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Mol Cell Biol, March 1998, p. 1369-1378, Vol. 18, No. 3
0270-7306/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
The Nuclear Corepressors NCoR and SMRT Are Key
Regulators of Both Ligand- and 8-Bromo-Cyclic AMP-Dependent
Transcriptional Activity of the Human Progesterone Receptor
Brandee L.
Wagner,1
John D.
Norris,1
Trina A.
Knotts,2
Nancy L.
Weigel,2 and
Donald P.
McDonnell1,*
Department of Pharmacology and Cancer
Biology, Duke University Medical Center, Durham, North Carolina
27710,1 and
Department of Cell Biology,
Baylor College of Medicine, Houston, Texas 770302
Received 4 August 1997/Returned for modification 9 September
1997/Accepted 3 December 1997
 |
ABSTRACT |
Previously, we defined a novel class of ligands for the human
progesterone receptor (PR) which function as mixed agonists. These
compounds induce a conformational change upon binding the receptor that
is different from those induced by agonists and antagonists. This
establishes a correlation between the structure of a ligand-receptor
complex and its transcriptional activity. In an attempt to define the
cellular components which distinguish between different ligand-induced
PR conformations, we have determined, by using a mammalian two-hybrid
assay, that the nuclear receptor corepressor (NCoR) and the silencing
mediator for retinoid and thyroid hormone receptor (SMRT)
differentially associate with PR depending upon the class of ligand
bound to the receptor. Specifically, we observed that the corepressors
preferentially associate with antagonist-occupied PR and that
overexpression of these corepressors suppresses the partial agonist
activity of antagonist-occupied PR. Binding studies performed in vitro,
however, reveal that recombinant SMRT can interact with PR in a manner
which is not influenced by the nature of the bound ligand. Thus, the
inability of SMRT or NCoR to interact with agonist-activated PR when
assayed in vivo may relate more to the increased affinity of PR for
coactivators, with a subsequent displacement of corepressors, than to
an inherent low affinity for the corepressor proteins. Previous work
from other groups has shown that 8-bromo-cyclic AMP (8-bromo-cAMP) can
convert the PR antagonist RU486 into an agonist and, additionally, can
potentiate the transcriptional activity of agonist-bound PR. In this
study, we show that exogenous expression of NCoR or SMRT suppresses all
8-bromo-cAMP-mediated potentiation of PR transcriptional activity.
Further analysis revealed that 8-bromo-cAMP addition decreases the
association of NCoR and SMRT with PR. Thus, we propose that
8-bromo-cAMP-mediated potentiation of PR transcriptional activity is
due, at least in part, to a disruption of the interaction between PR
and the corepressors NCoR and SMRT. Cumulatively, these results suggest
that NCoR and SMRT expression may play a pivotal role in PR
pharmacology.
 |
INTRODUCTION |
The progesterone receptor is a
ligand-activated transcription factor and a member of the nuclear
receptor superfamily (15). In the absence of ligand, the
receptor exists in a transcriptionally inactive state associated with
heat shock proteins and other cellular chaperones (36). Upon
binding ligand, the receptor undergoes a conformational change and
dissociates from the heat shock proteins, allowing the receptor to
dimerize and bind to progesterone-responsive elements (PRE) within
regulatory regions of target genes (23). Agonist-bound
progesterone receptor (PR) is believed to activate transcription by
directly interacting with the general transcription machinery
(20) and/or by associating with coactivators such as TIF2
(40), SRC-1 (29), and CBP (35), which
act as bridging factors between the receptor and the general
transcription machinery. Interestingly, upon binding an antagonist, PR
undergoes a conformational change which is different from that induced
upon binding agonists (1). This unique conformational change
is accompanied by the displacement of the heat shock proteins,
dimerization, and a subsequent interaction of the receptor with its
target DNA. However, under most circumstances, antagonist-bound
receptor remains transcriptionally inactive. The inability of
antagonist-occupied receptor to activate transcription is hypothesized
to be a consequence of its inability to associate with coactivators
(29, 40) and possibly its enhanced ability to recruit a
corepressor(s) (39, 43). Thus, a model has been proposed in
which agonists and antagonists, by inducing different conformational
changes within PR, affect the receptor's ability to activate
transcription.
In addition to agonists and antagonists, we have recently identified a
new class of PR ligands which function as mixed agonists (41). As with estrogen receptor (ER) mixed agonists, the
relative agonist, or antagonist, activity of PR mixed agonists is
influenced by the cell and promoter context (7, 38). The
likely mechanistic basis for the unique activities of the PR mixed
agonists was revealed when it was shown by limited protease digestion
analysis that these ligands induce a conformational change within PR
which is different from that induced by either agonists or antagonists (41). These studies firmly established a link between the
overall structure of the PR-ligand complex and its biological activity.
It is likely, however, that other factors in addition to alterations in
receptor structure may also influence PR transcriptional activity.
Specifically, it has been shown that the antagonist RU486 can function
as a partial agonist in the presence of 8-bromo-cyclic AMP
(8-bromo-cAMP) (6, 32). This activity of 8-Bromo-cAMP is not
restricted to antagonists, since 8-bromo-cAMP will also potentiate the
activity of agonist-bound PR (6, 14, 32). The mechanism by
which 8-bromo-cAMP potentiates PR activity has not yet been determined.
It is known that PR is a phosphoprotein which becomes
hyperphosphorylated upon binding ligand and DNA; therefore, it was
originally considered that 8-bromo-cAMP-mediated potentiation of PR
transcriptional activity may be due to receptor phosphorylation.
However, more recent studies have shown that the net phosphorylation of
PR does not change in response to 8-bromo-cAMP (5, 32).
Another hypothesis which has been proposed to explain the effects of
8-bromo-cAMP is that this agent stimulates the phosphorylation of a PR
coactivator, enhancing its affinity for the receptor and/or a component
of the general transcription machinery (6, 14). Confirmation
of this hypothesis awaits the identification of a PR coactivator which
becomes phosphorylated in response to 8-bromo-cAMP.
