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ABSTRACT Progesterone (P4) has been implicated as a protective factor for epithelial ovarian cancers, yet little is known about its mechanism of action. We previously reported that
pregnancy-equivalent doses of P4 inhibited the growth of normal and malignant human ovarian surface epithelial (HOSE) cells. Here, we investigated how P4-induced cell death in two
immortalized normal (HOSE 642, HOSE 12-12) and two malignant (OVCA 429, OVCA 432) HOSE cell lines. The exposure of HOSE or OVCA cell cultures to 10−6 M P4 induced time-dependent increases in
early and late apoptotic cells and activation of caspase-8 and -3, but not that of caspase-9. A general caspase inhibitor Z-VAD effectively blocked the P4-induced cell death in a
dose-dependent manner. Comparable levels of Fas mRNA and protein were expressed in HOSE and OVCA cell lines, and these levels were unaffected by P4. In contrast, levels of FasL mRNA and
protein were higher in OVCA cells than in HOSE cells. Interestingly, the hormone enhanced levels of FasL mRNA and protein in HOSE cells, but lowered their levels in OVCA cells. The exposure
of HOSE or OVCA cells to an activating anti-Fas antibody induced cell loss, whereas treatment of cells with a blocking anti-FasL antibody reduced the P4-induced cell loss. Cotreatment of
cells with the activating anti-Fas antibody and P4 produced additive effects on cell loss. These results reveal for the first time that P4 induces apoptosis in HOSE and OVCA cells via
activation of a caspase-8-initiated Fas/FasL signaling pathway. They also demonstrate differential P4-regulation of FasL expression between HOSE and OVCA cells. Access through your
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DR . (2001). _Pharmacol. Ther._, 92, 57–70. * Zou H, Li Y, Liu X and Wang X . (1999). _J. Biol. Chem._, 274, 11549–11556. Download references ACKNOWLEDGEMENTS This study was supported by an
Army Ovarian Cancer Research Program Grant DAMD17-99-1-9563 (to S-M Ho) and NIH Grants CA091250 (to V Syed) and CA94221 (to S-M Ho). This publication was made possible by Grant Number 5 P30
DK32520 from the National Institute of Diabetes and Digestive and Kidney Diseases'. We thank Dr Samuel C Mok of Brigham and Women's Hospital, Boston, Massachusetts, for his
generous gifts of HOSE and OVCA cell lines and editorial staff of Brigham and Women's Hospital, Boston, for editorial help. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of
Surgery, University of Massachusetts Medical School, Worcester, MA, USA Viqar Syed & Shuk-Mei Ho * Department of Cell Biology and Physiology, University of Massachusetts Medical School,
Worcester, MA, USA Shuk-Mei Ho Authors * Viqar Syed View author publications You can also search for this author inPubMed Google Scholar * Shuk-Mei Ho View author publications You can also
search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Shuk-Mei Ho. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Syed,
V., Ho, SM. Progesterone-induced apoptosis in immortalized normal and malignant human ovarian surface epithelial cells involves enhanced expression of FasL. _Oncogene_ 22, 6883–6890 (2003).
https://doi.org/10.1038/sj.onc.1206828 Download citation * Received: 14 February 2003 * Revised: 13 May 2003 * Accepted: 30 May 2003 * Published: 09 October 2003 * Issue Date: 09 October
2003 * DOI: https://doi.org/10.1038/sj.onc.1206828 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link
is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * caspases * Fas * Fas ligand * caspase-8 *
hormonal carcinogenesis * ovarian neoplasm