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Updated: May 5, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Estradiol enhances CIP2A expression by the activation of p70 S6 kinase
Yeon A Choi1, Ja Seung Koo, Jeong Su Park
1Department of Life Science, Research Center for Women's Disease, Sookmyung Women's University, Seoul 140-742, Republic of Korea Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea.
Abstract:
Cancerous inhibitor of PP2A (CIP2A) stimulates the proliferation of various cancer cells, and 17β-estradiol (E₂) enhances the proliferation of breast cancer cells. E₂ activates epidermal growth factor receptor (EGFR), stimulating the MEK1/2 and PI3K pathways, and CIP2A expression is increased by the MEK1/2-induced transcription factor ETS1. It is possible for E₂ to increase CIP2A expression. This study examined whether E₂ could increase CIP2A expression and whether CIP2A is highly expressed in estrogen receptor (ER)-positive breast cancer tissues. E₂ increased CIP2A expression at the translational level in a c-MYC-independent manner in MCF-7 cells. E₂-enhanced proliferation was impaired without CIP2A expression. E₂-stimulated EGFR activated the MAPK and PI3K pathways, which converged to activate p70 S6 kinase (S6K). Phosphorylation at all the three phosphorylation sites (S424/T421, T229, and T389) on S6K was required for the phosphorylation of eukaryotic initiation factor 4B (eIF4B), which was responsible for the increase in CIP2A translation. Furthermore, CIP2A expression was higher in ER-positive tissues than in ER-negative tissues. This is the first study, to our knowledge, to demonstrate that CIP2A is a key factor in E₂-enhanced proliferation and that estrogen regulates CIP2A expression by non-genomic action through EGFR.
Insights
Estrogen (E₂) enhances breast cancer cell proliferation by increasing cancerous inhibitor of PP2A (CIP2A) expression via the epidermal growth factor receptor (EGFR) pathway. CIP2A is crucial for this E₂-driven growth and is elevated in ER-positive breast cancer.
Area of Science:
- Molecular Biology
- Oncology
- Endocrinology
Background:
- Cancerous inhibitor of PP2A (CIP2A) promotes cancer cell proliferation.
- 17β-estradiol (E₂) enhances breast cancer cell proliferation.
- E₂ signaling involves epidermal growth factor receptor (EGFR) and downstream pathways like MEK1/2 and PI3K.
Purpose of the Study:
- To investigate if E₂ increases CIP2A expression.
- To determine if CIP2A is highly expressed in estrogen receptor (ER)-positive breast cancer.
- To elucidate the mechanism by which E₂ regulates CIP2A.
Main Methods:
- Utilized MCF-7 breast cancer cells.
- Analyzed CIP2A expression at the translational level.
- Investigated the roles of EGFR, MAPK, PI3K, p70 S6 kinase (S6K), and eukaryotic initiation factor 4B (eIF4B).
- Compared CIP2A expression in ER-positive versus ER-negative human breast cancer tissues.
Main Results:
- E₂ increased CIP2A expression translationally, independent of c-MYC.
- E₂-enhanced proliferation was dependent on CIP2A.
- E₂-stimulated EGFR activated MAPK and PI3K pathways, leading to S6K activation.
- S6K phosphorylation was essential for eIF4B phosphorylation, which increased CIP2A translation.
- CIP2A expression was significantly higher in ER-positive tissues compared to ER-negative tissues.
Conclusions:
- CIP2A is a key mediator of E₂-enhanced breast cancer cell proliferation.
- Estrogen regulates CIP2A expression through non-genomic action via the EGFR pathway.
- Elevated CIP2A expression in ER-positive breast cancer suggests its clinical relevance.
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