Activation of PERK/eIF2α/ATF4 signaling inhibits ERα expression in breast cancer

Yuanli Wu1, Gang Wang1, Ruixue Yang1

  • 1Department of Pharmacology, College of Pharmacy, Chongqing Medical University, Chongqing, 400016, PR China; Chongqing Key Laboratory of Drug Metabolism, Chongqing Medical University, Chongqing, 400016, PR China; Key Laboratory for Biochemistry and Molecular Pharmacology of Chongqing, Chongqing Medical University, Chongqing, 400016, PR China.

Neoplasia (New York, N.Y.)
|April 19, 2025
PubMed

Insights

Endoplasmic reticulum stress (ERS) reduces estrogen receptor alpha (ERα) in ER-positive breast cancer via the PERK/eIF2α/ATF4 pathway. Targeting this pathway may offer new treatments for ER+ breast cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cellular Stress Response

Background:

  • Estrogen receptor alpha (ERα) drives 70-80% of breast cancers.
  • Endoplasmic reticulum stress (ERS) and the unfolded protein response (UPR) are implicated in cancer development.
  • The precise impact of ERS on ERα expression in ER-positive breast cancer (ER+ BC) requires further clarification.

Purpose of the Study:

  • To investigate the regulatory mechanisms by which ERS influences ERα expression in ER+ BC.
  • To elucidate the specific signaling pathways involved in ERS-mediated regulation of ERα.

Main Methods:

  • Utilized ERS inducers thapsigargin (TG) and brefeldin A (BFA) in ER+ BC cell lines.
  • Employed Chromatin Immunoprecipitation followed by quantitative PCR (ChIP-qPCR) and luciferase reporter gene assays.
  • Assessed tumor cell growth in vitro and in vivo following PERK signaling activation or ATF4 overexpression.

Main Results:

  • ERS significantly decreased ERα at both protein and mRNA levels in ER+ BC cells.
  • The PERK/eIF2α/ATF4 signaling pathway mediates ERS-induced suppression of ERα.
  • ERS induction enhanced ATF4 binding to the ESR1 promoter, reducing its activity and ERα expression.
  • Selective PERK activation or ATF4 overexpression inhibited ERα expression and tumor cell growth.

Conclusions:

  • ERS transcriptionally suppresses ERα expression through the PERK/eIF2α/ATF4 signaling pathway.
  • This mechanism provides a novel understanding of ERα regulation in ER+ BC.
  • Targeting the PERK pathway of the UPR presents a potential therapeutic strategy for ER+ BC.

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