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Updated: May 11, 2026

An Ex vivo Model to Study Hormone Action in the Human Breast
Published on: January 8, 2015
Progesterone signalling in breast cancer: a neglected hormone coming into the limelight
1ISREC - Swiss Institute for Experimental Cancer Research, National Center of Competence for Molecular Oncology, School of Life Sciences, Ecole polytechnique fédérale de Lausanne (EPFL), SV2.832 Station 19, CH-1015 Lausanne, Switzerland. cathrin.brisken@epfl.ch
Abstract:
Understanding the biology of the breast and how ovarian hormones impinge on it is key to rational new approaches in breast cancer prevention and therapy. Because of the success of selective oestrogen receptor modulators (SERMs), such as tamoxifen, and aromatase inhibitors in breast cancer treatment, oestrogens have long received the most attention. Early progesterone receptor (PR) antagonists, however, were dismissed because of severe side effects, but awareness is now increasing that progesterone is an important hormone in breast cancer. Oestrogen receptor-α (ERα) signalling and PR signalling have distinct roles in normal mammary gland biology in mice; both ERα and PR delegate many of their biological functions to distinct paracrine mediators. If the findings in the mouse model translate to humans, new preventive and therapeutic perspectives might open up.
Insights
Progesterone plays a crucial role in breast cancer, challenging the focus on oestrogen. Understanding progesterone receptor signalling may unlock new prevention and therapy strategies.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Oestrogens, particularly oestrogen receptor-α (ERα), have been the primary focus in breast cancer research and treatment due to the success of therapies like tamoxifen.
- Progesterone, another key ovarian hormone, has historically received less attention in breast cancer, with early progesterone receptor (PR) antagonists associated with severe side effects.
- Emerging evidence suggests progesterone is an important hormone in breast cancer, necessitating a re-evaluation of its role.
Purpose of the Study:
- To investigate the distinct roles of ERα and PR signalling in normal mammary gland biology.
- To explore the potential of targeting progesterone signalling for novel breast cancer prevention and therapeutic strategies.
- To assess the translational relevance of findings from mouse models to human breast cancer.
Main Methods:
- Comparative analysis of ERα and PR signalling pathways in mammary gland biology.
- Evaluation of biological functions mediated by ERα and PR signalling.
- Investigation of paracrine mediators involved in hormone signalling in the breast.
Main Results:
- ERα and PR signalling exhibit distinct biological functions in the normal mouse mammary gland.
- Both ERα and PR pathways utilize distinct paracrine mediators to exert their biological effects.
- These findings highlight the complex interplay of ovarian hormones in breast biology.
Conclusions:
- Progesterone signalling represents a significant, yet underexplored, avenue for breast cancer research.
- Understanding the distinct roles and paracrine mediators of ERα and PR signalling may reveal new therapeutic targets.
- Translating findings from preclinical models to human biology could open new frontiers in breast cancer prevention and treatment.
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