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Elevated GCN5 expression confers tamoxifen resistance by upregulating AIB1 expression in ER-positive breast cancer
Ji Hoon Oh1, Ji-Yeon Lee1, Kwang H Kim2
1Department of Anatomy, Embryology Laboratory, Yonsei University College of Medicine, Seoul, 03722, South Korea.
Abstract:
Approximately 70% of breast cancers are estrogen receptor (ER)-positive and treated with endocrine therapy. A commonly used treatment agent, tamoxifen, shows high efficacy for improving prognosis. However, approximately one-third of patients treated with tamoxifen develop resistance to this drug. Here, we investigated the function of general control non-derepressible 5 (GCN5) and its downstream effectors in tamoxifen-resistant (TamR) breast cancer. TamR-MCF7 breast cancer cells maintained high GCN5 levels due to its attenuated proteasomal degradation. GCN5 overexpression upregulated amplified in breast cancer 1 (AIB1) expression, resulting in decreased p53 stability and tamoxifen resistance. Conversely, the sensitivity of GCN5-AIB1-overexpressing MCF7 cells to tamoxifen was restored by forced p53 expression. An in vivo study demonstrated a positive correlation between GCN5 and AIB1 and their contribution to tamoxifen resistance. We concluded that GCN5 promotes AIB1 expression and tamoxifen resistance in breast cancer by reducing p53 levels, suggesting the utility of GCN5 and its downstream effectors as therapeutic targets to either prevent or overcome tamoxifen resistance in breast cancer.
Insights
General control non-derepressible 5 (GCN5) drives tamoxifen resistance in breast cancer by increasing amplified in breast cancer 1 (AIB1) and decreasing p53. Restoring p53 levels can re-sensitize cells to tamoxifen therapy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Estrogen receptor-positive breast cancer constitutes ~70% of cases, often treated with tamoxifen.
- Tamoxifen resistance develops in approximately one-third of patients, necessitating research into resistance mechanisms.
Purpose of the Study:
- To investigate the role of general control non-derepressible 5 (GCN5) and its downstream targets in tamoxifen-resistant (TamR) breast cancer.
- To explore GCN5 as a potential therapeutic target for overcoming tamoxifen resistance.
Main Methods:
- Analysis of GCN5 levels and proteasomal degradation in TamR-MCF7 cells.
- Assessment of amplified in breast cancer 1 (AIB1) and p53 expression and stability.
- In vivo studies to correlate GCN5 and AIB1 with tamoxifen resistance.
Main Results:
- TamR-MCF7 cells exhibited elevated GCN5 due to reduced proteasomal degradation.
- GCN5 overexpression led to increased AIB1, decreased p53 stability, and tamoxifen resistance.
- Forced p53 expression restored tamoxifen sensitivity in GCN5-AIB1-overexpressing cells.
- In vivo studies confirmed a positive correlation between GCN5, AIB1, and tamoxifen resistance.
Conclusions:
- GCN5 promotes tamoxifen resistance in breast cancer by upregulating AIB1 and reducing p53 levels.
- GCN5 and its downstream effectors are potential therapeutic targets to prevent or treat tamoxifen resistance.
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