Uterine
leiomyomas develop in reproductive-age women with high frequency and are dependent on the production of ovarian
hormones. While it is generally accepted that these
tumors are
estrogen (E(2))-responsive, the role of
progesterone (P(4)) in modulating
tumor growth is less clear. In the present study, an in vivo/in vitro rat model was used to characterize
progesterone receptor (PR)
isoform expression in uterine
leiomyoma and investigate PR signaling using
progestins and antiprogestins in the
leiomyoma-derived cell line ELT-3. PR-A was the predominant
isoform expressed in normal myometrium,
leiomyomas and ELT3 cells. In the normal myometrium, PR-A and PR-B levels varied during the estrous cycle with low ratios of PR-A relative to PR-B (PR-A/PR-B) coinciding with times of cell proliferation. Although PR
ligands had no effect on basal levels of uterine
leiomyoma cell proliferation in vitro, both
progestins and antiprogestins inhibited E(2)-stimulated cell proliferation. In addition, E(2)-stimulated transactivation of an
estrogen-response-element reporter gene as well as E(2)-induced upregulation of the PR were also inhibited by PR
ligands. These data indicate that PR
ligands can transdominantly suppress
estrogen receptor signaling and stimulation of uterine
leiomyoma cell growth.