Hormones in Health and Disease Series Editor V.K. Moudgil Hormones and Cancer Wayne V. Vedeckis Editor Birkhiiuser Boston. Basel. Berlin Wayne V. Vedeckis Department of Biochemistry and Molecular Biology Louisiana State University Medical Center and Stanley S. Scott Cancer Center 1901 Perdido Street New Orleans, LA 70112-1393 USA Library of Congress Cataloging-In-Publication Data Hormones and cancer 1 Wayne V. Vedeckis, editor. p. cm. --(Hormones in health and disease) Includes bibliographical references and index. ISBN 0-8176-3797-4 (alk. paper). - ISBN 3-7643-3797-4 (alk. paper) I. Cancer-Endocrine aspects. 2. Cancer-Honnone therapy. I. Vedeckis, Wayne V., 1947- . II. Series. [DNLM: 1. Neoplasms, Honnone-Dependent-physiopathology. 2. Neoplasms, Honnone-Dependent-therapy. 3. Honnones-physiology. 4. Honnones-therapeutic use. 5. Breast Neoplasms. 6. Prostatic Neoplasms. 7. Leukemia. QZ 200 HS121 1996] RC26S.2.H672 1996 616.99'4071-{fc20 DNLMlDLC for Library of Congress 96-4653 CIP Ii Printed on acid-free paper Birkhiiuser ® © 1996 Birkhauser Boston Copyright is not claimed for works of U.S. Government employees. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior permission of the copyright owner. The use of general descriptive names, trademarks, etc. in this publication even if the fonner are not Merchandise Marks Act, may accordingly be used freely by anyone. While the advice and infonnation in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Permission to photocopy for internal or personal use of specific clients is granted by Birkhauser Boston for libraries and other users registered with the Copyright Clearance Center (CCC), provided that the base fee of $6.00 per copy, plus $0.20 per page is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923, U.S.A. Special requests should be addressed directly to Birkhauser Boston, 675 Massachusetts Avenue, Cambridge, MA 02139, U.S.A. ISBN 0-SI76-3797-4 ISBN 3-7643-3797-4 Cover design by David Gardner, Dorchester, MA. Typeset in Great Britain by Alden, Oxford, Didcot and Northampton. 987654321 ISBN-13:978-1-4612-871S-S e-ISBN-13:978-1-4612-4266-6 001: 10.1007/978-1-4612-4266-6 To my lovely wife, Mary, and my precious children, Michele, Lisa, and Kathy-for their patience, support, and love during this project, and always Contents Foreword v.K. Moudgil, Series Editor. . . . . . . . . . . . . . . . . . . . . . . . . . . Xl Preface Wayne V. Vedeckis, Editor. . . . . . . . . . . . . . . . . . . . . . . . . . .. X111 Contributors ................................................. XVll PART I: UNDERLYING MECHANISMS AND PRINCIPLES 1. Neoplastic Transformation: Oncogenes, Tumor Suppressors, Cyclins, and Cyclin-Dependent Kinases Candace M. Howard and Antonio Giordano. . . . . . . . . . . . . . 3 2. TGF-,8 Inhibition of Intestinal Epithelial Cell Proliferation: G 1 Cyclins, Cyclin Dependent Kinases, and Cyclin Kinase Inhibitors E. Aubrey Thompson, Tien C. Ko, and R. Daniel Beauchamp 43 3. RET Proto-Oncogene and Its Role in Multiple Endocrine Neoplasia and Medullary Thyroid Cancer Paul Goodfellow and Jeffrey F. Moley ............... , . .. 73 4. The Nuclear Hormone Receptor Superfamily: Structure and Function Xiaohua Leng, Sophia Y. Tsai, and Ming-Jer Tsai. . . . . . . .. 91 5. Retinoids: Concepts for Separation of Desirable and Undesirable Effects in the Treatment or Prevention of Cancer Magnus Pfahl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 127 viii Contents PART II: BREAST CANCER 6. Clinical Aspects of Breast Cancer William J. Gradishar and Monica Morrow .. . . . . . . . . . . . .. 149 7. The Genetics of Breast Cancer Steven M. Hill, Diane M. Klotz, and Claudia S. Cohn ...... 197 8. Growth Factors and Modulation of Endocrine Response in Breast Cancer Robert l. Nicholson and Julia M. W. Gee. . . . . . . . . . . . . . . .. 225 9. Role of Altered Estrogen Receptors in Breast Cancer Sami G. Diab, Carl G. Castles, and Suzanne A. W. Fuqua ... 261 10. Progestins, Progesterone Receptors, and Breast Cancer Kathryn B. Horwitz, Lin Tung, and Glenn S. Takimoto 283 11. Molecular, Cellular, and Systemic Mechanisms of Antiestrogen Action William H. Catherino and V. Craig Jordan. . . . . . . . . . . . . .. 307 12. Aromatase Inhibitors and Breast Cancer Angela M.H. Brodie. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 357 PART III: PROSTATE CANCER 13. Current Concepts in the Treatment of Cancer of the Prostate Joseph A. Smith, Jr ................................... 379 14. Tumor Suppressor Genes and Oncogenes in Human Prostate Cancer Jill A. Macoska ..................................... 395 15. Prostatic Growth Factors, Cancer, and Steroid Hormone Activity Donna M. Peehl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 415 16. Androgen Receptors in Human Prostate Cancer: Heterogeneous Expression, Gene Mutations, and Polymorphic Variants Janette M. Hakimi, Rachel H. Rondinelli, Mark P. Schoenberg, and Evelyn R. Barrack ... .......... 