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Updated: Apr 28, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
An epigenomic approach to therapy for tamoxifen-resistant breast cancer
Qin Feng1, Zheng Zhang1, Martin J Shea2
1Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USA.
Abstract:
Tamoxifen has been a frontline treatment for estrogen receptor alpha (ERα)-positive breast tumors in premenopausal women. However, resistance to tamoxifen occurs in many patients. ER still plays a critical role in the growth of breast cancer cells with acquired tamoxifen resistance, suggesting that ERα remains a valid target for treatment of tamoxifen-resistant (Tam-R) breast cancer. In an effort to identify novel regulators of ERα signaling, through a small-scale siRNA screen against histone methyl modifiers, we found WHSC1, a histone H3K36 methyltransferase, as a positive regulator of ERα signaling in breast cancer cells. We demonstrated that WHSC1 is recruited to the ERα gene by the BET protein BRD3/4, and facilitates ERα gene expression. The small-molecule BET protein inhibitor JQ1 potently suppressed the classic ERα signaling pathway and the growth of Tam-R breast cancer cells in culture. Using a Tam-R breast cancer xenograft mouse model, we demonstrated in vivo anti-breast cancer activity by JQ1 and a strong long-lasting effect of combination therapy with JQ1 and the ER degrader fulvestrant. Taken together, we provide evidence that the epigenomic proteins BRD3/4 and WHSC1 are essential regulators of estrogen receptor signaling and are novel therapeutic targets for treatment of Tam-R breast cancer.
Insights
Tamoxifen resistance in breast cancer can be overcome. Researchers identified WHSC1 and BRD3/4 as key regulators of estrogen receptor alpha signaling, offering new therapeutic targets for tamoxifen-resistant tumors.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Tamoxifen is a primary treatment for ERα-positive breast cancer.
- Tamoxifen resistance is a significant clinical challenge.
- Estrogen receptor alpha (ERα) remains crucial in tamoxifen-resistant (Tam-R) breast cancer.
Purpose of the Study:
- To identify novel regulators of ERα signaling in Tam-R breast cancer.
- To investigate the role of histone methyl modifiers in ERα signaling.
- To evaluate therapeutic potential of targeting identified regulators.
Main Methods:
- Conducted a small-scale siRNA screen targeting histone methyl modifiers.
- Investigated the recruitment of WHSC1 to the ERα gene by BRD3/4.
- Utilized the BET protein inhibitor JQ1 in cell culture and a xenograft mouse model.
- Assessed combination therapy with JQ1 and fulvestrant.
Main Results:
- Identified WHSC1, a histone H3K36 methyltransferase, as a positive regulator of ERα signaling.
- Demonstrated that BRD3/4 recruits WHSC1 to the ERα gene, enhancing its expression.
- JQ1 suppressed ERα signaling and Tam-R breast cancer cell growth in vitro.
- JQ1 showed in vivo anti-cancer activity and enhanced efficacy with fulvestrant in a Tam-R xenograft model.
Conclusions:
- Epigenomic proteins BRD3/4 and WHSC1 are essential for ERα signaling in breast cancer.
- These proteins represent novel therapeutic targets for Tam-R breast cancer.
- Targeting BRD3/4 and WHSC1 offers a promising strategy for overcoming tamoxifen resistance.
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