Carcinogenesis Advance Access originally published online on March 28, 2003
Carcinogenesis, Vol. 24, No. 5, 911-917,
May 2003
© 2003 Oxford University Press
MOLECULAR EPIDEMIOLOGY AND CANCER PREVENTION |
Mutagenic events induced by 4-hydroxyequilin in supF shuttle vector plasmid propagated in human cells
Manabu Yasui,
Saburo Matsui,
Y.R.Santosh Laxmi1,
Naomi Suzuki1,
Sung Yeon Kim1,
Shinya Shibutani1 and
Tomonari Matsuda2
Department of Technology and Ecology, Graduate School of Global Environmental Studies, Kyoto University, Sakyo-ku Yoshida-honmachi, Kyoto, 606-8501, Japan
1 Laboratory of Chemical Biology, Department of Pharmacological Sciences, State University of New York, Stony Brook, NY 11794-8651, USA
2 To whom correspondence should be addressed Email: matsuda{at}eden.env.kyoto-u.ac.jp
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Abstract
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Increased incidence of breast, ovarian and endometrial cancers
are observed in women receiving estrogen replacement therapy
(ERT). Equilin and equilenin are the major components of the
widely prescribed drug used for ERT. These equine estrogens
are metabolized primarily to 4-hydroxyequilin (4-OHEQ) and 4-hydroxyequilenin,
respectively, which are autoxidized to react with DNA, resulting
in the various DNA damages. To explore the mutagenic potential
of equine estrogen metabolites, a double-stranded pMY189 shuttle
vector carrying a bacteria suppressor tRNA gene,
supF, was exposed
to 4-OHEQ and transfected into human fibroblast. Plasmids containing
mutations in the
supF gene were detected with indicator bacteria
and mutated colonies obtained were analyzed by automatic DNA
sequencing. The proportion of plasmids with the mutated
supF gene was increased dose-dependently. The majority of the 4-OHEQ-induced
mutations were base substitutions (78%); another 22% were deletions
and insertions. Among the base substitutions, 56% were single
base substitutions and 19% were multiple base substitutions.
The majority (86%) of the 4-OHEQ-induced single base substitutions
occurred at the C:G site. C:G

G:C and C:G

A:T mutations were
detected preferentially with lesser numbers of C:G

T:A transitions.
Sixty-two percent of base substitutions were observed particularly
at C:G pairs in
5'-TC/AG-
5' sequences. Using
32P-post-labeling/gel
electrophoresis analysis, 4-OHENdC was a major adduct,
followed by lesser amounts of 4-OHENdA adduct. Mutations
observed at C:G pairs may result from 4-OHENdC adduct.
These results indicated that 4-OHEQ is mutagenic, generating
mutations primarily at C:G pairs in
5'-TC/AG-
5' sequences.
Abbreviations: ERT, estrogen replacement therapy; HPLC, high-performance liquid chromatography; 4-OHEQ, 4-hydroxyequilin; 4-OHEN, 4-hydroxyequilenin; 8-oxodG, 8-oxo-7,8-dihydro-2'-deoxyguanosine; 8-oxodA, 8-oxo-7,8-dihydro-2'-deoxyadenosine; PAGE, polyacrylamide gel electrophoresis.
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Introduction
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Estrogen replacement therapy (ERT) is most widely used among
postmenopausal women to decrease menopausal symptoms and also
to protect against osteoporosis (
1). More than 40% of US women
in this group currently receive ERT. Premarin (Wyeth-Ayerst),
composing of

