Estrogens play important roles in growth, development,
reproduction, and maintenance of a diverse range of mammalian tissues. The
physiological effects of estrogens are mediated by the intracellular ERs
(Estrogen Receptors), which regulate transcription of target genes through
binding to specific DNA target sequences. The ERs orchestrate both
transcriptional and non-genomic functions in response to estrogens,
xenoestrogens and signals emanating from growth factor signalling pathways. The
pleiotropic and tissue-specific effects of estrogens are mediated by the
differential expression of two distinct ER subtypes: ER-Alpha and ER-Beta, and
their coregulators (Ref.1). The activities of a plethora of ER-interacting
proteins converge to confer distinct functionalities on ERs, including the
activation and repression of transcription, the integration of intracellular
signaling pathways and the control of cell cycle progression. Both ERs are
distributed widely in the body in both genders. ER-Alpha predominates in the
uterus and mammary gland, whereas ER-Beta has significant roles in the central
nervous, cardiovascular, and immune systems; urogenital tract, bone, kidney,
and lungs (Ref.2). Typically, the majority of either ER-Alpha or ER-Beta is
found in the cytoplasm and nucleus. However, small amounts (2%) can associate
with the cell membrane.
The two mammalian ERs exhibit modular structures
characteristic of the nuclear receptor superfamily. They are composed of three
independent but interacting functional domains: the NH2-terminal
transcriptional AF1 (Activation Function-1) domain, the DNA-binding domain, and
the ligand-binding domain that contains a ligand-dependent transcriptional AF2
(Activation Function-2) domain (Ref.3). ERs integrate multiple signals both
from ligands and intracellular signalling pathways to perform their functions
in the nucleus and cytosol. The vasculature (like the reproductive tissue,
bone, liver, and brain) has been recognized as an important target of estrogen
action through rapid nongenomic effects and/or via the classic pathway (genomic
effects) involving ERs (Ref.4). The classical pathways depend on direct
interaction of estrogen with its receptor in the nucleus. Once activated, the
ER complex can directly mediate gene transcription or interact with
transcription factors to influence their activity. The nonclassical pathways
work more rapidly and depend on the ability of estrogen to interact with either
nonsteroid hormone receptors or steroid hormone receptors in the membrane. Both
nonclassical pathways activate kinases that ultimately regulate transcription
of specific genes (Ref.5).
The classical mechanism of steroid hormone action involves
nuclear interactions of intracellular receptors, which are either cytoplasmic
or nuclear. Binding of hormone to ER releases the receptor from an inhibitory
complex with HSPs (Heat Shock Proteins) and triggers conformational changes
that allow ER to bind the responsive elements in the target gene promoters
(Ref.6). Subsequently, the receptor-ligand complex binds to the palindromic ERE
(Estrogen Response Element) located in the target gene promoters, and
stimulates gene transcription. Maximum transcriptional activity requires the
concerted actions of the ligand-independent AF1 domain and the ligand-dependent
AF2 domain. The transcriptional activity is also affected by a number of
regulatory cofactors including chromatin-remodeling complexes, coactivators,
and corepressors. Coactivators generally do not bind to the DNA but are
recruited to the target gene promoters through protein-protein interactions
with the ER. Examples of ER coactivators include, members of the p160/SRC
(Steroid Receptor Coactivator) family: SRC1/NcoA1 (Nuclear Receptor
Coactivator-1); NcoA2; NCOA3/AIB1/TRAM1/RAC3; the cointegrators: CBP
(CREB-Binding Protein) and p300; and the family of CITED (CBP/P300-Interacting
Transactivator, With Glu/Asp-Rich Carboxy-Terminal Domain) proteins.
Corepressors like NCoR (Nuclear Receptor Co-Repressor) and MTA1 (Metastasis
Associated-1) protein have been implicated in the transcriptional silencing. In
addition, a few bifunctional coregulators such as PELP1 (Proline Glutamic
Acid-Rich Nuclear Protein) also exist that can act both as coactivators and
corepressors of ER (Ref.3). It is the relative balance of receptors,
coactivator, and corepressor proteins, which is a critical determinant of the
ability of this classical pathway to initiate responses. Since the relative
concentrations of these molecules is cell specific, sex steroid hormones can have
vastly different functions in different tissues of the same organism. A second
mechanism of action for the classic pathway involves protein-protein
interactions. In this pathway, ER-ligand complexes interact with transcription
factors such as NF-KappaB (Nuclear Factor-KappaB), activator protein-1 and SP1
(Specific Protein-1) to influence gene transcription (Ref.1).
