Abstract
We studied the effect of administration of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) by i.p. injection once every two weeks in combination with a high-fat (HF) diet for 8 or 16 weeks on the body and organ weight changes as well as on the hepatic enzyme activity for estrogen metabolism in C3H/HeN female mice. Administration of TCDD at 100 μg/kg b.w. once every two weeks for 8 weeks increased the body weight by 46% in the HF diet-fed animals, but not in the regular diet-fed animals. This is the first observation suggesting that TCDD, a potent Ah receptor agonist, may have an obesity-inducing effect in animals fed a HF diet. While TCDD increased liver weight and decreased thymus weight in animals, these effects were enhanced by feeding animals a HF diet. Metabolism studies showed that TCDD administration for 8 or 16 weeks increased the liver microsomal activity for the 2- and 4-hydroxylation of 17β-estradiol in animals fed a control diet, but surprisingly not in animals fed a HF diet. Treatment with TCDD dose-dependently increased the hepatic activity for the O-methylation of catechol estrogens in both control and HF diet-fed animals, and it also decreased the levels of liver microsomal sulfatase activity for hydrolysis of estrone-3-sulfate. TCDD did not significantly affect the hepatic enzyme activity for the glucuronidation or esterification of endogenous estrogens. It is suggested that enhanced metabolic inactivation of endogenous estrogens by hepatic estrogen-metabolizing enzymes in TCDD-treated, control diet-fed animals contributes importantly to the reduced incidence of estrogen-associated tumors in animals treated with TCDD.
Introduction
2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD6), an accidental byproduct formed during the manufacturing and incineration process of chlorine-based products, is generally considered to be among the most potent environmental toxicants known to date. Contamination of TCDD in the environment is widespread, and its resistance to biodegradation results in its presence in the environment [1] and in human body for long periods of time [2]. TCDD is a developmental and reproductive toxicant and causes immunotoxicity, dermal and hepatic toxicity, and a plethora of endocrine-disrupting effects [3–8]. In addition, TCDD is also considered a carcinogen, increasing the incidence of a variety of cancers in humans as well as in laboratory animals [4, 9–13]. Tumors of the breast are common in humans, but at present epidemiological data are conflicting with respect to the link between TCDD exposure and the risk of breast cancer. In comparison, the data from earlier animal studies were clearer and more intriguing. While chronic administration of TCDD to female rats enhanced the tumor incidence in liver and also many other organ sites, this treatment inhibited the formation of spontaneous tumors in the uterus, mammary gland, and pituitary [11–13], which are target tissues for endogenous estrogens.
The mechanism for the unexpected inhibitory effect of TCDD on the development of tumors in various estrogen target organs in rodents is still not quite understood at present. A number of possible mechanisms, nevertheless, have been suggested for the anti-estrogenic actions of TCDD, which include stimulation of estrogen metabolism [14, 15], a possible direct antiestrogenic action [13, 16, 17], and also possible alterations of the binding interaction between the estrogen receptor and its response element [18, 19]. Since TCDD is an extremely potent agonist for the aryl hydrocarbon receptor (AhR), which mediates the induction of a number of drug-metabolizing enzymes in liver as well as in extrahepatic tissues [20], it has been widely considered that chronic TCDD administration may alter the multiple pathways of endogenous estrogen metabolism in certain ways that may contribute to an altered hormonal activity and also tumor incidence in various estrogen target organs.
Metabolically, it is known that the endogenous estrogens, such as 17β-estradiol (E2) and estrone (E1), can undergo extensive metabolism in vivo, including oxidation (mostly catalyzed by cytochrome P450 enzymes) and conjugation (such as glucuronidation, sulfonation, and O-methylation) [21, 22]. There is a considerable body of experimental evidence suggesting that some of the endogenous estrogen metabolites, such as 4-OH-E2 and 2-methoxy-E2 (an O-methylated product of 2-OH-E2 formed by catechol-O-methyltransferase), may play important roles in the causation and/or prevention of estrogen-induced cancers [21, 23–25]. Some of the earlier studies have shown that a beneficial modulation of the endogenous estrogen metabolism is correlated with a reduced risk for estrogen-induced cancer in animal models and also humans. For instance, studies by Bradlow and his colleagues showed that chronic administration of indole-3-carbinol stimulated the 2-hydroxylation of E2 [26–29] and inhibited the development of mammary preneoplasia and spontaneous mammary tumors in female C3H/OuJ mice [30, 31]. A similar inhibitory effect of indole-3-carbinol on the formation of spontaneous endometrial cancer was also observed in female rats [30]. Recent studies showed that chronic administration of sodium phenobarbital (a prototypic inducer of hepatic drug/steroid-metabolizing enzymes) significantly inhibited the formation of E2-induced mammary tumors in female ACI rats [33]. Metabolic analysis showed that this tumor-inhibitory effect of sodium phenobarbital was accompanied by a several-fold increase in hepatic E2 2-hydroxylation but with little or no change in its 4- and 16α-hydroxylation, while the plasma levels of E2 were unchanged in these animals [33].
Therefore, we sought to determine in the present study the effect of administration of TCDD in combination with a high-fat (HF) diet for 8 or 16 weeks on the body and organ weights as well as on the hepatic metabolizing enzyme activities catalyzing the multiple pathways of estrogen metabolism in the C3H/HeN female mice. These experiments were, in part, aimed to provide evidence for the hypothesis that beneficial alterations of the multiple metabolic pathways of endogenous estrogens are a significant factor contributing to the observed protective effect of TCDD against various estrogen-associated tumors in rodents [11–13]. It is of note that the caloric contribution of the fat component in the high-fat diet used in this study was 39% as opposed to 12% in the control diet. There were a number of reasons for the inclusion of a HF diet as a subgroup in the present study: (i) Studies have demonstrated that certain fatty acids and/or their metabolites can serve effectively as natural ligands for some of the nuclear receptors which regulate the expression of drug-metabolizing enzymes as well as liver growth [34–36]. (ii) Recent epidemiological studies have suggested that obesity is an important risk factor for human breast cancer [37, 38], but little is known about the modulating effect of a HF diet on hepatic estrogen metabolism as well as on the metabolizing enzyme-inducing activity of AhR ligands. Therefore, we believed it would be of interest to also determine the potential interactions between dietary fatty acids and TCDD with respect to their effects on animal body and organ weights as well as on hepatic enzyme levels for estrogen metabolism.
Materials And Methods
Chemicals
17β-Estradiol (E2), estrone (E1), NADPH, and UDPGA triammonium salt were obtained from the Sigma Chemical Co. (St. Louis, MO). 2-OH-E2 and 4-OH-E2 were obtained from Steraloids, Inc. (Newport, RI). TCDD (>99.5% pure) was obtained from Cambridge Isotope Laboratory (Andover, MA). [6,7-3H]E2 and [6,7-3H]E1 (specific activities of 51 and 58 Ci/mmol, respectively) and [4-14C]E2 (specific activities of 55.1 mCi/mmol) were purchased from PerkinElmer Life Science Products (Boston, MA). All the organic solvents used in this study were of HPLC grade or better, and were obtained from Fisher Scientific (Atlanta, GA).
All the glass test tubes used in the present study were silanized with 5% (v/v) dimethyldichlorosilane in toluene for 10 min followed by rinses in pure toluene twice and pure methanol three times. The test tubes were allowed to dry at room temperatures and then thoroughly rinsed with distilled water.
The control AIN-76A diet (D10011) and the high-fat (HF) diet (D12370, also called the Newmark Stress Diet B) were prepared by Research Diets (New Brunswick, NJ). Their compositions were given in Table 1. The caloric contribution of the protein, carbohydrate and fat component in the control AIN-76A diet (3.9 kcal/gram diet) was 21%, 68%, and 12%, respectively, and their respective contribution in the HF diet (4.6 kcal/gram diet) was 21%, 40%, and 39%.
Table 1.