50% estrogen, 30% equilin, 10% equilenin and 10%
8,9-dehydroestrogen, is used for this purpose (reviewed in ref.
2). However, ERT showed a significant increase in the risk of
developing breast (
3,
4), ovarian (
5) and endometrial cancers
(
6). Significant elevation of cancer risks was associated with
increasing duration of ERT (
5,
7). The occurrence of endometrial
hyperplasia was observed in postmenopausal women receiving ERT
(
8). Treatment of hamsters for 9 months with estrone, equilin
or equilenin resulted in 100% tumor incidence and many tumor
foci in kidneys (
9). DNA adducts have also been detected in
the tissues of rodents treated with natural and synthetic estrogens
(
10). Major metabolites of equine estrogens react readily with
the DNA
in vitro, resulting in the formation of large number
of DNA adducts (
2,
11). Therefore, exogenous estrogens may be
involved in the initiation of breast, ovarian and endometrial
cancers.
Like estrogen, equilin and equilenin are metabolized to 4-hydroxyl and 2-hydroxyl forms (2). However, there is no information regarding the level of equine estrogens and their fate in tissues of women treated with Premarin although pharmacokinetics of Premarin has been reported (12,13). 4-Hydroxyequilenin (4-OHEN) is rapidly autoxidized to an o-quinone which in turn readily reacts with DNA, resulting in the formation of unique dC, dA and dG adducts (Figures 1 and 2); the dA adduct is unstable, generating apurinic sites (14). Using 32P-post-labeling/polyacrylamide gel electrophoresis (PAGE) analysis (15), we have observed that 4-OHEN are highly reactive with DNA; large amounts of 4-OHENdC adduct, accompanied by lesser amounts of 4-OHENdA adduct, are detected. 4-Hydroxyequilin (4-OHEQ) is also autoxidized to an o-quinone, which isomerizes to 4-OHEN o-quinone (Figure 1); therefore, 4-OHEQ produces identical DNA adducts that are observed with 4-OHEN (16). During redox cycling between 4-OHEN o-quinone and their semi-quinone radicals, it generates superoxide, hydrogen peroxide and ultimately reactive hydroxyl radicals (17). When 4-OHEN was incubated with DNA in vitro or exposed to cultured breast cancer cells, increased formation of 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG) and 8-oxo-7,8-dihydro-2'-deoxyadenosine (8-oxo-dA) adducts was observed in the DNA (1721). Particularly, when 4-OHEN was injected directly into the mammary fat pads of rats, 4-OHENdA and 4-OHENdG adducts, in addition to increased formation of 8-oxodG, were detected in the mammary tissue using LC/MS/MS spectroscopy (22). If equine estrogenDNA adducts are mutagenic, such DNA adducts may have association in initiating cancers.
In the present study, pMY189 shuttle vector plasmids were exposed
to 4-OHEQ and transfected into human fibroblast. The mutational
frequency and spectrum occurred in the
supF gene of the plasmids
were analyzed. We found that 4-OHEQ, an equine estrogen metabolite,
was mutagenic.
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Materials and methods
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Materials
Ampicillin, chloramphenicol, nalidixic acid, isopropyl-ß-
D-thiogalactoside
(IPTG) and 5-bromo-4-chloro-3-indoyl-ß-
D-galactoside
(X-gal) were obtained from Nakalai Tesque (Kyoto, Japan). Calf
thymus DNA, micrococcal nuclease and potato apyrase were purchased
from Sigma-Aldrich (St Louis, MO). Spleen phosphodiesterase
was obtained from Worthington Biochemical (Freehold, NJ). 3'-Phosphatase
free T4 polynucleotide kinase was purchased from Roche Boehringer
Mannheim (Indianapolis, IN). Restriction endonuclease
DpnI was
obtained from TOYOBO (Shiga, Japan). LIPOFECTAMINE
TM Reagent
was purchased from Gibco BRL (Gaithersburg, MD). QIAGEN Plasmid-kit
and QIAprep-spin Plasmid kit were purchased from Qiagen GmbH
(Hilden, Germany). [

