Tumor suppressor ING4 inhibits estrogen receptor activity in breast cancer cells
Madeline M Keenen1, Suwon Kim2
1Department of Basic Medical Sciences, University of Arizona College of Medicine - Phoenix, Phoenix, AZ.
Abstract:
Resistance to antiestrogen therapy remains a significant problem in breast cancer. Low expression of inhibitor of growth 4 (ING4) in primary tumors has been correlated with increased rates of recurrence in estrogen receptor-positive (ER+) breast cancer patients, suggesting a role for ING4 in ER signaling. This study provides evidence that ING4 inhibits ER activity. ING4 overexpression increased the sensitivity of T47D and MCF7 ER+ breast cancer cells to hormone deprivation. ING4 attenuated maximal estrogen-dependent cell growth without affecting the dose-response of estrogen. These results indicated that ING4 functions as a noncompetitive inhibitor of estrogen signaling and may inhibit estrogen-independent ER activity. Supportive of this, treatment with fulvestrant but not tamoxifen rendered T47D cells sensitive to hormone deprivation as did ING4 overexpression. ING4 did not affect nuclear ERα protein expression, but repressed selective ER-target gene transcription. Taken together, these results demonstrated that ING4 inhibited estrogen-independent ER activity, suggesting that ING4-low breast tumors recur faster due to estrogen-independent ER activity that renders tamoxifen less effective. This study puts forth fulvestrant as a proposed therapy choice for patients with ING4-low ER+ breast tumors.
Insights
Inhibitor of Growth 4 (ING4) inhibits estrogen receptor (ER) activity, potentially improving antiestrogen therapy effectiveness. Low ING4 levels in ER+ breast tumors may drive recurrence by promoting estrogen-independent ER activity.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Antiestrogen therapy resistance is a major challenge in breast cancer treatment.
- Low expression of inhibitor of growth 4 (ING4) in primary tumors correlates with recurrence in estrogen receptor-positive (ER+) breast cancer.
- ING4's role in ER signaling suggests a potential therapeutic target.
Purpose of the Study:
- To investigate the role of ING4 in estrogen receptor (ER) activity and its implications for antiestrogen therapy resistance.
- To determine if ING4 functions as an inhibitor of ER signaling in ER+ breast cancer cells.
- To explore the therapeutic potential of targeting ING4 in breast cancer treatment.
Main Methods:
- Overexpression of ING4 in T47D and MCF7 ER+ breast cancer cell lines.
- Assessment of cell sensitivity to hormone deprivation and estrogen dose-response.
- Analysis of ERα protein expression and ER-target gene transcription.
- Treatment of cells with fulvestrant and tamoxifen.
Main Results:
- ING4 overexpression increased sensitivity to hormone deprivation in ER+ breast cancer cells.
- ING4 attenuated maximal estrogen-dependent cell growth without altering estrogen dose-response.
- ING4 repressed selective ER-target gene transcription and inhibited estrogen-independent ER activity.
- Fulvestrant, but not tamoxifen, sensitized cells to hormone deprivation, similar to ING4 overexpression.
Conclusions:
- ING4 acts as a noncompetitive inhibitor of estrogen signaling, including estrogen-independent ER activity.
- Low ING4 expression in ER+ breast tumors may lead to faster recurrence due to enhanced estrogen-independent ER activity, reducing tamoxifen efficacy.
- Fulvestrant is proposed as a potential therapy for ING4-low ER+ breast tumors.
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