/10.1007/s10528-015-9709-6)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tichomirowa M, Theodoropoulou M, Lohrer P, Schaaf L, Losa M, Uhl E, Lange M, Arzt E, Stalla GK & Renner U 2005 Bacterial endotoxin (lipopolysaccharide) stimulates interleukin-6 production and inhibits growth of pituitary tumour cells expressing the toll-like receptor 4. Journal of Neuroendocrinology 17 152160. (https://doi.org/10.1111/j.1365-2826.2005.01286.x)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wang X, Ma L, Ding QY, Zhang WY, Chen YG, Wu JH, Zhang HF & Guo XL 2021 Microglial NLRP3 inflammasome activation-mediated inflammation promotes prolactinoma development. Endocrine-Related Cancer 28 433448. (https://doi.org/10.1530/ERC-21-0137)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wei JJ, Song CW, Sun LC, Yuan Y, Li D, Yan B, Liao SJ, Zhu JH, Wang Q & Zhang GM et al.2012 SCF and TLR4 ligand cooperate to augment the tumor-promoting potential of mast cells. Cancer Immunology, Immunotherapy 61 303312. (https://doi.org/10.1007/s00262-011-1098-z)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wong A, Eloy JA, Couldwell WT & Liu JK 2015 Update on prolactinomas. Part 2: Treatment and management strategies. Journal of Clinical Neuroscience 22 15681574. (https://doi.org/10.1016/j.jocn.2015.03.059)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wu K, Zhang H, Fu Y, Zhu Y, Kong L, Chen L, Zhao F, Yu L & Chen X 2018 TLR4/MyD88 signaling determines the metastatic potential of breast cancer cells. Molecular Medicine Reports 18 34113420. (https://doi.org/10.3892/mmr.2018.9326)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Xiao Z, Yang X, Zhang K, Liu Z, Shao Z, Song C, Wang X & Li Z 2020 Estrogen receptor alpha/prolactin receptor bilateral crosstalk promotes bromocriptine resistance in prolactinomas. International Journal of Medical Sciences 17 31743189. (https://doi.org/10.7150/ijms.51176)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yang J, Wise L & Fukuchi KI 2020 TLR4 cross-talk With NLRP3 inflammasome and complement signaling pathways in Alzheimer's disease. Frontiers in Immunology 11 724. (https://doi.org/10.3389/fimmu.2020.00724)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Younes M & Honma N 2011 Estrogen receptor beta. Archives of Pathology and Laboratory Medicine 135 6366. (https://doi.org/10.5858/2010-0448-RAR.1)

  • Zafar M, Ezzat S, Ramyar L, Pan N, Smyth HS & Asa SL 1995 1995 cell-specific expression of estrogen receptor in the human pituitary and its adenomas. Journal of Clinical Endocrinology and Metabolism 80 36213627. (https://doi.org/10.1210/jcem.80.12.8530610)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zheng Q, Xu J, Lin Z, Lu Y, Xin X, Li X, Yang Y, Meng Q, Wang C & Xiong W et al.2018 Inflammatory factor receptor toll-like receptor 4 controls telomeres through heterochromatin protein 1 isoforms in liver cancer stem cell. Journal of Cellular and Molecular Medicine 22 32463258. (https://doi.org/10.1111/jcmm.13606)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhou WJ, Ma SC, Zhao M, Liu C, Guan XD, Bao ZS, Jia GJ & Jia W 2018 Risk factors and the prognosis of sexual dysfunction in male patients with pituitary adenomas: a multivariate analysis. Asian Journal of Andrology 20 4349. (https://doi.org/10.4103/aja.aja_18_17)

    • PubMed
    • Search Google Scholar
    • Export Citation