The composition of the semi-synthetic AIN-76A control diet and the HF diet.
| AIN-76A diet (D10011) (Control diet) | High-fat diet (D12370) (Newmark stress diet B) | |||
|---|---|---|---|---|
| Ingredient | grams | kcal | grams | kcal |
| Casein, 30 mesh | 200 | 800 | 240 | 960 |
| DL-Methionine | 3 | 12 | 3.6 | 14 |
| Corn starch | 150 | 600 | 150 | 600 |
| Sucrose | 500 | 2000 | 294.2 | 1177 |
| Cellulose, BW200 | 50 | 0 | 60 | 0 |
| Corn oil | 50 | 450 | 200 | 1800 |
| Ethoxyquin | 0.01 | 0 | 0.01 | 0 |
| Salt mix S10001 | 35 | 0 | ||
| Salt mix S10001A | 21 | 0 | ||
| Mono-sodium phosphate | 7.98 | 0 | ||
| Mono-potassium phosphate | 7.91 | 0 | ||
| Calcium carbonate | 0.88 | 0 | ||
| Vitamin mix V10001 | 10 | 40 | ||
| Vitamin mix V13201 | 12 | 48 | ||
| Vitamin D3, 100,000 IU/gram | 0.002 | 0 | ||
| Choline bitartrate | 2 | 0 | 2.4 | 0 |
| Total | 1000.01 | 3902 | 1000 | 4599 |
Treatment of animals with TCDD
The mammary tumor virus (MTV)-positive C3H/HeN female mice (at 3 weeks of age) were purchased from Charles River (Boston, MA). Upon arrival, the animals were allowed to acclimatize to the new environment for two weeks. Then the animals were randomly divided into two large groups, with one receiving the control diet and the other receiving the HF diet. In each of the diet group, the animals were subdivided into several small groups (5 to 6 animals per group) and they were treated i.p. with different doses of TCDD once every two weeks for 8 or 16 weeks. The TCDD was dissolved in corn oil at 0.18, 1.8 and 18 μg/mL (by heating the solution to 50°C followed by brief sonication), and the animals were injected i.p. with these TCDD solutions (at 5.56 μL for every gram of body weight), which gave the final dosage of 1, 10 and 100 μg/kg b.w. The control animals were injected the same volume of vehicle (corn oil) alone. The doses of TCDD were selected for testing in the present study were largely based on earlier studies showing that this broad dose range of TCDD was suitable for studying the toxicity and enzyme induction patterns in most sensitive strains of mice [39]. Note that the high dose level (100 μg/kg b.w., once every two weeks) was only used in the 8-week experiment given the possibility that TCDD at this high dose might be significantly more toxic when it was given to animals for 16 weeks. Throughout the experiment period, the animals had free access to food and water. Animals were killed by euthanasia with CO2 overdose, and their organs (liver, uterus, thymus, and brain) were immediately removed for determination of wet weights and then snap-frozen in liquid nitrogen. The tissue samples were stored at −80°C until use. The study described here that involved the use of live animals was approved by the IACUC of Rutgers University and UMDNJ (Piscataway, NJ). The animal experiment was conducted once in the present study.
Preparation of liver microsomes and cytosols
Liver tissues collected from the control group or from each of the treatment groups (5−6 animals per group) were randomly pooled into two subgroups with 2−3 liver samples in each subgroup. Liver microsomes and cytosols were prepared by differential centrifugations as previously described [40]. Aliquots (0.5 mL) of microsomal suspensions in 0.25 M sucrose were stored at −80°C. The protein content was determined using the BioRad protein assay kit with bovine serum albumin (BSA) as standard.
Assay of the NADPH-dependent 2- and 4-hydroxylation of E2 by liver microsomes
The reaction mixture consisted of liver microsomal protein (1 mg/mL), [4-14C]E2 (dissolved in 2 μL ethanol), 2 mM NADPH and 5 mM ascorbic acid in a final volume of 1.0 mL Tris-HCl (100 mM)/HEPES (50 mM) buffer, pH 7.4. The reaction was initiated by addition of microsomal protein and lasted for 30 min at 37°C with constant mild shaking. The reaction was arrested by placing tubes on ice followed immediately by two extractions with 7 mL of ice-cold ethyl acetate. The overall extraction rate for the total radioactivity contained in each tube was usually between 85−95%. Note that when several representative non-radiolabeled estrogens, including E2, E1, 2-OH-E2 and 2-OH-E1, were tested individually, each of them was found to have a similar extraction rate (91−96%). The combined organic supernatants were dried under a stream of nitrogen. The resulting residue was re-dissolved in 100 μL of 50% aqueous methanol, and a 50 μL aliquot was analyzed for metabolite composition by HPLC.
The HPLC analysis of E2 and E1 metabolites was performed as described previously [40]. The solvent system for separation of E2 and its metabolites consisted of acetonitrile (solvent A), 0.1% acetic acid in water (solvent B), and 0.1% acetic acid in methanol (solvent C). The modified solvent gradient (solvent A/solvent B/solvent C) used for eluting estrogen metabolites from the column was as follows: 8 min of isocratic at 16/68/16; 7 min of concave gradient (curve number 9) to 18/64/18, 13 min of concave gradient (curve number 8) to 20/59/21, 10 min of convex gradient (curve number 2) to 22/57/21, 13 min of concave gradient (curve number 8) to 58/21/21, then followed by a 0.1-min step to 92/5/3 and 5 min of isocratic at 92/5/3. The gradient was then returned to the initial condition (16/68/16) and held for 15 min before analysis of the next sample. HPLC metabolite profiles were obtained by radioactivity measurements.
Assay of the UDPGA-dependent glucuronidation of E2 by liver microsomes
The conditions for microsomal glucuronidation of estrogens were the same as described previously [41]. The reaction was initiated by addition of microsomal protein and lasted for 15 min at 37°C. The reaction was arrested by placing the test tubes on ice and adding 0.5 mL ice-cold 50 mM Tris-HCl solution (pH 8.75) followed immediately by two extractions with 7 mL toluene to separate unconjugated estrogen from water-soluble estrogen glucuronides. The toluene-phase, which contained the unconjugated estrogen, was removed. Portions (200 μL) of the aqueous phase, which contained glucuronidated estrogen metabolites, were carefully removed and assayed for radioactivity content in a Beckman liquid scintillation spectrometer. The blank values, obtained from incubations in the absence of UDPGA, were determined in each individual assay and subtracted.
Assay of the enzymatic desulfation of E1-3-sulfate
E1-3-sulfatase activity in hepatic microsomes of female C3H/HeN mice was determined by measuring the formation of radioactive E1 from [6,7-3H]E1-3-sulfate (the substrate) as described previously [42, 43]. The incubation mixture consisted of rat liver microsomal protein (0.1 to 0.5 mg/mL) and 50 μM E1-3-sulfate (containing 0.2−1.0 μCi of [6,7-3H]E1-3-sulfate) in a final volume of 0.5 to 1.0 mL Tris-HCl buffer (25 mM, pH 7.4). The incubation was carried out at 30°C for 10 to 15 min. The reaction was arrested by immediately placing the incubation tubes on ice followed by extraction with 5 mL ice-cold toluene. Aliquots of the organic supernatants were removed for radioactivity measurement. Blank values were determined for each individual assay in the absence of subcellular proteins and were subtracted.
Assay of the COMT-mediated O-methylation of 2-OH-E2 and 4-OH-E2
The reaction mixture was prepared at ∼4°C and consisted of a 30 μM concentration of 2-OH-E2 or 4-OH-E2, 1.0 mg/mL mouse liver cytosolic protein, 50 μM S-adenosyl-L-methionine (containing 0.25 μCi of S-[methyl-3H]adenosyl-L-methionine), 1.2 mM MgCl2, and 1.0 mM dithiothreitol in a final volume of 1 mL of Tris-HCl buffer (10 mM, pH 7.4) [44, 45]. The reaction was initiated by addition of liver cytosolic protein and was carried out at 37°C for 20 min under constant mild shaking. The reaction was arrested by placing the tubes on ice followed immediately by addition of 0.5 mL of ice-cold water and extraction of the methylated catechol estrogens with 5 mL ethyl acetate. After centrifugation for 20 min at 1000 g, portions of the organic supernatants (2 mL) were accurately removed for measurement of radioactivity in a scintillation counter (model LS 5000TD; Beckman Instruments, Berkeley, CA). Blank values obtained from incubations without cytosolic protein were determined in each individual assay and subtracted. The blank radioactivity counts were usually <1/10 of the values obtained from incubations in the presence of cytosolic protein.
