Progesterone antagonist
RU486 (
mifepristone) has been implicated for many anti-neoplastic and obstetrical applications. But the compound has demonstrated undesired agonist-like effect depending on cell, tissue and species studied. Using PR-transfected
breast cancer cells MDA-MB-231, this report describes the similarities and differences between
progesterone- and RU486-mediated effects on cell growth, cell differentiation and, at the molecular level, on the activation of p44/p42 MAP
kinases (MAPK). Like
progesterone,
RU486 inhibited cells growth by arresting the cells in G0/G1 phase of the cell cycle. In contrast to
progesterone that induced cell spreading,
RU486 induced a multipolar, stellate morphology. RU486-treated cells showed no increase of stress fibers, nor was there any increase of focal adhesions as
progesterone-treated cells did. Furthermore, despite of the fact that both compounds inhibited cell growth,
RU486 significantly stimulated the activation of p44/p42 MAP
kinases whereas
progesterone markedly inhibited the activation. Nonetheless, the effects of
RU486 were PR-mediated and
RU486 was able to antagonize the effect of
progesterone on cell growth and focal adhesion. In conclusion,
RU486 can act not only as a
progesterone antagonist, a
progesterone agonist but also induced morphological and molecular changes that were distinct from
progesterone-mediated effects in PR-transfected MDA-MB-231 cells. The non-
progesterone-like effect of
RU486 may be mediated through a pathway that is different from the
progesterone-mediated pathway, or it is the result of a blockade of certain critical step(s) in the
progesterone-mediated pathway. In any case, undesired side effects of antiprogestin may create clinical complications. PR-transfected MDA-MB-231
breast cancer cells provide a model for studying the functions of
progesterone analogues.