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Updated: May 25, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Protein pathway activation mapping reveals molecular networks associated with antiestrogen resistance in breast
Ton van Agthoven1, Marcia F E Godinho, Julia D Wulfkuhle
1Department of Pathology, Josephine Nefkens Institute, Erasmus MC-University Medical Center Rotterdam, The Netherlands. a.vanagthoven@erasmusmc.nl
Abstract:
Previously, we have identified a panel of breast cancer antiestrogen resistance (BCAR) genes. Several of these genes have clinical relevance because mRNA or protein levels associate with tamoxifen resistance or tumor aggressiveness. We postulated that changes in activation status of protein signaling networks induced by BCAR genes may provide better insight into the mechanisms underlying antiestrogen resistance. Key signal transduction pathways were analyzed for changes in activation or expression using reverse-phase protein microarrays probed with 78 antibodies against signaling proteins with known roles in tumorigenesis. We used ZR-75-1-derived cell lines transduced with AKT1, AKT2, BCAR1, BCAR3, BCAR4, EGFR, GRB7, HRAS, HRAS(v12) or HEF1 and MCF7-derived cell lines transduced with BCAR3, BCAR4 or EGFR. In the antiestrogen-resistant cell lines, we observed increased phosphorylation of several pathways involved in cell proliferation and survival. All tamoxifen-resistant cell lines contained high levels of phosphorylated AKT and its biochemically linked substrates Forkhead box O1/3. The activation of ERBB2, ERBB3 and the downstream modulators focal adhesion kinase and SHC were activated in cells with overexpression of BCAR4. Remarkable differences were observed for the levels of activated AMPK alpha1, cyclins, STAT5, STAT6, ERK1/2 and BCL2. The comparison of the cell signaling networks in estrogen-dependent and -independent cell lines revealed biochemically linked kinase-substrate markers that comprised systemically activated signaling pathways involved in tamoxifen resistance. Our results show that this model provides insights into the molecular and cellular mechanisms of breast cancer progression and antiestrogen resistance. This knowledge may help the development of novel targeted treatments.
Insights
Breast cancer antiestrogen resistance (BCAR) genes impact signaling pathways. Understanding these activated pathways, like AKT and ERBB, in tamoxifen-resistant cells offers insights for new targeted breast cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Breast cancer antiestrogen resistance (BCAR) genes are clinically relevant.
- BCAR genes associate with tamoxifen resistance and tumor aggressiveness.
- Changes in protein signaling networks induced by BCAR genes may explain antiestrogen resistance.
Purpose of the Study:
- To investigate changes in protein signaling network activation status in breast cancer cells with BCAR gene alterations.
- To gain insight into the molecular mechanisms underlying antiestrogen resistance.
Main Methods:
- Utilized ZR-75-1 and MCF7 breast cancer cell lines, genetically modified to overexpress specific BCAR genes.
- Employed reverse-phase protein microarrays with 78 antibodies to analyze key signal transduction pathways.
- Assessed activation and expression levels of signaling proteins involved in tumorigenesis.
Main Results:
- Tamoxifen-resistant cell lines showed increased phosphorylation in proliferation and survival pathways, including AKT and Forkhead box O1/3.
- Overexpression of BCAR4 led to activation of ERBB2, ERBB3, focal adhesion kinase, and SHC.
- Significant alterations were observed in activated AMPK alpha1, cyclins, STAT5, STAT6, ERK1/2, and BCL2.
Conclusions:
- The study identified specific kinase-substrate markers and systemically activated signaling pathways involved in tamoxifen resistance.
- The findings provide insights into breast cancer progression and antiestrogen resistance mechanisms.
- This knowledge could facilitate the development of novel targeted therapies for breast cancer.
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