Abstract
Estrogen receptor alpha (ERα) is involved in numerous physiological and pathological processes, including breast cancer. Breast cancer therapy is therefore currently directed at inhibiting the transcriptional potency of ERα, either by blocking estrogen production through aromatase inhibitors or antiestrogens that compete for hormone binding. Due to resistance, new treatment modalities are needed and as ERα dimerization is essential for its activity, interference with receptor dimerization offers a new opportunity to exploit in drug design. Here we describe a unique mechanism of how ERα dimerization is negatively controlled by interaction with 14-3-3 proteins at the extreme C terminus of the receptor. Moreover, the small-molecule fusicoccin (FC) stabilizes this ERα/14-3-3 interaction. Cocrystallization of the trimeric ERα/14-3-3/FC complex provides the structural basis for this stabilization and shows the importance of phosphorylation of the penultimate Threonine (ERα-T594) for high-affinity interaction. We confirm that T594 is a distinct ERα phosphorylation site in the breast cancer cell line MCF-7 using a phospho-T594–specific antibody and by mass spectrometry. In line with its ERα/14-3-3 interaction stabilizing effect, fusicoccin reduces the estradiol-stimulated ERα dimerization, inhibits ERα/chromatin interactions and downstream gene expression, resulting in decreased cell proliferation. Herewith, a unique functional phosphosite and an alternative regulation mechanism of ERα are provided, together with a small molecule that selectively targets this ERα/14-3-3 interface.
The estrogen receptor alpha (ERα) is a ligand-dependent transcription factor and the driving force of cell proliferation in 75% of all breast cancers. Current therapeutic strategies to treat these tumors rely on selective ER modulators (SERMs), like tamoxifen (TAM) (1) or aromatase inhibitors (AIs) that block estradiol synthesis (2). Although the benefits of treating hormone-sensitive breast cancers with SERMs and AIs are evident, resistance to treatment is commonly observed (3, 4). To overcome resistance, selective ERα down-regulators (SERDs) can for instance be applied that inhibit ERα signaling through receptor degradation (5, 6). Approaches that target the ERα/DNA or ERα/cofactor interactions are explored as well (5, 7), but other essential steps in the ERα activation cascade are currently unexploited in drug design, also due to a lack of molecular understanding of the processes at hand.
One such step that is crucial for many aspects of ERα functioning is ligand-driven receptor dimerization (8, 9). 17β-Estradiol (E2) association with the ERα ligand binding domain (LBD) drives large conformational changes (10) resulting in ERα dissociation from chaperones (11, 12), unmasking of domains for receptor dimerization, and DNA binding (13, 14). Whereas the LBD contains the main dimerization domain (15), the extreme C-terminal domain of the receptor (F domain) imposes a restraint on dimerization (15, 16), although the regulation of this remains fully elusive. The F domain is a relatively understudied part of the receptor and due to its flexibility, no structural information has been available until now (16). Analysis of F-domain truncation mutants point to an important role for the last few amino acids in receptor dimerization and transactivation activity (17).
Recently, we reported that the diterpene glucoside fusicoccin (FC), a product of the fungus Phomopsis amygdali (18), induces apoptosis in a number of cancer cell lines, in synergy with the cytokine IFN alpha (IFNα) (19). In plants, the molecular mechanism of FC’s action is highly specific through a unique stabilization of the interaction of 14-3-3 proteins and the C terminus of plasma membrane proton ATPases, with a key role for the penultimate (phosphorylated) Thr of the ATPase (20–22). 14-3-3 Proteins are a family of adapter proteins conserved in all eukaryotic organisms, with key positions in vital cellular processes as well as pathogenesis, like neurodegeneration and tumor development (23, 24). The sequence homology of the extreme C terminus of the plant ATPase and human ERα and the observed effect of FC on the growth of ERα positive breast tumor cells led us to explore the effect of FC on ERα function in these cells.
