To explore the mechanisms underlying the chemopreventive effects of the synthetic
retinoid N-(4-hydroxyphenyl)retinamide (4-HPR) in
prostate cancer, we evaluated the anti-proliferative and apoptosis-inducing effects of
4-HPR in the
androgen-sensitive human
prostate cancer cell line LNCaP.
4-HPR decreased the number of viable LNCaP cells (as measured by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay) in a dose-dependent manner. Although
4-HPR exerted a modest G1 cell-cycle block (as determined by flow cytometry), its effect on reduced cell number appeared to result primarily from induction of apoptosis (as measured by an
enzyme-linked
immunosorbent assay and flow-cytometric assays). The mitogenic effects of
R1881, a non-metabolizable
androgen that potently induces LNCaP cell proliferation, was completely blocked by greater than 0.5 microM
4-HPR. Furthermore, increasing the
R1881 concentration in the presence of 2.0 microM
4-HPR increased apoptotic cell death.
4-HPR decreased
prostate-specific antigen (PSA)
protein levels in
conditioned medium and decreased PSA
mRNA expression.
4-HPR also decreased the ratio of bcl-2 to bax
mRNA expression in LNCaP cells by approximately 45%, indicating that the apoptotic effects of
4-HPR may be mediated, at least in part, by alterations in the bcl-2/bax-regulated apoptotic pathway.
N-acetylcysteine (4 mM) completely blocked the anti-proliferative and apoptotic-inducing effects of
4-HPR, suggesting that an oxidative mechanism may be involved. We concluded that (i)
4-HPR exerts growth-suppressive and apoptotic effects on LNCaP cells, (ii)
4-HPR can interact with
androgen to suppress proliferation and induce apoptosis, (iii) the apoptotic effects of
4-HPR may be mediated in part by the bcl-2/bax pathway, and (iv) a
pro-oxidant mechanism may contribute to the anti-proliferative and apoptotic-inducing effects of
4-HPR.