Protein Kinase A-induced tamoxifen resistance is mediated by anchoring protein AKAP13
Cristiane Bentin Toaldo1, Xanthippi Alexi2, Karin Beelen3
1Division of Molecular Pathology, the Netherlands Cancer Institute, Amsterdam, The Netherlands. c.bentin.toaldo@nki.nl.
Background:
Estrogen Receptor alpha (ERα)-positive breast cancer patients receive endocrine therapy, often in the form of tamoxifen. However, resistance to tamoxifen is frequently observed. A signalling cascade that leads to tamoxifen resistance is dictated by activation of the Protein Kinase A (PKA) pathway, which leads to phosphorylation of ERα on Serine 305 and receptor activation, following tamoxifen binding. Thus far, it remains elusive what protein complexes enable the PKA-ERα interaction resulting in ERα Serine 305 phosphorylation.
Methods:
We performed immunohistochemistry to detect ERαSerine 305 phosphorylation in a cohort of breast cancer patients who received tamoxifen treatment in the metastatic setting. From the same tumor specimens, Agilent 44 K gene expression analyses were performed and integrated with clinicopathological data and survival information. In vitro analyses were performed using MCF7 breast cancer cells, which included immunoprecipitations and Fluorescence Resonance Energy Transfer (FRET) analyses to illustrate ERα complex formation. siRNA mediated knockdown experiments were performed to assess effects on ERαSerine 305 phosphorylation status, ERα/PKA interactions and downstream responsive gene activity.
Results:
Stratifying breast tumors on ERα Serine 305 phosphorylation status resulted in the identification of a gene network centered upon AKAP13. AKAP13 mRNA expression levels correlate with poor outcome in patients who received tamoxifen treatment in the metastatic setting. In addition, AKAP13 mRNA levels correlate with ERαSerine 305 phosphorylation in breast tumor samples, suggesting a functional connection between these two events. In a luminal breast cancer cell line, AKAP13 was found to interact with ERα as well as with a regulatory subunit of PKA. Knocking down of AKAP13 prevented PKA-mediated Serine 305 phosphorylation of ERα and abrogated PKA-driven tamoxifen resistance, illustrating that AKAP13 is an essential protein in this process.
Conclusions:
We show that the PKA-anchoring protein AKAP13 is essential for the phosphorylation of ERαS305, which leads to tamoxifen resistance both in cell lines and tamoxifen-treated breast cancer patients.
Insights
AKAP13 is essential for tamoxifen resistance in breast cancer by enabling Protein Kinase A (PKA) to phosphorylate Estrogen Receptor alpha (ERα). This AKAP13-PKA-ERα interaction leads to tamoxifen resistance in patients and cell lines.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Estrogen Receptor alpha (ERα)-positive breast cancer is treated with tamoxifen, but resistance is common.
- Tamoxifen resistance is linked to Protein Kinase A (PKA) pathway activation, phosphorylating ERα at Serine 305.
- The protein complexes mediating PKA-ERα interaction for ERα Serine 305 phosphorylation remain unclear.
Purpose of the Study:
- To identify protein complexes involved in PKA-mediated ERα phosphorylation.
- To investigate the role of these complexes in tamoxifen resistance.
- To explore potential therapeutic targets for overcoming tamoxifen resistance.
Main Methods:
- Immunohistochemistry on patient tumors to detect ERα Serine 305 phosphorylation.
- Gene expression analysis (Agilent 44K) integrated with clinical data.
- In vitro studies using MCF7 cells: immunoprecipitation, Fluorescence Resonance Energy Transfer (FRET), and siRNA knockdown.
Main Results:
- AKAP13 gene network identified, with AKAP13 mRNA levels correlating with poor outcome and ERα Serine 305 phosphorylation in tamoxifen-treated patients.
- AKAP13 interacts with both ERα and a PKA regulatory subunit in breast cancer cells.
- AKAP13 knockdown inhibited PKA-mediated ERα phosphorylation and abrogated tamoxifen resistance.
Conclusions:
- The PKA-anchoring protein AKAP13 is essential for ERα phosphorylation at Serine 305.
- AKAP13 plays a critical role in mediating tamoxifen resistance in both cell lines and patient tumors.
- AKAP13 represents a potential therapeutic target for overcoming tamoxifen resistance in breast cancer.
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