Assay of the enzymatic formation of E2-17β-oleate
The reaction mixtures contained 50 μM [3H]E2 (1−5 μCi), 100 μM oleoyl-CoA, 5 mM magnesium chloride in 0.1 M sodium acetate buffer (pH 4.0−8.0) in a glass test tube. For the preparation of the incubation mixture, radioactive E2 in ethanol was added first, dried under nitrogen, and then the remaining components of the incubation mixture (including nonradioactive E2 in 5 μL of ethanol) were added. This procedure resulted in uniform distribution of radioactive and nonradioactive E2 throughout the incubation mixture. In some experiments, 1 nM [3H]E2 was used for the incubations. The reaction was initiated by addition of hepatic microsomes (1 mg/mL of liver microsomal protein). The final volume of the incubation mixture was 0.5 mL. After incubation at 37°C for 30 min, the reaction was arrested by placing the tubes on ice, followed by addition of 0.5 mL of ice-cold sodium acetate buffer (pH 5.5) and 5 mL of ethyl acetate (HPLC grade from Fisher Scientific). The samples were vortexed immediately and centrifuged for 10 min at 3000g. The organic phase was removed, and the extraction was repeated a second time. The organic solvent extracts were combined and evaporated to dryness under a stream of nitrogen. Each resulting residue was dissolved in 100 μL of methanol and analyzed by HPLC.
The measurement of [3H]E2-17β-oleate was done by using HPLC on a Spherisorb ODS column (5-μm particle size, 250 × 4.6 mm i.d.). The HPLC system consisted of a Waters (Milford, MA) 600E solvent gradient programmer, a Waters Lambda-Max model 481 UV detector (set at 280 nm), and a radioactive flow detector (β-RAM from the IN/US, Fairfield, NJ) with a liquid cell. The solvent system consisted of acetonitrile/H2O with 0.1% acetic acid/methanol. The solvent gradient used for elution of the compounds from the column was as follows: 12-min isocratic at 30/6/64; 6-min with a 10 convex gradient to 60/0/40; 15-min isocratic at 60/0/40; 2-min with a 2 convex gradient to 20/0/80; 5-min isocratic at 20/0/80, and the column was then returned to initial conditions over 15 min. The flow rate was 1.2 mL/min. The retention times of the radioactive metabolites agreed exactly with corresponding UV-absorbing peaks. Metabolite quantification was based on the amount of radioactivity in the metabolite peak as compared to the total radioactivity collected from the HPLC column from each sample.
Statistical analysis
All data were presented as mean ± S.D. For the body and organ weight data, Tukey's test was performed to determine the difference between the control group and the TCDD-treated group. However, for the enzyme activity data, one-way analysis of variance followed by Student's t test was used to determine the difference between the control group and the TCDD-treated group. A P value of <0.05 was considered statistically significant.
Results
Effect of TCDD on animal body and organ weight (Fig. 1)
Figure 1.
Effect of TCDD administration for 8 or 16 weeks on body weight (panels A–D), liver weight (panels E–H), thymus weight (panels I–L), and uterus weight (panels M–P) of female C3H/HeN mice fed a control diet or a HF diet. The animals (5 − 6 animals per group) were injected i.p. with TCDD at 1, 10, or 100 μg/kg b.w. (dissolved in 100 μL corn oil) once every two weeks for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks; the control animals were injected the same volume of corn oil alone. Each value is the mean ± S.D. (N = 5 − 6). An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Tukey's test) when it was compared to the control (without TCDD treatment).
Control diet groups
Administration of TCDD at 1, 10, or 100 μg/kg b.w. to control diet-fed animals once every two weeks for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks had no appreciable effect on the body weight (Fig. 1A, 1B). After 8 weeks of TCDD treatment, the liver weight was increased in a dose-dependent manner, with a maximum of 51% increase over the control animals at the highest TCDD dose tested (100 μg/kg b.w.) (Fig. 1E). In comparison, when TCDD treatment (at 1 and 10 μg/kg b.w. only) was extended to 16 weeks, the liver weight increase appeared to be not dose-dependent (Fig. 1F). The thymus weight in these control diet-fed animals was decreased by TCDD treatment for 8 weeks, in a dose-dependent manner, and the maximal reduction of thymus weight was 62% after 8-week treatment with 100 μg/kg b.w. TCDD (Fig. 1I). The thymus weight was also reduced after 16 weeks of treatment with TCDD (10 μg/kg b.w.) (Fig. 1J). The uterine weight in most of the animals that were fed a control diet and treated with different doses of TCDD for 8 or 16 weeks was not significantly different from the control untreated animals, except that there was a 40% increase (P < 0.05) in animals treated with 10 μg/kg b.w. TCDD for 16 weeks (Fig. 1M, 1N).
HF diet groups
Administration of TCDD at 1 or 10 μg/kg b.w. to HF diet-fed animals once very two weeks for 8 or 16 weeks did not significantly affect the animal body weight, but surprisingly, TCDD at a higher dose (100 μg/kg b.w.) increased the body weight in HF diet-fed animals by 46% over the control animals (P < 0.05; Fig. 1C). The liver weight in the HF diet-fed animals treated with TCDD for 8 or 16 weeks was increased; the effect was stronger in the HF diet-fed animals than in the control diet-fed animals (Fig. 1G, 1H). The thymus weight in the HF diet-fed animals was decreased by treatment with TCDD for 8 weeks in a dose-dependent manner (Fig. 1K), but its effect in animals fed a HF diet for 16 weeks was reduced (Fig. 1L). The uterine wet weight in most TCDD-treated groups was not significantly different from the corresponding control animals, but there was a 40% decrease in animals (HF group) treated with 100 μg/kg b.w. TCDD for 8 weeks (P < 0.05).
Effect of TCDD on hepatic estrogen-metabolizing enzymes
2- and 4-Hydroxylation of E2 (Fig. 2)
Figure 2.
Effect of TCDD administration for 8 or 16 weeks on the NADPH-dependent 2- and 4-hydroxylation of E2 by liver microsomes of female C3H/HeN mice. The animals (5 − 6 animals per group) were injected i.p. with TCDD at 1, 10, or 100 μg/kg b.w. (dissolved in 100 μL corn oil) once every two weeks for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks; the control animals were injected the same volume of corn oil alone. The collected livers from 5 − 6 animals in each treatment group were randomly pooled into two batches (with 2 − 3 livers/batch), and thus two separate batches of liver microsomes were prepared for each treatment group. The assay conditions and the measurement of the catechol estrogens by HPLC were described in the Materials and Methods section. Each bar represents the mean ± S.D. of triplicate measurements of each pooled microsomal preparation. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's t-test) when it was compared to any of the two control values (without TCDD treatment).
Treatment of control diet-fed animals with TCDD at 1, 10, or 100 μg/kg b.w. for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks increased liver microsomal activity for both 2- and 4-hydroxylation of E2. The increase was significant when the animals were treated with a low dose of TCDD (1 μg/kg b.w.) for either 8 or 16 weeks. The maximal induction was approximately 80% over the control values when the animals were treated with 10 μg/kg b.w. TCDD for 8 weeks. However, when the animals were treated with 100 μg/kg b.w. of TCDD, the increase in the hepatic E2 2- and 4-hydroxylase activity was significantly less than what was seen with the 10 μg/kg b.w. dose.
