Related Experiment Video
Updated: May 25, 2026

Detecting the Ligand-binding Domain Dimerization Activity of Estrogen Receptor Alpha Using the Mammalian Two-Hybrid Assay
Published on: December 19, 2018
A role for estrogen receptor phosphorylation in the resistance to tamoxifen
Renée de Leeuw1, Jacques Neefjes, Rob Michalides
1Department of Cell Biology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands.
Abstract:
About two thirds of all human breast cancer cases are estrogen receptor positive. The drug of first choice for these patients is tamoxifen. However, about half of the recurrences after removal of the primary tumor are or become resistant to this drug. While many mechanisms have been identified for tamoxifen resistance in the lab, at present only a few have been translated to the clinic. This paper highlights the role in tamoxifen resistance of phosphorylation by different kinases on different sites of the estrogen receptor. We will discuss the molecular pathways and kinases that are involved in phosphorylation of ERα and how these affect tamoxifen resistance. Finally, we will elaborate on the clinical translation of these observations and the possibility to predict tamoxifen responses in patient tumor samples before treatment onset. The findings made originally on the bench may translate into a better and personalized treatment of breast cancer patients using an old and safe anticancer drug: tamoxifen.
Insights
Tamoxifen resistance in estrogen receptor-positive breast cancer is linked to estrogen receptor alpha (ERα) phosphorylation. Understanding these kinase pathways may predict treatment response and personalize therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Estrogen receptor-positive (ER+) breast cancer accounts for two-thirds of human cases.
- Tamoxifen is the primary treatment, but resistance develops in about half of patients.
- Few laboratory mechanisms of tamoxifen resistance have clinical application.
Purpose of the Study:
- To highlight the role of estrogen receptor (ER) phosphorylation in tamoxifen resistance.
- To discuss molecular pathways and kinases involved in ERα phosphorylation.
- To explore clinical translation for predicting tamoxifen response.
Main Methods:
- Review of molecular pathways and kinases mediating ERα phosphorylation.
- Analysis of how ERα phosphorylation impacts tamoxifen resistance.
- Discussion of clinical translation strategies.
Main Results:
- Phosphorylation of ERα by various kinases at specific sites is a key mechanism of tamoxifen resistance.
- Specific molecular pathways and kinases contribute to ERα phosphorylation and subsequent resistance.
- Potential exists for predicting tamoxifen response based on tumor sample analysis.
Conclusions:
- ERα phosphorylation is a critical factor in tamoxifen resistance.
- Understanding these mechanisms can lead to personalized breast cancer treatment.
- Clinical translation may enable prediction of tamoxifen efficacy before treatment.
More Related Videos
Related Concept Videos
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Amplifying Signals via Enzymatic Cascade
Transducer Mechanism: Nuclear Receptors
About 48 different soluble family members of nuclear receptors are identified that can be divided into two main classes:
Mitogens and the Cell Cycle
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

