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Experimental Therapeutics, Preclinical Pharmacology |
Herbert Irving Comprehensive Cancer Center [A. K. J., H. L., M. S., M. E. V., D. X., I. B. W.] and Department of Medicine [A. K. J., I. B. W.], College of Physicians and Surgeons of Columbia University, New York, New York 10032
| ABSTRACT |
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Experimental Design and Results: Resveratrol induced marked growth inhibition in five of these cell lines, with IC50 values of approximately 70150 µM. However, only partial growth inhibition was seen in Bic-1 cells. After treatment with 300 µM resveratrol for 24 h, most of the cell lines were arrested in the S phase of the cell cycle. In addition, induction of apoptosis was demonstrated by the appearance of a sub-G1 peak and confirmed using an annexin V-based assay. Cyclin B1 expression levels were decreased in all cell lines after 48 h of treatment. In SW480 cells, cyclin A, cyclin B1, and ß-catenin expression levels were decreased within 24 h. There was a decrease in cyclin D1 expression after only 2 h of treatment, and this persisted for up to 48 h. This decrease was partially blocked by concurrent treatment with the proteasome inhibitor calpain inhibitor I. Using a luciferase-based reporter assay, resveratrol did not inhibit cyclin D1 promoter activity in SW480 cells. Furthermore, using a reverse transcription-PCR-based assay, only a higher dose of resveratrol (300 µM) appeared to decrease cyclin D1 mRNA. Seg-1 cells expressed basal levels of cyclooxygenase-2 (cox-2), which was further induced by resveratrol. Neither basal levels nor induction of cox-2 was detectable in the remaining cell lines. Thus, cox-2 does not appear to be a critical target of this compound.
Conclusions: These studies provide support for the use of resveratrol in chemoprevention and cancer therapy trials. Cyclin D1, cyclin B1, ß-catenin, and apoptotic index could be useful biomarkers to evaluate treatment efficacy.
| INTRODUCTION |
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Resveratrol has been shown to have growth-inhibitory activity in several human cancer cell lines and in animal models of carcinogenesis. In HL60 promyelocytic leukemia cells, treatment with resveratrol led to growth inhibition, induction of apoptosis, S-G2-phase cell cycle arrest, and myelomonocytic differentiation (3 , 4) . Resveratrol also displayed antiproliferative activity in JB6 mouse epidermal, CaCo-2 colorectal, and A431 epidermoid carcinoma cell lines (5, 6, 7) . Its effects in breast cancer cell lines are more complicated. Whereas some investigators have demonstrated antiproliferative effects in the MCF7, MDA-MB-231, KPL-1, MKL-F, and T47D cell lines (3 , 8 , 9) , others have demonstrated growth enhancement in T47D and MCF7 cells (10 , 11) . The latter effect appears to be due to the potential estrogenic effects of resveratrol (10, 11, 12) . Resveratrol inhibited tumor formation in several animal models of carcinogenesis, including mouse 7,12-dimethylbenz(a)anthracene/12-O-tetradecanoylphorbol-13-acetate-induced skin cancers (1) , azoxymethane-induced colon cancers (13) , and transplanted Yoshida rat ascites hepatomas (14) . In the mouse skin carcinogenesis model, resveratrol inhibited the three major steps of carcinogenesis, initiation, promotion, and progression (1) . However, the precise mechanisms by which resveratrol exerts these antitumor effects are not known.
Limited epidemiological and clinical evidence suggest that resveratrol is well tolerated during human consumption and that it may offer benefits with respect to atherosclerotic heart disease. In a small study of 24 healthy male volunteers, trial participants tolerated the consumption of resveratrol-enriched beverages, but the effects of this compound on lipid metabolism and platelet activity were unimpressive (15 , 16) . Although resveratrol is available commercially as a dietary supplement, there are no published controlled clinical studies demonstrating either its efficacy or safety in the treatment or prevention of cancer or coronary artery disease.