We show here that ERα interacts with 14-3-3 proteins, with a key role for the penultimate Threonine of ERα (T594). Mutation of T594 strongly enhances the estradiol-dependent ERα dimerization and transactivation. As shown by cocrystallization, binding of the T594 phosphorylated ERα C terminus in the 14-3-3 binding groove leaves a cavity that can be filled by the FC molecule. We confirm that T594 is a distinct ERα phosphorylation site in the breast cancer cell line MCF-7 using a phospho-T594–specific antibody and by mass spectrometry. Furthermore, FC has a negative effect on ERα/chromatin interactions, E2-dependent gene transcription, and cell growth. With this, we provide an alternative ERα regulating mechanism, involving the ERα F domain and provide a unique druggable interface between ERα and 14-3-3 proteins, together with a small molecule (FC) that functions as a proof of principle, which highlights the potential druggability of this protein/protein interaction surface for alternative therapeutics design in breast cancer.
Results
ERα F Domain Interacts with 14-3-3 Proteins.
Sequence alignment of the ERα F domain from a wide range of animals, from human to frog, shows a high degree of variation in amino acid composition, with the exception of the last two amino acids, which are invariably Thr,Val or Thr,Ile (TV or TI) (Fig. 1A). This conservation of the ERα C terminus points to a conserved function of the tip and in view of the analogy with the plant ATPase C-terminal tip (Fig. S1A), which is involved in 14-3-3 interactions (22, 25), we performed a yeast-two hybrid (Y2H) assay with the C-terminal half of ERα (ERα-LBD302–595) against all seven human 14-3-3 isoforms. Yeast growth is observed with all 14-3-3 isoforms on triple drop-out plates (Fig. 1B), providing evidence for direct physical interaction between these proteins. The penultimate T594 of ERα is essential for 14-3-3 interaction because cells transformed with ERαT594A did not grow (Fig. 1B). Helix 12, which is directly N terminal to the F domain, undergoes dramatic conformational changes upon ligand binding (26) and this will most likely change the position of the F domain as well. To test whether ligand binding renders the F domain more accessible for interaction with 14-3-3 proteins, a yeast two-hybrid (β-galactosidase, β-gal) assay was performed to quantitatively assess the ERα/14-3-3 interaction. Both E2 and 4-hydroxytamoxifen (4OH-TAM) strongly enhance the ERα-LBD/14-3-3θ interaction and again ERα-LBDT594A does not interact with 14-3-3θ (Fig. 1C). Similar results have been obtained with other 14-3-3 isoforms as well as full-length ERα (Fig. S1 B and C), which shows that (ant)agonist binding to the receptor increases the accessibility of the F domain for 14-3-3 interaction. Using a competitive fluorescence anisotropy 14–3-3 assay, we tested if T594 phosphorylation and FC influence the affinity of the ERα F domain for 14-3-3 proteins (27). The ERα F-domain peptide, last 15 amino acids, revealed two aspects of interaction: phosphorylation of T594 is essential for interaction (in support of the Y2H results) and the presence of FC increases the apparent affinity of the peptide 5- to 16-fold, depending on the 14-3-3 isoform used (Fig. 1D and Fig. S1D and Table S1). Although the ERβ protein contains a penultimate serine residue that can be phosphorylated, no interaction with 14-3-3 protein is observed for the phosphorylated ERβ F-domain peptide with or without FC, indicating ER isoform specificity (Fig. 1E). Furthermore, a longer ERα F domain phosphopeptide (30 amino acids) is still responsive to FC, while having a higher affinity for 14-3-3 proteins, which suggests that the F domain has multiple points of contact with the 14-3-3 protein (Fig. 1E).
Crystal Structure of the Trimeric Complex.
