Oncogenic events, such as the loss of p53, or the inappropriate activation of hTERT, may target epithelial stem/progenitor cells and give rise to immortalized cells with unique characteristics including dysregulated proliferation rates (
Sun et al., 1999;
Masutomi et al., 2003;
Bankfalvi et al., 2004;
Dimri et al., 2005;
Dong et al., 2005;
Signorelli and Ghidoni, 2005). In the present study, we found that resveratrol, at physiologically relevant levels, activated telomerase in p53 heterozygous mammary epithelial-mixed progenitors, resulting in up-regulation of hTERT and immortalization, a critical if not rate-limiting steps in cancer progression (
Holt and Shay, 1999;
Sun et al., 1999;
Masutomi et al., 2003;
Bankfalvi et al., 2004;
Dimri et al., 2005;
Dong et al., 2005;
Signorelli and Ghidoni, 2005).
One possibility to explain these findings is that telomerase might be hormone-activated through direct ER-mediated activation of hTERT, but we found no evidence for resveratrol acting as a phytoestrogen/ER to activate telomerase at the effective concentrations (
Bayne and Liu, 2005;
Signorelli and Ghidoni, 2005). Further, we found that HME50 cells were ER-negative (data not shown). However, we did find hormone deactivation of telomerase activity through Pg/PR in PR-positive HME50 cell lines () (
Wang et al., 2000;
Bayne and Liu, 2005). Pg can induce differentiation, and inhibit resveratrol-mediated telomerase activity (
Wang et al., 2000;
Lebeau et al., 2002;
Leonhardt and Edwards, 2002;
Li and O’Malley, 2003). Pg can also increase apoptosis, and thereby induce cell death in resveratrol-treated cells, but our results did not show any cell loss with progesterone treatments (
Conneely et al., 2003;
Bayne and Liu, 2005). Quite the contrary, cells appeared to thrive during progesterone treatments. Pg/PR blockage of resveratrol may be mediated by PR isoforms (
Lim et al., 1999;
Mote et al., 2002;
Leslie et al., 2005;
Signorelli and Ghidoni, 2005). We found that resveratrol-immortalized cells express a predominance of PRA over B (characteristic of proliferative growth, and also found in breast cancers), while mortal HME50 parental cells express equal amounts of both isoforms (; unpublished data) (
Lim et al., 1999;
Mote et al., 2002;
Leslie et al., 2005). These PR+/ER− (inactive ER) resveratrol-immortalized progenitors proliferate, despite a proposed linear differentiation pathway for mammary epithelial cells wherein PR+/ER− stem cells may become PR+/ER− and differentiate or PR+/ER− and remain quiescent (
Counter et al., 1998).
Resveratrol is considered an important nutrient implicated in prosurvival pathway induction (
Le Corre et al., 2005;
Signorelli and Ghidoni, 2005). While most resveratrol-mediated effects such as increasing SIRT1 activity, are reported at high micromolar concentrations in transformed cells (
Lanzilli et al., 2006) or animal models, a few studies report resveratrol effects at nanomolar and lower concentrations including inhibition of platelet aggregation, neuroprotection through ERK1 and 2 phosphorylation and quinone reductase 2 binding (
Miloso et al., 1999;
Bhat et al., 2001;
Gusman et al., 2001;
Bhat and Pezzuto, 2002;
Dong, 2003;
Signorelli and Ghidoni, 2005). Our data support the pleiotropic effects of resveratrol by showing nanomolar concentrations of resveratrol initiate prosurvival effects by upregulating or reactivating telomerase in progenitor cells (
Miloso et al., 1999;
Bhat et al., 2001;
Gusman et al., 2001;
Bhat and Pezzuto, 2002;
Dong, 2003;
Signorelli and Ghidoni, 2005).
Micromolar concentrations of resveratrol in certain cellular models may upregulate p53 by increasing cellular content and inducing post-translational modifications resulting in senescence and apoptosis (
Campisi, 2005;
Signorelli and Ghidoni, 2005). Inactivation of p53 is sufficient to disable both senescence and apoptosis (
Zhivotovsky and Kroemer, 2004). Germ line or acquired p53 mutations such as found in Li– Fraumini syndrome and/or altered cellular localization of p53 protein are mechanisms of inhibiting p53 function (
Moll et al., 1996;
Ostermeyer et al., 1996;
Saeki et al., 1997;
Nikolaev et al., 2003). We found that mutant p53, but not wild-type p53, is upregulated and sequestered to the nucleus in resveratrol-immortalized HME50-8R and HME50-9R cells which could facilitate an inactive p53 (
Supplementary Figure 4). Acetylation and/or phosphorylation of mutant p53 could result in nuclear accumulation of mutant p53 in the HME50 progenitor cells, and thus inactivate wild type p53 (
Moll et al., 1996;
Ostermeyer et al., 1996;
Saeki et al., 1997;
Nikolaev et al., 2003) (
Supplementary Figure 3). Others found that loss of p53 function results in rapidly expressed telomerase activity and full immortality in HME cells (
Stampfer et al., 2003). Similarly, resveratrol facilitated inactivation of p53 in the subpopulation of resveratrol-treated HME50 cells resulting in telomerase activity and cellular immortality (
Rambhatla et al., 2001).
Studies suggest that resveratrol has different effects based on cell type, conditions and concentration (
Signorelli and Ghidoni, 2005;
Lanzilli et al., 2006). Higher concentrations are usually more effective on highly proliferative cancer cells (
Le Corre et al., 2005;
Signorelli and Ghidoni, 2005). We observed that low concentrations of resveratrol activated telomerase in slow growing mammary epithelial progenitors, as characterized by cytokeratin markers, but only p53+/− HME50 cells immortalized. We did observe that both luminal and myoepithelial (with possible basal cells) lineage progenitors are telomerase competent and capable of immortalization under conditions of mutant/inactive p53 (
Stingl et al., 2005). The observations that only low concentrations of resveratrol produced these effects in these cells, though surprising, were highly reproducible. Dose–response effects of resveratrol were repeated many times, with several experiments maintained long-term. Further, control cells from one experiment were replated for a second series of experiments into two differing flasks, one flask was maintained as the control cells, while the other flask was treated with resveratrol and/or estradiol. Only the resveratrol-treated cells exhibited telomerase activity (within 24 h) and continued expressing telomerase activity. This was repeated many times and each time we used the control cells from the previous experiment. In all experiments, only the resveratrol-treated cells exhibited telomerase activity. None of the control cells without treatment ever exhibited telomerase activity. In all experiments, when the control cells stopped proliferating, the cells treated with resveratrol continued to grow under similar culture conditions.
In summary, our results indicate that certain compounds such as resveratrol and progesterone can mediate telomerase activity in self-renewing human cells. Further, continued telomerase activity in luminal and/or myoepithelial breast progenitor cells with inactive p53 may facilitate immortalization (
Dong, 2003;
Masutomi and Hahn, 2003). Mixed progenitors that provide normal epithelial proliferation are prime targets for immortalization and may be precursors of different subtypes of cancer (
Dong, 2003;
Bayne and Liu, 2005;
Dimri et al., 2005). These resveratrol-immortalized mixed progenitors may provide models for understanding how different epithelial subtypes immortalize, and cancers originate.