Interestingly, when the animals were fed a HF diet for 8 or 16 weeks, treatment with 1 or 10 μg/kg b.w. of TCDD only produced a very modest increase in the levels of liver microsomal enzyme activity for the 2- or 4-hydroxylation of E2; administration of TCDD at 100 μg/kg b.w. for 8 weeks actually decreased liver microsomal activity for E2 oxidative metabolism (P < 0.05 for the reduction in E2 2-hydroxylation).
O-Methylation of catechol estrogens (Fig. 3)
Figure 3.
Effect of TCDD administration for 8 or 16 weeks on the O-methylation of of 2-OHE2 and 4-OH-E2 by liver cytosol of female C3H/HeN mice. The TCDD treatment was the same as described in the legend to Figure 2. The collected livers from 5 − 6 animals in each treatment group were randomly pooled into two batches (with 2 − 3 livers/batch), and thus two separate batches of liver cytosols were prepared for each treatment group. The assay conditions and the measurement of methylated catechol estrogen metabolites were described in the Materials and Methods section. Each bar represents the mean ± S.D. of triplicate measurements of each pooled cytosol preparation. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's t-test) when it was compared to any of the two control values (without TCDD treatment).
Treatment of control diet-fed animals with TCDD markedly increased the hepatic cytosolic activity of catechol-O-methyltranserase (COMT) for the O-methylation of 2-OH-E2 and 4-OH-E2 in a dose-dependent manner. The maximal increase was approximately 100% over the control when the animals were treated with 100 μg/kg b.w. of TCDD for 8 weeks. The stimulatory effect after 16 weeks of TCDD treatment appeared to be less pronounced compared to what was seen with the 8-week treatment groups. The inducing effect of TCDD treatment on the hepatic COMT activity for the O-methylation of 2-OH-E2 and 4-OH-E2 was not affected by feeding animals a HF diet for 8 or 16 weeks.
Formation of E2-17β-oleate (Fig. 4)
Figure 4.
Effect of TCDD administration for 8 or 16 weeks on the formation of E2-17β-oleate from E2 by liver microsomes of female C3H/HeN mice. The TCDD treatment and preparation of liver microsomes were the same as described in the legend to Figure 2. The assay conditions and the HPLC measurement of the E2-17β-oleate were described in the Materials and Methods section. Each bar represents the mean ± S.D. of triplicate measurements of the microsomes prepared from 2 to 3 pooled liver samples. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's t-test) when it was compared to any of the two control values (without TCDD treatment).
In control diet-fed animals, treatment with TCDD increased the liver microsomal activity for the formation of E2-17β-oleate (a representative endogenous E2-17β-fatty acid ester) by 10−20%. Treatment of HF diet-fed animals with TCDD for 8 or 16 weeks also had a similarly small effect on the hepatic enzyme activity for the formation of the E2-17β-oleate.
UDPGA-dependent glucuronidation of E2 and E1 (Fig. 5)
Figure 5.
Effect of TCDD administration for 8 or 16 weeks on the UDPGA-dependent glucuronidation of E2 by liver microsomes of female C3H/HeN mice. The TCDD treatment and preparation of liver microsomes were the same as described in the legend to Figure 2. The assay conditions and the measurement of conjugated E2 were described in the Materials and Methodssection. Each bar represents the mean ± S.D. of triplicate measurements of the microsomes prepared from 2 to 3 pooled liver samples. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's t-test) when it was compared to any of the two control values (without TCDD treatment).
Treatment of control diet-fed animals with TCDD only weakly increased the liver microsomal activity for the UDPGA-dependent glucuronidation of E2 and E1 (5−25%). Treatment of HF diet-fed animals with TCDD for 8 or 16 weeks also had a similarly weak inducing effect on liver microsomal glucuronidation of E2 and E1.
Desulfation of E1-3-sulfate (Fig. 6)
Figure 6.
Effect of TCDD administration for 8 or 16 weeks on the formation of E1 from E1-3-sulfate by liver microsomes of female C3H/HeN mice. The TCDD treatment and preparation of liver microsomes were the same as described in the legend to Figure 2. The assay conditions and the measurement of the released E1 were described in the Materials and Methods section. Each bar represents the mean ± S.D. of triplicate measurements of the microsomes prepared from 2 to 3 pooled liver samples. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's t-test) when it was compared to any of the two control values (without TCDD treatment).
Treatment of control diet-fed animals with TCDD at 1, 10, or 100 μg/kg b.w. for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks decreased liver microsomal sulfatase activity for hydrolysis of E1-3-sulfate in a dose-dependent manner. The decrease was very significant even when the animals were treated with the lowest dose of TCDD used (1 μg/kg b.w.) for either 8 or 16 weeks. The maximal reduction was approximately 40% when the animals were treated with 10 or 100 μg/kg b.w. of TCDD for 8 weeks. The effect of TCDD administration (at 1 or 10 μg/kg b.w.) in HF diet-fed animals was similar to what was observed in the control diet-fed animals.
Effect of HF diet on animal body and organ weight and on estrogen metabolism
For convenience, the effect of feeding animals a HF diet alone (without TCDD administration) for 8 or 16 weeks on animal body and organ weights and also on various hepatic estrogen-metabolizing enzymes was separately summarized below (Fig. 7).
Figure 7.
Effect of a HF diet on animal body and organ weight and also on the activity of various hepatic estrogen-metabolizing enzymes. The female C3H/HeN mice were fed a HF diet for 8 or 16 weeks and injected with a vehicle (corn oil, 100 μL) once every two weeks. For the body and organ weight, each bar represents the mean ± S.D. (N = 5 − 6 animals/group). For the estrogen-metabolizing enzyme activities, each bar represents the mean ± S.D. of triplicate measurements of the subcellular fractions prepared from pooled liver samples. An asterisk placed on top of a bar denotes that the difference is statistically significant (P < 0.05, Student's test) when it was compared to any of the two control values.
Compared to animals fed a control diet, the body weight of animals fed a HF diet for 8 or 16 weeks was not statistically significant (Fig. 7A). Similarly, the wet weights of the liver, thymus and uterus from animals fed a HF diet for 8 or 16 weeks were also not significantly different from animals fed a control diet (Fig. 7B, 7C, 7D). Animals fed a HF diet alone for 8 or 16 weeks had approximately 30% and 37%, respectively, higher hepatic microsomal activity for the 2- and 4-hydroxylation of E2 compared to the control diet-fed animals (P < 0.05) (Fig. 7G, 7H). However, animals fed with a HF diet for 8 or 16 weeks had a 25−35% decrease in the hepatic cytosolic COMT activity for the O-methylation of 2-OH-E2 and 4-OH-E2 (P < 0.05) (Fig. 7E, 7F).
Feeding animals a HF diet for 8 or 16 weeks decreased the hepatic microsomal activity for the formation of E2-17β-oleate by 10−15% (P < 0.05) (Fig. 7I). In comparison, treatment with the HF diet did not appreciably affect the hepatic microsomal enzyme activity for the glucuronidation of E2 and E1 (Fig. 7J, 7K). The estrogen sulfatase activity was only decreased by approximately 10% by feeding the animals with a HF diet for 8 weeks, but the enzyme activity was not different after feeding the HF diet for 16 weeks (Fig. 7L).
Discussion
Effect of TCDD and HF diet on animal body and organ weight
Body weight
It has been well-documented that TCDD can cause a dose-dependent loss of body weight, or wasting syndrome, which is a characteristic phenomenon often observed in animals exposed to TCDD [46–49]. The weight loss usually manifests itself within a few days after exposure, and results in a substantial reduction of the adipose and muscle tissue [46, 50]. Earlier studies have suggested that the body weight loss played a greater role in causing death in Sprague-Dawley rats and guinea pigs than in Fischer 344 rats and C57Bl/6 mice.
Interestingly, the data of our present study showed that in animals fed a control diet, treatment with TCDD at 1, 10, or 100 μg/kg b.w. for 8 weeks or at 1 or 10 μg/kg b.w. for 16 weeks did not reduce the animal body weight. Surprisingly, administration of TCDD at 100 μg/kg b.w. increased the body weight in animals fed a HF diet by 46% (P < 0.05), but this effect was not observed in animals fed a normal diet. This finding is the first observation suggesting that TCDD, a potent AhR agonist, may have an obesity-inducing effect in the female C3H/HeN mice fed a HF diet.
