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Updated: Mar 23, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Oestrogens Downregulate Tissue Factor Pathway Inhibitor through Oestrogen Response Elements in the 5'-Flanking Region
Huda Omar Ali1,2,3, Benedicte Stavik1,2, Christiane Filion Myklebust1,2
1Department of Haematology, Oslo University Hospital, Oslo, Norway.
Oestrogens, via oestrogen receptor alpha (ERα), reduce Tissue Factor Pathway Inhibitor (TFPI) transcription in breast cancer cells. This regulation occurs through ERα binding to specific sites in the TFPI gene
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Oestrogens play a crucial role in hormone-sensitive breast cancer development.
- Tissue Factor Pathway Inhibitor (TFPI) is implicated in breast cancer pathogenesis.
- Oestrogens were previously found to reduce TFPI mRNA levels in MCF7 cells via oestrogen receptor alpha (ERα).
Purpose of the Study:
- To elucidate the molecular mechanisms by which oestrogens regulate TFPI transcription.
- To investigate the interaction of ERα with the TFPI gene promoter.
- To determine the role of oestrogen response elements (ERE) in TFPI gene regulation.
Main Methods:
- Luciferase reporter assays using wild-type and mutated TFPI 5'-flanking regions.
- Electrophoretic mobility shift assays (EMSA) to assess ERα DNA binding.
- Chromatin immunoprecipitation (ChIP) to confirm in vivo ERα recruitment to the TFPI gene.
Main Results:
- Oestrogen stimulation significantly downregulated luciferase activity in cells with the wild-type TFPI promoter construct.
- Mutating ERE half-sites abolished the oestrogen-mediated downregulation of TFPI transcription.
- EMSA and ChIP assays confirmed direct binding of ERα to ERE half-sites in the TFPI promoter and in vivo recruitment.
Conclusions:
- Oestrogen receptor alpha directly interacts with three ERE half-sites in the TFPI 5'-flanking region.
- ERα mediates the repression of oestrogen-induced TFPI transcription in breast cancer cells.
- These findings reveal a novel mechanism of TFPI regulation by oestrogens in breast cancer.
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