-
32P]ATP (sp. act. >6000 Ci/mmol) was
obtained from Amersham Pharmacia Biotech (Piscataway, NJ).
Human cells
A SV40-transformed normal human fibroblast cell line WI38-VA13 (21) obtained from American Type Culture Collection (Rockville, MD) was used in this study. The cells were cultured in Dulbecco's modified minimum essential medium (Nikken, Kyoto, Japan) supplemented with 10% fetal bovine serum (Hyclone, Logan, UT) at 37°C in a CO2 incubator.
Shuttle vector plasmid and bacterial strains
The shuttle vector plasmid pMY189, constructed previously by Matsuda et al. (24), was used for analysis of mutations induced by 4-OHEQ. The pMY189 was derived from the pZ189 (25) as described previously (24). The indicator Escherichia coli strain KS40/pKY241 (26), which is a nalidixic acid-resistant (gyrA) derivative of MBM7070 [lacZ(am) CA7070 lacY1 HsdR HsdM
(araABC-leu) 7679 galU galK rpsL thi] (27), was used for detection of the mutated pMY189. The plasmid pKY241 was constructed by Akasaka et al. (26) and contained a chloramphenicol resistant marker and a gyrA (amber) gene.
Transfection of pMY189 modified with 4-OHEQ to human cells
4-OHEQ was prepared using an established protocol (28). A purified stock of pMY189 was prepared with the QIAGEN Plasmid Purification Kit. The plasmid pMY189 (20 µg) was reacted at 37°C for 1 h with variable amounts of 4-OHEQ (0.022.0 mg in 10 µl DMSO) in 1.0 ml of 25 mM potassium phosphate buffer (pH 7.4). After the reaction, the plasmid DNA was recovered by ethanol precipitation, evaporated to dryness and then dissolved in TE buffer (pH 8). The human WI38-VA13 cells (2 x 107) were transfected with 4-OHEQ-treated pMY189 (2 µg) with LIPOFECTAMINETM Reagent and incubated at 37°C for 72 h in a CO2 incubator. Then, the plasmid was extracted from the cells using QIAprep-spin Plasmid kit and digested with the restriction endonuclease DpnI to eliminate non-replicated input plasmids with the bacterial methylation pattern.
Analysis of mutated supF gene
Plasmid DNA was introduced into the indicator bacteria E.coli KS40/pKY241 by the electroporation apparatus E.coli Pulser (Bio-Rad Laboratories, Hercules, CA). The bacteria were spread on LB agar plates containing 50 µg/ml of nalidixic acid, 150 µg/ml of ampicillin and 30 µg/ml of chloramphenicol, together with IPTG and X-gal. Plasmids with mutated supF genes made E.coli cells resistant to nalidixic acid, whereas cells carrying plasmids with unmutated supF genes could not grow in the presence of nalidixic acid. IPTG and X-gal were added to confirm selection of the mutated supF gene by the color of the colonies. A portion of the bacteria was spread on plates containing ampicillin and chloramphenicol to measure the transformant fraction and plasmid survival. Mutated plasmids were extracted and purified from the overnight culture. The sequences of the supF gene of the plasmids were determined with the -21M13 primer and Dye-Primer Cycle Sequencing reagent kit using a 370A automatic DNA sequencer (Applied Biosystems Foster, CA).
Determination of 4-OHEQ-derived DNA adducts in pMY189 plasmid
Plasmid DNA sample (0.1 µg) was enzymatically digested at 37°C for 2 h in 30 µl of 17 mM sodium succinate buffer (pH 6.0) containing 8 mM CaCl2, using micrococcal nuclease (15 U) and spleen phosphodiesterase (0.05 U). The reaction mixture was incubated for another 1 h with nuclease P1 (1.0 U). The DNA digests were incubated at 37°C for 40 min with [
