Abstract. Lung cancer is the leading cause of cancer morbidity and mortality in the world. The incidence of lung cancer, particularly lung adenocarcinoma, is increasing in women compared to men. The role of sex hormones in the development of lung cancer has attracted substantial interest, but remains largely unknown. In this study, we demonstrated that membrane progesterone receptor α (mPRα) was expressed in a lung adenocarcinoma cell line, A549, and was located on the cell membrane. In additional experiments, we found that mPRα functioned as an essential mediator for progesterone (P4)-induced inhibitory effects on cell migration and invasion of A549 cells. Furthermore, PP1 (an Src pathway inhibitor), when co-incubated with P4, synchronously enhanced the inhibitory effects of P4 on cell migration and invasion. To explore the mechanisms of inhibition, we found that P4 and PP1 induced a cascade of molecular signaling events, such as dephosphorylation of focal adhesion kinase (FAK) and downregulation of matrix metalloproteinase 9 (MMP-9). Our study provides a mechanistic view on the effects of P4 through mPRα→Src/FAK relevant pathways in human lung adenocarcinoma cells and may aid in the development of novel therapeutic tools for the treatment of lung cancer.
IntroductionLung cancer is the leading cause of morbidity and mortality in malignant tumors. Non-small cell lung cancer (NSCLC) accounts for 80% of lung cancer cases. Epidemic studies reveal gender differences in NSCLC patients, particularly in lung adenocarcinoma. Women are more susceptible to smoke or other environmental factors (1), in view of the fact that estrogen and progesterone are well-known prognostic factors for breast, endometrial and ovarian cancer, suggesting a possible involvement of gender-dependent factors in the pathogenesis and/or development of NSCLCs (2).Sex hormones and their receptors have been the focus of considerable cancer research. Among sex steroids, estrogens play an important role in the development of breast and endometrial carcinoma, whereas androgens significantly contribute to the development of prostate cancer (3). By contrast, progesterone generally promotes differentiation and inhibits cellular proliferation through the nuclear progesterone receptor (nPR) (4). Previous studies showed that progesterone-mediated growth inhibition was mainly preceded by decreased expression of cyclins and/or induction of cyclin-dependent kinase inhibitors (5-7). Administration of progestins, including medroxyprogesterone acetate, is currently used as an endocrine therapy in breast and endometrial carcinoma patients (8,9). During embryogenesis, sex hormones influence the development of lung tissue, but during adulthood, the lung is not a target organ for sex hormones. Notably, female adenocarcinoma has a better prognosis than male lung cancer or other female pathologic types of lung cancer, indicating gender as an independent prognostic factor (10). It is reported that progesterone can mediate growth inhibition in PR-positive tumors in mice th...