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The Effect of Selective Estrogen Receptor Modulators (SERMs) on the Tamoxifen Resistant Breast Cancer Cells
Bo Yoon Chang1, Sae Am Kim, Bindu Malla
1Institute of Pharmaceutical Research and Development, College of Pharmacy, Wonkwang University, Iksan 570-749, Korea.
Abstract:
Selective estrogen receptor modulators (SERMs) are synthetic molecules which bind to estrogen receptors (ER) and can modulate its transcriptional capabilities in different ways in diverse estrogen target tissues. Tamoxifen, the prototypical SERM, is extensively used for targeted therapy of ER positive breast cancers. Unfortunately, the use of tamoxifen is associated with acquired resistance and some undesirable side effects. This study investigated the availability of the conventional SERMs on the TAM-resistance breast cancer cells. SERMs showed more effectiveness in MCF-7 cells than tamoxifen resistant cells, except toremifene and ospemifene. Especially, toremifene was more efficacious in tamoxifen resistant cells than MCF-7. Ospemifene had similar cytotoxic activity on the two types of breast cancers. The other SERMs used in this experiment didn't inhibit efficiently the proliferation of tamoxifen resistant cells. These results support the possibility to usage of toremifene on tamoxifen resistant cancer. The effectiveness by toremifene on tamoxifen resistant cells might be different pathways from the apoptosis and the autophagy. Further study should be needed to elucidate the underlying mechanism of effect of toremifene on tamoxifen resistant cancer.
Insights
Toremifene and ospemifene show effectiveness against tamoxifen-resistant breast cancer cells. Toremifene is particularly promising for treating tamoxifen-resistant estrogen receptor-positive breast cancers.
Area of Science:
- Pharmacology and Therapeutics
- Oncology
- Molecular Biology
Background:
- Selective estrogen receptor modulators (SERMs) are crucial in treating estrogen receptor (ER)-positive breast cancers.
- Tamoxifen, a widely used SERM, faces challenges due to acquired resistance and side effects.
- Investigating alternative SERMs for tamoxifen-resistant breast cancer is critical for improving patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of conventional SERMs against tamoxifen-resistant breast cancer cells.
- To identify SERMs that retain cytotoxic activity in the context of tamoxifen resistance.
Main Methods:
- Comparative analysis of SERM effectiveness on MCF-7 (ER-positive) and tamoxifen-resistant breast cancer cell lines.
- Assessment of cell proliferation inhibition and cytotoxic activity of various SERMs.
Main Results:
- Most SERMs were less effective on tamoxifen-resistant cells compared to MCF-7 cells.
- Toremifene demonstrated superior efficacy in tamoxifen-resistant cells over MCF-7 cells.
- Ospemifene exhibited similar cytotoxic activity on both cell types, while other SERMs showed limited efficacy.
Conclusions:
- Toremifene presents a potential therapeutic option for tamoxifen-resistant breast cancer.
- The mechanism of toremifene's action in resistant cells may involve pathways beyond apoptosis and autophagy.
- Further research is warranted to elucidate the precise molecular mechanisms underlying toremifene's effectiveness.
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