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Updated: Apr 26, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Interplay between estrogen and retinoid signaling in breast cancer--current and future perspectives
Mariana P C Ribeiro1, Armanda E Santos1, José B A Custódio1
1Center for Neuroscience and Cell Biology, University of Coimbra, 3000-354 Coimbra, Portugal; Laboratory of Biochemistry, Faculty of Pharmacy, University of Coimbra, 3000-548 Coimbra, Portugal.
Abstract:
All-trans-retinoic acid (RA) is a promising agent for breast cancer treatment, but it induces several adverse effects and the few clinical trials performed up to now in breast cancer patients have provided disappointing results. The combination of RA and antiestrogenic compounds, such as tamoxifen, synergistically decreases the proliferation of breast cancer cells and an interplay between retinoid and estrogen signaling has begun to be unraveled, turning these combinations into an appealing strategy for breast cancer treatment. This review focus on the current knowledge regarding the interplay between retinoid and estrogen signaling in breast cancer and the combinations of RA with antiestrogens, aiming their future utilization in cancer therapy.
Insights
All-trans-retinoic acid (RA) shows promise for breast cancer, but has side effects. Combining RA with antiestrogens like tamoxifen may offer a synergistic therapeutic strategy for breast cancer treatment.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- All-trans-retinoic acid (RA) is a potential breast cancer therapeutic agent.
- Clinical trials with RA in breast cancer patients yielded disappointing outcomes due to adverse effects.
- Estrogen signaling pathways are implicated in breast cancer development and progression.
Purpose of the Study:
- To review the interplay between retinoid and estrogen signaling in breast cancer.
- To explore the synergistic effects of combining RA with antiestrogenic compounds.
- To evaluate the potential of these combinations for future breast cancer therapy.
Main Methods:
- Literature review of studies on retinoid and estrogen signaling.
- Analysis of preclinical and clinical data on RA and antiestrogen combinations.
- Examination of molecular mechanisms underlying the interplay between these pathways.
Main Results:
- Retinoid and estrogen signaling pathways exhibit significant interplay in breast cancer.
- Combination therapy of RA with antiestrogens, such as tamoxifen, demonstrates synergistic effects.
- These combinations show potential in decreasing breast cancer cell proliferation.
Conclusions:
- The combination of all-trans-retinoic acid and antiestrogens represents a promising therapeutic strategy for breast cancer.
- Further research into the interplay between retinoid and estrogen signaling is warranted.
- Targeting these combined pathways could lead to more effective breast cancer treatments.
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