445 Contents IX PART IV: HEMATOLOGICAL MALIGNANCIES 17. Basic and Clinical Studies of Glucocorticosteroid Receptors in Lymphoid Malignancies Clark W. Distelhorst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 495 18. Glucocorticoid Actions on Normal and Neoplastic Lymphocytes: Activation of Apoptosis Jennifer W. Montague and John A. Cidlowski ............ 517 19. Clinical Aspects of Acute Promyelocytic Leukemia and Response to Retinoid Therapy Martin S. Tallman ................................... 539 20. Molecular Biology of Acute Promyelocytic Leukemia Francesco Grignani and Pier Giuseppe Pelicci. . . . . . . . . . . .. 577 Keyword Index ............................................ 607 Foreword The series, Hormones in Health and Disease, was launched in 1993 to provide a scientific platform for investigators engaged in research on the biological actions of hormones and to anticipate relevance for their findings in clinical applications. The first volume of the series was dedicated to the discussion and understanding of molecular mechanisms by which steroid hormones influence target cells in normal and pathological conditions. With the diversity of information and the vast amount of literature on steroid hormone physiology, a more thorough treatment of Hormones and Cancer was identified as a timely topic. In this second volume in the series, Dr. Wayne V. Vedeckis has success fully undertaken the monumental task of editing the findings of the leading investigators in hormone and cancer research. Dr. Vedeckis brings to this project two decades of research experience in hormone action; he is actively engaged in elucidating hormone and cancer interrelations. It is a pleasure to welcome him to the series as an editor and congratulate him and all contribu tors in presenting this comprehensive treatise. The 20 chapters include discussions on contemporary topics relating control of cell division and signal transduction to the basic mechanisms of carcinogenesis by cloning patient genes, and recognizing the importance of steroid receptors in treatment protocols of various endocrine abnormalities. The organization and presentation of different chapters, Dr. Vedeckis' experience and expertise, and the quality of contributions make Hormones and Cancer a most welcome addition to the series. It is hoped that readers will find this volume to be a valuable guide and a useful resource for funda mental processes as well as the current thinking of active researchers who contributed to this endeavor. For their continued support and recognition of the importance of this undertaking, Birkhauser Boston has my gratitude and appreciation. Future volumes are planned to address emerging needs and evolving biomedical issues that deal with Hormones in Health and Disease. V.K. Moudgil Series Editor Preface Beginning early in the next century, cancer will overtake cardiovascular dis ease as the number one cause of death from disease in America. With the increase in the overall life span and age of citizens in developed countries, the prevalence of cancer and its impact will continue to grow. Doubtless to say, all readers of this volume have had, or will have, their lives touched either directly or indirectly by the collection of diseases we call cancer. So much for the bad news. The good news is that we are making unpre cedented progress in understanding the biochemistry, molecular biology, and cell biology of the cancer. The identification of oncogenes, tumor suppressor genes, signal transduction pathways controlling the cell cycle, and the com ponents of the cell cycle machinery itself has resulted in a much clearer, albeit complex, vision of normal and abnormal cell division. This informa tion has allowed for the improved diagnosis of cancer, as well as elucidated specific potential targets for directed therapy. One bright light in our battle against certain types of cancers is the use of hormonal manipulations for intervention. While not a panacea, this approach has extended the arsenal available for a rational approach to cancer therapy. Most notable is the acceptance of anti-estrogen therapy, primarily the use of tamoxifen, in the treatment of hormone-responsive breast tumors. The incorporation of aromatase inhibitors for treating meta static breast disease has also been notable. On the other hand, anti-androgen treatment of prostate cancer has so far been very disappointing; however, on a more positive note, recent results that include an analysis of androgen receptor mutations and the recognition of important stromal-epithelial interactions raises hope that hormonal intervention will find more success in the treatment of prostate cancer. Similarly, the use of corticosteroids in the treatment of acute lymphoblastic leukemia continues to be of significant patient benefit, and the recent clinical complete remissions obtained in acute promyelocytic leukemia patients treated with all-trans retinoic acid have been truly impressive. ,It is with these facts in mind that I accepted Dr. Virinder Moudgil's gracious invitation to edit a volume for his series, Hormones in Health and Disease. My primary consideration in choosing the subjects for Hormones