Previously, it was considered that the inhibitory activity of PR
antagonists was due simply to the competition between agonists and
antagonists for binding to the receptor. However, there is increasing
evidence that suggests that PR antagonist activity results from an
active process which involves the recruitment of transcriptional
corepressors (39, 43). Recently, Jackson et al.
(21) reported the cloning of the human homolog of the nuclear receptor corepressor (NCoR) by using the hinge and hormone binding domain of PR bound by the antagonist RU486 in a yeast two-hybrid screen. This was particularly interesting since NCoR (17) and the silencing mediator for retinoid and thyroid
hormone receptor (SMRT) (9) are two closely related proteins
(10) which had previously been shown to function as
corepressors, allowing unliganded thyroid hormone (TR) and retinoid
receptors to repress target gene transcription. The importance of these
proteins for steroid hormone action was confirmed when it was
demonstrated that overexpression of NCoR and SMRT represses the partial
agonist activity of both tamoxifen-bound ER and RU486-bound PR,
suggesting that these corepressors may also function as corepressors
for the steroid receptors (21, 34).
Based on these findings, we hypothesized that the different
transcriptional activities induced by the three classes of PR ligands
may result from differential interactions with the corepressors NCoR
and SMRT as a direct result of the unique receptor conformational changes which these ligands induce upon binding (41). To
test this hypothesis, we looked at the ability of the two corepressors NCoR and SMRT to associate with PR when bound by the three classes of
ligands and assessed the effect of this association on receptor transcriptional activity. We found that the corepressors show the
strongest association with antagonist-bound PR and weaker associations
with mixed-agonist- and agonist-occupied PR. Furthermore, we show that
these differences are reflected in the relative effect which
overexpression of NCoR or SMRT has on the biological activity of the
three classes of PR ligand. Additionally, in this study, we show that
overexpression of either NCoR or SMRT prevents the 8-bromo-cAMP-mediated potentiation of PR transcriptional activity regardless of the ligand bound. We further demonstrate that
8-bromo-cAMP decreases the interaction between PR and the corepressors,
leading us to believe that 8-bromo-cAMP potentiation of PR
transcriptional activity is due, at least in part, to a decrease in the
ability of the receptor to interact with corepressors. These results
suggest that corepressor expression may play a pivotal role in
determining receptor transcriptional activity and may modulate the
effects of alternate signaling pathways on this activity.
 |
MATERIALS AND METHODS |
Plasmids and biochemicals.
The plasmid pRS-hPR-VP16 was a
gift from D. X. Wen (Ligand Pharmaceuticals, San Diego, Calif.).
The mammalian two-hybrid plasmids pCMX-VP-F-hTR
and GAL4N-RIP13
N4
were provided by D. D. Moore (Baylor College of Medicine, Houston,
Tex.). pCMX-GAL-C-SMRT, pGEX2TA-C'C'SMRT, and pCMX-C'SMRT were provided
by J. D. Chen (University of Massachusetts, Worcester, Mass.). The
control, vector pVP16, was purchased from Clontech (Palo Alto, Calif.). The pCMX-VP16 plasmid was constructed by removing the TR ligand binding
domain from the pCMX-VP-L-hTR
construct provided by D. D. Moore. The TR ligand binding domain was removed by digesting pCMX-VP-L-hTR
with Asp718 and BamHI. The
5xGAL4-TATA-luciferase (LUC) reporter was a gift from X. F. Wang
(Duke University, Durham, N.C.). pCMX-NCoR and pCMX-SMRT were provided
by M. G. Rosenfeld (University of California, San Diego) and
R. M. Evans (Salk Institute, San Diego, Calif.), respectively. The
pRSV-891 plasmid was a gift from M. J. Tsai (Baylor College of
Medicine).
8-Bromo-cAMP was purchased from Boehringer Mannheim (Indianapolis,
Ind.) R5020 was purchased from Dupont (Boston, Mass.). T3 was purchased
from Sigma (St. Louis, Mo.). RU486 was a gift from Ligand
Pharmaceuticals. RTI-3021-020 (RTI-020) was a gift from C. E. Cook
(Research Triangle Institute, Durham, N.C.) (41). ZK98299
was a gift from Schering Pharmaceuticals (Berlin, Germany).
Mammalian transfections and luciferase assays.
HeLa and
HepG2 cells were maintained in modified Eagle's medium containing 10%
fetal calf serum. The cells were plated in 24-well plates 24 h
prior to transfection with lipofectin as described previously
(28). For Fig. 1 and 6, the following amounts of DNA,
totaling 3 µg of DNA per triplicate, were transfected: 500 ng of
5xGAL4-TATA-LUC, 50 ng of pCMV-
-Gal, 1,000 ng of either GAL4N-RIP13
N4 or pCMX-GAL-C'SMRT, and either 1,000 ng of
pCMX-GAL-C-VP-F-hTR
or 763 ng of pCMX-VP16. Equimolar amounts of
cytomegalovirus (CMV)-derived expression plasmids were used for each
transfection. For the experiments shown in Fig. 3 and 5, we used 1,000 ng of PRE-TK-LUC, 500 ng of SV40-PRB, 20 ng of CMV-
-Gal, and either
500 ng of pCMX-NCoR or 288 ng of Rev-TUP1 (CMV vector encoding TUP1 in
the reverse orientation used for equimolar balancing of CMV) (for Fig.
3A and 5A) or 500 ng of pCMX-SMRT or 266 ng of Rev-TUP1 (for Fig. 3B
and 5B). For the experiments shown in Fig. 4, HeLa cells were transfected with 1,000 ng of PRE-TK-LUC, 500 ng of pRSV-891, 20 ng of
CMV-
-Gal, and either 500 ng of pCMV-NCoR, 500 ng of pCMX-SMRT, or
288 ng of Rev-TUP1. In all transfections, the total amount of DNA was
adjusted to 3 µg per triplicate by using pBSII-KS+. After a 3-h
incubation with the DNA-lipofectin mixture, the cells were washed and
incubated with modified Eagle's medium supplemented with 10% fetal
calf serum and the appropriate ligand and/or 8-bromo-cAMP for either 24 (Fig. 1 and 6) or 48 (Fig. 3 to 5) h. Luciferase and
-galactosidase
assays were performed as described previously (28).
