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Publication : Estrogen receptor alpha prevents bladder cancer via INPP4B inhibited akt pathway in vitro and in vivo.

First Author  Hsu I Year  2014
Journal  Oncotarget Volume  5
Issue  17 Pages  7917-35
PubMed ID  25277204 Mgi Jnum  J:310359
Mgi Id  MGI:6762644 Doi  10.18632/oncotarget.1421
Citation  Hsu I, et al. (2014) Estrogen receptor alpha prevents bladder cancer via INPP4B inhibited akt pathway in vitro and in vivo. Oncotarget 5(17):7917-35
abstractText  Clinical reports show males have a higher bladder cancer (BCa) incidence than females. The sexual difference of BCa occurrence suggests that estrogen and its receptors may affect BCa development. Estrogen receptor alpha (ERalpha) is the classic receptor to convey estrogen signaling, however, the function of ERalpha in BCa development remains largely unknown. To understand the in vivo role of ERalpha in BCa development, we generated total and urothelial specific ERalpha knockout mice (ERalphaKO) and used the pre- carcinogen BBN to induce BCa. Earlier reports showed that ERalpha promotes breast and ovarian cancers in females. Surprisingly and of clinical importance, our results showed that ERalpha inhibits BCa development and loss of the ERalpha gene results in an earlier onset and higher incidence of BBN-induced in vivo mouse BCa. Supportively, carcinogen induced malignant transformation ability was reduced in ERalpha expressing urothelial cells as compared to ERalpha negative cells. Mechanism studies suggest that ERalpha could control the expression of INPP4B to reduce AKT activity and consequently reduce BCa cell growth. In addition, IHC staining of clinical sample analyses show that INPP4B expression, in correlation with reduced ERalpha, is significantly reduced in human BCa specimens. Together, this is the first report using the in vivo cre-loxP gene knockout mouse model to characterize ERalpha roles in BCa development. Our studies provide multiple in vitro cell studies and in vivo animal model data as well as human BCa tissue analyses to prove ERalpha plays a protective role in BCa initiation and growth at least partly via modulating the INPP4B/Akt pathway.
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