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Updated: Jan 28, 2026

Profiling of Estrogen-regulated MicroRNAs in Breast Cancer Cells
Published on: February 21, 2014
Neddylation Inactivation Facilitates FOXO3a Nuclear Export to Suppress Estrogen Receptor Transcription and Improve
Xiaoqing Jia1,2,3, Chunjie Li2,3, Lihui Li3
1Department of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center, Shanghai, China.
Purpose:
How the neddylation pathway functions in breast tumor and regulation of estrogen receptor (ER) expression is rarely reported. The purpose of this study was to identify the role of neddylation in breast cancer and ER expression, and further explore the underlying mechanisms.
Experimental Design:
Expression patterns of nedd8-activating enzyme (NAE) and nedd8, two key proteins in the neddylation pathway, were examined in human breast specimens. ER-α expression was investigated using animal 18F-FES-PET/CT and immunoblotting upon NAE inhibitor MLN4924 treatment. Chromatin immunoprecipitation assay, luciferase reporter promoter assay, and the CRISPR-Cas9 system were used to elucidate the mechanism of ER-α regulation by MLN4924. The ER-positive breast cancer mouse model was used to determine the synergetic effect of MLN4924 and fulvestrant on tumor growth. All statistical tests were two-sided.
Results:
Both NAE1 and nedd8 expressions were higher in the ER-positive subgroup. Higher expressions of NAE1 and nedd8 indicated poorer prognosis. Importantly, ER-α expression was significantly downregulated upon MLN4924 treatment in vitro and in vivo. Mechanistically, MLN4924 treatment delayed serum and glucocorticoid-induced protein kinase (SGK) degradation and induced Forkhead box O3a (FOXO3a) nuclear export as well as decreased binding to the ESR1 promoter. Importantly, MLN4924 single or synergized with fulvestrant significantly suppressed the growth of ER-positive breast cancer in vitro and in vivo.
Conclusions:
Our proof-of-principle study determines the activation of neddylation in breast tumor tissues for the first time and reveals a new ER-α regulatory mechanism, as well as further explores an effective approach to improve fulvestrant sensitivity through a neddylation inactivation combination.
Insights
This study reveals that higher neddylation pathway activity in breast tumors correlates with poorer prognosis and reduced estrogen receptor-alpha (ERα) expression. Inhibiting neddylation with MLN4924 suppressed ER-positive breast cancer growth, enhancing fulvestrant sensitivity.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The neddylation pathway's role in breast cancer and estrogen receptor (ER) regulation is not well understood.
- Estrogen receptor-positive (ER+) breast cancer is a major subtype, and understanding its regulation is crucial for effective treatment.
Purpose of the Study:
- To investigate the function of the neddylation pathway in breast tumors.
- To identify the role of neddylation in regulating ER expression.
- To explore the mechanisms underlying neddylation's influence on ER-positive breast cancer.
Main Methods:
- Examined expression of neddylation proteins (NAE, nedd8) in human breast tissues.
- Assessed ER-α expression and breast cancer growth in vitro and in vivo using NAE inhibitor MLN4924.
- Utilized 18F-FES-PET/CT, immunoblotting, chromatin immunoprecipitation, luciferase reporter assays, and CRISPR-Cas9 to elucidate regulatory mechanisms.
- Evaluated the synergistic effect of MLN4924 and fulvestrant in an ER-positive breast cancer mouse model.
Main Results:
- Higher NAE1 and nedd8 expression correlated with ER-positive status and poorer prognosis.
- MLN4924 treatment significantly downregulated ER-α expression in vitro and in vivo.
- MLN4924 affected SGK degradation, FOXO3a nuclear export, and binding to the ESR1 promoter.
- MLN4924, alone or with fulvestrant, significantly suppressed ER-positive breast cancer growth.
Conclusions:
- Neddylation is activated in breast tumor tissues, offering a novel target.
- A new mechanism for ER-α regulation by neddylation was identified.
- Neddylation inhibition presents a potential strategy to enhance fulvestrant sensitivity in ER-positive breast cancer.
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