In the present study, we used a spectrum of six human cancer cell lines to further examine the range of antitumor activity of resveratrol. To obtain insights into its mechanism of action, we examined the effects of resveratrol on cell proliferation, cell cycle distribution, apoptosis, and on the levels of expression of several cell cycle control proteins. Our results provide support for the use of resveratrol in clinical chemoprevention and chemotherapy trials. In addition, we have identified potential surrogate biomarkers, which may serve as intermediate clinical end points in these trials.
| MATERIALS AND METHODS |
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Cell Lines and Cell Culture.
Seg-1 and Bic-1, esophageal adenocarcinoma cell lines established from patients with Barretts esophagus, were developed and generously provided by Dr. David G. Beer (University of Michigan, Ann Arbor, MI). Human SW480 colon carcinoma and MCF7 breast carcinoma cell lines were obtained from the American Type Culture Collection (Manassas, VA). The Seg-1, Bic-1, SW480, and MCF7 cells were grown in DMEM (Life Technologies, Inc., Grand Island, NY) supplemented with 10% fetal bovine serum (Life Technologies, Inc.). The HCE7 human esophageal squamous carcinoma (17
, 18)
and HL60 promyelocytic leukemia cells were grown in RPMI 1640 (Life Technologies, Inc.) with 10% fetal bovine serum. All of the cell lines were maintained at 37°C in a 5% CO2 atmosphere.
Cell Proliferation Assays.
Cell proliferation was measured using the MTT Cell Proliferation Kit I (Boehringer Mannheim, Indianapolis, IN), which colorimetrically measures a purple formazan compound produced by viable cells. Cells were plated in flat-bottomed, 96-well microtiter plates (4 x 103 cells/6.4-mm-diameter well). After 1224 h, cells were treated with DMSO (0.10.3%) or increasing doses of resveratrol. After 48 h of treatment, cells were treated with 10 µl of MTT reagent for 4 h at 37°C and then treated with 100 µl of solubilization solution at 37°C overnight. The quantity of formazan product was measured using a spectrophotometric microtiter plate reader (Dynatech Laboratories, Alexandria, VA) at 570 nm wavelength. Results were expressed as a percentage of growth, with 100% representing control cells treated with DMSO alone. All experiments were performed in duplicate.
Apoptosis Assays.
The percentage of cells actively undergoing apoptosis was determined using annexin V-PE-based immunofluorescence, as described previously (19)
. Briefly, cells were plated in 10-cm culture dishes at concentrations determined to yield 6070% confluence within 24 h. Cells were then treated with either DMSO (0.10.3%) or resveratrol (300 µM). After 48 h of treatment, both adherent and floating cells were harvested and then double-labeled with annexin V-PE and 7-aminoactinomycin (PharMingen, San Diego, CA), as described by the manufacturer. Cells were analyzed using a FACScan instrument equipped with FACStation running Cell Quest software (Becton Dickinson, San Jose, CA). All experiments were performed in duplicate and yielded similar results.
Cell Cycle Distribution Analysis.
PI staining was used to analyze DNA content. Cells were plated in 10-cm culture dishes at concentrations determined to yield 6070% confluence within 24 h. Cells were then treated with either DMSO (0.10.3%) or resveratrol (300 µM). After a 24-h treatment, both adherent and floating cells were harvested, and the cells were labeled with PI using previously described methods (20)
. Briefly, cells were resuspended in PBS, fixed with 70% ethanol, labeled with PI (0.05 mg/ml), incubated at room temperature in the dark for 30 min, and filtered through 41-µm spectra/mesh nylon filters (Spectrum, Rancho Dominguez, CA). DNA content was then analyzed using a FACScan instrument equipped with FACStation running Cell Quest software (Becton Dickinson). All experiments were performed in duplicate and yielded similar results.
Protein Extraction and Western Blotting.
The methods for protein extraction and Western blot analysis have been described previously (21)
. Briefly, cells were treated with 0.10.3% DMSO (negative control) or resveratrol (300 µM). Experiments with SW480 cells also included coculture with LLnL (100 µM), as described in the Fig. 8
legend. After 248 h of treatment, cell lysates were prepared, and 3060 µg of protein were separated by SDS-PAGE (10%). After transfer to nitrocellulose membranes (Millipore, Bedford, MA), blots were blocked with 5% milk protein, incubated for 1 h with the indicated primary antibody, and then reincubated for 1 h with the corresponding horseradish peroxidase-conjugated secondary antibody. Protein-antibody complexes were detected by the enhanced chemiluminescence system (Amersham, Piscataway, NJ). Immunoblotting for actin was performed to verify equivalent amounts of loaded protein.
