Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin

Hepatocellular carcinoma (HCC) is a male-oriented malignancy; its progression is affected by sex hormones. 17α-ethinylestradiol (EE2) is a synthetic estrogen widely used as an oral contraceptive; however, it is unknown whether EE2 regulates sex hormone action in HCC. We investigated whether EE2 infl...

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Autores principales: Sang R. Lee, Su Hee Jeong, Jun H. Heo, Seong Lae Jo, Je-Won Ko, Hyo-Jung Kwun, Eui-Ju Hong
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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HCC
EE2
Acceso en línea:https://doaj.org/article/aa028bec0f91437980d2cbfdf1b58801
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spelling oai:doaj.org-article:aa028bec0f91437980d2cbfdf1b588012021-11-25T17:57:48ZDietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin10.3390/ijms2222125571422-00671661-6596https://doaj.org/article/aa028bec0f91437980d2cbfdf1b588012021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12557https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Hepatocellular carcinoma (HCC) is a male-oriented malignancy; its progression is affected by sex hormones. 17α-ethinylestradiol (EE2) is a synthetic estrogen widely used as an oral contraceptive; however, it is unknown whether EE2 regulates sex hormone action in HCC. We investigated whether EE2 influences HCC risk in male androgenic environments, using mice expressing human sex hormone-binding globulin (SHBG). Two-week-old male mice were injected with diethyl-nitrosamine (DEN, 25 mg/kg) and fed an EE2 diet for 10 weeks from 30 weeks of age. Development and characteristics of liver cancer were evaluated in 40-week-old mice via molecular and histological analyses. Although EE2 did not increase HCC progression in wild-type mice, SHBG mice exhibited remarkably higher HCC risk when fed EE2. The livers of EE2-treated SHBG mice exhibited substantially increased pro-inflammatory necrosis with high plasma levels of ALT and HMGB1, and intrahepatic injury and fibers. Additionally, increased androgen response and androgen-mediated proliferation in the livers of EE2-treated SHBG mice and EE2-exposed hepatocytes under SHBG conditions were observed. As a competitor of SHBG-androgen binding, EE2 could bind with SHBG and increase the bioavailability of androgen. Our results revealed that EE2 is a novel risk factor in androgen-dominant men, predisposing them to HCC risk.Sang R. LeeSu Hee JeongJun H. HeoSeong Lae JoJe-Won KoHyo-Jung KwunEui-Ju HongMDPI AGarticle17α-ethinylestradiolSHBGHCCliver cancerEE2androgenBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12557, p 12557 (2021)
institution DOAJ
collection DOAJ
language EN
topic 17α-ethinylestradiol
SHBG
HCC
liver cancer
EE2
androgen
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle 17α-ethinylestradiol
SHBG
HCC
liver cancer
EE2
androgen
Biology (General)
QH301-705.5
Chemistry
QD1-999
Sang R. Lee
Su Hee Jeong
Jun H. Heo
Seong Lae Jo
Je-Won Ko
Hyo-Jung Kwun
Eui-Ju Hong
Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
description Hepatocellular carcinoma (HCC) is a male-oriented malignancy; its progression is affected by sex hormones. 17α-ethinylestradiol (EE2) is a synthetic estrogen widely used as an oral contraceptive; however, it is unknown whether EE2 regulates sex hormone action in HCC. We investigated whether EE2 influences HCC risk in male androgenic environments, using mice expressing human sex hormone-binding globulin (SHBG). Two-week-old male mice were injected with diethyl-nitrosamine (DEN, 25 mg/kg) and fed an EE2 diet for 10 weeks from 30 weeks of age. Development and characteristics of liver cancer were evaluated in 40-week-old mice via molecular and histological analyses. Although EE2 did not increase HCC progression in wild-type mice, SHBG mice exhibited remarkably higher HCC risk when fed EE2. The livers of EE2-treated SHBG mice exhibited substantially increased pro-inflammatory necrosis with high plasma levels of ALT and HMGB1, and intrahepatic injury and fibers. Additionally, increased androgen response and androgen-mediated proliferation in the livers of EE2-treated SHBG mice and EE2-exposed hepatocytes under SHBG conditions were observed. As a competitor of SHBG-androgen binding, EE2 could bind with SHBG and increase the bioavailability of androgen. Our results revealed that EE2 is a novel risk factor in androgen-dominant men, predisposing them to HCC risk.
format article
author Sang R. Lee
Su Hee Jeong
Jun H. Heo
Seong Lae Jo
Je-Won Ko
Hyo-Jung Kwun
Eui-Ju Hong
author_facet Sang R. Lee
Su Hee Jeong
Jun H. Heo
Seong Lae Jo
Je-Won Ko
Hyo-Jung Kwun
Eui-Ju Hong
author_sort Sang R. Lee
title Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
title_short Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
title_full Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
title_fullStr Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
title_full_unstemmed Dietary Intake of 17α-Ethinylestradiol Promotes HCC Progression in Humanized Male Mice Expressing Sex Hormone-Binding Globulin
title_sort dietary intake of 17α-ethinylestradiol promotes hcc progression in humanized male mice expressing sex hormone-binding globulin
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/aa028bec0f91437980d2cbfdf1b58801
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