The activities of
N-(4-hydroxyphenyl)retinamide [(4-HPR),
Fenretinide] and
all-trans-retinoic acid (RA) were determined for (a) the inhibition of cell proliferation; (b) the activation of human
retinoid receptor-mediated target gene expression; (c) the inhibition of
estradiol- and
progesterone-induced gene activation in
breast cancer cell lines; and (d) the regulation of the expression of
tumor suppressor
retinoblastoma protein. Similar to RA, both
4-HPR and its active metabolite
N-(4-methoxyphenyl)retinamide (4-MPR) effectively impeded the growth of MCF7 and T-47D human
breast cancer cell lines, except that
4-HPR also inhibited the proliferation of RA-resistant BT-20 cells. However, when tested in human recombinant
retinoic acid receptor (RAR-alpha,
RAR-beta, and
RAR-gamma)-induced reporter gene assays, RA was much more potent (>100-fold) than either
4-HPR or
4-MPR.
4-HPR induced transcriptional activation through all three RAR subtypes at 1-10microM, while RA showed comparable activity at 10-100microM. Despite the apparent weak interaction at the RAR level,
4-HPR was comparable to RA in the inhibition of both
estrogen receptor- and
progesterone receptor-mediated transcriptional activation in MCF7 and T-47D cells, respectively. Moreover, similar to RA,
4-HPR and
4-MPR caused marked up-regulation of
tumor suppressor
retinoblastoma protein in both MCF7 and T-47D cells. Since RA and
4-HPR showed comparable activity in the inhibition of
estrogen recptor- and
progesterone receptor-induced gene transcription and in the stimulation of
retinoblastoma protein expression in MCF7 and T-47D cells, the reduced RAR activation by
4-HPR may result in the lack of hepatic toxicity and therefore the improved therapeutic efficacy relative to RA.