Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic

The nuclear receptor (NR) family of transcription factors is intimately associated with the development, progression and treatment of breast cancer. They are used diagnostically and prognostically, and crosstalk between nuclear receptor pathways and growth factor signalling has been demonstrated in...

Full description

Bibliographic Details
Main Authors: Sanjeev Kumar, Allegra Freelander, Elgene Lim
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/19/4972
_version_ 1797516757175369728
author Sanjeev Kumar
Allegra Freelander
Elgene Lim
author_facet Sanjeev Kumar
Allegra Freelander
Elgene Lim
author_sort Sanjeev Kumar
collection DOAJ
description The nuclear receptor (NR) family of transcription factors is intimately associated with the development, progression and treatment of breast cancer. They are used diagnostically and prognostically, and crosstalk between nuclear receptor pathways and growth factor signalling has been demonstrated in all major subtypes of breast cancer. The majority of breast cancers are driven by estrogen receptor α (ER), and anti-estrogenic therapies remain the backbone of treatment, leading to clinically impactful improvements in patient outcomes. This serves as a blueprint for the development of therapies targeting other nuclear receptors. More recently, pivotal findings into modulating the progesterone (PR) and androgen receptors (AR), with accompanying mechanistic insights into NR crosstalk and interactions with other proliferative pathways, have led to clinical trials in all of the major breast cancer subtypes. A growing body of evidence now supports targeting other Type 1 nuclear receptors such as the glucocorticoid receptor (GR), as well as Type 2 NRs such as the vitamin D receptor (VDR). Here, we reviewed the existing preclinical insights into nuclear receptor activity in breast cancer, with a focus on Type 1 NRs. We also discussed the potential to translate these findings into improving patient outcomes.
first_indexed 2024-03-10T07:05:19Z
format Article
id doaj.art-fbe71863eacb4a14a51d9ec9cdac258e
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T07:05:19Z
publishDate 2021-10-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-fbe71863eacb4a14a51d9ec9cdac258e2023-11-22T15:55:07ZengMDPI AGCancers2072-66942021-10-011319497210.3390/cancers13194972Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the ClinicSanjeev Kumar0Allegra Freelander1Elgene Lim2Faculty of Medicine, St Vincent’s Clinical School, University of New South Wales, Darlinghurst 2010, AustraliaFaculty of Medicine, St Vincent’s Clinical School, University of New South Wales, Darlinghurst 2010, AustraliaFaculty of Medicine, St Vincent’s Clinical School, University of New South Wales, Darlinghurst 2010, AustraliaThe nuclear receptor (NR) family of transcription factors is intimately associated with the development, progression and treatment of breast cancer. They are used diagnostically and prognostically, and crosstalk between nuclear receptor pathways and growth factor signalling has been demonstrated in all major subtypes of breast cancer. The majority of breast cancers are driven by estrogen receptor α (ER), and anti-estrogenic therapies remain the backbone of treatment, leading to clinically impactful improvements in patient outcomes. This serves as a blueprint for the development of therapies targeting other nuclear receptors. More recently, pivotal findings into modulating the progesterone (PR) and androgen receptors (AR), with accompanying mechanistic insights into NR crosstalk and interactions with other proliferative pathways, have led to clinical trials in all of the major breast cancer subtypes. A growing body of evidence now supports targeting other Type 1 nuclear receptors such as the glucocorticoid receptor (GR), as well as Type 2 NRs such as the vitamin D receptor (VDR). Here, we reviewed the existing preclinical insights into nuclear receptor activity in breast cancer, with a focus on Type 1 NRs. We also discussed the potential to translate these findings into improving patient outcomes.https://www.mdpi.com/2072-6694/13/19/4972nuclear receptorsteroid hormoneoestrogenprogesteroneandrogenglucocorticoid
spellingShingle Sanjeev Kumar
Allegra Freelander
Elgene Lim
Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
Cancers
nuclear receptor
steroid hormone
oestrogen
progesterone
androgen
glucocorticoid
title Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
title_full Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
title_fullStr Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
title_full_unstemmed Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
title_short Type 1 Nuclear Receptor Activity in Breast Cancer: Translating Preclinical Insights to the Clinic
title_sort type 1 nuclear receptor activity in breast cancer translating preclinical insights to the clinic
topic nuclear receptor
steroid hormone
oestrogen
progesterone
androgen
glucocorticoid
url https://www.mdpi.com/2072-6694/13/19/4972
work_keys_str_mv AT sanjeevkumar type1nuclearreceptoractivityinbreastcancertranslatingpreclinicalinsightstotheclinic
AT allegrafreelander type1nuclearreceptoractivityinbreastcancertranslatingpreclinicalinsightstotheclinic
AT elgenelim type1nuclearreceptoractivityinbreastcancertranslatingpreclinicalinsightstotheclinic