Here it is of note that the effect of TCDD on the body weight in animals fed a HF diet for 8 weeks did not appear to be dose-dependent (see Fig. 1C, 1G). Although the possibility could not be completely ruled out that the lack of an effect of TCDD at the 10 μg/kg b.w. dose might be due to experimental variations, it was very unlikely that this was due to errors involving TCDD administration because other parameters obtained from animals of the same treatment group, such as the TCDD-induced thymus weight decrease (Fig. 1K) and changes in the hepatic COMT activity (Fig. 3) or estrogen sulfatase activity (Fig. 6), were all dose-dependent, which suggest the presence of increasing actions of TCDD in these animals.
Mechanistically, it is speculated that animals fed a HF diet might have increased levels of certain fatty acids or their derivatives in liver as well as other organs. Since some of the fatty acids and/or their metabolites can serve effectively as endogenous ligands for certain nuclear receptors, such as the peroxisome proliferator-activated receptors (PPARs) [34–36], it is thus suggested that the activation of certain PPAR signaling pathways by fatty acids may be involved in alterations of lipid metabolism and subsequently body weight change. In line with this possibility, recent studies have shown that there are cross-talks between the AhR system and the PPAR receptor system as well as with other nuclear receptor systems (discussed in ref. [51]).
Here it is also of relevance to note that many of the Vietnam War veterans were exposed to high levels of TCDD [52, 53], and significant residues of this chemical have been found in their serum samples even after many years [38]. One of the most consistently identified diseases that were associated with TCDD exposure is the Type 2 diabetes mellitus [54–56]. Similar observations were also made in epidemiologic studies of other human subjects that were exposed to higher levels of TCDD [57–60]. However, the mechanism by which TCDD causes human Type 2 diabetes is not understood. It was noted in some of the epidemiological studies that there lacked a dose-response relationship between the TCDD levels in exposed population and the incidence of diabetes. The results of our present study showed that while TCDD had an obesity-inducing effect in animals fed a HF diet, it did not have an appreciable effect in animals fed a regular diet. This observation is of interest, and it may suggest that the ability of TCDD to induce obesity and perhaps other changes associated with the development of metabolic syndrome or diabetes may require the cooperation of other factors (such as high levels of certain fatty acids and/or their metabolites which may be needed for the activation of PPAR systems). It is not known at present as to how AhR activation by TCDD may lead to altered lipid metabolism and accumulation in animals fed a HF diet. More studies are needed to determine which energy metabolism pathways are affected by the AhR signaling system and also how fatty acids may interact with the AhR signaling system.
Lastly, it is of note that the results of our present study suggest that the parameter of body weight decrease, which is widely-used as a reliable gross parameter for chemical-induced toxicity in most animal models, may not serve as a good indicator for the levels of TCDD toxicity under certain conditions and in certain strains of mice.
Organ weight changes
In agreement with earlier studies [3, 4], our data also showed that liver weight in the animals treated with TCDD for 8 or 16 weeks was increased. Notably, the effect of TCDD in inducing hepatomegaly was stronger in the HF diet groups than in the control diet groups. Thymic atrophy has also been found in nearly all animal species treated with lethal doses of TCDD [3, 4]. As expected, the thymus weight was also found in the present study to be markedly decreased by TCDD treatment for 8 or 16 weeks. Compared with the animals fed a control diet, the effect of TCDD on thymus weight change was also more pronounced in animals fed a HF diet.
The data of our present study did not show a clear uniform change in uterine wet weight in animals treated with TCDD, but it was noted that there was a 40% decrease in animals (HF group) treated with 100 μg/kg b.w. TCDD for 8 weeks (P < 0.05) and there was a 40% increase in animals (control diet group) treated with 10 μg/kg b.w. TCDD for 16 weeks (P < 0.05). Mechanistically, a reduction of the uterine wet weight in animals treated with a high dose of TCDD (100 μg/kg b.w.) might be due to increased metabolic disposition of the endogenous estrogens in vivo, but the increase in the uterine wet weight seen in animals treated with a lower dose of TCDD (10 μg/kg b.w.) for 16 weeks is not quite understood.
Effect of TCDD and HF diet on hepatic estrogen metabolism
In the present study, we determined the effect of administration of TCDD on the hepatic enzymes involved in the multiple pathways of estrogen metabolism in C3H/HeN female mice that were fed either a regular diet or a HF diet. Our data showed that treatment of control diet-fed animals with TCDD (at 1 and 10 μg/kg b.w.) for 8 or 16 weeks increased liver microsomal activity for both 2- and 4-hydroxylation of E2, with a maximal induction of approximately 80% over the control values. The overall extent of induction of hepatic enzyme activity for E2 hydroxylation was moderate compared to other chemical inducers (such as phenobarbital and 3-methylcholanthrane) when they were injected i.p. into rats once daily for 5 days [34]. Notably, when a higher dose of TCDD (100 μg/kg b.w.) was given to the animals for 8 weeks, it did not produce a greater induction of the hepatic E2-metabolizing enzyme activity in these animals, but instead the levels of enzyme activity were significantly lower than what was seen with a lower dose of TCDD (10 μg/kg b.w.).
It is known that TCDD is a potent inducer of hepatic CYP1A1 and CYP1A2, and the induction is believed to be mediated by the hepatic AhR [4, 20]. CYP1A2 is one of the major CYP isoforms present in liver, and it also has high catalytic activity for the 2- and 4-hydroxylation of E2 [21, 61]. Therefore, the nearly identical pattern of induction of the hepatic microsomal activity for E2 2- and 4-hydroxylation by TCDD appears to be in line with a predominant induction of the hepatic CYP1A2.
The animals receiving the HF diet for 8 or 16 weeks had a higher hepatic microsomal activity for the 2- and 4-hydroxylation of E2 than animals fed the control diet. Interestingly, the inducing effect of TCDD on hepatic microsomal E2-metabolizing activity was mostly abolished in animals fed a HF diet. This observation is rather unexpected, and the mechanism is not understood at present. It is speculated that the activation of certain PPAR signaling pathways by fatty acids may be involved in alterations of the AhR-mediated regulation of certain estrogenmetabolizing enzymes.
One of the marked changes in animals treated with TCDD is the increased hepatic activity for the O-methylation of 2-OH-E2 and 4-OH-E2 (up to 100% over the control values). Earlier studies have shown that COMT was not easily induced either in vitro or in vivo by various chemicals. Although the mechanism of COMT induction by TCDD treatment is not fully understood, it is possible that the AhR system may be involved, by transcriptionally activating the expression of the hepatic COMT gene. As suggested in a number of earlier studies [23], COMT is an important Phase II conjugation enzyme involved in catechol estrogen metabolism, and an increase in the hepatic enzyme activity for the biosynthesis of mono-methylated estrogens (in particular 2-methoxyestradiol) may be protective against estrogen-induced hormonal cancers [23]. In addition, higher levels of hepatic COMT activity would also contribute to enhanced detoxification of the endogenously-formed catechol estrogen metabolites (such as 4-hydroxy-E2) in vivo, thereby jointly contributing to a reduced hormonal cancer risk.
Another major change in animals treated with TCDD is the decrease of the liver microsomal activity for the hydrolysis of E1-3-sulfate. Changes of a similar magnitude were observed in animals fed either a control diet or a HF diet. It is known that E1-3-sulfate is an important estrogen conjugate that has a relatively long half-life in circulation. This estrogen conjugate can be readily taken up by estrogen target cells via an active transport mechanism [62, 63], and the subsequent hydrolysis mediated by sulfatases to release the hormonally-active parent hormone E1 represents an important pathway for the biosynthesis of active estrogens in the body. Therefore, it is suggested that a marked decrease of hepatic sulfatase activity may subsequently reduce the body's overall estrogenic exposure and stimulation.