-32P]ATP (20 µCi) and 3'-phosphatase free T4 polynucleotide kinase (20 U) in 20 µl of 500 mM TrisHCl buffer (pH 7.5) containing 100 mM MgCl2, 100 mM DTT and 10 mM spermidine, and then incubated with 50 mU of apyrase for another 30 min. 4-OHEQ (2 mg in 10 µl DMSO) was also reacted at 37°C for 5 h with dN3'P (0.5 mg) in 1.0 ml of 25 mM potassium phosphate buffer, pH 7.4. After the centrifugation, one-twentieth of the supernatant was evaporated to dryness and incubated at 37°C for 1 h with nuclease P1 (1.0 U) in 20 µl of 17 mM sodium succinate buffer (pH 6.0) containing 8 mM CaCl2. The reaction mixture was evaporated to dryness and labeled with 32P, as described for the 4-OHEQ-modified DNA samples. A part of the 32P-labeled samples was analyzed by 32P-post-labeling/PAGE (15). 4-OHEN was synthesized using an established protocol (14) and reacted with dC3'P and dA3'P, as described for 4-OHEQ. 4-OHENdC3'P and 4-OHENdA3'P were isolated by HPLC (29) and their molecular weight was confirmed using FAB mass spectroscopy. 4-OHENdC3'P and 4-OHENdA3'P were used as standards for analysis of 4-OHEQ-derived DNA adducts.
32P-Post-labeling/PAGE analysis
A part of the 32P-labeled sample was electrophoresed for 45 h on a non-denaturing 30% polyacrylamide gel (35 x 42 x 0.04 cm) with 14001600 V/2040 mA (15). A 30% polyacrylamide gel was prepared from 40% polyacrylamide solution (60 ml), 10x TBE buffer, pH 7.0 (10 ml), distilled water (10 ml), 10% ammonium persulfate (0.6 ml) and TEMED (35 µl). Ten times TBE buffer (pH 7.0) was prepared from 1 M Tris-base, 2.24 M boric acid and 25.5 mM EDTA. The position of 32P-labeled adducts was established by a ß-PhosphorImager analysis (Molecular Dynamics, Sunnyvale, CA). To determine the radioactivity of 32P-labeled products, integrated values were measured using a ß-PhosphorImager. Values ranging from 1 to 108 had a linear response (data not shown). When the radioactivity was beyond the range, the shorter exposure to 32P-labeled products was used to determine the radioactivity within the linear range. The relative adduct levels were calculated according to Levay et al. (30): for example, (total d.p.m. in adducts)/5.30 x 109 d.p.m., assuming that 0.1 µg of DNA was 3.03 x 102 pmol of dN3'P and the specific activity of the [
-32P]ATP was 1.75 x 107 d.p.m./pmol. The specific activity of the [
-32P]ATP was corrected by calculating the extent of decay. When known amounts of an oligodeoxynucleotide containing a single 4-OHENdC adduct was mixed with calf thymus DNA and used as a standard for 32P-postlabeling analysis, the recovery of 4-OHENdC adduct was 50% (S.Shibutani, unpublished data). Therefore, the actual level of 4-OHENdC adduct was estimated by dividing the experimental values by 50%. Although the recovery of 4-OHENdA has not been determined using the site-specific modified oligomer, the same recovery rate was applied to estimate the level of 4-OHENdA adduct.
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Results
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Level of 4-OHEQ-derived DNA adducts in plasmid vectors
When dN
3'P was reacted with 4-OHEQ under neutral buffer conditions
and labeled with
32P, 4-OHEQ-modified dA
3'P, dC
3'P and dG
3'P were detected by the
32P-post-labeling/PAGE analysis (
Figure 3).
No adducts were detected with dT
3'P. Using
32P-post-labeling/PAGE
analysis, the level of 4-OHEQ-derived DNA adducts in the plasmid
vectors which were reacted with variable amounts (0.022.0
mg) of this compound were analyzed. As reported earlier (
16),
it was observed that 4-OHEQ was auto-oxidized to form 4-OHEQ
o-quinone, which was isomerized to form 4-OHEN
o-quinone. Therefore,
4-OHEQ
o-quinone reacts with the DNA, resulting in the identical
DNA adducts formed by 4-OHEN
o-quinone. As shown in
Figure 3,
4-OHENdC adduct, followed by 4-OHENdA adduct,
was detected as a major adduct. The formation of 4-OHENdC
and 4-ONENdA adducts increased dose-dependently (
Figure 4).
When the plasmid (20 µg) was reacted with 0.5 mg (final
1.8 mM concentration) of 4-OHEQ, the level of 4-OHENdC
and 4-OHENdA adducts were 5.8 adducts/10
4 dN and 0.06
adducts/10
4 dN, respectively. Several unknown adducts were also
detected as minor products. No adducts were detected in the
control DNA sample.

