Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability

Therapy of hormone receptor positive breast cancer (BCa) generally targets estrogen receptor (ER) function and signaling by reducing estrogen production or by blocking its interaction with the ER. Despite good long-term responses, resistance to treatment remains a significant issue, with approximate...

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Main Authors: Sarah A. Jeffreys, Branka Powter, Bavanthi Balakrishnar, Kelly Mok, Patsy Soon, André Franken, Hans Neubauer, Paul de Souza, Therese M. Becker
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/9/2077
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author Sarah A. Jeffreys
Branka Powter
Bavanthi Balakrishnar
Kelly Mok
Patsy Soon
André Franken
Hans Neubauer
Paul de Souza
Therese M. Becker
author_facet Sarah A. Jeffreys
Branka Powter
Bavanthi Balakrishnar
Kelly Mok
Patsy Soon
André Franken
Hans Neubauer
Paul de Souza
Therese M. Becker
author_sort Sarah A. Jeffreys
collection DOAJ
description Therapy of hormone receptor positive breast cancer (BCa) generally targets estrogen receptor (ER) function and signaling by reducing estrogen production or by blocking its interaction with the ER. Despite good long-term responses, resistance to treatment remains a significant issue, with approximately 40% of BCa patients developing resistance to ET. Mutations in the gene encoding ERα, <i>ESR1</i>, have been identified in BCa patients and are implicated as drivers of resistance and disease recurrence. Understanding the molecular consequences of these mutations on ER protein levels and its activity, which is tightly regulated, is vital. ER activity is in part controlled via its short protein half-life and therefore changes to its stability, either through mutations or alterations in pathways involved in protein stability, may play a role in therapy resistance. Understanding these connections and how <i>ESR1</i> alterations could affect protein stability may identify novel biomarkers of resistance. This review explores the current reported data regarding posttranslational modifications (PTMs) of the ER and the potential impact of known resistance associated <i>ESR1</i> mutations on ER regulation by affecting these PTMs in the context of ET resistance.
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spelling doaj.art-668bd848d82e4018be35bb985c7619ad2023-11-20T13:21:45ZengMDPI AGCells2073-44092020-09-0199207710.3390/cells9092077Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor StabilitySarah A. Jeffreys0Branka Powter1Bavanthi Balakrishnar2Kelly Mok3Patsy Soon4André Franken5Hans Neubauer6Paul de Souza7Therese M. Becker8Centre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaCentre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaDepartment of Medical Oncology, Liverpool Hospital, Liverpool NSW 2170, AustraliaDepartment of Medical Oncology, Liverpool Hospital, Liverpool NSW 2170, AustraliaCentre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaCentre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaDepartment of Obstetrics and Gynaecology, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, GermanyCentre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaCentre for Circulating Tumour Cells Diagnostics & Research, Ingham Institute of Applied Medical Research, Liverpool NSW 2170, AustraliaTherapy of hormone receptor positive breast cancer (BCa) generally targets estrogen receptor (ER) function and signaling by reducing estrogen production or by blocking its interaction with the ER. Despite good long-term responses, resistance to treatment remains a significant issue, with approximately 40% of BCa patients developing resistance to ET. Mutations in the gene encoding ERα, <i>ESR1</i>, have been identified in BCa patients and are implicated as drivers of resistance and disease recurrence. Understanding the molecular consequences of these mutations on ER protein levels and its activity, which is tightly regulated, is vital. ER activity is in part controlled via its short protein half-life and therefore changes to its stability, either through mutations or alterations in pathways involved in protein stability, may play a role in therapy resistance. Understanding these connections and how <i>ESR1</i> alterations could affect protein stability may identify novel biomarkers of resistance. This review explores the current reported data regarding posttranslational modifications (PTMs) of the ER and the potential impact of known resistance associated <i>ESR1</i> mutations on ER regulation by affecting these PTMs in the context of ET resistance.https://www.mdpi.com/2073-4409/9/9/2077breast cancer<i>ESR1</i>proteasomeposttranslational modificationsendocrine therapy
spellingShingle Sarah A. Jeffreys
Branka Powter
Bavanthi Balakrishnar
Kelly Mok
Patsy Soon
André Franken
Hans Neubauer
Paul de Souza
Therese M. Becker
Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
Cells
breast cancer
<i>ESR1</i>
proteasome
posttranslational modifications
endocrine therapy
title Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
title_full Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
title_fullStr Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
title_full_unstemmed Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
title_short Endocrine Resistance in Breast Cancer: The Role of Estrogen Receptor Stability
title_sort endocrine resistance in breast cancer the role of estrogen receptor stability
topic breast cancer
<i>ESR1</i>
proteasome
posttranslational modifications
endocrine therapy
url https://www.mdpi.com/2073-4409/9/9/2077
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