Conclusions
Administration of TCDD at a higher dose (100 μg/kg b.w.) once every 2 weeks for 8 weeks increased the body weight by 46% in the HF diet-fed animals, but this effect was not observed at two lower doses of TCDD (1 and 10 μg/kg b.w.) or animals fed a control diet. This is the first observation suggesting that TCDD, a potent AhR agonist, may have an obesity-inducing effect in animals fed a HF diet, but not in all animals fed a normal diet. While TCDD alone increased liver weight and decreased thymus weight in animals, these effects were enhanced by feeding animals a HF diet. The change in the uterine wet weight in animals treated with TCDD with or without a HF diet appeared to be less uniform.
Metabolism studies showed that TCDD administration at 1 or 10 μg/kg b.w. once every 2 weeks for 8 or 16 weeks increased the liver microsomal activity for the 2- and 4-hydroxylation of E2 in animals fed a control diet, but surprisingly not in animals fed a HF diet (which is different from TCDD's effect on liver weight). A higher dose of TCDD (at 100 μg/kg b.w.) showed a markedly weaker effect than the 10 μg/kg b.w. dose. Treatment with TCDD at 1−100 μg/kg b.w. for 8 or 16 weeks caused a dose-dependent increase in the hepatic activity for the O-methylation of catechol estrogens in both control and HF diet-fed animals, and it also decreased the levels of liver microsomal activity for the hydrolysis of E1-3-sulfate. TCDD did not significantly affect the hepatic enzyme activity for the glucuronidation or esterification of endogenous E2 and E1. It is suggested that changes in hepatic estrogen-metabolizing enzyme activity in TCDD-treated, control diet-fed animals will beneficially alter the profiles of endogenous estrogen metabolites by increasing the formation of 2-methoxyestradiol (resulting from increased estrogen 2-hydroxylation plus increased O-methylation), along with a decreased estrogen biosynthesis from the sulfatase-mediated desulfation of endogenous estrogen-3-sulfates. It is believed that these changes in endogenous estrogen metabolism may jointly contribute to a reduced incidence of estrogen-associated tumorigenesis in various target organs of animals chronically treated with TCDD.
Acknowledgement
The authors wish to thank Mr. Hyoung-Woo Bai at the University of Kansas Medical Center (Kansas City, KS) for his assistance with the preparation of all the artwork used in this paper. Many of the bioassays were performed at Rutgers University (Piscataway, NJ 08854, USA) when the first author of this study once worked there as a researcher.
Footnotes
Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
This study was supported, in part, by a grant from the American Cancer Society (RSG-02-143-01-CNE to BTZ) and also by grants from the NIH (CA92391, CA97109 and ES05022).
Abbreviations used: TCDD, 2,3,7,8-tetrachlorodibenzo-p-dioxin; E2, 17β-estradiol; E1, estrone; 2-OH-E2 and 4-OH-E2, 2- and 4-hydroxyestradiol, respectively; COMT, catechol-O-methyltransferase; HF, high-fat diet; AhR, aryl hydrocarbon receptor.
References
- 1.Cerlesi S, Di Domenico A, Ratti S. 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) persistence in the Seveso (Milan, Italy) soil. Ecotoxicol Environ Saf. 1989;18:149–164. doi: 10.1016/0147-6513(89)90076-6. [DOI] [PubMed] [Google Scholar]
- 2.Schecter A, Dai LC, Thuy LT, Quynh HT, Minh DQ, Cau HD, Phiet PH, Nguyen NT, Constable JD, Baughman R, Päpke O, Ryan JJ, Fürst P, Räisänen S. Agent Orange and the Vietnamese: the persistence of elevated dioxin levels in human tissues. Am J Public Health. 1995;85:516–522. doi: 10.2105/ajph.85.4.516. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.National Toxicology Program NTP technical report on the toxicology and carcinogenesis studies of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) (CAS No. 1746−01−6) in female Harlan Sprague-Dawley rats (Gavage Studies). Natl Toxicol Program Tech Rep Ser. 2006;521:4–232. [PubMed] [Google Scholar]
- 4.Safe SH. Comparative toxicology and mechanism of action of polychlorinated dibenzo-p-dioxins and dibenzofurans. Annu Rev Pharmacol Toxicol. 1986;26:371–399. doi: 10.1146/annurev.pa.26.040186.002103. [DOI] [PubMed] [Google Scholar]
- 5.Goldstone HM, Steqeman JJ. Molecular mechanisms of 2,3,7,8-tetrachlorodibenzo-p-dioxin cardiovascular embryotoxicity. Drug Metab Rev. 2007;38:261–289. doi: 10.1080/03602530600570099. [DOI] [PubMed] [Google Scholar]
- 6.Petersen SL, Krishnan S, Hudgens ED. The aryl hydrocarbon receptor pathway and sexual differentiation of neuroendocrine functions. Endocrinology. 2006;147(6 Suppl):S33–S42. doi: 10.1210/en.2005-1157. [DOI] [PubMed] [Google Scholar]
- 7.Safe S, Wang F, Porter W, Duan R, McDougal A. Ah receptor agonists as endocrine disruptors: Antiestrogenic activity and mechanisms. Toxicol Lett. 1998;102−103:343–347. doi: 10.1016/s0378-4274(98)00331-2. [DOI] [PubMed] [Google Scholar]
- 8.Remillard RB, Bunce NJ. Linking dioxins to diabetes: Epidemiology and biologic plausibility. Environ Health Perspect. 2002;110:853–858. doi: 10.1289/ehp.02110853. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Frumkin H. Agent Orange and cancer: an overview for clinicians. CA Cancer J Clin. 2003;53:245–255. doi: 10.3322/canjclin.53.4.245. [DOI] [PubMed] [Google Scholar]
- 10.IARC Working Group on the Evaluation of Carcinogenic Risks to Humans: Polychlorinated Dibenzo-Para-Dioxins and Polychlorinated Dibenzofurans. Lyon, France, 4−11 February 1997. IARC Monogr Eval Carcinog Risks Hum. 1997;69:1–631. No authors listed. [PMC free article] [PubMed] [Google Scholar]
- 11.Kociba RJ, Keyes DG, Beyer JE, Carreon RM, Wade CE, Dittenbar DA, Kalnins RP, Frauson LE, Park CN, Barnard SD, Hummel RA, Humiston CG. Results of a two-year chronic toxicity and oncogenicity study of 2,3,7,8-tetrachlorodibenzo-p-dioxin in rats. Toxicol Appl Pharmacol. 1978;46:279–303. doi: 10.1016/0041-008x(78)90075-3. [DOI] [PubMed] [Google Scholar]
- 12.Knerr S, Schrenk D. Carcinogenicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin in experimental models. Mol Nutr Food Res. 2006;50:897–907. doi: 10.1002/mnfr.200600006. [DOI] [PubMed] [Google Scholar]
- 13.Safe S, McDougal A. Mechanism of action and development of selective aryl hydrocarbon receptor modulators for treatment of hormone-dependent cancers. Int J Oncol. 2002;20:1123–1128. [PubMed] [Google Scholar]