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Fig. 3. Determination of DNA adducts derived from 4-OHEQ. pMY189 plasmid (20 µg) was reacted at 37°C for 1 h with 0.022.0 mg of 4-OHEQ in 1.0 ml of 25 mM potassium phosphate buffer, pH 7.4. The recovered DNA (0.1 µg) was digested using nuclease P1 enrichment method and labeled with 32P, as described in the Materials and methods. 4-OHEQ (2 mg) was also incubated at 37°C for 5 h with 0.5 mg of dA3'P, dC3'P, dG3'P or dT3'P in 1.0 ml of 25 mM potassium phosphate buffer, pH 7.4. The dN3'P samples (25 µg) was incubated for 1 h with nuclease P1 (1.0 U) in 30 µl of 17 mM sodium succinate buffer (pH 6.0) containing 8 mM CaCl2. The reaction mixture was evaporated to dryness and labeled with 32P. A one-fifth volume of the 32P-labeled samples was developed for 5 h on a 30% polyacrylamide gel electrophoresis. 4-OHENdC3'P and 4-OHENdA3'P were also labeled with 32P, as described for 4-OHEQ-derived dN3'P and used as standards. [ -32P]ATP (16.7 fmol) was subjected to the gel to quantify DNA adducts derived from 4-OHEQ.
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Mutations induced by 4-OHEQ on supF gene
4-OHEQ-treated vector plasmid pMY189 was transfected into the
human WI38-VA13 cells and incubated for 3 days to allow replication
and mutation fixation. The progeny plasmids were recovered.
An indicator
E.coli was transformed by the plasmids to determine
the plasmid survival and mutation frequency. The number of ampicillin-resistant
bacterial colonies was reduced by the increased exposure of
4-OHEQ to the shuttle vectors; in contrast, the proportion of
plasmids with the mutated
supF gene was increased (
Figure 5).
When plasmids were treated with 1.8 mM of 4-OHEQ, the mutation
frequency (28
x 10
-4) was 12-times higher than that of the control
(2.3
x 10
-4).