The structural basis for the effects described above was elucidated by cocrystallization of the 15-aa F-domain phosphopeptide (pERα), 14-3-3σ and FC. First, the peptide was crystallized with the 14-3-3 protein. Crystals were obtained within 5–7 d and could directly be flash cooled and diffracted to 2.02 Å. The 14-3-3 protein displayed the typical, W-like shaped dimer with both monomers accommodating one ERα peptide (Fig. 2A and Fig. S2A). The peptide shows an elongated conformation and is mainly bound by polar contacts with coordination of the phosphate moiety of pT594 by 14-3-3′s K49, R56, R129 and Y130. To determine how FC (Fig. 2B) acts on this protein complex, we soaked binary 14-3-3σ/pERα crystals with FC. Clear additional electron density for the FC molecule could be determined (Fig. 2C), allowing the unambiguous spatial determination of the binding mode. One FC molecule is coordinated by each 14-3-3 monomer sitting right next to the C terminus of the pERα peptide (Fig. 2D and Fig. S2B). Here, FC is contacting both protein partners thereby filling a gap in the interface of 14-3-3 and pERα (Fig. 2 E and F and Fig. S2C). Binding of FC to the binary 14-3-3σ/pERα complex seems to be mainly driven by entropic effects and shape complementarity. FC covers 147.1 Å2 of solvent-exposed surface in the complex and dislocates at least 19 water molecules. Because the free, protein-unbound form of FC (28) is very similar to the structure of FC observed in our ternary complex, also the entropy penalty upon binding of FC is expected to be rather low (see also Table S2).
ERα C Terminus Controls Receptor Dimerization.
To examine the capacity of FC to bind endogenous 14-3-3 and ERα, an affinity pull-down with FC beads (FC was coupled covalently to magnetic hydrazide beads after changing the vinyl group into a reactive aldehyde) was performed in a lysate prepared from MCF-7 cells. The FC beads were first functionally tested (Fig. S3 A and B). Subsequently, a pull-down with MCF-7 cell lysate was performed and this shows that both endogenous 14-3-3 and ERα bind specifically to the FC beads (Fig. 3A). In a reverse pull-down experiment with recombinant ERα-LBD as bait, FC also enhanced the binding of 14-3-3 proteins to ERα (Fig. 3B). Next, we addressed the question how 14-3-3 protein interaction affects ERα function. In view of the reported function of the F domain in receptor dimerization (16), we tested whether 14-3-3 binding and FC interfere with receptor dimerization. A Y2H β-gal assay with ERα-LBD or ERα-LBDT594A confirmed that the F-domain C terminus controls receptor dimerization (Fig. 3C), as reported before (17). Strikingly, the T594A mutation, which annihilates the 14-3-3 interaction (Fig. 1 B and C), strongly enhances (ant)agonist-driven receptor dimerization. Similar results have been obtained with full-length ERα or ERαT594A (Fig. S3C). To test whether FC affects ERα dimerization in human cells as well, two N-terminally tagged ERα constructs, HA-ERα and GFP-ERα, were expressed in HEK293 cells. Immunoprecipitation (IP) of HA-ERα shows receptor dimerization: besides HA-ERα also GFP-ERα is present in the IP (Fig. 3D, lane 3). Cells treated with FC show less GFP-ERα in the IP, whereas inclusion of the 14-3-3 competing R18 peptide in the cell lysate during the IP strongly enhances dimerization. These results are in line with the Y2H results and suggest that interaction of 14-3-3 proteins at the ERα C terminus has a negative effect on receptor dimerization.
T594 Is a Distinct ERα Phosphosite.
Thus far, experimental evidence for ERα-T594 phosphorylation has not been described in the literature. However, all evidence shown above indicates that T594 phosphorylation is essential for creating a high-affinity 14-3-3 binding site at the ERα C terminus. To demonstrate endogenous ERα-T594 phosphorylation, we generated an antibody that specifically recognizes the phosphorylated T594 residue. Specificity of the pT594 antibody is demonstrated with a dot blot (Fig. S4A) and Western blotting of cell lysate of HEK293 cells expressing ERα, ERα-T594A, and ERα-Δ4 (Fig. S4B). Next, we did Western blots using the ERα common antibody (HC-20) and the pT594 antibody on cell lysate from MCF-7 cells that were treated without or with FC for 24 h (Fig. 3E). Whereas control cells do not show a band recognized by the pT594 antibody, cells treated with FC clearly show a band, which disappears when the antibody is blocked with its antigen, the pT594 peptide. When cells are also treated with the proteasome inhibitor MG132, phosphorylated ERα is already detectable without FC treatment (Fig. 3E) and with FC the effect on T594 phosphorylation is even more prominent. To confirm that T594 is a genuine phosphoresidue, we digested the FC/MG132 MCF-7 cell lysate with trypsin and used the pT594 antibody to IP the C-terminal ERα phosphopeptide. Mass-spectrometry analysis of this fraction identified the C-terminal ERα peptide (14 aa) with T594 phosphorylated (Fig. 3F and Fig. S5). We conclude that T594 is a phosphorylated residue in MCF-7 cells and that FC “protects” the T594 phosphosite resulting in increased phosphorylation.
