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Updated: Aug 11, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
ErbB receptor signaling and therapeutic resistance to aromatase inhibitors
Incheol Shin1, Todd Miller, Carlos L Arteaga
1Department of Cancer Biology, Vanderbilt-Ingram Comprehensive Cancer Center, Vanderbilt University School of Medicine, University Medical Center, 2220 Pierce Avenue, Nashville, TN 37232, USA.
Abstract:
We have investigated the effect of HER-2 overexpression on resistance to the aromatase inhibitor letrozole in MCF-7 breast cancer cells stably expressing cellular aromatase (MCF-7/CA). MCF-7/CA cells overexpressing HER-2 showed a >2-fold increase in estrogen receptor (ER)-mediated transcriptional reporter activity upon treatment with androstenedione compared with vector-only control MCF-7/CA cells. Co-treatment with letrozole did not abrogate androstenedione-induced transcription and cell proliferation in HER-2-overexpressing cells. Chromatin immunoprecipitation assays using cross-linked protein-DNA from MCF-7/CA/HER-2 cells indicated ligand-independent association of the ERalpha coactivators AIB-1 and CBP to the promoter region of the estrogen-responsive pS2 gene. Upon treatment with androstenedione, there were increased associations of AIB1 and CBP with the pS2 promoter in the HER-2-overexpressing compared with control MCF-7/CA cells. These results suggest that ligand-independent recruitment of coactivator complexes to estrogen-responsive promoters as a result of HER-2 overexpression may play a role in the development of letrozole resistance.
Insights
HER-2 overexpression in breast cancer cells promotes resistance to letrozole by enabling estrogen receptor (ER) signaling independent of hormone levels. This suggests new therapeutic targets for overcoming aromatase inhibitor resistance.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Aromatase inhibitors like letrozole are standard treatments for estrogen receptor-positive breast cancer.
- Resistance to aromatase inhibitors is a significant clinical challenge.
- HER-2 overexpression is implicated in various cancer pathologies and treatment resistance.
Purpose of the Study:
- To investigate the impact of HER-2 overexpression on letrozole resistance in MCF-7 breast cancer cells.
- To elucidate the molecular mechanisms underlying HER-2-mediated resistance to aromatase inhibitors.
Main Methods:
- Stable expression of cellular aromatase and HER-2 in MCF-7 cells.
- Measurement of estrogen receptor (ER)-mediated transcriptional reporter activity.
- Assessment of cell proliferation.
- Chromatin immunoprecipitation (ChIP) assays to analyze protein-DNA interactions.
Main Results:
- HER-2 overexpression led to a >2-fold increase in ER-mediated transcription upon androstenedione treatment.
- Letrozole failed to inhibit androstenedione-induced transcription and proliferation in HER-2-overexpressing cells.
- HER-2 overexpression promoted ligand-independent association of ERalpha coactivators (AIB-1, CBP) with the pS2 gene promoter.
Conclusions:
- Ligand-independent coactivator recruitment to estrogen-responsive promoters, driven by HER-2 overexpression, may contribute to letrozole resistance.
- Targeting HER-2 signaling or coactivator recruitment could be a strategy to overcome letrozole resistance in breast cancer.
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