The mechanism by which
raloxifene acts in the
chemoprevention of
breast cancer remains unclear. Because
telomerase activity is involved in
estrogen-induced
carcinogenesis, we examined the effect of
raloxifene on
estrogen-induced up-regulation of
telomerase activity in MCF-7 human
breast cancer cell line.
Raloxifene inhibited the induction of cell growth and
telomerase activity by 17beta-estradiol (E2).
Raloxifene inhibited the E2-induced expression of the human
telomerase catalytic subunit (hTERT), and transient expression assays using
luciferase reporter plasmids containing various fragments of the hTERT promoter showed that the
estrogen-responsive
element appeared to be partially responsible for the action of
raloxifene. E2 induced the phosphorylation of Akt, and pretreatment with a
phosphatidylinositol 3-kinase (PI3K) inhibitor,
LY294002, attenuated the E2-induced increases of the
telomerase activity and hTERT promoter activity.
Raloxifene inhibited the E2-induced Akt phosphorylation. In addition,
raloxifene also inhibited the E2-induced hTERT expression via the PI3K/Akt/NFkappaB cascade. Moreover,
raloxifene also inhibited the E2-induced phosphorylation of hTERT, association of NFkappaB with hTERT, and nuclear accumulation of hTERT. These results show that
raloxifene inhibited the E2-induced up-regulation of
telomerase activity not only by transcriptional regulation of hTERT via an
estrogen-responsive
element-dependent mechanism and the PI3K/Akt/NFkappaB cascade but also by post-translational regulation via phosphorylation of hTERT and association with NFkappaB.