An estrogen receptor-negative breast cancer subset characterized by a hormonally regulated transcriptional program

A S Doane1, M Danso, P Lal

  • 1Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

Oncogene
|February 24, 2006
PubMed

Insights

Researchers discovered a unique subset of estrogen receptor-negative, progesterone receptor-negative breast cancer. This subtype shows hormonal regulation and responds to androgen, suggesting new therapeutic targets for this aggressive cancer.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Estrogen receptor-negative, progesterone receptor-negative (ER(-)/PR(-)) breast cancer (BC) lacks targeted therapies.
  • Tumor heterogeneity in ER(-)/PR(-) BC suggests underlying molecular subtypes.
  • Understanding the biology of these subtypes is crucial for developing new treatments.

Purpose of the Study:

  • To identify distinct molecular subsets within ER(-)/PR(-) breast cancer.
  • To gain insights into the biology of these subsets.
  • To identify potential novel therapeutic targets for ER(-)/PR(-) BC.

Main Methods:

  • Genome-wide expression analysis of 99 primary breast cancer samples and 8 BC cell lines.
  • Development of a classification model based on gene expression signatures.
  • Validation in an independent human BC dataset and cell line models.

Main Results:

  • A subset of ER(-)/PR(-) tumors exhibited paradoxical expression of estrogen-responsive genes.
  • Key differentially expressed genes included SPDEF, FOXA1, XBP1, and AR.
  • An identified cell line (MDA-MB-453) showed androgen-dependent proliferation, independent of ER, mirroring the tumor subset's signature.

Conclusions:

  • A distinct molecular subtype of ER(-)/PR(-) breast cancer is characterized by a hormonally regulated transcriptional program.
  • This subtype exhibits responsiveness to androgen.
  • Targeting the androgen signaling pathway presents a potential therapeutic strategy for this specific breast cancer subset.

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