FC Reduces Genome-Wide Chromatin Interactions of ERα.
Because ERα interacts with DNA as a dimer, we expected that an FC/14-3-3-induced reduction of receptor dimerization would prevent ERα/DNA interactions. Chromatin immunoprecipitation (ChIP) was performed for ERα, and the receptor/chromatin interaction for two well-described ERα binding events [nuclear receptor-interacting protein 1 (NRIP1) and X-box binding protein 1 (XBP1)] (29) was studied. For both ERα binding sites, FC significantly reduced the chromatin interaction of ERα as well as its coactivator amplified in breast cancer 1 (AIB1) (Fig. 4A). To assess the effect of FC on ERα/chromatin associations on a genome-wide scale, ChIP was followed by high-throughput sequencing (ChIP-seq). Again, FC decreased ERα/chromatin interactions, and peak intensities were decreased by FC treatment (Fig. 4B). Under control conditions, 26,987 ERα binding events were found on a genome-wide scale (Fig. 4C). This number of binding events was greatly diminished by FC treatment, where 16,829 ERα sites were found. The sites shared under both control and FC conditions (“shared regions”) were the strongest ERα binding events, which were significantly lowered in intensity by FC treatment (Fig. 4D and quantified in Fig. 4E). The less strong ERα binding sites were unique for the control conditions (“control unique”) and lost due to an FC-induced decrease of peak intensity beyond the detection threshold of the peak-calling algorithm. Consequently, the number of ERα peaks decreased upon FC treatment (Fig. 4C). No selectivity was observed for the type of ERα interaction that was lost (monomer versus dimer) based on DNA motif analysis or whether they were mediated by direct ERα/DNA binding or through specificity protein 1 (SP1) or complexes of the transcription factors Fos and Jun (Fos/Jun) (Fig. S6). These results show that FC-mediated loss of ERα/chromatin interaction is highly effective, nonselective for the mode of ERα chromatin interactions as based on DNA motif analysis, and occurs genome-wide.
Fusicoccin Reduces ERα Transactivation and Cell Growth.
Next, the biological consequences of FC-induced ERα/14-3-3 stabilization and reduced ERα/chromatin interactions were investigated. First, the influence of FC on ERα transcriptional activity was tested, as well as the role of the F-domain C-terminal tip therein. To rule out any influence of endogenous receptor, we made use of ERα-negative human osteosarcoma cell line U2OS, a well-annotated model system for ERα action (30). ERα-mediated estrogen response element-luciferase reporter (ERE-luc) expression was measured in U2OS cells cotransfected with ERα wild type (ERα-WT) and two C-terminal mutants: ERα-T594A and ERα-Δ4, a construct lacking the last four amino acids. ERα-T594A may still exhibit partial FC sensitivity, because studies on the FC target in plants (the H+-ATPase) have shown that interaction of the nonphosphorylated H+-ATPase and 14-3-3 proteins do occur, provided that FC is present (31, 32). ERα-Δ4 should be FC insensitive because the amino acids that line the 14-3-3 groove and contact the FC molecule (Fig. 2) are missing. As shown in Fig. 5A, FC significantly reduces the ERα-WT transcriptional activity in a dose-dependent manner, with an inhibition of more than 60% at 1 nM E2. The transcriptional activity of ERα-Δ4 is indeed unaffected by FC and is much higher than that of ERα-WT (note that the scale of the y axis is different). Cells transfected with ERα-T594A also show enhanced transcriptional activity compared with ERα-WT in the absence of FC and, as expected, the transcriptional activity shows some FC sensitivity, albeit less than that of ERα-WT. These experiments illustrate that the ERα C terminus is essential for regulating ERα activity and for the inhibitory effect of FC thereon. Furthermore, FC does not affect the transcriptional activity of ERβ (Fig. 5B), indicating that the 14-3-3/FC interaction is indeed isoform specific (see also Fig. 1E).