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RT-PCR.
SW480 cells were plated in 10-cm culture dishes at concentrations determined to yield 6070% confluence within 24 h. Cells were treated with either DMSO (0.1%) or resveratrol (30, 100, and 300 µM). After a 12-h treatment, adherent cells were harvested, and total RNA was isolated using Trizol reagent (Life Technologies, Inc.) according to the manufacturers instructions. Cyclin D1 and ß-actin cDNAs were generated from 1 µg of total RNA using specific primers and the Superscript One-Step RT-PCR system with Platinum Taq (Life Technologies, Inc.). Sequences for cyclin D1-specific primers were as follows: CD13, 5'-GAACAAACAGATCATCCGCAA-3'; and CD14, 5'-TGCTCCTGGCAGGCACGGA-3' (23)
. ß-Actin-specific PCR products were amplified using specific primers (primer 1, 5'-CCAGGCACCAGGGCGTGATG-3'; primer 2, 5'-CGGCCAGCCAGGTCCAGACG-3') and served as internal loading controls. PCR was conducted for 2035 cycles in a Programmable Thermal Controller (MJ Research Inc., Watertown, MA). Each amplification cycle consisted of 0.5 min at 94°C for denaturation, 0.5 min at 55°C for primer annealing, and 1 min at 72°C for extension. After PCR amplification, the fragments were analyzed by agarose gel electrophoresis.
Statistical Analyses.
Data are expressed as mean ± SD. Comparisons between DMSO-treated control cells and resveratrol-treated cells were made using Students t test. Differences between groups of P < 0.05 were considered statistically significant.
| RESULTS |
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Resveratrol Decreases ß-Catenin Expression in SW480 Cells and Induces Cox-2 Expression in Seg-1 Cells.
ß-Catenin is involved in both colon carcinogenesis and cyclin D1 transcriptional regulation (24
, 25)
. Therefore, we investigated whether resveratrol induced changes in ß-catenin expression in adenomatous polyposis coli gene-mutated SW480 cells, in which ß-catenin is known to accumulate (25)
. Cells were treated with either 0.3% DMSO or 300 µM resveratrol. Cellular extracts were evaluated for ß-catenin expression after 2, 6, 24, and 48 h of treatment. Western blot analysis demonstrated that ß-catenin expression did not change initially but decreased after 24 and 48 h of treatment (Fig. 5A)
.
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Resveratrol Does Not Decrease Cyclin D1 Promoter Activity.
Because cyclin D1 expression was reduced by resveratrol after only 2 h of treatment, we investigated whether this was primarily a transcriptional or posttranslational event. Using a luciferase-based reporter assay (22)
, we investigated whether resveratrol treatment affects cyclin D1 promoter activity. We transfected SW480 cells with a plasmid containing a cyclin D1 promoter-luciferase construct. Cells were cotransfected with a plasmid containing a cytomegalovirus promoter-ß-galactosidase construct to serve as an internal control and account for differences in transfection efficiency. After transfection, we incubated these cells with resveratrol (30, 100, and 300 µM) for 6, 12, and 24 h. Luciferase activity was not significantly diminished by resveratrol after 6 and 12 h of treatment (Fig. 6
; 6 h time points not shown). In fact, there was even a slight induction in activity after 12 h of treatment. Therefore, these results suggest that the decrease in cyclin D1 protein expression induced by resveratrol is not due to a reduction in cyclin D1 transcription. Note that because a large proportion of transfected cells treated at the higher dose (300 µM) were floating, they were not collected during the assay, which determines activity only in the adherent cells. Similar gross cellular toxicity was seen in the 24-h-treated samples (data not shown).
