A recent clinical trial (Chwalisz K, Larsen L, Mattia-Goldberg C, Edmonds A, Elger W, Winkel CA. Fertil Steril 87: 1399-1412, 2007) has demonstrated that the selective
progesterone receptor modulator
asoprisnil efficiently causes the shrinkage of uterine
leiomyoma. The present study was conducted to examine whether
asoprisnil elicits endoplasmic reticulum (ER) stress-induced apoptosis in cultured human uterine
leiomyoma cells. After subculture in
phenol red-free DMEM supplemented with 10% FBS for 120 h, cultured cells were stepped down to serum-free conditions with or without graded concentrations of
asoprisnil. ER stress-associated and apoptosis-related
proteins were assessed by reverse transcription-PCR analysis or Western blot analysis. RNA interference of growth-arrest- and DNA-damage-inducible gene 153 (GADD153) was performed using
small interfering RNA.
Terminal deoxynucleotidyl transferase-mediated
2'-deoxyuridine 5'-triphosphate nick end labeling (TUNEL)-positive rates were assessed by TUNEL assay. Compared with untreated control cultures, treatment with 10(-7) M
asoprisnil significantly (P < 0.05) increased the
protein contents of
ubiquitin at 2 h and phospho-
double-stranded RNA-activated
protein kinase-like ER
kinase, phospho-eukaryotic
initiation factor 2alpha,
activating transcription factor 4, and
glucose-regulated protein 78 kDa at 4 h, followed by the significant (P < 0.05) increase in
GADD153 protein content at 6 h and cleaved poly(
adenosine 5'-
diphosphate ribose)
polymerase (PARP) at 8 h. RNA interference of GADD153 suppressed
protein contents of
asoprisnil-induced cleaved PARP, Bax, Bak, GADD34, and tribbles-related
protein 3 (TRB3) and TUNEL-positive rate but attenuated
asoprisnil-induced reduction in Bcl-2
protein content in cultured
leiomyoma cells. These results suggest that
asoprisnil elicits ER stress-induced apoptosis in cultured
leiomyoma cells and that GADD153 plays a role in
asoprisnil-induced apoptosis by modulating the Bcl-2 family of
proteins, GADD34, and TRB3.