To further determine the effect of FC on endogenous ERα-mediated gene transcription, we analyzed transcript levels of a number of E2-dependent genes in the absence and presence of FC. As shown in Fig. 5C, FC treatment significantly reduced E2-mediated transcription of these genes. In line with these data, FC treatment significantly inhibited E2-induced cell proliferation in a dose-dependent manner (Fig. 5D), and this effect on proliferation was not apoptosis related (Fig. S7).
Cumulatively, we have shown a unique mode of ERα inhibition involving the newly identified phosphorylated T594 residue, which operates through the interaction of the ERα F-domain tip with 14-3-3 proteins. Stabilizing this ERα/14-3-3 interaction through small molecule inhibitors like FC suffices in functionally reducing ERα/DNA interactions, gene transcription, and cell proliferation.
Discussion
Blocking ERα functioning is the major treatment modality in luminal breast cancer (33–35). Most efforts to modulate the ERα activity have focused on a single pocket buried in the ERα protein, where agonists, antagonists, and selective modulators interact with ERα: the ligand-binding pocket. Because treatment resistance is commonly observed, focus is shifting toward the identification of small-molecule inhibitors that target sites outside this ligand-binding pocket, like the coactivator-binding groove, allosteric sites in the LBD, and the interface for DNA contact (34, 36). Receptor dimerization is an essential step in the cascade of events through which ERα modulates gene expression and therefore any changes that alter ERα dimerization will have profound effects on ERα function. After binding of ligand, ERα monomers undergo dramatic conformational changes exposing sequences required for dimerization and evidence has been presented that the carboxy terminal F domain imparts internal restraint on ER dimerization (17, 37). Notably, mutations in the last few amino acids of the F domain somehow relieve the restraint on dimerization imposed by the F domain and enhance transcriptional activity (17). Understanding the molecular mechanism that gives the F-domain C terminus control over ERα dimerization will provide new tools to interfere with the ligand-driven dimerization process and thus ligand-dependent ERα activation in ERα-positive tumor cells.
In this report we demonstrate that the ERα F-domain C terminus contains a mode-III binding motif for 14-3-3 proteins (38) and moreover, that the ERα/14-3-3 interface can be targeted by the small-molecule FC. The effect of FC described here is unique among all known small molecules that modulate the ERα activity, as it targets a unique protein–protein interaction interface and stabilizes rather than disturbs an ERα/macromolecule interaction. This mode of FC action, which can be described as a “molecular glue,” has been well documented for the plant ATPase/14-3-3 interaction (21, 22) and this study shows that the compound/substrate interactions, as well as their functional consequences, are conserved across species.
At the molecular level, the Y2H, fluorescence anisotropy and cocrystallization studies all point to an alternative mechanism of ERα regulation, where 14-3-3 proteins interact with the very C terminus of the ERα F domain, with a key role for phosphorylation of the penultimate T594. We uniquely demonstrate that T594 is an in vivo phosphosite in the breast cancer cell line MCF-7. Because phosphorylated ERα accumulates in cells where proteosomal degradation is inhibited, we hypothesize that the T594 phosphorylated ERα is a short-lived intermediate in the cycle of receptor activation/degradation. This may be the reason why phosphorylation of T594 has gone unnoticed thus far. FC clearly enhances the level of T594 phosphorylation, probably because the phosphosite is shielded from phosphatase activity by an increase in affinity for 14-3-3 proteins, a well-known effect described for the FC target in plants, the H+-ATPase (39, 40). This mode-III 14-3-3 interaction provides the framework for a model where the ERα C terminus negatively affects receptor dimerization, consistent with previously published work (17), through interaction with 14-3-3 proteins, as shown here. At the cellular level, the (FC stabilized) interaction between ERα and 14-3-3s negatively affects receptor/DNA interactions, the transactivation activity and ERα-dependent cell growth. Furthermore, this interaction can be targeted by small molecules, like FC, and FC is receptor specific as it only targets ERα without affecting ERβ, which is a positive feature in view of the antiproliferative role described for ERβ (41, 42).