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| DISCUSSION |
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Resveratrol has been previously shown to have growth-inhibitory activity in several human cancer cell lines of both hematological and epithelial origin, including HL60 leukemia (3)
, CaCo-2 colorectal carcinoma (6)
, and A431 epidermoid carcinoma cells (7)
. In breast cancer cell lines, however, its effects on cell growth were not consistent. At higher doses (
50 µM), resveratrol generally inhibited cell growth in both ER+ and ER- breast cancer cell lines (9
, 11)
, although one study reported growth inhibition in the 22175 µM dose range (8)
. At lower doses (
25 µM), resveratrol stimulated cell growth in ER+ breast cancer cells (9, 10, 11)
. Structurally, resveratrol resembles the synthetic estrogen diethylstilbesterol (12)
and can bind to rat uterine ERs (12
, 30)
, although at a much lower affinity than estradiol. Resveratrol has also been shown to activate transcription of estrogen-responsive reporter constructs (10
, 31) . However, when given s.c. to Wistar rats, resveratrol failed to induce significant uterotrophic responses, suggesting that its potential estrogenic activity may not be relevant in in vivo models (12
, 30)
. However, because of its estrogenic potential, caution should be used when evaluating its clinical role in breast cancer therapy and prevention.
Resveratrol has also been previously shown to induce apoptosis in leukemia, mammary, and epidermoid cell lines (3 , 5 , 7) . The doses of resveratrol used to induce cellular changes, including growth inhibition, cell cycle arrest, and apoptosis, can be divided into three different dose ranges. Whereas resveratrol can induce specific biochemical effects in cell culture models in the 110 µM range, its cytostatic and cytotoxic effects usually require 25100 and 100200 µM concentrations, respectively. Previous investigators have demonstrated resveratrols abilities to decrease cyclin D1 expression (7 , 32) , reduce [3H]thymidine incorporation (33) , inhibit phorbol ester-mediated cox-2 induction (34) , decrease ornithine decarboxylase activity (6) , and reduce indices of oxidative damage (35) at concentrations in the 1030 µM range. Two previous studies evaluated concentrations in the 110 µM range (3 , 7) . In both studies, however, the majority of resveratrol-induced effects, including significant growth inhibition, occurred only at concentrations above 25 µM. Thus, the latter and other studies have shown that doses of resveratrol in the range of 25100 µM are required to inhibit growth in various human cancer and leukemia cell lines (3 , 4 , 6 , 7 , 9 , 32 , 35) and that treatment with concentrations below this range had little effect on growth (4 , 6) . Similar doses were also able to induce cell cycle arrest (3 , 6 , 7 , 32 , 35 , 36) . Two previous studies demonstrated resveratrols ability to induce apoptosis at its IC50 dose for growth inhibition (3 , 7) . However, in most of the previous studies, resveratrol did not induce significant apoptosis or have cytotoxic effects at cytostatic doses (6 , 32 , 35 , 36) . Thus, doses required for resveratrol to induce apoptosis were often higher than those that induced growth inhibition and cell cycle arrest (4) and were often in the 100200 µM range (32 , 37 , 38) . In the present study, we chose a dose of 300 µM to convincingly demonstrate the ability of resveratrol to induce apoptosis in a variety of human cancer cell lines, including esophageal and colorectal carcinoma cells, types of cancer in which resveratrol may have a role in chemoprevention.
As with other types of chemoprevention agents, including nonsteroidal anti-inflammatory drugs and retinoid compounds, the antitumor and antiproliferative activities of resveratrol probably reflect several mechanisms of action. In the present studies, growth inhibition and induction of apoptosis were observed within 48 h of treatment. A slight amount of apoptosis could be detected after only 24 h of treatment by flow cytometry using an annexin V-based staining assay (data not shown). After only 24 h of treatment, resveratrol prevented cells from entering the G2 phase of the cell cycle, resulting in the accumulation of cells in either the G1 or S phase. Most of the cell lines demonstrated an accumulation in S phase, but in Bic-1 cells, resveratrol treatment led to G1-phase arrest (Table 2)
. Resveratrol did not appear to alter the cell cycle distribution in Seg-1 cells, perhaps because of the extensive apoptosis (50%) seen after only 24 h of treatment (Table 2)
. The ability of resveratrol to block the S-G2 transition has been reported previously in HL60 leukemia (4)
, U937 lymphoma (36)
, and CaCo-2 colon cancer cells (6)
. However, other investigators have reported an arrest in the G1 phase with A431 cells (7)
. In the Yoshida rat hepatoma model, Carbo et al. (14)
demonstrated a G2-M-phase cell cycle arrest. The latter authors suggested that in their in vivo model, lower cellular proliferation rates and host factors, including immune system-mediated events, might explain this difference. Therefore, the effects of resveratrol on cell cycle progression can vary in different experimental systems.
