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Updated: Jul 11, 2025

Identification of Transcription Factor Regulators using Medium-Throughput Screening of Arrayed Libraries and a Dual-Luciferase-Based Reporter
Published on: March 27, 2020
Emerging roles of activating transcription factor 2 in the development of breast cancer: a comprehensive review
Ahmed Amarah1, Ahmed Adel Elsabagh1, Amr Ouda1
1College of Medicine, QU Health, Qatar University, P.O. Box 2713, Doha, Qatar.
Abstract:
Activating transcription factor 2 (ATF2) is a member of the leucine zipper family of DNA binding proteins that are responsible for regulating various genes that play an essential role in major biological and cellular functions. Since ATF2 plays a vital role in cellular proliferation and apoptosis, it is believed that it greatly affects the development of breast cancers. However, its exact role in breast cancer is incompletely understood. It remains a subject of debate, ambiguity, and continuous research. Several studies have suggested the role of ATF2 as an oncogene, promoting cellular proliferation and worsening the outcome of cancers. In contrast, other studies have postulated that ATF2 plays a tumor suppressive role in estrogen receptor-positive breast cancer. The ambiguity surrounding its role in breast cancer is the reason why there is an influx of recent studies and research in this area. In this narrative review, we investigate several studies that have been published about the role of ATF2 in breast cancer. We also explore studies that have examined the association between ATF2 and endocrine therapy resistance. ATF2 has been suggested to modulate estrogen receptor (ER) expression and activity, potentially affecting tamoxifen sensitivity in breast cancer cells. Therefore, the role of ATF2 in DNA repair mechanisms and drug resistance has been deeply explored in this review. Additionally, there are numerous ongoing clinical trials exploring the effect of targeting ATF2 pathways and mechanisms on the outcome of breast cancers, some of which we have discussed. The studies and clinical trials that are being conducted to understand the multifaceted role of ATF2 and its signaling pathways may provide valuable insight for developing efficient targeted therapeutic solutions to enhance the outcomes of breast cancer and overcome endocrine resistance. We suggest further research to elucidate the dual roles of ATF2 in breast cancer and potential therapeutic therapies for its treatment.
Insights
Activating transcription factor 2 (ATF2) has a dual role in breast cancer, acting as both an oncogene and a tumor suppressor. Research is ongoing to clarify its function and develop targeted therapies for endocrine resistance.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Activating transcription factor 2 (ATF2) is a DNA-binding protein crucial for cellular functions.
- Its precise role in breast cancer development and progression remains debated.
- ATF2 influences cellular proliferation, apoptosis, and DNA repair mechanisms.
Purpose of the Study:
- To review current literature on the role of ATF2 in breast cancer.
- To explore the association between ATF2 and endocrine therapy resistance.
- To discuss ongoing clinical trials targeting ATF2 pathways.
Main Methods:
- Narrative review of published studies.
- Analysis of research on ATF2's impact on estrogen receptor (ER) activity and tamoxifen sensitivity.
- Exploration of ATF2's role in DNA repair and drug resistance.
Main Results:
- Studies present conflicting evidence: ATF2 may act as an oncogene or a tumor suppressor.
- ATF2 influences ER expression and activity, potentially impacting tamoxifen response.
- Ongoing trials investigate ATF2-targeting therapies for breast cancer treatment and overcoming resistance.
Conclusions:
- The multifaceted role of ATF2 in breast cancer requires further elucidation.
- Understanding ATF2's dual functions is key to developing novel therapeutic strategies.
- Targeting ATF2 pathways may offer new avenues for treating breast cancer and endocrine resistance.
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