[CANCER RESEARCH 53, 2071-2075, May I, 1993]
Growth Inhibition of Hormone-responsive and -resistant Human Breast Cancer
Cells in Culture by /V1,A^-BisiethyOspermine1
Nancy E. Davidson,2 Amy R. Mank, Laura J. Prestigiacomo, Raymond J. Bergeron, and Robert A. Casero, Jr.
The Johns Hopkins Oncology Center. Baltimore. Maryland 21231 IN. E. D.. A. R. M., L. J. P., R. A. C.¡.and the Department of Medicinal Chemistry. J. Hillis Miller Health
Center. University of Florida, Gainesville. Florida 32610 [R. J. B.J
ABSTRACT
Previous studies have documented differential sensitivity of human lung
cancer and melanoma cell lines to the cytotoxic effects of A", A"2-bis-
(ethyl)spermine (BESpm). We show here that BESpm can significantly
inhibit the growth of six human breast cancer cell lines with 50% inhib
itory concentration in the UM range. The degree of inhibition does not
correlate with estrogen receptor status. Detailed studies with estrogen
receptor-positive MCF-7 and estrogen receptor- negative Hs578t cells
show a similar dose-response curve with concentrations of 1-10 UMresult
ing in maximal growth inhibition. Growth inhibition in both lines is as
sociated with an 8-12-fold induction of the polyamine catabolic enzyme,
spermidine/spermine JV'-acetyltransferase, and a progressive decrease in
intracellular polyamine levels over 6 days even though steady-state levels
of BESpm are achieved within 24 h. Similar studies on WTMCF7 and
AdrRMCF7 cells show that the acquisition of resistance to hormonal or
doxorubicin therapy is not associated with resistance to the growth-inhib
itory effects of BESpm. These results suggest that BESpm exerts similar
growth-inhibitory effects against both hormone-responsive and -unre
sponsive human breast cancer cells, a finding which has significance for
the potential use of polyamine analogues in treating human breast cancer.
INTRODUCTION
Intracellular polyamines play an important role in the proliferation
of normal and malignant cells. The recognition of their critical role in
cell growth and differentiation has led to the development of several
inhibitors of polyamine biosynthesis, particularly DFMO,3 which is
directed against ODC, the first enzyme in polyamine biosynthesis
(1-5). Recently, however, attention has been focused on other steps in
the polyamine-metabolic pathway as potential targets for intervention
(6). In particular the /V,yv'-bis(ethyl) analogues of spermine were
found to down-regulate ODC, deplete intracellular polyamine pools,
and inhibit cell growth, suggesting a failure to substitute for the
depleted natural polyamines (7). BESpm is a representative compound
for this family of agents and its cytostatic and cytotoxic effects have
been studied in several tumor models (8, 9-12).
In addition to down-regulating the biosynthesis of the polyamines,
BESpm induces the activity of the rate-limiting enzyme in polyamine
catabolism, SS AT (9, 10). A possible role for SS AT in human breast
carcinogenesis has been suggested by the finding that SSAT activity is
significantly elevated in primary human breast cancer specimens com
pared with surrounding normal breast tissue ( 13). SSAT is induced in
a variety of cell types in response to several different stimuli including
hormonal stimulation and exposure to polyamines and polyamine
analogues (14-19). Although many cell types respond to BESpm
treatment with a severalfold induction of SSAT, a few respond with
extreme induction of SSAT (9, 10). Recent work using human lung
Received 9/18/92; accepted 2/24/93.
The costs of publication of this article were defrayed in part by the payment of page
charges. This article must therefore be hereby marked advertisement in accordance with
18 U.S.C. Section 1734 solely to indicate this fact.
1This work was supported by NIH Grants CA37606, CA49634. and CA51085.
2 To whom correspondence should be addressed, at The Johns Hopkins Oncology
Center. 422 N. Bond Street, Baltimore, MD 21231.
1The abbreviations used are: DFMO. a-difluoromethylomithine; BESpm, JV'JV'Mns-
(ethyl)spermine; SSAT, spermidine/spermine /V'-acetyltransferase; ODC, omithine decar-
boxylase.
cancer and melanoma cell lines as model systems suggests that a
correlation between SSAT superinduction and growth inhibition is
observed in that bis(ethyl)polyamines are cytotoxic primarily to SSAT
"superinducer" cell types. For example, BESpm-mediated killing of
human lung cancer cell lines is typically associated with a > 100-fold
induction in SSAT activity to levels of >1000 pmol/mg protein/min
within 24 h, whereas cell types which demonstrate cytostatic growth
effects manifest a smaller induction of SSAT in response to BESpm
treatment (9).
Metastatic breast cancer is a common disease. A major clinical
problem is that tumors which are initially responsive to both hormonal
and chemotherapeutic approaches generally progress to more aggres
sive forms which are poorly responsive to either category of agents
(20). The need for antineoplastic agents with novel mechanisms of
action is therefore great. Previous studies have shown that growth of
established human breast cancer cell lines can be inhibited by DFMO
in culture (21-24). Evidence that hormone-responsive, but not hor
mone-resistant, human breast cancer cells are sensitive to the antipro-
liferative effect of DFMO has been presented by some investigators
(21, 22) and refuted by others (23). Thus the major goal of this work
was to characterize the effects of BESpm on a panel of hormone-
responsive and -unresponsive human breast cancer cells. In addition
we sought to correlate any change in growth with the effects of
BESpm on intracellular polyamine levels and the induction of SSAT
at the enzyme and steady-state mRNA levels.
MATERIALS AND METHODS
Chemicals. BESpm was synthesized as previously described (25, 26). It
was maintained as a 10 mM stock in 0.1 M HC1 and diluted in media for cell
treatment as described below.
Cell Culture and Growth Studies. The acquisition and maintenance of the
estrogen-responsive MCF-7, T47D. and ZR-75-1 and estrogen-unresponsive
MDA-MB-231, MDA-MB-468, and Hs578t human breast cancer cell lines
have been described previously (27). WTMCF7 and AdrRMCF7 cells were the
gift of Dr. K. Cowan (National Cancer Institute, Bethesda, MD). The AdrRM-
CF7 cell line was selected by serial passage of WTMCF7 cells in the presence
of increasing concentrations of doxorubicin and was maintained in 10 UM
doxorubicin as described previously (28). AdrRMCF7 cells were passaged in
doxorubicin-free medium for at least four passages before use. For cell growth
studies cells were plated in quadruplicate 12-mm wells under routine culture
conditions. The plating density ranged from 20,000 to 30,000 cells/well, de
pending on the particular cell line under study. After 24 h the medium was
replaced by medium with 0.01 M HC1 vehicle or varying concentrations of
BESpm. The final concentration of HC1 did not exceed 0.01 M. Medium was
replaced every 3 days and the number of adherent cells was determined by
Coulter Counter after 6 days. Results are expressed as N¡/NHwhere Na is the
number of cells on the day of BESpm or vehicle addition and N, is the number
of cells after 6 days of BESpm or vehicle (9).
Analysis of Polyamine Content and SSAT Activity. The polyamine con
tent of treated and untreated cells was determined by the precolumn dansyla-
tion, reversed-phase high-performace liquid Chromatographie methods of
Kabra et al. (29). 1,7-Diaminoheptane was used as the internal standard. The
level of detection of this method is 5 pmol of the individual polyamines. SSAT
activity of cellular extracts was measured as reported previously (19).
Enzyme activity is expressed as pmol /V'-[l'lC]acetylspermidine formed/ing
protein/min. Protein concentrations were determined by the method of Brad
ford (30).
2071
Research.
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