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Fig. 5. Survival of 4-OHEQ-treated pMY189 plasmids propagated WI38-VA13 (left panel) and mutation frequency of 4-OHEQ-treated pMY189 plasmids propagated WI38-VA13 (right panel). The ratio of the number of ampicillin-resistant bacterial colonies with 4-OHEQ-treated plasmids to the number with the untreated plasmids is shown as plasmid survival. The frequency of bacterial colonies with the mutated supF gene in all the ampicillin-resistant bacterial colonies is shown as mutation frequency. Average numbers of three independent experiments are plotted with the SD of the mean.
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Seventy-eight mutant colonies were obtained from the plasmid
treated with 1.8 mM of 4-OHEQ and subjected to sequence analysis.
The majority of the 4-OHEQ-induced mutations were base substitutions
(78%); the remaining 22% were deletions and insertions (
Table I).
Among the base substitutions, 56% showed single base substitutions
and 19% showed multiple base substitutions (at least two base
substitutions except for the tandem base substitutions). Distribution
of the base substitutions observed in the
supF gene is shown
in
Figure 6. The majority of the 4-OHEQ-induced single base
substitutions occurred at the C:G sites (86%). C:G

G:C (48%)
and C:G

A:T (28%) transversions were observed primarily, along
with lesser number of C:G

T:A transitions (10%) (
Table II).
Small number of A:T

T:A transversions (8%) and A:T

G:C transitions
(8%) were also observed.

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Fig. 6. Distribution of 4-OHEQ-induced base substitutions in supF gene. The asterisks represent C:G pairs in 5'-TC/AG-5' sequences. Underlined are tandem and ternate base substitutions. Multiple mutations, deletions, and insertions are as follows (the site of the change is shown in parentheses). G C (70), G A (105) and G T (111); G C (70), G A (105) and G T (111); G C (70) and G T (111); C A (108) and C A (163); C A (133) and A T (137); C A (149), C A (155) and C A (168); G C (65), G C (111), G A (150) and C T (178); T C (50), G A (65) and G C (126); C A (108) and C A (163); C G (118), C A (139), C A (149) and C T (185); C G (133) and C T (185); C G (133) and C T (146); G A (156) and C A (179); G A (129) and C A (133); deletion (135); deletion (131154); deletion (127129); deletion (129155); deletion (4661); deletion (94111); deletion (117129); deletion (128136); deletion (146176); deletion (117197); large deletion (98); large deletion (178); large deletion (85); large deletion (174); C insertion (123124).
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Discussion
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Mutagenic potential of 4-OHEQ was determined using human fibroblast
and pMY189 shuttle vector carrying
supF gene exposed to 4-OHEQ.
4-OHEQ promoted base substitutions preferentially at C:G sites.
There are 21
5'-TC and
5'-GA sequences in the target site of
supF gene. Sixty-two percent of base substitutions occurred
at C:G pairs in 18 of 21
5'-TC/AG-
5' sequences. This suggests
that C:G pairs in the
5'-TC/AG-
5' sequences are the major targets
damaged by 4-OHEQ and results in large numbers of base substitutions.
Further studies are required in this direction of the chemical
preference of 4-OHEQ at this
5'-TC/AG-
5' sequence.
As shown in Table II, C:G
G:C and C:G
A:T transversions were detected primarily, along with lesser numbers of C:G
T:A transitions. These mutations may be promoted from C and/or G damaged by 4-OHEQ. Bolton and her colleagues have reported that 4-OHEN reacts with DNA, resulting in the formation of 4-OHENdC, 4-OHENdA and 4-OHENdG adducts (14). However, when pMY189 plasmid exposed to 4-OHEQ was analyzed using 32P-postlabeling/PAGE, 4-OHENdC adduct was the major adduct, followed by lesser amounts of 4-OHENdA adduct (Figures 3 and 4). Similar observations were seen for the DNA reacted with 4-OHEN (15). Therefore, mutations detected at C:G pairs in supF gene may have resulted from 4-OHENdC adducts.
The mutant frequency was plotted against the number of DNA adducts (4-OHENdC plus 4-OHENdA) per mutational target sites (Figure 7). The supF gene consisted of 150 bp nucleotides, but not all the bases are the targets. Literature review revealed that there are 93 target bases in supF gene (24). From the regression curve of Figure 6, it was estimated that 38 4-OHENdC or 4-OHENdA adducts will produce one mutation.
The other possible DNA damages are due to the oxidative adducts
induced by 4-OHEQ. 4-OHEQ is autoxidized to an
o-quinone, which
isomerizes to 4-OHEN
o-quinone (
16). Reactive oxygen species,
which are generated during redox cycling between 4-OHEN
o-quinone
and their semiquinone radicals, react with cellular DNA, resulting
in an increased formation of 8-oxodG and 8-oxodA adducts both
in vitro and
in vivo (
17
21). 8-oxodG has been known to
create mutagenic lesions, primarily generating G