Taken together, our results establish an alternative and selective mode of ERα regulation (Fig. 5E), where the receptor’s F domain becomes amenable for interaction with 14-3-3 proteins after ligand binding. FC is a small molecule ligand that specifically modulates the interaction surface between ERα and its regulatory 14-3-3 protein, albeit at a relatively low affinity. Therefore, this small molecule and related fusicoccanes (43) may provide the very basis for the development of an entirely unique class of antiestrogenic compounds in the treatment of breast cancer.
Materials and Methods
Human ERα (WT or T594A point mutant) and/or 14-3-3 proteins were transfected in yeast cells, using the lithium acetate method (44), to analyze their interaction or study ERα dimerization in a Y2H assay. Double dropout plates (DDOs) were used to check for colony viability and triple dropout plates (TDOs) to test for interaction. The interaction in the presence of various ligands was quantified with a yeast two-hybrid β-galactosidase assay as described before (44).
Competitive anisotropy measurements were performed with ERα peptides consisting of the last 15 (short) or 30 (long) amino acids of ERα, with T594 being phosphorylated (pERα) or dephosphorylated (dERα). In this, the peptides need to compete with the carboxyfluorescein labeled SWpTY peptide (FAM-SWpTY, where pT indicates phosphorylated Threonine) for 14-3-3 binding as described before (27).
In pull-down assays, with GST-ERα-LBD or FC-coated beads, MCF-7 lysate was mixed with a noninteracting peptide (NIP) or the 14-3-3 interacting R18 peptide. The associated endogenous ERα and/or 14-3-3 proteins were subsequently visualized by Western blotting.
ERα activity was measured with an ERE-Luc assay in transfected U2OS cells, using the Dual-Luciferase Reporter Assay (Promega). MCF-7 cell growth and apoptosis induction, treated with FC or methanol and E2, was measured on the IncuCyte FLR (Essen BioScience), using a CellPlayer 96-Well Kinetic Caspase-3/7 apoptosis assay kit. Cell confluence and apoptosis was determined by analyses of phase-contrast/fluorescent images using an algorithm from Confluence v1.5 in combination with IncuCyte software.
For the identification of the phosphorylated C-terminal ERα peptide, cell lysate from MG132/FC-treated MCF-7 cells was trypsin digested and the pT594 antibody was used to IP the phosphopeptide. MS/MS spectra of the eluted peptides were acquired with a Q Exactive mass spectrometer (ThermoScientific).
ChIPs were performed as described previously (29). Sequences were generated on the Illumina HisEq. 2000 and aligned to the human reference genome. Tools used for enriched region analyses, motif analyses, data snapshots, and heatmap generation are described in SI Materials and Methods. For gene expression analyses equal amounts of cDNA from (un)treated MCF-7 cells were analyzed with SYBR Green (Applied Biosystems) and an MJ Opticon Monitor (BioRad). Data were analyzed with qgene96.
The complex of 14-3-3σΔc (amino acids 1–231) and the short pERα peptide was crystallized using the hanging-drop method. The structure was solved by molecular replacement using Protein Data Bank (PDB) ID: 3P1N as template. The ternary complex was produced by soaking fusicoccin into the binary crystals. Details are described in SI Materials and Methods. The structures of the 14-3-3σΔc/pERα (4JC3) and the 14-3-3σΔc/pERα/FC (4JDD) complexes have been deposited in the PDB.
Supplementary Material
Acknowledgments
We thank Sjors Kas for his contribution to the anisotropy measurements and Rolf Rose for crystallographic data collection. This study was supported by Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO) ECHO Grant 700.54.012. W.Z. is supported by a KWF Dutch Cancer Society Fellowship. Dr. M. Li provided the FAM-SWpTY peptide. D.B. was supported by the DFG grant OT414/2-1.
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
Data deposition: The atomic coordinates and structure factors have been deposited in the Protein Data Bank, www.pdb.org (PDB ID codes 4JC3 and 4JDD).
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1220809110/-/DCSupplemental.
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