Estrogen controls the survival of BRCA1-deficient cells via a PI3K-NRF2-regulated pathway

Chiara Gorrini1, Bevan P Gang, Christian Bassi

  • 1The Campbell Family Institute for Breast Cancer Research, Ontario Cancer Institute, University Health Network, Toronto, ON, Canada M5G 2C1.

Insights

BRCA1 mutations increase cancer risk. Estrogen (E2) reactivates the NRF2 antioxidant pathway in BRCA1-deficient cells, explaining tissue-specific tumor suppression and the benefits of oophorectomy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Mutations in BRCA1 tumor suppressor gene increase breast and ovarian cancer risk.
  • The tissue-specific mechanism of BRCA1 tumor suppression is not well understood.
  • BRCA1-deficient cells exhibit defects in the NRF2-regulated antioxidant pathway.

Purpose of the Study:

  • To elucidate the mechanism of tissue-specific tumor suppression by BRCA1.
  • To investigate the role of estrogen (E2) in the NRF2 antioxidant pathway in BRCA1-deficient cells.
  • To explain the reduced breast cancer risk associated with oophorectomy in BRCA1 mutation carriers.

Main Methods:

  • Investigated E2-induced NRF2 activation in E2-responsive cell types.
  • Utilized phosphatidylinositol 3-kinase (PI3K) inhibitor BKM120 to block E2-induced NRF2 accumulation.
  • Assessed the effect of pregnancy-associated E2 levels on BRCA1-deficient mammary epithelial cells (MECs) in vivo.
  • Administered exogenous E2 to BRCA1-deficient mammary tumors in male mice.

Main Results:

  • Estrogen (E2) upregulates NRF2-dependent antioxidant genes in E2-responsive cells.
  • E2-induced NRF2 accumulation is dependent on phosphatidylinositol 3-kinase-AKT signaling.
  • PI3K inhibition prevents E2-mediated NRF2 activation in MECs.
  • Pregnancy-associated E2 levels rescue the survival defect in BRCA1-deficient MECs in vivo.
  • Exogenous E2 administration promotes BRCA1-deficient mammary tumor growth in male mice.

Conclusions:

  • Estrogen-mediated NRF2 pathway activation explains the tissue specificity of BRCA1 tumor suppression.
  • This mechanism clarifies why oophorectomy reduces breast cancer risk and recurrence in BRCA1 mutation carriers.

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