Estrogen receptor α-mediated signaling inhibits type I interferon response to promote breast carcinogenesis

Li-Bo Cao1,2,3, Zi-Lun Ruan1,2,3, Yu-Lin Yang1,2,3

  • 1Department of Infectious Diseases, Medical Research Institute, Zhongnan Hospital of Wuhan University, College of Life Sciences, Wuhan University, Wuhan 430072, China.

Insights

Estrogen receptor alpha (ERα) inhibits the type I interferon response, promoting breast cancer growth. Blocking ERα with fulvestrant enhances anti-tumor effects, suggesting new therapeutic strategies.

Area of Science:

  • Oncology
  • Immunology
  • Endocrinology

Background:

  • Estrogen receptor alpha (ERα) is a key driver in ~70% of breast cancers, but its role in carcinogenesis is not fully understood.
  • The type I interferon (IFN) response plays a crucial role in anti-viral immunity and cancer surveillance.

Purpose of the Study:

  • To investigate the role of ERα in regulating the type I IFN response in breast cancer.
  • To elucidate the mechanisms by which ERα influences IFN-stimulated gene (ISG) transcription.
  • To evaluate the therapeutic potential of targeting ERα in combination with type I IFN therapy.

Main Methods:

  • In vitro studies using cell lines to assess ERα's effect on IFN-β-induced ISG transcription.
  • Mechanistic studies involving histone variant analysis (H2A.Z) and protein-protein interaction assays (STAT2).
  • In vivo studies using a xenograft mouse model and analysis of clinical patient data.

Main Results:

  • ERα activation by estradiol inhibits IFN-β-induced ISG transcription, while ERα deficiency or fulvestrant treatment enhances it.
  • ERα inhibits ISG transcription by inducing H2A.Z and interacting with STAT2, disrupting the ISGF3 complex.
  • Fulvestrant combined with IFN-β suppressed ERα+ breast tumor growth in mice.
  • Higher ISG levels in ERα+ breast cancer patients correlate with better long-term survival.

Conclusions:

  • ERα acts as a negative regulator of the type I IFN response through two distinct mechanisms, thereby promoting breast carcinogenesis.
  • Targeting ERα may enhance the efficacy of type I IFN-based therapies for ERα+ breast cancer.
  • The interplay between ERα and the IFN response is a critical factor in breast cancer progression and patient outcomes.

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