Related Experiment Video
Updated: May 5, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Sex hormone receptor repertoire in breast cancer
1Schools of Pharmacy and Medicine, West Virginia University, Morgantown, WV 26506, USA ; Robert C. Byrd Health Sciences Center, West Virginia University, One Medical Center Drive, P.O. Box 9520, Morgantown, WV 26506, USA.
Abstract:
Classification of breast cancer as endocrine sensitive, hormone dependent, or estrogen receptor (ER) positive refers singularly to ER α . One of the oldest recognized tumor targets, disruption of ER α -mediated signaling, is believed to be the mechanistic mode of action for all hormonal interventions used in treating this disease. Whereas ER α is widely accepted as the single most important predictive factor (for response to endocrine therapy), the presence of the receptor in tumor cells is also of prognostic value. Even though the clinical relevance of the two other sex hormone receptors, namely, ER β and the androgen receptor remains unclear, two discordant phenomena observed in hormone-dependent breast cancers could be causally related to ER β -mediated effects and androgenic actions. Nonetheless, our understanding of regulatory molecules and resistance mechanisms remains incomplete, further compromising our ability to develop novel therapeutic strategies that could improve disease outcomes. This review focuses on the receptor-mediated actions of the sex hormones in breast cancer.
Insights
This review examines estrogen receptor alpha (ER α) signaling in breast cancer treatment. It also explores the potential roles of estrogen receptor beta (ER β) and androgen receptors in hormone-dependent cancers.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Estrogen receptor alpha (ER α) is a primary target in endocrine therapy for breast cancer.
- ER α status is crucial for predicting treatment response and patient prognosis.
- The roles of estrogen receptor beta (ER β) and androgen receptors in breast cancer are not fully understood.
Purpose of the Study:
- To review the receptor-mediated actions of sex hormones in breast cancer.
- To highlight the significance of ER α in endocrine-sensitive and hormone-dependent breast cancers.
- To discuss the potential involvement of ER β and androgen receptors in breast cancer phenomena.
Main Methods:
- Literature review of studies on sex hormone receptors in breast cancer.
- Analysis of the role of ER α signaling in therapeutic interventions.
- Exploration of discordant observations potentially linked to ER β and androgenic actions.
Main Results:
- ER α is the most significant predictive factor for endocrine therapy response.
- ER α presence in tumor cells has prognostic value.
- The clinical relevance of ER β and androgen receptors requires further investigation.
Conclusions:
- Understanding sex hormone receptor actions is vital for improving breast cancer treatment strategies.
- Further research into ER β and androgen receptor functions may reveal new therapeutic targets.
- Incomplete knowledge of regulatory molecules and resistance mechanisms hinders novel therapeutic development.
Related Concept Videos
Transducer Mechanism: Nuclear Receptors
About 48 different soluble family members of nuclear receptors are identified that can be divided into two main classes:
Intracellular Hormone Receptors
Receptor Downregulation in MVBs
The EGFR can initiate signaling pathways that lead to cell proliferation, migration, and differentiation. Overexpression of EGFR stimulates cells to proliferate. Excessive EGFR...
Mitogens and the Cell Cycle
Diversity of Antigen Receptors
Before encountering any antigen, lymphocytes express these receptors. On B cells, the antigen receptor is a membrane-bound antibody molecule called BCR; on T cells, it is a T cell receptor or TCR. B and T cell receptors are composed of two...
Target Cell Response to Hormones
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...