Estrogen receptors localized on the cell membrane and
cytoplasm are also involved with the transduction of the nongenomic effects of
estrogen, which are too rapid to be compatible with gene transcription and
protein synthesis (Ref.7). Typically, these effects occur within seconds to
minutes. These signaling cascades recruit second messengers including NO
(Nitric Oxide), RTKs (Receptor Tyrosine Kinases), GPCRs (G-protein–Coupled
Receptors), and protein kinases including PI3K (PhosphatidylInosiol-3-Kinase),
serine-threonine kinase Akt, MAPK (Mitogen-Activated Protein Kinase) family
members, and PKA and PKC (Protein kinases). Antiapoptotic role of estrogens is
achieved through the activation of GPCRs and the Akt pathway. Activation of
MAPK cascades leads to downstream cytoplasmic events or transcriptional events
involving potentiation of AF1 activity (Ref.5). After binding ligand, ERs
induce rapid phosphorylation of the adaptor proteins, Src and SHC (SH2
Containing Protein), resulting in a SHC–GRB2 (Growth Factor Receptor Binding
Protein-2)–SOS complex formation. This leads to the subsequent activation of
Ras, Raf, and MAPKs, including ERK-1/2 (Extracellular Signal Regulated
Kinases), JNK (c-Jun N-terminal Kinase), and p38. They are then translocated to
the nucleus and participate in gene transcription. Apart from this, MAPKs can
directly catalyze the phosphorylation of serine 118 of the ER and increase its
transcriptional efficiency. RSK (p90 Ribosomal-S6-Kinase), the downstream
target of MAPK can also phosphorylate the ER, but at serine 167, an effect
which increases its transcriptional efficiency. In breast and prostate cancer
cells, Estrogen treatment activates the Src-Ras-ERK pathway, leading to cell
cycle progression. Activated ERs elicit PI3K and Akt to activate eNOS (Nitric
Oxide Synthase), which lead to enhanced NO release that may lead to
vasodilation in the vasculature. In healthy blood vessels, the secretion of NO
is vasculoprotective. Akt can also directly phosphorylate ER, resulting in
enhanced ligand-independent transcription of estrogen-responsive genes (Ref.7).
Estrogens play a central role in reproduction, and, are
regarded as the powerful female hormones that make a girl develop into a woman
capable of reproduction. But now, estrogen is no longer viewed just as a female
sex hormone but rather as a steroid hormone functioning in both females and
males. In addition to their central role in reproduction, estrogens also affect
the cardiovascular, skeletal, immune and nervous systems and play a role in the
initiation and progression of breast cancer and osteoporosis (Ref.4). All these
functions are effected, both through the action of the endogenous estrogens: E1
(Estrone), E2 (Estradiol/17-beta Estradiol) and E3 (Estriol); and, various
syntehetic forms. Developmental exposure to high doses of exogenous E2 induces
multiple persistent structural and functional abnormalities in the accessory
sex glands. These include reduction in overall gland size; focal epithelial
hyperplasia, metaplasia, and dysplasia; altered hormonal sensitivity; altered
expression of ERs and AR (Androgen Receptor); alterations in stromal cell
growth and function; disturbance of TGF-Beta (Transforming Growth Factor-Beta)
signaling system; induction of protooncogenes; and inflammatory changes. In
contrast, exposure to low doses of E2 has been reported to increase prostate
size in adulthood (Ref.1). Multiple mechanisms participate in the regulation of
estrogen-controlled genes, providing a wide spectrum of possibilities for
development of drugs, including pure/mixed agonists or antagonists, known as:
SERM (Selective Estrogen Receptor Modulators). Antiestrogens, such as Tamoxifen,
are used as therapeutic agents for the treatment and possible prevention of
breast cancer. Tamoxifen is believed to function as an antitumor agent by
inhibiting the action of the ER in breast tissue (Ref.8).
References:
1. Moggs JG, Orphanides G.
Estrogen receptors: orchestrators of pleiotropic cellular
responses.
EMBO Rep. 2001 Sep;2(9):775-81.
PubMed ID: 11559590
2. Gustafsson JA.
Novel aspects of estrogen action.
J. Soc. Gynecol Investig. 2000 Jan-Feb;7(1 Suppl):S8-9.
PubMed ID: 10732321
3. Mishra SK, Mazumdar A, Vadlamudi RK, Li F, Wang RA, Yu W,
Jordan VC, Santen RJ, Kumar R.
MICoA, a novel metastasis-associated protein 1 (MTA1)
interacting protein coactivator, regulates estrogen receptor-alpha
transactivation functions.
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PubMed ID: 12639951
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PubMed ID: 12431838
5. Lorenzo J.
A new hypothesis for how sex steroid hormones regulate
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PubMed ID: 12782664
6. Knoblauch R, Garabedian MJ.
Role for Hsp90-associated cochaperone p23 in estrogen receptor
signal transduction.
Mol. Cell Biol. 1999 May;19(5):3748-59.
PubMed ID: 10207098
7. Simoncini T, Rabkin E, Liao JK.
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Arterioscler. Thromb. Vasc. Biol. 2003 Feb 1;23(2):198-203.
PubMed ID: 12588759
8. Paech K, Webb P, Kuiper GG, Nilsson S, Gustafsson J,
Kushner PJ, Scanlan TS.
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ERalpha and ERbeta at AP1 sites.
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PubMed ID: 9278514
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