T transversions
in mammalian cells (
31
33). 8-oxodG generated in C:G pairs
might contribute in part to the C:G

A:T mutations observed
with 4-OHEQ.
Small numbers of A:T
T:A transversions and A:T
G:C transitions were also detected at A:T pairs in supF gene. One of the authors (S.S.) has reported that 8-oxodA is relatively a weak mutagenic lesion, generating A
C transversions in mammalian cells (33). Since this mutagenic spectrum was not detected in the present study, contribution of 8-oxodA adduct to mutations generated by 4-OHEQ might be minimal. Mutations observed in A:T pairs might be promoted by 4-OHENdA adducts. Therefore, mutations observed in supF gene may be due to the covalent dC and dA adducts and/or 8-oxodG generated by 4-OHEQ.
In conclusion, we have found that 4-OHEQ, a major metabolite of equilin, is mutagenic, generating primary C:G
G:C and C:G
A:T transversions; sequence dependent mutations were also observed at C:G pairs in 5'-TC/AG-5' sequences. Equilin was thought to be a cancer promoter via the activation of the estrogen receptor in the target tissues. However, 4-OHEQ was found to damage DNA and cause mutations, indicating that equilin might act as an initiator of developing breast, ovarian and endometrial cancers.
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Acknowledgments
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This research was supported by the National Institute of Environmental
Health Sciences Grant ES09418, Grants-in-aid for Scientific
Research 13027245 from the Ministry of Education, Culture, Sports,
Science and Technology (MEXT, Japan) and New Energy and Industrial
Technology Development Organization (NEDO, Japan).
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References
|
|---|
- American Druggist Merchandising (1996) The top 200 drugs. 1820 (February issue).
- Bolton,J.L., Pisha,E., Zhang,F. and Qiu,S. (1998) Role of quinoids in estrogen carcinogenesis. Chem. Res. Toxicol., 11, 11131127.[CrossRef][Web of Science][Medline]
- Grodstein,F., Stampfer,M.J., Colditz,G.A., Willett,W.C., Manson,J.E., Joffe,M., Rosner,B., Fuchs,C., Hankinson,S.E., Hunter,D.J., Hennekens,C.H. and Speizer,F. E. (1997) Postmenopausal hormone therapy and mortality. N. Engl. J. Med., 336, 17691775.[Abstract/Free Full Text]
- Colditz,G.A., Hankinson,S.E., Hunter,D.J., Willett,W. C., Manson,J.E., Stampfer,M.J., Hennekens,C.H., Rosner,B. and Speizer,F.E. (1995) The use of estrogens and progestins and the risk of breast cancer in postmenopausal women. N. Engl. J. Med., 332, 15891593.[Abstract/Free Full Text]
- Lacey,J.V. Jr, Mink,P.J., Lubin,J.H., Sherman,M.E., Troisi,R., Hartge,P., Schatzkin,A. and Schairer,C. (2002) Menopausal hormone replacement therapy and risk of ovarian cancer. J. Am. Med. Assoc., 288, 334341.[Abstract/Free Full Text]
- Grady,D., Gebretsadik,T., Kerlikowske,K., Emster,V. and Petitti,D. (1995) Hormone replacement therapy and endometrial cancer risk: a meta-analysis. Obstet. Gynecol., 85, 304313.[CrossRef][Web of Science][Medline]
- Steinberg,K.K., Smith,S.J., Thacker,S.B. and Stroup,D.F. (1994) Breast cancer risk and duration of estrogen use: the role of study design in meta-analysis. Epidemiology, 5, 415421.[Web of Science][Medline]
- Judd,H.L., Mebane-Sims,I., Legault,C., Wasilauskas,C., Johnson,S., Merino,M., Barrett-Connor,B. and Trabal,J. (1996) Effects of hormone replacement therapy on endometrial histology in postmenopausal women. J. Am. Med. Assoc., 275, 370375.[Abstract/Free Full Text]
- Li,J.J., Li,S.A., Oberley,T.D. and Parsons,J.A. (1995) Carcinogenic activities of various steroidal and nonsteroidal estrogens in the hamster kidney: relation to hormonal activity and cell proliferation. Cancer Res., 55, 43474351.[Abstract/Free Full Text]
- Liehr,J.G. (1990) Genotoxic effects of estrogens. Mutat. Res., 238, 269276.[Web of Science][Medline]
- Han,X. and Liehr,J.G. (1995) Microsome-mediated 8-hydroxylation of guanine bases of DNA by steroid estrogens: correlation of DNA damage by free radicals with metabolic activation to quinines. Carcinogenesis, 16, 25712574.[Abstract/Free Full Text]
- Bhavnani,B.R. (1998) Pharmacokinetics and pharmacodynamics of conjugated equine estrogens: chemistry and metabolism. Proc. Soc. Exp. Biol. Med., 217, 616.[CrossRef][Medline]
- Bhavnani,B.R., Nisker,J.A., Martin,J., Aletebi,F., Watson,L.R.N. and Milne,J.K. (2000) Comparison of pharmacokinetics of a conjugated equine estrogen preparation (Premarin) and a synthetic mixture of estrogens (C.E.S.) in postmenopausal women. J. Soc. Gynecol. Invest., 7, 175183.[Web of Science][Medline]
- Shen,L., Qiu,S., Chen,Y., Zhang,F., van Breemen,R.B., Nikolic,D. and Bolton,J.L. (1998) Alkylation of 2'-deoxynucleosides and DNA by the Premarin metabolite 4-hydroxyequilenin semiquinone radical. Chem. Res. Toxicol., 11, 94101.[CrossRef][Web of Science][Medline]
- Terashima,I., Suzuki,N. and Shibutani,S. (2002) 32P-Postlabeling/polyacrylamide gel electrophoresis assay: application to the detection of DNA adducts. Chem. Res. Toxicol., 15, 305311.[CrossRef][Web of Science][Medline]
