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Updated: Sep 15, 2025

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Metabolomic Profiling Reveals Key Metabolic Alterations in MCF7 Tamoxifen-Resistant Cells Following EPAS1 Inhibition
Enzhi Luo1, Neeraj Manvi Agarwal1, Junjeong Choi1
1Yonsei Institute of Pharmaceutical Sciences, College of Pharmacy, Yonsei University, Incheon 21983, South Korea.
Abstract:
Tamoxifen (TAM) is a frontline therapy for luminal A breast cancer, yet acquired resistance poses a significant clinical challenge. This study investigates the molecular and metabolic basis of TAM resistance in MCF7/Tam1 cells, focusing on EPAS1 (HIF-2α)-driven hypoxia-induced metabolic reprogramming and the potential of the EPAS1 inhibitor PT2977 to restore TAM sensitivity. Comparative transcriptomic analysis revealed upregulation of EPAS1 along with enrichment of hypoxia-associated pathways, including JAK-STAT, TGF-beta, and lipid metabolism in resistant cells. Untargeted LC-MS/MS metabolomics identified 1,039 significantly altered metabolites, with notable dysregulation in glutamate and glutathione metabolism, the Warburg effect, and fatty acid oxidation. Mechanistically, EPAS1 promoted fatty acid uptake via CD36 and enhanced glutamine metabolism through SLC1A5, contributing to redox balance and cell survival under TAM stress. Treatment with PT2977 disrupted these metabolic pathways, as evidenced by PCA and Venn analyses, leading to a dose-dependent normalization of metabolite profiles and selective reduction in cell viability. These findings highlight EPAS1-mediated metabolic reprogramming as a key driver of TAM resistance and support EPAS1 inhibition by PT2977 as a promising therapeutic strategy to overcome resistance in luminal A breast cancer.
Insights
Tamoxifen resistance in breast cancer is linked to EPAS1-driven metabolic changes. Inhibiting EPAS1 with PT2977 may restore tamoxifen sensitivity by normalizing cell metabolism.
Area of Science:
- Molecular Biology
- Cancer Metabolism
- Drug Resistance
Background:
- Tamoxifen (TAM) is a primary treatment for luminal A breast cancer.
- Acquired resistance to TAM presents a major clinical obstacle.
- Understanding resistance mechanisms is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of EPAS1 (HIF-2α) in tamoxifen resistance.
- To explore EPAS1-driven metabolic reprogramming under hypoxia.
- To evaluate the efficacy of EPAS1 inhibitor PT2977 in overcoming TAM resistance.
Main Methods:
- Comparative transcriptomic analysis of resistant vs. sensitive cells.
- Untargeted LC-MS/MS metabolomics to identify altered metabolites.
- Investigating the impact of EPAS1 inhibition on metabolic pathways and cell viability.
Main Results:
- Resistant cells showed upregulated EPAS1 and enriched hypoxia-associated pathways (JAK-STAT, TGF-beta, lipid metabolism).
- Significant dysregulation in glutamate, glutathione, Warburg effect, and fatty acid oxidation was observed.
- EPAS1 promoted fatty acid uptake (CD36) and glutamine metabolism (SLC1A5), aiding survival.
- PT2977 treatment normalized metabolite profiles and reduced cell viability.
Conclusions:
- EPAS1-mediated metabolic reprogramming is a key driver of tamoxifen resistance.
- EPAS1 inhibition by PT2977 shows promise for overcoming resistance in luminal A breast cancer.
- Targeting EPAS1 offers a potential therapeutic strategy for resistant breast cancer.
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