In vitro interaction studies.
[35S]methionine-labeled PR was synthesized by using a
coupled in vitro transcription and translation system in accordance
with the manufacturer's protocol (Promega, Madison, Wis.). The
resultant labeled protein was incubated for 24 h at 4°C in the
presence of glutathione S-transferase (GST)-Sepharose or
GST-C'SMRT-Sepharose in NETN buffer (50 mM NaCl, 20 mM Tris [pH 8.0],
1 mM EDTA, 0.5% Nonidet P-40). Following incubation, the beads were
washed in NETN buffer containing 100 mM NaCl, and bound proteins were
eluted in sample buffer and analyzed by sodium dodecyl
sulfate-polyacrylamide gel electrophoresis. The recombinant GST-C'SMRT
used in this experiment was produced in Escherichia coli.
Specifically, the E. coli strain BL21 was transformed with
pGEX2TA-C-SMRT and grown to an A600 of 2.0, and
IPTG (isopropyl-
-D-thiogalactopyranoside) was added. Following a 2-h incubation, the cells were harvested and lysed by
sonication and incubated with glutathione-Sepharose beads (Pharmacia Biotech, Uppsala, Sweden) in phosphate-buffered saline containing 1%
Triton X-100. The beads were subsequently washed and resuspended in
phosphate-buffered saline and used for in vitro interaction studies.
Western immunoblot analysis.
Western immunoblot analysis was
performed on nuclear extracts isolated from HeLa cells transiently
transfected with 500 ng of SV40-PRB and either 500 ng of pCMX-NCoR or
288 ng of Rev-TUP1. Transiently transfected cells were incubated with
the agonist R5020 (10 nM) for 24 h prior to nuclear extraction.
Nuclear extracts were prepared as described by Schreiber et al.
(33). Briefly, cells were resuspended in buffer A (10 mM
HEPES [pH 7.9], 10 mM KCl, 0.1 mM EDTA, 0.1 mM EGTA, 1 mM
dithiothreitol, 1 mM phenylmethylsulfonyl fluoride, 5 µg of leupeptin
per ml) and incubated on ice for 15 min. Subsequently, Nonidet P-40 was
added to a final concentration of 0.6%, and the cells were vortexed
and microcentrifuged. The supernatant was removed, and 50 µl of
buffer C (20 mM HEPES [pH 7.9], 25% glycerol, 0.4 M NaCl, 1 mM EDTA,
1 mM EGTA, 1 mM dithiothreitol, 1 mM phenylmethylsulfonyl fluoride, 5 µg of leupeptin per ml) was added to the nuclear pellet, which was
then shaken vigorously for 5 min at 4°C. The nuclear extract was then
centrifuged for 5 min, and the supernatant was saved. Equal amounts of
total nuclear protein (21 µg) were denatured in sodium dodecyl
sulfate sample buffer and loaded on a 7.5% polyacrylamide gel.
Proteins were transferred to a nitrocellulose membrane and probed with
polyclonal rabbit antiserum generated against His-tagged hPR (A form).
Immunocomplexes were detected by enhanced chemiluminescence as
described in the manufacturer's instructions (Amersham, Arlington
Heights, Ill.).
 |
RESULTS |
The PR interacts with the corepressors NCoR and SMRT in a
ligand-dependent manner.
Previously, we have shown that PR ligands
can be grouped into one of three distinct classes: agonists, mixed
agonists, and antagonists (41). Each ligand class induces a
unique receptor conformation upon binding, and we hypothesized that
these conformations ultimately influence the transcriptional activity
of the receptor. One possible way in which receptor conformation may
affect transcriptional activity is by allowing differential association
with corepressors. We were therefore interested in assaying the ability
of the corepressors NCoR and SMRT to associate with PR in the presence
of the different classes of ligands. To test for an association between
these proteins, we utilized a mammalian two-hybrid system. In this
system, we used a construct expressing full-length PR containing the
heterologous VP16 activation domain inserted into the amino terminus of
the receptor and constructs expressing either the carboxyl terminus of
NCoR (
N4) or the carboxyl terminus of SMRT (C'SMRT) fused to the
GAL4 DNA binding domain (Fig. 1A).
Interaction between PR and the corepressors was assessed by measuring
the ability of the PR-VP16 fusion to activate transcription from a
GAL4-responsive reporter plasmid. As a control, we also assayed the
interaction between full-length TR-VP16 and these corepressors. The
results of this analysis are shown in Fig. 1B and C. As expected, TR
interacts with both
N4 and C'SMRT in the absence of hormone, and
this interaction is inhibited upon the addition of T3 (Fig. 1B and C).
Conversely, NCoR and SMRT do not interact with PR in the absence of
hormone under these conditions. In the presence of the agonist R5020, however, PR interacts weakly with both
N4 (Fig. 1B) and C'SMRT (Fig.
1C). A more robust interaction is observed between PR and
N4 or
C'SMRT in the presence of the mixed agonist RTI-020, as shown by the
3.4-fold (Fig. 1B) and 2.3-fold (Fig. 1C) inductions over the
luciferase activities in the absence of PR-VP16, respectively. The
strongest interaction between PR and the corepressors, however, occurs
in the presence of PR antagonists. Specifically, RU486-activated PR-VP16 permits a 31-fold induction of transcription when assayed with
N4 and a 23-fold induction when C'SMRT is used. Most notable, however, are the interactions observed between PR-VP16 and the corepressors in the presence of ZK98299, where a 70-fold induction in
the presence of
N4 (Fig. 1B) and 131-fold induction in the presence
of C'SMRT (Fig. 1C) are observed. Interestingly, these interactions, in
the presence of ZK98299, are stronger than the control interactions of
N4 and C'SMRT with TR-VP16 in the absence of hormone. These results
indicate that, in the presence of antagonists, PR interacts with NCoR
and SMRT and that under the conditions of this assay, these
interactions are as strong as the interactions between the corepressors
and TR. Cumulatively, these results suggest that the ability of PR to
interact with the corepressors correlates with the transcriptional
activity of the receptor such that ligands which facilitate the
strongest interaction of PR with NCoR or SMRT are those which exhibit
the greatest antagonist activity when assayed in a conventional PR
transcription assay.