- Zhang,F., Chen,Y., Pisha,E., Shen,L., Xiong,Y., van Breemen,R.B. and Bolton,J.L. (1999) The major metabolite of equilin, 4-hydroxyequilin, autoxidizes to an o-quinone which isomerizes to the potent cytotoxin 4-hydroxyequilenin-o-quinone. Chem. Res. Toxicol., 12, 204213.[CrossRef][Web of Science][Medline]
- Chen,Y., Shen,L., Zhang,F., Lau,S.S., van Breemen,R.B., Nikolic,D. and Bolton,J.L. (1998) The equine estrogen metabolite 4-hydroxyequilenin causes DNA single-strand breaks and oxidation of DNA bases in vitro. Chem. Res. Toxicol., 11, 11051111.[CrossRef][Web of Science][Medline]
- Han,X. and Liehr,J.G. (1995) Microsome-mediated 8-hydroxylation of guanine bases of DNA by steroid estrogens: correlation of DNA damage by free radicals with metabolic activation to quinones. Carcinogenesis, 16, 25712574.[Abstract/Free Full Text]
- Chen,Y., Liu,X., Pisha,E., Constantinou,A.I., Hua,Y., Shen,L., van Breemen,R.B., Elguindi,E.C., Blond,S.Y., Zhang,F. and Bolton,J.L. (2000) A metabolite of equine estrogens, 4-hydroxyequilenin, induces DNA damage and apoptosis in breast cancer cell lines. Chem. Res. Toxicol., 13, 342350.[CrossRef][Web of Science][Medline]
- Zhang,F., Yao,D., Hua,Y., van Breemen,R.B. and Bolton,J.L. (2001) Synthesis and reactivity of the catechol metabolites from the equine estrogen, 8,9-dehydroestrone. Chem. Res. Toxicol., 14, 754763.[Web of Science][Medline]
- Liu,X., Yao,J., Pisha,E., Yang,Y., Hua,Y., van Breemen,R.B. and Bolton,J.L. (2002) Oxidative DNA damage induced by equine estrogen metabolites: role of estrogen receptor a. Chem. Res. Toxicol., 15, 512519.[CrossRef][Web of Science][Medline]
- Zhang,F., Swanson,S.M., van Breemen,R.B., Liu,X., Yang,Y., Gu,C. and Bolton,J.L. (2001) Equine estrogen metabolite 4-hydroxyequilenin induces DNA damage in the rat mammary tissues: formation of single-strand breaks, apurinic sites, stable adducts and oxidized bases. Chem. Res. Toxicol., 14, 16541659.[CrossRef][Web of Science][Medline]
- Girardi,A.J., Jensen,F.C. and Koprowski,H. (1965) SV40-induced transformation of human diploid cells, crisis and recovery. J. Cell. Comput. Physiol., 62, 6984.
- Matsuda,T., Yagi,T., Kawanishi,M., Matsui,S. and Takebe,H. (1995) Molecular analysis of mutations induced by 2-chloroacetaldehyde, the ultimate carcinogenic form of vinyl chloride, in human cells using shuttle vectors. Carcinogenesis, 16, 23892394.[Abstract/Free Full Text]
- Kraemer,K.H. and Seidman,M.M. (1989) Use of supF, an Escherichia coli tyrosine suppressor tRNA gene, as a mutagenic target in shuttle-vector plasmids. Mutat. Res., 220, 6172.[Web of Science][Medline]
- Akasaka,S., Takimono,K. and Yamamoto,K. (1992) G:C
T:A and G:C
C:G transversions are the predominant spontaneous mutations in the Escherichia coli supF gene; an improved lacZ (am) E.coli host designed for assaying pZ189 supF mutational specificity. Mol. Gen. Genet., 235, 173178.[CrossRef][Web of Science][Medline]
- Seidman,M.M., Dixon,K., Razzaque,A., Zagursky,R. and Berman,M.L. (1985) A shuttle vector plasmid for studying carcinogen-induced point mutations in mammalian cells. Gene, 38, 233237.[CrossRef][Web of Science][Medline]
- Chang,M., Zhang,F., Shen,L., Pauss,N., Alam,I., van Breemen,R.B., Blond,S.Y. and Bolton,J.L. (1998) Inhibition of glutathione S-transferase activity by the quinoid metabolites of equine estrogens. Chem. Res. Toxicol., 11, 75865.[CrossRef][Web of Science][Medline]
- Shibutani,S., Gentle,R.S., Johnson,F. and Grollman,A.P. (1991) Isolation and charaterization of oligodeoxynucleotides containing dG-N2-AAF and oxidation products of dG-C8-AF. Carcinogenesis, 12, 813818.[Abstract/Free Full Text]
- Levay,G., Pongracz,K. and Bodell,W.J. (1991) Detection of DNA adducts in HL-60 cells treated with hydroquinone and p-benzoquinone by 32P-postlabeling. Carcinogenesis, 12, 11811186.[Abstract/Free Full Text]
- Shibutani,S., Takeshita,M. and Grollman,A.P. (1991) Insertion of specific bases during DNA synthesis past the oxidation-damaged base 8-oxodG. Nature, 349, 431434.[CrossRef][Medline]
- Moriya,M. (1993) Single strand shuttle phagemid for mutagenesis studies in mammalian cells: 8-oxoguanine in DNA induces targeted G:C
T:A transversion in simian kidney cells. Proc. Natl Acad. Sci. USA, 90, 11221126.[Abstract/Free Full Text]
- Tan,X., Grollman,A.P. and Shibutani,S. (1999) Comparison of the mutagenic properties of 8-oxo-7,8-dihydro-2'-deoxyadenosine and 8-oxo-7,8-dihydro-2'-deoxyguanosine DNA lesions in mammalian cells. Carcinogenesis, 20, 22872292.[Abstract/Free Full Text]
- Kawanishi,M., Matsuda,T., Nakayama,A., Takebe,H., Matsui,S. and Yagi,T. (1998) Molecular analysis of mutations induced by acrolein in human fibroblast cells using supF shuttle vector plasmids. Mutat. Res., 417, 6573.[Web of Science][Medline]
Received December 9, 2002;
revised February 6, 2003;
accepted February 17, 2003.

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