To further characterize the effects of resveratrol, we examined by Western blot analysis the levels of expression of several proteins after treating SW480 colon carcinoma cells with resveratrol. We found that cyclin B1, cyclin A, and ß-catenin expression levels were decreased after 24 and 48 h of treatment. Cyclin D1 expression decreased within 2 h of treatment and remained diminished at all subsequent time points (up to 48 h). In previous studies of colon cancer cell lines, resveratrol induced growth inhibition and S-G2 transition arrest but did not induce apoptosis in CaCo-2 cells (6) . This may be because Schneider et al. (6) used a lower dose (25 µM) of the drug. The latter authors did not investigate the effects of resveratrol on cell cycle kinetics or on the expression of cyclins. Resveratrol was recently shown to induce growth inhibition in CaCo-2 cells in the 12.5200 µM range, but 200 µM resveratrol was required to induce apoptosis (32) . These dose effects are similar to those used in our studies. Wolter et al. (32) also demonstrated that resveratrol decreased cyclin D1 expression.
The effects of resveratrol on cell cycle control proteins have been studied previously in other cell types, but the findings have not been uniform. In a study of HL60 cells, resveratrol increased the levels of cyclin A and cyclin E but did not affect the G1-phase proteins, cyclin D1, p21, p27, cdk2, or cdk4/6 (4) . In this report, HL60 leukemia cells accumulated in the S phase. In A431 epidermoid cancer cells, however, resveratrol decreased the levels of cyclin D1, cyclin D2, cyclin E, cdk2, and cdk4/6, and these cells were arrested in the G1 phase (7) . In U937 lymphoma cells, resveratrol increased the levels of cyclin E, cyclin A, and cyclin D3, decreased the level of cdk2, and did not affect the levels of cyclin B1, cdk4, or cdc2, although the cells were arrested in S phase (36) . Therefore, the effects of resveratrol on the expression of cell cycle control proteins appear to also vary considerably between cell systems.
As mentioned above, in the present study, resveratrol caused a rapid and sustained decrease in cyclin D1 expression in SW480 cells. Because this decrease was inhibited by the proteasome inhibitor LLnL (Fig. 8)
, it appears to be due primarily to degradation of the cyclin D1 protein. The results we obtained in cyclin D1 promoter-luciferase reporter assays (Fig. 6)
and in studies of cyclin D1 mRNA (Fig. 7)
are consistent with this conclusion, at least for doses near resveratrols IC50 value. However, at higher doses, resveratrol appears to decrease cyclin D1 protein expression both by inducing its degradation and by causing a decrease in cyclin D1 mRNA (Figs. 7
and 8
). It is of interest that treatment of bronchial epithelial and embryonal carcinoma cell lines with all-trans-retinoic acid also led to degradation of the cyclin D1 protein (27, 28, 29)
. Rapid cyclin D1 proteolysis has also been observed as a cellular response to generalized DNA damage (39)
. It is curious, however, that despite this rapid decrease in cyclin D1 in the present studies, the resveratrol-treated cells arrested in the S phase rather than in the G1 phase. We found that in SW480 cells, resveratrol had no effect on cyclin E (data not shown), which also regulates progression through the G1-S transition (36)
. Perhaps, despite the decrease in cyclin D1, the continued cyclin E expression allows the cells to enter the S phase. In fact, in previous studies, whereas decreased cyclin D1 expression correlated with G1-phase arrest (7
, 39)
, increased cyclin E expression correlated with S-phase arrest (4
, 36)
. Our finding that after 24 h there was a decrease in cyclin B1 (Fig. 4B)
is consistent with the S-phase arrest. Some authors have suggested that resveratrol induces S-phase arrest by decreasing the rate of DNA synthesis (4
, 6)
. In fact, resveratrol has been shown to inhibit ribonucleotide reductase activity in murine leukemia L1210 cells (33)
, to inhibit DNA synthesis as measured by [3H]thymidine incorporation in murine mastocytoma P-815 cells and human leukemia K-562 cells (33)
, and to possibly inhibit DNA polymerase in SV40-infected cells (40)
. Therefore, there are several plausible mechanisms for the arrest in S phase induced by resveratrol.
