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Estrogen receptor-beta expression in human testicular germ cell tumors.
Clin Cancer Res. 2003 Oct 01; 9(12):4475-82.CC

Abstract

PURPOSE

Estrogen exposure has been linked to a risk for the development of testicular germ cell cancers. The effects of estrogen are now known to be mediated by estrogen receptor (ER)-alpha and -beta receptor subtypes, but only ER-beta has been found in human normal testis. The goal of the present study was to compare the localization and expression levels of these ER subtypes in testicular germ cell cancers (seminomas and nonseminomatous germ cell tumors) with normal testis. For completeness, expression of androgen and progesterone receptors was also investigated.

EXPERIMENTAL DESIGN

Immunohistochemistry was used to localize the expression of steroid receptors in 39 archival testicular germ cell cancers and 5 morphologically normal testes. Expression of the steroid receptors at the transcript level was semiquantified by reverse transcription-PCR in 5 paired fresh-frozen specimens of normal and neoplastic testes.

RESULTS

ER-alpha was not expressed in the human normal testis. It was also absent in all of the testicular germ cell cancers studied. In contrast, ER-beta was strongly expressed in various germ cells of the normal testis. However, its expression was markedly diminished in seminomas, embryonal cell carcinomas, and in mixed germ cell tumors, at both transcriptional and translational levels. In contrast, ER-beta remained highly expressed in endodermal sinus tumors and teratomas. Progesterone receptor, an estrogen-regulated gene, was localized to spermatagonia of the normal testis, but its expression dramatically reduced in seminomas. With the exception of spermatagonia, androgen receptor was found in all of the germ cells of the normal testis, but, aside from trace staining in 3 of 5 endodermal sinus tumor cells, it was not detected immunohistochemically in any other germ cell cancer.

CONCLUSIONS

We confirm expression of ER-beta, but not ER-alpha, in normal testicular cells, suggesting that only the former ER subtype mediates the action of estrogen in the human male gonad. Our results provide the first evidence that only ER-beta is expressed in testicular germ cell tumors. Its expression is down-regulated in seminomas and embryonal cell carcinomas but remains high in endodermal sinus tumors and in teratomas. The observed differences in ER-beta expression levels among different testicular germ cell tumors may reflect divergent pathways of differentiation/dedifferentiation of these neoplasms from a common precursor. Collectively, these findings provide a possible mechanistic link between estrogen exposure and testicular cancer risk.

Authors+Show Affiliations

Division of Urology, Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14555521

Citation

Pais, Vernon, et al. "Estrogen Receptor-beta Expression in Human Testicular Germ Cell Tumors." Clinical Cancer Research : an Official Journal of the American Association for Cancer Research, vol. 9, no. 12, 2003, pp. 4475-82.
Pais V, Leav I, Lau KM, et al. Estrogen receptor-beta expression in human testicular germ cell tumors. Clin Cancer Res. 2003;9(12):4475-82.
Pais, V., Leav, I., Lau, K. M., Jiang, Z., & Ho, S. M. (2003). Estrogen receptor-beta expression in human testicular germ cell tumors. Clinical Cancer Research : an Official Journal of the American Association for Cancer Research, 9(12), 4475-82.
Pais V, et al. Estrogen Receptor-beta Expression in Human Testicular Germ Cell Tumors. Clin Cancer Res. 2003 Oct 1;9(12):4475-82. PubMed PMID: 14555521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Estrogen receptor-beta expression in human testicular germ cell tumors. AU - Pais,Vernon, AU - Leav,Irwin, AU - Lau,Kin-Mang, AU - Jiang,Zhong, AU - Ho,Shuk-Mei, PY - 2003/10/14/pubmed PY - 2004/5/21/medline PY - 2003/10/14/entrez SP - 4475 EP - 82 JF - Clinical cancer research : an official journal of the American Association for Cancer Research JO - Clin Cancer Res VL - 9 IS - 12 N2 - PURPOSE: Estrogen exposure has been linked to a risk for the development of testicular germ cell cancers. The effects of estrogen are now known to be mediated by estrogen receptor (ER)-alpha and -beta receptor subtypes, but only ER-beta has been found in human normal testis. The goal of the present study was to compare the localization and expression levels of these ER subtypes in testicular germ cell cancers (seminomas and nonseminomatous germ cell tumors) with normal testis. For completeness, expression of androgen and progesterone receptors was also investigated. EXPERIMENTAL DESIGN: Immunohistochemistry was used to localize the expression of steroid receptors in 39 archival testicular germ cell cancers and 5 morphologically normal testes. Expression of the steroid receptors at the transcript level was semiquantified by reverse transcription-PCR in 5 paired fresh-frozen specimens of normal and neoplastic testes. RESULTS: ER-alpha was not expressed in the human normal testis. It was also absent in all of the testicular germ cell cancers studied. In contrast, ER-beta was strongly expressed in various germ cells of the normal testis. However, its expression was markedly diminished in seminomas, embryonal cell carcinomas, and in mixed germ cell tumors, at both transcriptional and translational levels. In contrast, ER-beta remained highly expressed in endodermal sinus tumors and teratomas. Progesterone receptor, an estrogen-regulated gene, was localized to spermatagonia of the normal testis, but its expression dramatically reduced in seminomas. With the exception of spermatagonia, androgen receptor was found in all of the germ cells of the normal testis, but, aside from trace staining in 3 of 5 endodermal sinus tumor cells, it was not detected immunohistochemically in any other germ cell cancer. CONCLUSIONS: We confirm expression of ER-beta, but not ER-alpha, in normal testicular cells, suggesting that only the former ER subtype mediates the action of estrogen in the human male gonad. Our results provide the first evidence that only ER-beta is expressed in testicular germ cell tumors. Its expression is down-regulated in seminomas and embryonal cell carcinomas but remains high in endodermal sinus tumors and in teratomas. The observed differences in ER-beta expression levels among different testicular germ cell tumors may reflect divergent pathways of differentiation/dedifferentiation of these neoplasms from a common precursor. Collectively, these findings provide a possible mechanistic link between estrogen exposure and testicular cancer risk. SN - 1078-0432 UR - https://www.unboundmedicine.com/medline/citation/14555521/Estrogen_receptor_beta_expression_in_human_testicular_germ_cell_tumors_ L2 - http://clincancerres.aacrjournals.org/cgi/pmidlookup?view=long&pmid=14555521 DB - PRIME DP - Unbound Medicine ER -