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Updated: May 31, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Targeting androgen receptor in estrogen receptor-negative breast cancer
Min Ni1, Yiwen Chen, Elgene Lim
1Division of Molecular and Cellular Oncology, Department of Medical Oncology, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Abstract:
Endocrine therapies for breast cancer that target the estrogen receptor (ER) are ineffective in the 25%-30% of cases that are ER negative (ER-). Androgen receptor (AR) is expressed in 60%-70% of breast tumors, independent of ER status. How androgens and AR regulate breast cancer growth remains largely unknown. We find that AR is enriched in ER- breast tumors that overexpress HER2. Through analysis of the AR cistrome and androgen-regulated gene expression in ER-/HER2+ breast cancers we find that AR mediates ligand-dependent activation of Wnt and HER2 signaling pathways through direct transcriptional induction of WNT7B and HER3. Specific targeting of AR, Wnt or HER2 signaling impairs androgen-stimulated tumor cell growth suggesting potential therapeutic approaches for ER-/HER2+ breast cancers.
Insights
Androgen receptor (AR) drives growth in estrogen receptor-negative, HER2-positive breast cancers by activating Wnt and HER2 pathways. Targeting AR, Wnt, or HER2 offers potential new therapies for this breast cancer subtype.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Estrogen receptor (ER)-targeted therapies are ineffective for 25%-30% of ER-negative breast cancers.
- Androgen receptor (AR) is present in 60%-70% of breast tumors, irrespective of ER status.
- The role of androgens and AR in breast cancer progression is not well understood.
Purpose of the Study:
- To investigate the role of androgen receptor (AR) in ER-negative breast cancers, particularly those overexpressing HER2.
- To elucidate the molecular mechanisms by which androgens and AR regulate tumor growth in ER-/HER2+ breast cancer.
Main Methods:
- Analysis of AR enrichment in ER-negative breast tumors.
- AR cistrome analysis and gene expression profiling in ER-/HER2+ breast cancers.
- Assessment of tumor cell growth inhibition by targeting AR, Wnt, or HER2 signaling pathways.
Main Results:
- AR is found to be enriched in ER-negative breast tumors that also overexpress HER2.
- AR mediates ligand-dependent activation of Wnt and HER2 signaling pathways.
- AR directly induces the transcription of WNT7B and HER3 genes.
Conclusions:
- Androgen receptor (AR) signaling plays a critical role in the growth of ER-/HER2+ breast cancers.
- Targeting AR, Wnt, or HER2 signaling pathways can impair androgen-stimulated tumor growth.
- These findings suggest novel therapeutic strategies for ER-/HER2+ breast cancers.
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