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Elevated expression of CUEDC2 protein confers endocrine resistance in breast cancer
Xin Pan1, Tao Zhou, Yan-Hong Tai
1State Key Laboratory of Proteomics, Institute of Basic Medical Sciences, China National Center of Biomedical Analysis, Beijing, China.
Abstract:
Endocrine resistance is a major obstacle to hormonal therapy for breast cancers. Although reduced expression of estrogen receptor-α (ER-α) is a known contributing factor to endocrine resistance, the mechanism of ER-α downregulation in endocrine resistance is still not fully understood. Here we report that CUE domain-containing protein-2 (CUEDC2), a ubiquitin-binding motif-containing protein, is a key factor in endocrine resistance in breast cancer. We show that CUEDC2 modulates ER-α protein stability through the ubiquitin-proteasome pathway. Through the study of specimens from a large cohort of subjects with breast cancer, we found a strong inverse correlation between CUEDC2 and ER-α protein expression. Notably, subjects with tumors that highly expressed CUEDC2 had poor responsiveness to tamoxifen treatment and high potential for relapse. We further show that ectopic CUEDC2 expression impaired the responsiveness of breast cancer cells to tamoxifen. Therefore, our findings suggest that CUEDC2 is a crucial determinant of resistance to endocrine therapies in breast cancer.
Insights
CUE domain-containing protein-2 (CUEDC2) drives endocrine resistance in breast cancer by reducing estrogen receptor-alpha (ER-α) stability. High CUEDC2 levels correlate with poor tamoxifen response and increased relapse risk.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Endocrine resistance is a significant challenge in breast cancer treatment.
- Reduced estrogen receptor-alpha (ER-α) expression contributes to endocrine resistance, but the underlying mechanisms remain unclear.
Purpose of the Study:
- To investigate the role of CUE domain-containing protein-2 (CUEDC2) in endocrine resistance in breast cancer.
- To elucidate the mechanism by which CUEDC2 influences ER-α protein stability and tamoxifen responsiveness.
Main Methods:
- Analysis of CUEDC2 and ER-α protein expression in breast cancer patient specimens.
- Investigation of CUEDC2's effect on ER-α protein stability via the ubiquitin-proteasome pathway.
- Assessment of tamoxifen responsiveness in breast cancer cells with varying CUEDC2 expression levels.
Main Results:
- A significant inverse correlation was observed between CUEDC2 and ER-α protein expression in breast cancer tissues.
- High CUEDC2 expression in tumors was associated with diminished tamoxifen treatment response and a greater likelihood of relapse.
- Experimental overexpression of CUEDC2 in breast cancer cells reduced their sensitivity to tamoxifen.
Conclusions:
- CUEDC2 plays a critical role in mediating endocrine resistance in breast cancer.
- CUEDC2 modulates ER-α protein stability through the ubiquitin-proteasome pathway, impacting tamoxifen efficacy.
- CUEDC2 represents a potential therapeutic target for overcoming endocrine resistance in breast cancer.
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