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FIG. 1.
Mammalian two-hybrid analysis reveals that PR and the
corepressors NCoR and SMRT interact in a ligand-dependent manner. (A)
Schematic indicating the regions of NCoR ( N4) and SMRT (C'SMRT)
which were fused to the GAL4 DNA binding domain (GAL4-DBD) for use in
mammalian two-hybrid analysis. The repressive domains (RD) and
interaction domains (ID) previously identified for NCoR and SMRT are
indicated. (B and C) HepG2 cells were transiently transfected as
indicated in Materials and Methods with a luciferase reporter plasmid
containing five GAL4-responsive elements (5xGAL4-TAT-LUC), the
CMV- -Gal expression vector to control for transfection efficiency,
and N4 (B) or C'SMRT (C) with either an empty expression vector
containing the VP16 activation domain ( N4), the PR-VP16 expression
vector, or the TR-VP16 expression vector. After transfection, the cells
were incubated with either no hormone (NH) or the designated ligands
(100 nM but 10 nM for T3) for 24 h and subsequently harvested for
luciferase and -galactosidase assays. The data are presented as a
normalized response, representing the absolute luciferase activity
corrected for transfection efficiency by normalizing against the
-galactosidase activity. The data from a representative experiment
are shown. Each data point represents the average of triplicate
determinations (+ standard error of the mean).
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The mammalian two-hybrid data suggested two alternative possibilities:
(i) in the presence of antagonists, PR had a higher
affinity for the
corepressors than receptors occupied by agonists,
or (ii) the affinity
of the corepressors for PR was unaffected
by the nature of the bound
ligand, but in the presence of agonists,
coactivators were recruited to
the receptor, an event which prevented
corepressor binding. To
distinguish between these possibilities,
we examined the ability of PR
to interact with the SMRT in vitro,
where direct associations could be
determined. The results of
this analysis are shown in Fig.
2. In this experiment, the ability
of
35S-labeled PR to interact with either bacterially
expressed GST
alone or a GST-C'SMRT fusion protein was assessed.
Interestingly,
a specific, robust interaction between PR and C'SMRT was
observed;
however, the magnitude of this interaction was unaffected by
the
nature of the bound ligand. The reciprocal experiment, in which
the
ability of
35S-labeled C'SMRT to interact with a GST-PR
fusion protein was
assessed, yielded similar results (data not shown).
These data
indicate that SMRT can interact directly with PR, an
activity
which, under the conditions of this assay, is unaffected by
hormone.
This is in agreement with previous studies that have shown
that
ER can interact directly with C'SMRT in a ligand-independent
manner
(
34). Thus, it appears that the ability of
corepressors to preferentially
interact with antagonist-activated PR
may be related to the inability
of this complex to recruit coactivators
rather than to the possession
of an inherently higher affinity for NCoR
and SMRT.

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FIG. 2.
In vitro binding analysis reveals that the interaction
of PR with SMRT occurs in a ligand-independent manner. Recombinant
GST-C'SMRT or GST alone was produced in bacteria and immobilized on
gluthathione-Sepharose beads. Full-length PR was produced by in vitro
translation and labeled with [35S]methionine. The
integrity of this protein was assessed by running an aliquot on a
denaturing gel (lane 1, 10% of input labeled receptor). Labeled PR was
then incubated either with equimolar amounts of GST alone (lane 2) or
with GST-C'SMRT either in the absence of added ligand (lane 3), in the
presence of progesterone (lane 4), or in the presence of RU486 (lane
5).
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Overexpression of NCoR or SMRT decreases PR mixed-agonist activity
and RU486 partial-agonist activity.
NCoR and SMRT were originally
identified based upon their abilities to associate with unliganded TR
(17) and retinoic X receptor (RXR) (9),
respectively. Unlike the steroid receptors, TR and RXR can bind to DNA
in the absence of hormone and repress transcription below basal levels
(3, 4, 8, 12). Overexpression of NCoR and SMRT was
subsequently shown to further increase the repressive activity of TR in
the absence of hormone (37, 44). Based on these results, and
the ability of NCoR and SMRT to associate with PR, we hypothesized that
overexpression of the corepressors would decrease the transcriptional
activity of PR and that the greatest effects would be observed on
antagonist-bound PR. In order to analyze the effect of corepressor
overexpression on PR activity, HeLa cells were transiently transfected
with a luciferase reporter plasmid containing PRE inserted into the
thymidine kinase (TK) promoter (PRE-TK-LUC), and transcriptional
activity was assessed following cotransfection of a PR expression
plasmid alone or together with an expression plasmid for either NCoR or
SMRT. Surprisingly, we found that overexpression of either NCoR or SMRT
increased PR transcriptional activity in the absence of hormone and at
low concentrations of the agonist R5020 (data not shown). Similar results have also been observed by other laboratories (21,
37). Western analysis of nuclear extracts from transiently
transfected HeLa cells shows increased levels of PR upon cotransfection
of NCoR as compared to the levels of receptor when PR is transfected alone (data not shown). This increase in receptor level was ligand independent, and similar results were obtained when PR and SMRT expression plasmids were cotransfected (data not shown). Additionally, it has previously been reported that NCoR overexpression results in
increased basal activity from the 3xDR1-TKLUC reporter vector (37). We believe, therefore, that the paradoxical increase
in PR transcriptional activity upon the cotransfection of either corepressor is due to increased receptor levels and/or increased basal
activity from the PRE-TK-LUC reporter. Thus, to account for these
confounding influences, we elected to present the data as the fold
induction over the response for the no-hormone control. In this manner,
we were able to show that overexpression of NCoR has no effect on PR at
low concentrations of the agonist R5020; however, it decreases the
activity of agonist-bound receptor by 21% at the highest concentration
of ligand tested (Fig. 3A). Exogenously expressed SMRT (Fig. 3B) has a stronger affect on agonist-bound PR and
is able to decrease the overall activity of R5020-bound PR (PR/R5020)
by approximately 54%. In the presence of the mixed agonist RTI-020,
which functions as a weak agonist in this cell line, exogenous NCoR
decreases receptor activity by 49% and SMRT overexpression decreases
PR/RTI-020 activity to basal levels.

