Estrogen Receptor Alpha Mutations in Breast Cancer Cells Cause Gene Expression Changes through Constant Activity and

Spencer Arnesen1,2, Zannel Blanchard1,2, Michelle M Williams3

  • 1Department of Oncological Sciences, University of Utah, Salt Lake City, Utah.

Cancer Research
|November 13, 2020
PubMed

Insights

Estrogen receptor alpha (ER) mutations in breast cancer drive tumor recurrence by altering gene expression and chromatin accessibility, independent of estrogen. These findings reveal new therapeutic targets beyond hormone blockade.

Area of Science:

  • Molecular Biology
  • Genomics
  • Cancer Research

Background:

  • Estrogen receptor alpha (ER)-positive breast cancer patients often relapse despite hormone therapy.
  • Activating mutations in the ER ligand-binding domain (LBD) are found in ~30% of recurrences, conferring ligand-independent function.
  • The full molecular impact of these ER mutations beyond estrogen independence remains largely unknown.

Purpose of the Study:

  • To investigate the comprehensive molecular effects of common ER LBD mutations (Y537S, D538G).
  • To understand how mutant ER influences gene expression and chromatin accessibility.
  • To elucidate the roles of mutant ER in breast cancer progression.

Main Methods:

  • Development of isogenic ER-mutant cell lines (Y537S, D538G).
  • Differential gene expression analysis.
  • Chromatin accessibility profiling and assessment of ER genomic binding.

Main Results:

  • ER mutations induced thousands of unique, mutant allele-specific gene expression changes.
  • Mutant ER significantly altered chromatin accessibility, with mutant ER binding enriched in accessible regions.
  • Mutant ER binding sites overlapped with other key DNA-binding factors like FOXA1, CTCF, and OCT1.
  • Transcriptional changes were not solely due to constant ER activity, suggesting secondary regulatory effects.

Conclusions:

  • Mutant ER drives breast cancer progression through both constant activity and novel regulatory effects on gene expression.
  • Mutant ER significantly impacts chromatin accessibility, influencing the broader genomic landscape.
  • These findings highlight the multifaceted roles of mutant ER and suggest new therapeutic avenues.

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