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Characterization of BCAR4, a novel oncogene causing endocrine resistance in human breast cancer cells
Marcia Godinho1, Danielle Meijer, Buddy Setyono-Han
1Department of Pathology, Josephine Nefkens Institute, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Abstract:
Resistance to the antiestrogen tamoxifen remains a major problem in the management of estrogen receptor-positive breast cancer. Knowledge on the resistance mechanisms is needed to develop more effective therapies. Breast cancer antiestrogen resistance 4 (BCAR4) was identified in a functional screen for genes involved in tamoxifen resistance. BCAR4 is expressed in 27% of primary breast tumors. In patients treated with tamoxifen for metastized disease high BCAR4 mRNA levels are associated with reduced clinical benefit and progression-free survival. Regarding tumor aggressiveness high BCAR4 mRNA levels are associated with a shorter metastasis free survival and overall survival. In the present study, we investigated the role of BCAR4 in endocrine resistance. Forced expression of BCAR4 in human ZR-75-1 and MCF7 breast cancer cells resulted in cell proliferation in the absence of estrogen and in the presence of various antiestrogens. Inhibition of estrogen receptor 1 (ESR1) expression with small interfering RNA (siRNA), implied that the BCAR4-induced mechanism of resistance is independent of ESR1. Highly conserved BCAR4 homologues of rhesus monkey, green monkey, and the less conserved common marmoset gene induced tamoxifen-resistant cell proliferation, in contrast to the distant BCAR4 homologues of bovine and rabbit. Injection of BCAR4-expressing ZR-75-1 cells into nude mice resulted in rapidly growing tumors. In silico analysis showed that BCAR4 mRNA is highly expressed in human placenta and oocyte, and absent in other normal tissues. In conclusion, BCAR4 is a strong transforming gene causing estrogen-independent growth and antiestrogen resistance, and induces tumor formation in vivo. Due to its restricted expression, BCAR4 may be a good target for treating antiestrogen-resistant breast cancer.
Insights
Breast cancer antiestrogen resistance 4 (BCAR4) drives tamoxifen resistance and estrogen-independent growth. Its restricted expression suggests BCAR4 is a potential therapeutic target for resistant breast cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Tamoxifen resistance is a significant challenge in estrogen receptor-positive breast cancer management.
- Understanding resistance mechanisms is crucial for developing improved therapies.
- Breast cancer antiestrogen resistance 4 (BCAR4) was identified as a gene involved in tamoxifen resistance.
Purpose of the Study:
- To investigate the role of BCAR4 in endocrine resistance.
- To evaluate BCAR4's potential as a therapeutic target.
Main Methods:
- Forced expression of BCAR4 in human breast cancer cell lines (ZR-75-1, MCF7).
- Inhibition of estrogen receptor 1 (ESR1) using small interfering RNA (siRNA).
- Assessment of BCAR4 homologues' function in tamoxifen-resistant cell proliferation.
- Tumorigenicity assay by injecting BCAR4-expressing cells into nude mice.
- In silico analysis of BCAR4 mRNA expression in normal human tissues.
Main Results:
- Forced BCAR4 expression promoted estrogen-independent proliferation and resistance to antiestrogens.
- BCAR4-induced resistance mechanism is independent of ESR1.
- BCAR4 homologues from primates induced tamoxifen-resistant proliferation.
- BCAR4-expressing cells formed rapidly growing tumors in vivo.
- BCAR4 mRNA is highly expressed in human placenta and oocyte, but absent in other normal tissues.
Conclusions:
- BCAR4 acts as a potent transforming gene, inducing estrogen-independent growth and antiestrogen resistance.
- BCAR4 promotes tumor formation in vivo.
- BCAR4's restricted expression pattern makes it a promising therapeutic target for antiestrogen-resistant breast cancer.
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