- 14.Spink DC, Lincoln DW, Dickerman HW, Gierthy JF. 2,3,7,8-Tetrachlorodibenzo-p-dioxin causes an extensive alteration of 17β-estradiol metabolism in MCF-7 breast tumor cells. Proc Natl Acad Sci USA. 1990;87:6917–6921. doi: 10.1073/pnas.87.17.6917. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Spink DC, Hayes CL, Young NR, Christou M, Sutter TR, Jefcoate CR, Gierthy JF. The effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin on estrogen metabolism in MCF-7 breast cancer cells: Evidence for induction of a novel 17β-estradiol 4-hydroxylase. J Steroid Biochem Mol Biol. 1994;51:251–258. doi: 10.1016/0960-0760(94)90037-x. [DOI] [PubMed] [Google Scholar]
- 16.Romkes M, Piskorska-Pliszczynska J, Safe S. Effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin on hepatic and uterine estrogen receptor levels in rats. Toxicol Appl Pharmacol. 1987;87:306–314. doi: 10.1016/0041-008x(87)90292-4. [DOI] [PubMed] [Google Scholar]
- 17.DeVito MJ, Thomas T, Martin E, Umbreit TH, Gallo MA. Antiestrogenic action of 2,3,7,8-tetrachlorodibenzo-p-dioxin: Tissue-specific regulation of estrogen receptor in CD1 mice. Toxicol Appl Pharmacol. 1992;113:284–292. doi: 10.1016/0041-008x(92)90126-d. [DOI] [PubMed] [Google Scholar]
- 18.Tian Y, Ke S, Thomas T, Meeker RJ, Gallo MA. Regulation of estrogen receptor mRNA by 2,3,7,8-tetrachlorodibenzo-p-dioxin as measured by competitive RT-PCR. J Biochem Mol Toxicol. 1998;12:71–77. doi: 10.1002/(sici)1099-0461(1998)12:2<71::aid-jbt1>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
- 19.Tian Y, Ke S, Thomas T, Meeker RJ, Gallo MA. Transcriptional suppression of estrogen receptor gene expression by 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). J Steroid Biochem Mol Biol. 1998;67:17–24. doi: 10.1016/s0960-0760(98)00067-3. [DOI] [PubMed] [Google Scholar]
- 20.Whitlock JR. Induction of cytochrome P4501A1. Annu Rev Pharmacol Toxicol. 1999;39:103–125. doi: 10.1146/annurev.pharmtox.39.1.103. [DOI] [PubMed] [Google Scholar]
- 21.Zhu BT, Conney AH. Functional role of estrogen metabolism in target cells: Review and perspectives. Carcinogenesis. 1998;19:1–27. doi: 10.1093/carcin/19.1.1. [DOI] [PubMed] [Google Scholar]
- 22.Zhu BT, Lee AJ. NADPH-dependent metabolism of 17β-estradiol and estrone to polar and nonpolar metabolites by human tissues and cytochrome P450 isoforms. Steroids. 2005;70:225–244. doi: 10.1016/j.steroids.2005.01.002. [DOI] [PubMed] [Google Scholar]
- 23.Zhu BT, Conney AH. Is 2-methoxyestradiol an endogenous estrogen metabolite that inhibits mammary carcinogenesis? Cancer Res. 1998;58:2269–2277. [PubMed] [Google Scholar]
- 24.Mooberry SL. New insights into 2-methoxyestradiol, a promising antiangiogenic and antitumor agent. Curr Opin Oncol. 2003;15:425–430. doi: 10.1097/00001622-200311000-00004. [DOI] [PubMed] [Google Scholar]
- 25.Cavalieri E, Frenkel K, Liehr JG, Rogan E, Roy D. Estrogens as endogenous genotoxic agents--DNA adducts and mutations. J Natl Cancer Inst Monogr. 2000;27:75–93. doi: 10.1093/oxfordjournals.jncimonographs.a024247. [DOI] [PubMed] [Google Scholar]
- 26.Osborne MP, Telang NT, Kaur S, Bradlow HL. Influence of chemopreventive agents on estradiol metabolism and mammary preneoplasia in the C3H mouse. Steroids. 1990;55:114–119. doi: 10.1016/0039-128x(90)90006-w. [DOI] [PubMed] [Google Scholar]
- 27.Jellinck PH, Michnovicz JJ, Bradlow HL. Influence of indole-3-carbinol on the hepatic microsomal formation of catechol estrogens. Steroids. 1991;56:446–450. doi: 10.1016/0039-128x(91)90034-s. [DOI] [PubMed] [Google Scholar]
- 28.Jellinck PH, Forkert PG, Riddick DS, Okey AB, Michnovicz JJ, Bradlow HL. Ah receptor binding properties of indole carbinols and induction of hepatic estradiol hydroxylation. Biochem Pharmacol. 1993;45:1129–1136. doi: 10.1016/0006-2952(93)90258-x. [DOI] [PubMed] [Google Scholar]
- 29.Bradlow HL, Michnovicz JJ, Telang NT, Osborne MP. Effects of dietary indole-3-carbinol on estradiol metabolism and spontaneous mammary tumors in mice. Carcinogenesis. 1991;12:1571–1574. doi: 10.1093/carcin/12.9.1571. [DOI] [PubMed] [Google Scholar]
- 30.Osborne MP, Telang NT, Kaur S, Bradlow HL. Influence of chemopreventive agents on estradiol metabolism and mammary preneoplasia in the C3H mouse. Steroids. 1990;55:114–119. doi: 10.1016/0039-128x(90)90006-w. [DOI] [PubMed] [Google Scholar]
- 31.Bradlow HL, Michnovicz JJ, Telang NT, Osborne MP. Effects of dietary indole-3-carbinol on estradiol metabolism and spontaneous mammary tumors in mice. Carcinogenesis. 1991;12:1571–1574. doi: 10.1093/carcin/12.9.1571. [DOI] [PubMed] [Google Scholar]
- 32.Kojima T, Tanaka T, Mori H. Chemoprevention of spontaneous endometrial cancer in female Donryu rats by dietary indole-3-carbinol. Cancer Res. 1994;54:1446–1449. [PubMed] [Google Scholar]
- 33.Mesia-Vela S, Sanchez RI, Reuhl KR, Conney AH, Kauffman FC. Phenobarbital treatment inhibits the formation of estradiol-dependent mammary tumors in the August-Copenhagen Irish rat. J Pharmacol Exp Ther. 2006;317:590–597. doi: 10.1124/jpet.105.096867. [DOI] [PubMed] [Google Scholar]
- 34.Evans RM, Barish GD, Wang YX. PPARs and the complex journey to obesity. Nat Med. 2004;10:355–361. doi: 10.1038/nm1025. [DOI] [PubMed] [Google Scholar]
- 35.Desvergne B, Wahli W. Peroxisome proliferator-activated receptors: Nuclear control of metabolism. Endocr Rev. 1999;20:649–688. doi: 10.1210/edrv.20.5.0380. [DOI] [PubMed] [Google Scholar]
- 36.Patsouris D, Reddy JK, Muller M, Kersten S. Peroxisome proliferator-activated receptor alpha mediates the effects of high-fat diet on hepatic gene expression. Endocrinology. 2006;147:1508–1516. doi: 10.1210/en.2005-1132. [DOI] [PubMed] [Google Scholar]
- 37.Malin A, Matthews CE, Shu XO, Cai H, Dai Q, Jin F, Gao YT, Zheng W. Energy balance and breast cancer risk. Cancer Epidemiol Biomarkers Prev. 2005;14:1496–1501. doi: 10.1158/1055-9965.EPI-04-0880. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Tao MH, Shu XO, Ruan ZX, Gao YT, Zheng W. Association of overweight with breast cancer survival. Am J Epidemiol. 2006;163:101–107. doi: 10.1093/aje/kwj017. [DOI] [PubMed] [Google Scholar]
- 39.Chapman DE, Schiller CM. Dose-related effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) in C57BL/6J and DBA/2J mice. Toxicol Appl Pharmacol. 1985;78:147–157. doi: 10.1016/0041-008x(85)90314-x. [DOI] [PubMed] [Google Scholar]
- 40.Suchar LA, Chang RL, Rosen RT, Lech J, Conney AH. High-performance liquid chromatography separation of hydroxylated estradiol metabolites: Formation of estradiol metabolites by liver microsomes from male and female rats. J Pharmacol Exp Ther. 1995;272:197–206. [PubMed] [Google Scholar]
- 41.Zhu BT, Taneja N, Loder DP, Balentine DA, Conney AH. Effects of tea polyphenols and flavonoids on liver microsomal glucuronidation of estradiol and estrone. J Steroid Biochem Mol Biol. 1998;64:207–215. doi: 10.1016/s0960-0760(97)00163-5. [DOI] [PubMed] [Google Scholar]
