12.7 Regulation of Transcription by Nuclear Hormone Receptors

The steroid, retinoic acid (retinoid), and thyroid hormones form a large group of receptor ligands that exert at least part of their effects by a mechanism fundamentally different from that of other hormones: they act directly in the nucleus to alter gene expression. We discuss their mode of action in detail in Chapter 28, along with other mechanisms for regulating gene expression. Here we give a brief overview.

Steroid hormones (estrogen, progesterone, vitamin D, and cortisol, for example), too hydrophobic to dissolve readily in the blood, are transported on specific carrier proteins from their point of release to their target tissues. In target cells, these hormones pass through the plasma membrane and nuclear membrane by simple diffusion and bind to specific receptor proteins in the nucleus (Fig. 12-34). Hormone binding triggers changes in the conformation of a receptor protein so that it becomes capable of interacting with specific regulatory sequences in DNA called hormone response elements (HREs), thus altering gene expression (see Fig. 28-34). The bound receptor-hormone complex enhances the expression of specific genes adjacent to HREs, with the help of several other proteins essential for transcription. Hours or days are required for these regulators to have their full effect — the time required for the changes in RNA synthesis and subsequent protein synthesis to become evident in altered metabolism.

A figure shows the general mechanisms by which steroid and thyroid hormones, retinoids, and vitamin D regulate gene expression as a series of four steps.

FIGURE 12-34 General mechanism by which steroid and thyroid hormones, retinoids, and vitamin D regulate gene expression. The details of transcription and protein synthesis are discussed in Chapters 26 and 27. Some steroids also act through plasma membrane receptors by a completely different mechanism.

The specificity of the steroid-receptor interaction is exploited in the use of the drug tamoxifen to treat breast cancer. In some types of breast cancer, division of the cancerous cells depends on the continued presence of estrogen. Tamoxifen is an estrogen antagonist; it competes with estrogen for binding to the estrogen receptor, but the tamoxifen-receptor complex has little or no effect on gene expression. Consequently, tamoxifen administered after surgery or during chemotherapy for hormone-dependent breast cancer slows or stops the growth of remaining cancerous cells. Another steroid analog, the drug mifepristone (RU486), binds to the progesterone receptor and blocks hormone actions essential to implantation of the fertilized ovum in the uterus, and thus functions as a contraceptive.

A figure shows the structures of tamoxifen and mifepristone (R U 486).

SUMMARY 12.7 Regulation of Transcription by Nuclear Hormone Receptors