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FIG. 3.
Overexpression of NCoR or SMRT decreases PR
transcriptional activity in a ligand-dependent manner. (A and B) HeLa
cells were transiently transfected as indicated in Materials and
Methods with the luciferase reporter plasmid PRE-TK-LUC, a CMV- -Gal
expression vector (CMV- -Gal) to control for transfection efficiency,
and a PR expression vector either alone or with an expression vector
for either NCoR (A) or SMRT (B). After transfection, the cells were
incubated with either no hormone (NH) or designated ligand R5020 (10 pM
to 1 nM), RTI-020 (10 pM to 1 nM), or RU486 (1 to 100 nM) for 48 h
and subsequently harvested for luciferase and -galactosidase assays.
Luciferase data was normalized to the -galactosidase activity and
the data are represented as the fold induction over the response in the
absence of hormone. The data presented are representative of multiple
independent experiments. (C) HeLa cells were transfected with an
expression vector for either PR alone, PR and SMRT, or PR with
increasing amounts of C'SMRT expression vector as indicated. After
transfection, the cells were incubated with either no hormone (NH) or
10 7 M RU486. The C'SMRT protein contains the major
receptor-interacting domains but not the repression domains.
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It has previously been reported that RU486 exhibits partial-agonist
activity in HeLa cells when assayed on the TK promoter
containing a
single PRE (
25). We observed similar results in
our system
and consequently wanted to determine if the strong
association between
antagonist-bound PR and the corepressors would
decrease the RU486
partial-agonist activity. Interestingly, the
partial-agonist activity
of RU486 is totally suppressed by overexpression
of either NCoR or SMRT
(Fig.
3A and B). Thus, in addition to the
heterodimeric nuclear
receptors, NCoR and SMRT can function as
corepressors of PR
transcriptional activity. In addition, it is
likely that the same
activity of the repressor proteins is required
for function on both
classes of receptors since we have been able
to show that the
repressive domains required for regulation of
TR are also required for
PR regulation. This was demonstrated
by showing that a construct
containing the receptor interaction
domains (C'SMRT) but lacking the
repressive domains could function
as a dominant negative suppressor of
SMRT activity when assayed
on RU486-activated PR (Fig.
3C). These data
also suggest that
the interaction between PR and the corepressors is
direct. Collectively,
these data suggest that NCoR and SMRT function as
PR corepressors
and that the degree to which exogenous expression of
either corepressor
decreases PR-ligand complex transcriptional activity
is relative
to the degree of association between the PR-ligand and
corepressors
as measured by two-hybrid analysis (Fig.
1B and C).
NCoR and SMRT repress the agonist activity of RU486 on the carboxyl
terminus-truncated receptor PR-891.
It has previously been shown
that truncation of the most carboxyl 44 amino acids of PR allows the
antagonist RU486 to function as an agonist (39). In
addition, it has been suggested that the PR carboxyl terminus functions
as a repressive domain in the presence of antagonists by recruiting a
corepressor (43). We were therefore interested in addressing
the possibility that NCoR or SMRT may be involved in regulating the
activity of this functional domain. To address this possibility, HeLa
cells were transiently transfected with the PRE-TK-LUC reporter and
expression vectors for either the truncated receptor alone or the
truncated receptor together with either NCoR or SMRT. As expected,
PR-891 shows increased transcriptional activity in response to
increasing concentrations of RU486 (Fig.
4). However, upon cotransfection of
either NCoR or SMRT, this response to RU486 is completely prevented.
These data suggest that another protein, distinct from NCoR and SMRT, is responsible for the C-terminal repressor function of the PR C-terminal tail (39, 43).

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FIG. 4.
NCoR or SMRT overexpression prevents RU486 agonist
activity on the PR-891 mutant. HeLa cells were transiently transfected
with the PRE-TK-LUC reporter plasmid, the CMV- -Gal expression
vector, and the PR-891 expression plasmid either alone or with the NCoR
or SMRT expression plasmid as described in Materials and Methods. After
transfection, the cells were incubated as indicated with RU486 for
48 h and subsequently assayed for luciferase and -galactosidase
activities. The data from a representative experiment are shown.
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Corepressor overexpression prevents 8-bromo-cAMP-mediated
potentiation of PR transcriptional activity.
It has previously
been shown that the protein kinase A activator 8-bromo-cAMP can convert
class II antagonists, like RU486, into partial agonists (6,
32). Additionally, these studies have also shown that addition of
8-bromo-cAMP can potentiate the activity of agonist-bound PR. Since
corepressor overexpression is able to prevent the partial-agonist
activity of RU486 in HeLa cells (Fig. 3A and B), we were interested in
determining if exogenous NCoR or SMRT could also repress the RU486
partial-agonist activity induced by 8-bromo-cAMP. Therefore, we
transiently transfected HeLa cells with the PRE-TK-LUC reporter plasmid
and expression vectors for either the receptor alone or the receptor in
combination with either NCoR or SMRT and assayed the transcriptional
activity of the receptor in the presence or absence of 8-bromo-cAMP. As anticipated, 8-bromo-cAMP potentiates the activity of R5020-bound PR
and increases the partial-agonist activity of RU486 (Fig.
