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Updated: May 22, 2026

An In Vitro Dormancy Model of Estrogen-sensitive Breast Cancer in the Bone Marrow: A Tool for Molecular Mechanism Studies and Hypothesis Generation
Published on: June 30, 2015
AIB1:ERα transcriptional activity is selectively enhanced in aromatase inhibitor-resistant breast cancer cells
Jane O'Hara1, Damir Vareslija, Jean McBryan
1Endocrine Oncology Research Group, Department of Surgery and Epidemiology, Royal College of Surgeons in Ireland, University College Dublin, Dublin, Ireland.
Purpose:
The use of aromatase inhibitors (AI) in the treatment of estrogen receptor (ER)-positive, postmenopausal breast cancer has proven efficacy. However, inappropriate activation of ER target genes has been implicated in the development of resistant tumors. The ER coactivator protein AIB1 has previously been associated with initiation of breast cancer and resistance to endocrine therapy.
Experimental Design:
Here, we investigated the role of AIB1 in the deregulation of ER target genes occurring as a consequence of AI resistance using tissue microarrays of patients with breast cancer and cell line models of resistance to the AI letrozole.
Results:
Expression of AIB1 associated with disease recurrence (P = 0.025) and reduced disease-free survival time (P = 0.0471) in patients treated with an AI as first-line therapy. In a cell line model of resistance to letrozole (LetR), we found ERα/AIB1 promoter recruitment and subsequent expression of the classic ER target genes pS2 and Myc to be constitutively upregulated in the presence of both androstenedione and letrozole. In contrast, the recruitment of the ERα/AIB1 transcriptional complex to the nonclassic ER target cyclin D1 and its subsequent expression remained sensitive to steroid treatment and could be inhibited by treatment with letrozole. Molecular studies revealed that this may be due in part to direct steroid regulation of c-jun-NH(2)-kinase (JNK), signaling to Jun and Fos at the cyclin D1 promoter.
Conclusion:
This study establishes a role for AIB1 in AI-resistant breast cancer and describes a new mechanism of ERα/AIB1 gene regulation which could contribute to the development of an aggressive tumor phenotype.
Insights
Aromatase inhibitor resistance in breast cancer involves the ER coactivator AIB1. AIB1 promotes aggressive tumor phenotypes by altering estrogen receptor target gene regulation, impacting treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Aromatase inhibitors (AIs) are effective for estrogen receptor (ER)-positive breast cancer.
- ER target gene dysregulation contributes to endocrine therapy resistance.
- AIB1, an ER coactivator, is linked to breast cancer initiation and endocrine resistance.
Purpose of the Study:
- Investigate AIB1's role in ER target gene deregulation during AI resistance.
- Determine AIB1's impact on AI-resistant breast cancer phenotypes.
Main Methods:
- Utilized tissue microarrays from breast cancer patients.
- Developed cell line models resistant to the AI letrozole.
- Analyzed ERα/AIB1 promoter recruitment and target gene expression (pS2, Myc, cyclin D1).
Main Results:
- AIB1 expression correlated with disease recurrence and reduced disease-free survival in AI-treated patients.
- In letrozole-resistant cells, ERα/AIB1 upregulated classic ER targets (pS2, Myc) constitutively.
- Cyclin D1 regulation by ERα/AIB1 remained sensitive to letrozole, potentially via JNK signaling.
Conclusions:
- AIB1 plays a significant role in AI-resistant breast cancer.
- A novel ERα/AIB1 gene regulation mechanism contributes to aggressive tumor development.
- Findings suggest AIB1 as a potential therapeutic target in resistant breast cancer.
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