Figure 2
Working hypothesis. PR play a key role regulating tumor growth. In HD (PD) carcinomas, MPA or Pg interact with PR inducing
a proliferative state characterized by the presence of high levels of stimulating growth factors such as IGF-II and HRG and
low levels of inhibitory factors such as TGFβs. If tumors are able to grow without exogenous hormone supply they are considered
HI or PI. In these tumors, we have hypothesized that paracrine stromal factors mimic Pg signaling, and therefore, the tumors
have a growth pattern similar to PD tumors growing with MPA. FGF-2 is one of the stromal paracrine growth factors inducing
PR activation through binding with FGFR-2, its cognate receptor, in the epithelial cells. Therefore, the blockage of PR will
induce effects similar to progestin removal in the PD tumors: cytostasis and apoptosis. These tumors are responsive progestin-independent
tumors (R-PI) and, as PD tumors, they have higher expression of PR-A than PR-B. However, in some PI tumors, PR inhibition
with antiprogestins does not inhibit tumor growth (UR-PI). These tumors still express PR but they have a different pattern
of isoform expression, as observed by western blots: higher expression of PR-B than PR-A.