5). Surprisingly, the
8-bromo-cAMP-mediated potentiation of the transcriptional activity of
agonist-bound receptor is completely suppressed by the coexpression of
NCoR (Fig. 5A). Similarly, exogenous SMRT prevents the
8-bromo-cAMP-mediated potentiation of R5020 transcriptional activity
(Fig. 5B). The addition of 8-bromo-cAMP also potentiates the activity
of the PR mixed agonist RTI-020. As with the agonist-bound receptor,
this potentiation is blocked by the cotransfection of either
corepressor (Fig. 5). The partial-agonist activity of RU486 in the
presence and absence of 8-bromo-cAMP is completely prevented by
overexpression of NCoR (Fig. 5A) and SMRT (Fig. 5B). From these results, we conclude that overexpression of either corepressor can
inhibit both the 8-bromo-cAMP-induced partial-agonist activity of RU486
and the 8-bromo-cAMP-mediated potentiation of the transcriptional activity of agonist- and mixed-agonist-bound PR.

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FIG. 5.
Corepressor overexpression prevents
8-bromo-cAMP-mediated potentiation of PR transcriptional activity. HeLa
cells were transiently transfected as indicated previously with
expression vectors for PR alone or for PR along with NCoR (A) or SMRT
(B). After transfection, the cells were incubated in the absence or
presence of 8-bromo-cAMP (8Br) (1 mM) with either no hormone (NH) or
designated ligand R5020 (10 pM to 1 nM), RTI-020 (10 pM to 1 nM), or
RU486 (1 to 100 nM) for 48 h and subsequently harvested for
luciferase and -galactosidase assays. Luciferase data were
normalized to the -galactosidase activity, and the data are
represented as the fold induction over the response in the absence of
hormone. The data presented are representative of multiple independent
experiments.
|
|
8-bromo-cAMP reduces the association between the corepressors and
PR.
The ability of exogenous NCoR or SMRT to prevent
8-bromo-cAMP-mediated potentiation of the transcriptional activity of
PR bound by any ligand suggests that events regulated by 8-bromo-cAMP may lead to a decrease in the association between PR and the
corepressors. To test this hypothesis, we analyzed the interaction
between PR and the corepressors in the presence of 8-bromo-cAMP by
using the mammalian two-hybrid system. The results shown in Fig.
6 indicate that PR-VP16 does not interact
with either
N4 or C'SMRT in the absence of hormone (Fig. 6). The
weak association between PR and
N4 (Fig. 6A) or C'SMRT (Fig. 6B) in
the presence of the agonist R5020 is completely inhibited in the
presence of 8-bromo-cAMP. As expected, PR, when bound by the mixed
agonist RTI-020, shows a stronger interaction with
N4 and C'SMRT
than when it is bound by the agonist R5020. However, as in the presence
of the agonist, 8-bromo-cAMP also prevents the association between
C'SMRT (Fig. 6B) and PR in the presence of the mixed agonist RTI-020
and decreases the association between
N4 and RTI-020-bound PR by
90% (Fig. 6A). Upon the addition of 8-bromo-cAMP, which turns RU486
into a partial agonist, the interactions between PR and C'SMRT and between PR and
N4 are similarly decreased, by 90 and 93%,
respectively. While 8-bromo-cAMP also reduces the interaction between
PR and the corepressors in the presence of the class I antagonist
ZK98299, PR and
N4 still maintain a relatively strong interaction
that is threefold stronger than the interaction between PR/RU486 and
N4 in the presence of 8-bromo-cAMP (Fig. 6A).

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FIG. 6.
Mammalian two-hybrid analysis reveals that 8-bromo-cAMP
reduces the interaction between PR and the corepressors. (A and B)
HepG2 cells were transiently transfected as described previously with
either N4 (A) or C'SMRT (B) in the absence or presence of PR-VP16.
(C and D) Cells were transfected with an expression vector for either
N4 (C) or C'SMRT (D) in the presence or absence of TR-VP16 as
indicated. After transfection, the cells were incubated with either no
hormone (NH) or the designated ligand (100 nM, but 10 nM for T3) in the
presence (+) or absence ( ) of 1 mM 8-bromo-cAMP for 48 h, and
subsequently assayed for luciferase and -galactosidase activities.
The data from a representative experiment are shown.
|
|
To see if the 8-bromo-cAMP reduction in the interaction between the
corepressors and PR is restricted to PR, we assayed the
effect of
8-bromo-cAMP on the interaction between the TR and NCoR
or SMRT.
Interestingly, 8-bromo-cAMP also reduces the interaction
between TR and
the corepressors; however, the residual interaction
is still stronger
than the interaction between TR and the corepressors
in the presence of
its cognate ligand, T3 (Fig.
6C and D). As
assayed by the mammalian
two-hybrid analysis, the ability of 8-bromo-cAMP
to reduce the
interaction of NCoR and SMRT with the nuclear receptors
is not a
general effect of 8-bromo-cAMP, since its addition is
unable to disrupt
the association between chimeric proteins of
p53 fused to the GAL4 DNA
binding domain and the simian virus
40 large T antigen fused to the
VP16-activation domain (data not
shown). In addition, the
transcriptional activity of a GAL4-VP16
fusion protein was unaffected
by 8-bromo-cAMP, ruling out the
possibility that 8-bromo-cAMP disrupts
VP16 transcriptional activity
(data not shown). These data show,
therefore, that 8-bromo-cAMP
specifically decreases the association
between the corepressors
and the nuclear receptors, a result which may
explain its ability
to alter PR pharmacology.
 |
DISCUSSION |
The classical theory of steroid receptor activation proposes that
the receptor exists in either one of two states, an active transcriptional state induced upon binding hormone or a latent state in
the absence of hormone (23). With the discovery of antagonists, it was proposed that these compounds functioned by competing with the hormone for receptor binding and returned the receptor to the latent state. However, this model has not stood the
test of time, and it is now apparent that antagonists actively convert
the receptor to a transcriptionally inactive state. This hypothesis has
been solidified by the observation that PR agonists and antagonists
drive the receptor into unique conformational states, each of which is
distinct from the conformational state of the apo-receptor
(1). We have recently identified a third class of PR ligands
known as mixed agonists. The discovery of this new clan of ligands
suggests an additional level of complexity in the pharmacology of
steroid hormone receptors (41). Depending on the cell and
promoter context, these ligands can function as either agonists or
antagonists. The molecular basis for the activity of these ligands was
revealed when it was shown that mixed agonists induce a unique receptor
conformation upon binding that is different from those conformations
induced by either agonists or antagonists (41).