It is of interest that the Bic-1 human esophageal adenocarcinoma cell line was relatively resistant to resveratrol with respect to growth inhibition (Fig. 1)
, cell cycle arrest (Table 2)
, apoptosis (Table 1)
, and altered expression of cyclin B1 (Fig. 4B)
. This cell line may therefore be useful for additional studies of the mechanism of action of resveratrol and may thereby be useful for predicting which human tumors might not respond to therapy with resveratrol.
There is considerable current interest in the use of selective cox-2 inhibitors as chemoprevention agents (41)
. Previous studies with resveratrol have given conflicting results. Although some cell culture studies have demonstrated inhibition of cox-2 expression and activity (34
, 42)
, other studies with resveratrol have shown no effect on cox-2 activity or have found stimulation of cox-2 activity in cell-free biochemical assays (1
, 43)
. In the present studies, the Seg-1 cells expressed a basal level of the cox-2 protein, and, surprisingly, the level was induced after treatment with resveratrol (Fig. 5B)
. The reason for this induction is not clear but may represent a generalized cellular stress reaction. On the other hand, we did not detect cox-2 expression in any of the remaining cell lines, either at baseline or after treatment with resveratrol (Fig. 5B)
, yet the majority of these cell lines demonstrated similar sensitivity to the antiproliferative effects of resveratrol. These findings provide evidence that cox-2 is not the critical target for the antitumor activity of this compound.
There is limited information on the toxicity of resveratrol in experimental animals, and there are, apparently, no clinical toxicity data on the use of pure resveratrol in humans. In the present study, we used fairly high doses of resveratrol, although resveratrols effects on cyclin D1 were also seen with the IC50 dose (Fig. 8)
. Previous studies have demonstrated that resveratrol is minimally toxic to human peripheral blood cells (3)
. The clinical implications of our studies will depend on whether resveratrol can be given safely to humans at doses high enough to achieve pharmacologically active levels. Due to its polyphenolic nature, resveratrol could conceivably accumulate in tumor tissue at levels that exceed its concentration in the serum. In vivo tissue levels of resveratrol have not been reported, but in pharmacokinetic studies, Soleas et al. (44)
demonstrated that 5075% of the administered dose of tritiated resveratrol was absorbed by rats after oral administration, yet the blood and plasma levels were scarcely above background. Because of resveratrols high lipid solubility, the authors postulated that the compound was deposited in adipose tissue and other tissues with high lipid content, but they did not actually measure tissue levels. Using gas chromatography, these authors also demonstrated a 1015% absorption rate in humans after consumption of a 25 mg/100 ml preparation of resveratrol in wine (45)
. Our findings also suggest that assays for cyclin D1, cyclin B1, ß-catenin or apoptosis in tumor biopsy samples might provide useful surrogate end points in clinical therapy trials.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by an award (to A. K. J.) from PureWorld Botanicals and an American Association for Cancer Research-Cancer Research Foundation of America Fellowship in Prevention Research award (to A. K. J.). ![]()
2 To whom requests for reprints should be addressed, at Herbert Irving Comprehensive Cancer Center, 701 West 168th Street, HHSC-1509, New York, NY 10032. Phone: (212) 305-6921; Fax: (212) 305-6889; E-mail: weinstein{at}cuccfa.ccc.columbia.edu ![]()
3 The abbreviations used are: LLnL, calpain inhibitor I; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; cox-2, cyclooxygenase-2; PI, propidium iodide; PE, phycoerythrin; RT-PCR, reverse transcription-PCR; ER, estrogen receptor; cdk, cyclin-dependent kinase. ![]()
Received 8/ 3/01; revised 12/19/01; accepted 12/21/01.
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