Tional VEGF/ KDR/HIF1a autocrine loop in our HCT116 cell line, by reproducing the lack of the late induction of HIF-1a by VEGFA antibodies in cells grown under hypoxic conditions (Fig. S1). We then demonstrated that, in pchMR-transfected HCT116 cells, 22948146 MR activation induced a significant decrease in the levels ofKDR mRNA. KDR mRNA expression was decreased in aldosterone stimulated pchMR-transfected HCT116 cells to about 65 respect to their unstimulated 10236-47-2 chemical information controls (Fig. 7A) and even to a greater extent in serum stimulated pchMR- transfected HTC116 compared to pcDNA3 ransfected controls (Fig. 7B). Strikingly, although spironolactone did not significantly modify KDR expression levels, it appeared to reverse only in part the effects of aldosterone treatment in pchMR-transfected HCT116 cells. Indeed, even if a similar decrease in KDR expression was observed in aldosterone- and spironolactone-aldosterone-treated cells as compared to controls, in the latter case the decrease was not statistically significant (Fig. 7A). Reasons that may account for different spironolactone potency in reversing the effects elicited by active MR on different targets or in different CI 1011 web contexts will be discussed below.DiscussionBecause previous studies have shown that MR expression is down regulated in both colorectal and lung cancers, it has been suggested that MR may act as a tumor-suppressor gene [23]. Here we establish a link between underexpression of MR, decreased patient’s survival and upregulation of tumor angiogenesis in advanced cancer stage. Using an in vitro model based on a colon carcinoma cell line, in which we forced MR expression, we also provide the evidence that activated MR can attenuate the expression of VEGFA and its receptor 2/KDR. A link between MR expression and angiogenesis in CRC has been previously suggested. [22] Here we demonstrate that the extent of MR positive cells is inversely correlated to MVD in tumor specimens, supporting the hypothesis 
that decreased MR expression releases a repressing role exerted by MR on tumor angiogenesis. To give insights on the role played by MR in CRC angiogenesis, we showed that the re-expression of activated MR in a colon cancer cell line, characterized by a quite low MR protein level, thus mimicking a key feature present in CRC in vivo, leads to a specific decrease in mRNA expression of VEGFA among other angiogenic factor analyzed, in cells under normoxic cultureMR Activity Attenuates VEGF/KDR Pathways in CRCFigure 3. Human mineralocorticoid receptor can be functionally activated in HCT116 cell line. (A, upper panel) MR expression. Whole cell lysates from wild type and pchMR-transfected HCT116 cells were analysed by western blot using anti-MR antibodies. Human kidney cells (HEK293) served as positive control. Human GAPDH was used as protein loading control. Representative fluorograms from two independent experiments giving similar results are shown (A, bottom panel) MR post-translational modifications. PchMR-transfected HCT116 cells were treated for 24 h with 3 nM aldosterone and/or 1 mM spironolactone in Mc Coy’s medium with 10 charcoal-stripped FCS. Whole cell lysates were analysed by Western blot 
using anti-MR antibodies. MR post-translational modifications induced by aldosterone treatment are indicated by the upward shift in the mobility of MR. A representative fluorogram from three independent experiments with superimposable results is shown (B) MR dependent luciferase activity. PcDNA3-transfected (g.Tional VEGF/ KDR/HIF1a autocrine loop in our HCT116 cell line, by reproducing the lack of the late induction of HIF-1a by VEGFA antibodies in cells grown under hypoxic conditions (Fig. S1). We then demonstrated that, in pchMR-transfected HCT116 cells, 22948146 MR activation induced a significant decrease in the levels ofKDR mRNA. KDR mRNA expression was decreased in aldosterone stimulated pchMR-transfected HCT116 cells to about 65 respect to their unstimulated controls (Fig. 7A) and even to a greater extent in serum stimulated pchMR- transfected HTC116 compared to pcDNA3 ransfected controls (Fig. 7B). Strikingly, although spironolactone did not significantly modify KDR expression levels, it appeared to reverse only in part the effects of aldosterone treatment in pchMR-transfected HCT116 cells. Indeed, even if a similar decrease in KDR expression was observed in aldosterone- and spironolactone-aldosterone-treated cells as compared to controls, in the latter case the decrease was not statistically significant (Fig. 7A). Reasons that may account for different spironolactone potency in reversing the effects elicited by active MR on different targets or in different contexts will be discussed below.DiscussionBecause previous studies have shown that MR expression is down regulated in both colorectal and lung cancers, it has been suggested that MR may act as a tumor-suppressor gene [23]. Here we establish a link between underexpression of MR, decreased patient’s survival and upregulation of tumor angiogenesis in advanced cancer stage. Using an in vitro model based on a colon carcinoma cell line, in which we forced MR expression, we also provide the evidence that activated MR can attenuate the expression of VEGFA and its receptor 2/KDR. A link between MR expression and angiogenesis in CRC has been previously suggested. [22] Here we demonstrate that the extent of MR positive cells is inversely correlated to MVD in tumor specimens, supporting the hypothesis that decreased MR expression releases a repressing role exerted by MR on tumor angiogenesis. To give insights on the role played by MR in CRC angiogenesis, we showed that the re-expression of activated MR in a colon cancer cell line, characterized by a quite low MR protein level, thus mimicking a key feature present in CRC in vivo, leads to a specific decrease in mRNA expression of VEGFA among other angiogenic factor analyzed, in cells under normoxic cultureMR Activity Attenuates VEGF/KDR Pathways in CRCFigure 3. Human mineralocorticoid receptor can be functionally activated in HCT116 cell line. (A, upper panel) MR expression. Whole cell lysates from wild type and pchMR-transfected HCT116 cells were analysed by western blot using anti-MR antibodies. Human kidney cells (HEK293) served as positive control. Human GAPDH was used as protein loading control. Representative fluorograms from two independent experiments giving similar results are shown (A, bottom panel) MR post-translational modifications. PchMR-transfected HCT116 cells were treated for 24 h with 3 nM aldosterone and/or 1 mM spironolactone in Mc Coy’s medium with 10 charcoal-stripped FCS. Whole cell lysates were analysed by Western blot using anti-MR antibodies. MR post-translational modifications induced by aldosterone treatment are indicated by the upward shift in the mobility of MR. A representative fluorogram from three independent experiments with superimposable results is shown (B) MR dependent luciferase activity. PcDNA3-transfected (g.