Identification of the PR mixed agonists suggests that like the ER
(24), PR can exist in different conformational states, each
of which exhibits a different degree of transcriptional activity. It
has been hypothesized that these ligand-induced conformational changes
in the receptor regulate the interaction of the receptor with
coactivators (31, 42). We hypothesized that in addition to
differential coactivator association, conformational changes could also
influence corepressor association. As with coactivator binding,
interactions with corepressors would also be expected to alter the
transcriptional activity of the receptor. We were interested,
therefore, in analyzing the ability of the corepressors NCoR and SMRT
to associate with PR and to determine if this interaction was affected
by the nature of ligand bound to the receptor. We found that NCoR and
SMRT do interact with liganded PR directly in vitro. However, when we
analyzed these interactions by using the two-hybrid assay in mammalian
cells, we observed that they were differentially affected by the class
of ligand bound. Agonists permit a minimal interaction with the
corepressor, while antagonists allow the strongest association. Mixed
agonists, which function as weak agonists or antagonists, depending on
the cell and promoter context (41), induce an interaction of
intermediate strength. These results suggest that the transcriptional
activity of PR-ligand complexes correlates with the ability of these
complexes to associate with the corepressors NCoR and SMRT. The
discovery that NCoR and SMRT associate most strongly with
antagonist-bound PR raises the issue of the physiological relevance of
these interactions. A remote but possible explanation is that there
exists in some target cell a naturally occurring PR antagonist whose
activity is mimicked by synthetic antagonists and that this requires a
corepressor for activity. A more likely explanation, however, is that
PR inherently has a high affinity for SMRT or NCoR in the absence or
presence of hormone and that the conformational change induced by
agonists increases the affinity of the receptors for coactivators, an
event which is incompatible with PR-corepressor interactions.
Regardless of the physiological relevance of the interaction between PR
and the corepressors, however, there is clearly a pharmacological relevance. In this regard, one of the most interesting findings was the
observation that NCoR and SMRT differentially associate with PR bound
to the class I (ZK98299) and class II (RU486) antagonists. ZK98299
induces a stronger association of PR with the corepressors than RU486
does. The original subclassification of these PR antagonists was based
on the observation that unlike class II antagonists, class I
antagonists, such as ZK98299, do not allow PR to bind DNA
(22). Although this is a biochemical classification, the distinct nature of these ligands is also reflected in vivo.
Specifically, it has been noted that under some circumstances, type II
but not type I antagonists can exhibit partial-agonist activity.
Consequently, it was hypothesized that the pure-antagonist activity of
ZK98299 is due to its inability to allow PR to bind DNA (6,
32). However, our unpublished results, and those of other
laboratories (13), suggest that PR/ZK98299 does in fact bind
DNA. We propose, therefore, that the ability of ZK98299 to function as
a pure antagonist is due to its inability to recruit required
coactivator proteins. Thus, by default, a strong association of PR with
the corepressors NCoR and SMRT is permitted. Interestingly, it was
recently demonstrated that ZK98299 induces a unique receptor
conformation which is different from the conformation induced by class
II antagonists (2). This finding further supports our
hypothesis that different ligand-induced conformational changes within
the receptor influence its association with cellular corepressors.
The ability of the corepressors to differentially interact with PR
depending on the class of ligand occupying the receptor may explain not
only how different classes of ligands exhibit different transcriptional
activities but also how these ligands manifest different activities in
different cellular contexts. The ability of mixed agonists to function
as weak agonists in some contexts and antagonists in others has been
hypothesized to result from differential coactivator availability
(34). While coactivator expression and availability
undoubtedly play a role in receptor transcriptional activity, we
propose that corepressor availability also affects receptor activity.
In support of this theory, we have shown that overexpression of either
NCoR or SMRT results in a decrease in receptor activity. Not
surprisingly, therefore, the greatest effect of corepressor
overexpression is observed on antagonist-bound receptor, as shown by
the ability of NCoR or SMRT overexpression to suppress all RU486
partial-agonist activity. This suggests that RU486 exhibits
partial-agonist activity in those contexts in which corepressor
availability has somehow been diminished. Interestingly, SMRT
overexpression can also completely suppress the weak-agonist activity
of the mixed agonist RTI-020. This suggests that mixed agonists
function as weak agonists in those contexts in which corepressors are
not available at a sufficient level to associate with the receptor,
thus facilitating an increase in transcriptional activity.
Interaction of the receptor with the corepressors may be influenced not
only by the availability of the corepressors but also by mutations
within the receptor. Previously, it was shown that a mutation which
results in truncation of PR by 42 amino acids at the carboxyl terminus
results in a receptor which can no longer bind progesterone and allows
RU486 to function as an agonist (39). We have further shown
that both mixed agonists and antagonists function as agonists on this
truncated receptor (41). Microinjection of peptides encoding
the 42 amino acids of the carboxyl terminus allows RU486 to function as
an agonist on full-length PR, suggesting that the carboxyl terminus
functions as a repressive domain in the presence of antagonists by
recruiting a corepressor(s) (43). Overexpression of either
NCoR or SMRT inhibits the ability of RU486 to function as an agonist on
the truncated receptor PR-891, suggesting possibly that truncation of
the receptor has decreased the association between PR and the
corepressors, resulting in increased transcriptional activity.
Therefore, mutations within the receptor may alter the degree of
interaction with corepressors. While NCoR and SMRT may not prove to be
the carboxyl-terminal repressor(s) responsible for RU486 antagonist
activity, these results clearly show that the relative expression of
either corepressor can directly affect the transcriptional activity of
the receptor.
