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Updated: Jul 16, 2025

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Oestrogen receptor-independent actions of oestrogen in cancer
Prarthana Gopinath1, Revathi Paramasivam Oviya2, Gopal Gopisetty3
1Department of Molecular Oncology, Cancer Institute (WIA), Adyar, Chennai, 600020, India.
Abstract:
Oestrogen, the primary female sex hormone, plays a significant role in tumourigenesis. The major pathway for oestrogen is via binding to its receptor [oestrogen receptor (ERα or β)], followed by nuclear translocation and transcriptional regulation of target genes. Almost 70% of breast tumours are ER + , and endocrine therapies with selective ER modulators (tamoxifen) have been successfully applied. As many as 25% of tamoxifen-treated patients experience disease relapse within 5 years upon completion of chemotherapy. In such cases, the ER-independent oestrogen actions provide a plausible explanation for the resistance, as well as expands the existing horizon of available drug targets. ER-independent oestrogen signalling occurs via one of the following pathways: signalling through membrane receptors, oxidative catabolism giving rise to genotoxic metabolites, effects on mitochondria and redox balance, and induction of inflammatory cytokines. The current review focuses on the non-classical oestrogen signalling, its role in cancer, and its clinical significance.
Insights
Oestrogen
Area of Science:
- Endocrinology and Cancer Biology
Background:
- Oestrogen is a key hormone in tumourigenesis, primarily acting via oestrogen receptors (ERα/β).
- Estrogen receptor-positive (ER+) breast cancers, representing ~70% of cases, are treated with endocrine therapies like tamoxifen.
Purpose of the Study:
- To review non-classical oestrogen signalling pathways.
- To explore the role of ER-independent oestrogen actions in cancer.
- To discuss the clinical significance of these alternative pathways.
Main Methods:
- Literature review of non-classical oestrogen signalling.
- Analysis of ER-independent pathways in cancer development.
- Examination of clinical implications and drug targets.
Main Results:
- Tamoxifen resistance occurs in up to 25% of patients, potentially due to ER-independent oestrogen actions.
- ER-independent signalling involves membrane receptors, oxidative metabolism, mitochondria, and inflammatory cytokines.
- These pathways offer new therapeutic targets beyond classical ER signalling.
Conclusions:
- ER-independent oestrogen signalling is crucial in cancer, particularly in tamoxifen resistance.
- Understanding these non-classical pathways expands therapeutic strategies for ER+ breast cancer.
- Targeting ER-independent oestrogen actions may overcome endocrine therapy resistance.
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