Estrogen signaling and the DNA damage response in hormone dependent breast cancers

C Elizabeth Caldon1

  • 1Genome and Replication Stability Group, The Kinghorn Cancer Centre, Garvan Institute of Medical Research , Sydney, NSW , Australia ; St Vincent's Clinical School, Faculty of Medicine, UNSW Australia , Sydney, NSW , Australia.

Insights

Estrogen promotes breast cancer by disrupting DNA repair mechanisms. This signaling pathway suppresses DNA damage response and apoptosis, favoring cancer cell proliferation and impacting treatment efficacy.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Cancer Research

Background:

  • Estrogen is crucial for breast tissue development but high levels increase breast cancer risk.
  • Estrogen's role in breast cancer may involve inducing DNA damage.
  • Understanding estrogen's impact on DNA damage response is vital for hormone-dependent cancers.

Purpose of the Study:

  • To discuss mechanisms by which estrogen alters DNA damage response (DDR) and repair.
  • To investigate estrogen receptor signaling's feedback on DDR proteins.
  • To hypothesize how estrogen signaling favors proliferation over repair and apoptosis.

Main Methods:

  • Review of mechanisms linking estrogen to DNA damage.
  • Analysis of estrogen's regulation of key DDR proteins (ATM, ATR, CHK1, BRCA1, p53).
  • Examination of feedback loops between DDR proteins and estrogen receptor signaling.

Main Results:

  • Estrogen signaling converges to suppress effective DNA repair and apoptosis.
  • This suppression favors cancer cell proliferation.
  • Altered DDR/DNA repair proteins in estrogen-responsive breast cancer further modify DNA damage processing.

Conclusions:

  • Estrogen signaling suppresses DNA damage response and apoptosis, promoting proliferation in breast cancer.
  • This mechanism impacts the processing of estrogen-induced DNA damage and other genotoxic insults.
  • Estrogen's modulation of DDR affects therapeutic responses to anti-hormone therapy and chemotherapy.

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