PR association with the corepressors is also influenced by other
signaling pathways. Previously, several laboratories have observed that
8-bromo-cAMP converts RU486 into a partial agonist and potentiates the
activity of agonist-bound receptor (6, 32). Although at the
beginning of this project we had not intended to dissect the mechanism
by which 8-bromo-cAMP modulates PR transcriptional activity, the
results obtained were informative in this regard. In the course of
analyzing the ability of NCoR and SMRT overexpression to repress RU486
partial-agonist activity in the presence of 8-bromo-cAMP, we found that
corepressor overexpression prevented not only 8-bromo-cAMP-induced RU486 partial-agonist activity but also the potentiation of PR/R5020 and PR/RTI-020 transcriptional activities. Significantly, however, further analysis revealed that 8-bromo-cAMP drastically reduces the
association of PR with NCoR and SMRT. We hypothesize, therefore, that
8-bromo-cAMP potentiation of PR transcriptional activity is due to a
loss of association with NCoR and SMRT.
Interestingly, PR is not the only receptor which has been shown to be
affected by the protein kinase A (PKA) pathway. The transcriptional
activities of ER glucocorticoid receptor (GR) (27, 30, 45)
and retinoic acid receptor (RAR) (18) have also been shown
to be stimulated by the PKA pathway. It has recently been shown by
other laboratories that ER (34), GR (21), and RAR
(9, 17) also interact with either NCoR or SMRT, suggesting that PKA potentiation of the transcriptional activity of these nuclear
receptors may also result from a loss of its abilities to associate
with NCoR and SMRT. These results could have important clinical
implications. One case in point is the treatment of ER-positive breast
cancers with the ER mixed agonist 4-hydroxy tamoxifen (tamoxifen). Unfortunately, for reasons not yet identified, the majority of women
fail tamoxifen treatment within 5 years, at which time tamoxifen may
begin to function as an agonist in the breast. It has been shown in
some contexts in the MCF-7 breast cancer cell line that activation of
the PKA pathway can result in the conversion of tamoxifen from an
antagonist to an agonist (16, 19). It has also been shown
that cAMP levels are higher in breast cancer tissue than in normal
breast tissue (11, 26). Thus, resistance to the antagonist
activities of tamoxifen could arise from cellular PKA-mediated changes
in ER-corepressor interactions. Interestingly, the PR class I
antagonist ZK98299 is unaffected by the PKA pathway, an activity which
we believe is related to its ability to drive the receptor into a
conformation which is incompatible with coactivator association.
Similarly, ER bound by the pure antagonist ICI 164,384 is also
unaffected by the PKA pathway (16). It will therefore be
interesting to see how much of the pure-antagonist activity of ICI
164,384 is related to its abilities to interact with corepressors. These results suggest that the analysis of the interaction of NCoR and
SMRT with ER may prove helpful in understanding the molecular basis for
tamoxifen resistance.
Based on our data, we propose several working models (Fig.
7) that may explain how 8-bromo-cAMP
decreases the association between PR and a corepressor and how these
interactions influence PR pharmacology. It is unlikely that a direct
effect of phosphorylation on PR is involved in regulating corepressor
association since none of the known phosphorylation sites within PR are
affected by 8-bromo-cAMP (42a). Thus, in developing these
models, we have not considered a direct effect of PKA-mediated
phosphorylation on PR. We believe instead that the available data could
be explained by a series of three related models, none of which are
mutually exclusive. In the first model, 8-bromo-cAMP addition leads to corepressor phosphorylation, which in turn causes the corepressor to
dissociate from the receptor. In this model, potentiation of transcriptional activity would result from the loss of the repressive activity of the corepressor. In the second model, a third protein, such
as a coactivator (X), is the target of the phosphorylation. This
protein subsequently associates with the receptor and blocks corepressor association either through direct competition or by way of
a conformational change in the receptor induced upon binding this
additional protein (X). This model suggests that 8-bromo-cAMP potentiation can result not only as a consequence of corepressor dissociation but also from the association of PR with a new
coactivator. This model is supported by the observation that a direct,
ligand-independent, interaction of PR and C'SMRT was observed in vitro.
In the third model, phosphorylation of an unidentified protein (Y)
facilitates the dissociation of the corepressor from the receptor.
Again, loss of association with the corepressor would result in an
increase in PR transcriptional activity. We are currently in the
process of investigating which of these models best explains
8-bromo-cAMP potentiation of PR transcriptional activity.

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FIG. 7.
Possible mechanisms by which 8-bromo-cAMP decreases
PR-corepressor association. The association of PR with both NCoR and
SMRT is decreased upon the addition of 8-bromo-cAMP. This decreased
association between PR and the corepressors is accompanied by an
increase in receptor transcriptional activity. We propose three
possible models by which 8-bromo-cAMP reduces the association between
these proteins. In model 1, 8-bromo-cAMP activates a pathway which
leads to the phosphorylation of the corepressor, causing it to
dissociate. Simple loss of the corepressor would result in an increase
in transcriptional activity. In model 2, phosphorylation of an
unidentified factor X would result in association of that factor with
PR, causing the dissociation of the corepressor. In this model, the
increased transcriptional activity may result from both the loss of
association of PR with the corepressor and the association of PR with
factor X. In model 3, factor Y becomes phosphorylated by an
8-bromo-cAMP-induced signaling pathway. The corepressor has a higher
affinity for the phosphorylated factor Y than for PR and is therefore
titrated away from the receptor.
|
|
 |
ACKNOWLEDGMENTS |
We thank J. D. Chen, R. M. Evans, D. D. Moore,
M. G. Rosenfeld, X. F. Wang, and D. X. Wen for providing
plasmids. We also thank Z. Nawaz for providing reagents and assistance
with the in vitro interaction studies and for sharing unpublished data.
B. L. Wagner is supported by an Advanced Predoctoral Fellowship
from the PhRMA Foundation. This work was supported by NIH grant DK50494
(to D.P.M.).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Pharmacology and Cancer Biology, Duke University Medical Center, P.O. Box 3813, Durham, NC 27710. Phone: (919) 684-6035. Fax: (919) 681-7139. E-mail: mcdon016{at}acpub.duke.edu.
 |
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