High-grade serous ovarian cancer (HGSOC) is the most lethal form of ovarian cancer, mainly because of late diagnosis and development of resistance to platinum-based chemotherapy. Estrogens can promote cell proliferation via estrogen receptors (ERs) or show genotoxic properties through their metabolites; however, the exact role of estrogens in HGSOC pathogenesis remains unclear. Our aim was to investigate the role of estrogens in the chemoresistance of the HGSOC cell line OVCAR-3. First, we established a carboplatin-resistant cell line OVCAR-3/R by prolonged carboplatin exposure and confirmed its higher resistance compared with the parental cell line by determining IC50 values. With LC MS/MS we assessed the capacity of OVCAR-3 to form active estrogens from the precursor estrone sulfate (E1-S). We then performed qPCR analysis on both cell lines to compare the expression of genes involved in estrogen biosynthesis, metabolism, and action. Western blotting (WB) was used to evaluate the expression of two ERs (ERα and GPER) and steroid sulfatase (STS), the main enzyme of the estrogen biosynthesis pathway. Finally, we investigated the effects of estrogens on cell proliferation and sensitivity to carboplatin. We found that the OVCAR-3 cell line weakly metabolizes E1-S to active estrogens, which was also confirmed by the expression of genes involved in the sulfatase pathway. We did not confirm any differential gene expression at the mRNA level, but we did show higher expression of 100 kDa and 30 kDa STS isoforms in OVCAR-3/R cells. We affirmed the expression of ERα, ERβ and GPER, and found increased expression of ESR1 in OVCAR 3/R vs OVCAR-3. WB showed that both cell lines express ERα46 isoform but not full-length ERα. Estradiol (E2) had no effect on cell proliferation, although our results showed that a higher level of chemoresistance reduced E2-promoted resistance to carboplatin. In contrast, equilin and ethinylestradiol decreased viability of OVCAR 3/R cells compared with that of OVCAR 3 cells, but had no effect on sensitivity to carboplatin. Our work demonstrated some differences in the metabolism and action of estrogens between more and less chemoresistant OVCAR-3 cells. Further research is needed to better understand the role of estrogens in the chemoresistance of HGSOC.
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