- 42.Zhu BT, Fu JH. Uterine estrogen sulfatase may play a more important role than the hepatic sulfatase in mediating the uterotropic action of estrone-3-sulfate. Endocrine. 1997;7:191–198. doi: 10.1007/BF02778141. [DOI] [PubMed] [Google Scholar]
- 43.Zhu BT, Fu JH, Xu S, Kauffman FC, Conney AH. Different biochemical properties of nuclear and microsomal estrone-3-sulfatases: Evidence for the presence of a nuclear isozyme. Biochem Biophys Res Comm. 1998;246:45–49. doi: 10.1006/bbrc.1998.8568. [DOI] [PubMed] [Google Scholar]
- 44.Zhu BT, Liehr JG. Inhibition of catechol O-methyltransferase-catalyzed O-methylation of 2- and 4-hydroxyestradiol by quercetin: Possible role in estradiol-induced tumorigenesis. J Biol Chem. 1996;271:1357–1363. doi: 10.1074/jbc.271.3.1357. [DOI] [PubMed] [Google Scholar]
- 45.Nagai M, Conney AH, Zhu BT. Strong inhibitory effects of common tea catechins and bioflavonoids on the O-methylation of catechol estrogens catalyzed by human liver cytosolic catechol-O-methyltransferase. Drug Metab Disp. 2004;32:497–504. doi: 10.1124/dmd.32.5.497. [DOI] [PubMed] [Google Scholar]
- 46.Seefeld MD, Corbett SW, Keesey RE, Peterson RE. Characterization of the wasting syndrome in rats treated with 2,3,7,8-tetrachlorodibenzo-p-dioxin. Toxicol Appl Pharmacol. 1984;73:311–322. doi: 10.1016/0041-008x(84)90337-5. [DOI] [PubMed] [Google Scholar]
- 47.Christian BJ, Inhorn SL, Peterson RE. Relationship of the wasting syndrome to lethality in rats treated with 2,3,7,8-tetrachlorodibenzo-p-dioxin. Toxicol Appl Pharmacol. 1986;82:239–255. doi: 10.1016/0041-008x(86)90199-7. [DOI] [PubMed] [Google Scholar]
- 48.Petroff BK, Gao X, Rozman KK, Terranova PF. The effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) on weight gain and hepatic ethoxyresorufin-o-deethylase (EROD) induction vary with ovarian hormonal status in the immature gonadotropin-primed rat model. Reprod Toxicol. 2001;15:269–274. doi: 10.1016/s0890-6238(01)00132-0. [DOI] [PubMed] [Google Scholar]
- 49.Croutch CR, Lebofsky M, Schramm KW, Terranova PF, Rozman KK. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) and 1,2,3,4,7,8-hexachlorodibenzo-p-dioxin (HxCDD) alter body weight by decreasing insulin-like growth factor I (IGF-I) signaling. Toxicol Sci. 2005;85:560–571. doi: 10.1093/toxsci/kfi106. [DOI] [PubMed] [Google Scholar]
- 50.Max SR, Silbergeld EK. Skeletal muscle glucocorticoid receptor and glutamine synthetase activity in the wasting syndrome in rats treated with 2,3,7,8-tetrachlorodibenzo-p-dioxin. Toxicol Appl Pharmacol. 87:523–527. doi: 10.1016/0041-008x(87)90258-4. [DOI] [PubMed] [Google Scholar]
- 51.Hanlon PR, Ganem LG, Cho YC, Yamamoto M, Jefcoate CR. AhR- and ERK-dependent pathways function synergistically to mediate 2,3,7,8-tetrachlorodibenzo-p-dioxin suppression of peroxisome proliferator-activated receptor-gamma1 expression and subsequent adipocyte differentiation. Toxicol Appl Pharmacol. 2003;189:11–27. doi: 10.1016/s0041-008x(03)00083-8. [DOI] [PubMed] [Google Scholar]
- 52.Remillard RBJ, Bunce NJ. Linking dioxins to diabetes: Epidemiology and biologic plausibility. Environ Health Perspect. 2002;110:853–858. doi: 10.1289/ehp.02110853. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Institute of Medicine, Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides . Veterans and Agent Orange: Update 2000. National Academy Press; Washington: 2000. [Google Scholar]
- 54.Institute of Medicine, Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides . Veterans and Agent Orange: Update 2002. National Academy Press; Washington: 2003. [Google Scholar]
- 55.Henriksen GL, Ketchum NS, Michalek JE, Swaby JA. Serum dioxin and diabetes mellitus in veterans of Operation Ranch Hand. Epidemiology. 1997;8:252–258. doi: 10.1097/00001648-199705000-00005. [DOI] [PubMed] [Google Scholar]
- 56.Michalek JE, Akhtar FZ, Kiel JL. Serum dioxin, insulin, fasting glucose, and sex hormone binding globulin in veterans of Operation Ranch Hand. J Clin Endocrinol Metab. 1999;84:1540–1543. doi: 10.1210/jcem.84.5.5663. [DOI] [PubMed] [Google Scholar]
- 57.Bertazzi PA, Bernucci I, Brambilla G, Consonni D, Pesatori AC. The Seveso studies on early and long-term effects of dioxin exposure: a review. Environ Health Perspect. 1998;106(suppl 2):625–633. doi: 10.1289/ehp.98106625. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Pesatori AC, Consonni D, Bachetti S, Zochetti C, Bonzini M, Baccarelli A, et al. Short- and long-term morbidity and mortality in the population exposed to dioxin after the ‘Seveso Accident’. Ind Health. 2003;41:127–138. doi: 10.2486/indhealth.41.127. [DOI] [PubMed] [Google Scholar]
- 59.Vena J, Boffetta P, Becher H, Benn T, Bueno-de-Mesquita HB, Coggon D, et al. Exposure to dioxin and nonneoplastic mortality in the expanded IARC international cohort study of phenoxy herbicide and chlorophenol production workers and sprayers. Environ Health Perspect. 1998;106(suppl 2):645–653. doi: 10.1289/ehp.98106645. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Kim JS, Lim HS, Cho SI, Cheong HK, Lim MK. Impact of Agent Orange exposure among Korean Vietnam veterans. Ind Health. 2003;41:149–157. doi: 10.2486/indhealth.41.149. [DOI] [PubMed] [Google Scholar]
- 61.Suchar LA, Chang RL, Thomas PE, Rosen RT, Lech J, Conney AH. Effects of phenobarbital, dexamethasone, and 3-methylcholanthrene administration on the metabolism of 17β-estradiol by liver microsomes from female rats. Endocrinology. 1996;137:663–676. doi: 10.1210/endo.137.2.8593816. [DOI] [PubMed] [Google Scholar]
- 62.Miki Y, Suzuki T, Kitada K, Yabuki N, Shibuya R, Moriya T, Ishida T, Ohuchi N, Blumberg B, Sasano H. Expression of the steroid and xenobiotic receptor and its possible target gene, organic anion transporting polypeptide-A, in human breast carcinoma. Cancer Res. 2006;66:535–542. doi: 10.1158/0008-5472.CAN-05-1070. [DOI] [PubMed] [Google Scholar]
- 63.Nozawa T, Suzuki M, Takahashi K, Yabuuchi H, Maeda T, Tsuji A, Tamai I. Involvement of estrone-3-sulfate transporters in proliferation of hormone-dependent breast cancer cells. J Pharmacol Exp Ther. 2004;311:1032–1037. doi: 10.1124/jpet.104.071522. [DOI] [PubMed] [Google Scholar]
- 64.Mills LH, Lee AJ, Parlow AF, Zhu BT. Preferential growth stimulation of mammary glands over uterine endometrium in female rats by a naturally occurring estradiol-17β-fatty acid ester. Cancer Res. 2001;61:5764–5770. [PubMed] [Google Scholar]
- 65.Mills LH, Lee AJ, Zhu BT. Naturally-occurring estradiol-17β-fatty acid ester, but not estradiol-17β, preferentially induces the development of mammary tumor in female ACI rats. Proc Amer Assoc Cancer Res. 2003;44:835–836. [Google Scholar]







