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Updated: Feb 25, 2026

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Estrogen receptor coregulator binding modulators (ERXs) effectively target estrogen receptor positive human breast
Ganesh V Raj1, Gangadhara Reddy Sareddy2,3, Shihong Ma1
1Departments of Urology and Pharmacology, University of Texas Southwestern Medical Center at Dallas, Dallas, United States.
Abstract:
The majority of human breast cancer is estrogen receptor alpha (ER) positive. While anti-estrogens/aromatase inhibitors are initially effective, resistance to these drugs commonly develops. Therapy-resistant tumors often retain ER signaling, via interaction with critical oncogenic coregulator proteins. To address these mechanisms of resistance, we have developed a novel ER coregulator binding modulator, ERX-11. ERX-11 interacts directly with ER and blocks the interaction between a subset of coregulators with both native and mutant forms of ER. ERX-11 effectively blocks ER-mediated oncogenic signaling and has potent anti-proliferative activity against therapy-sensitive and therapy-resistant human breast cancer cells. ERX-11 is orally bioavailable, with no overt signs of toxicity and potent activity in both murine xenograft and patient-derived breast tumor explant models. This first-in-class agent, with its novel mechanism of action of disrupting critical protein-protein interactions, overcomes the limitations of current therapies and may be clinically translatable for patients with therapy-sensitive and therapy-resistant breast cancers.
Insights
A new drug, ERX-11, targets estrogen receptor alpha (ER) in breast cancer. It effectively blocks cancer cell growth in both sensitive and resistant tumors, offering a promising new therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Estrogen receptor alpha (ER)-positive breast cancer is common.
- Anti-estrogen therapies are initially effective but often lead to drug resistance.
- Therapy-resistant tumors frequently maintain ER signaling through coregulator interactions.
Purpose of the Study:
- To develop a novel therapeutic agent targeting ER coregulator interactions.
- To investigate the efficacy of ERX-11 in preclinical breast cancer models.
Main Methods:
- Development of ERX-11, a novel ER coregulator binding modulator.
- Assessment of ERX-11's ability to block coregulator-ER interactions.
- Evaluation of ERX-11's anti-proliferative activity in vitro and in vivo.
Main Results:
- ERX-11 directly interacts with ER, inhibiting critical coregulator binding.
- ERX-11 demonstrates potent anti-proliferative effects against therapy-sensitive and resistant breast cancer cells.
- ERX-11 is orally bioavailable, well-tolerated, and effective in xenograft and patient-derived tumor models.
Conclusions:
- ERX-11 represents a first-in-class agent with a novel mechanism of action.
- This agent overcomes limitations of current breast cancer therapies by disrupting protein-protein interactions.
- ERX-11 shows significant clinical potential for treating both therapy-sensitive and resistant breast cancers.
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