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Small Molecule Liver X Receptor Modulator GAC0001E5 Targets Mechanisms of Endocrine Resistance in Estrogen
Shinjini Basu1, Asitha Premaratne1, Scott Widmann2,3
1Center for Nuclear Receptors and Cell Signaling, Department of Biology and Biochemistry, University of Houston, Houston, TX 77004, USA.
Abstract:
Endocrine therapy is an effective and common treatment strategy for estrogen receptor (ER)-positive breast cancers. However, the development of endocrine resistance, through genetic mutations and epigenetic alterations, in about 40% of treated patients remains a significant therapeutic challenge. Liver X receptors (LXRs) are nuclear receptors that regulate lipid metabolism and cholesterol homeostasis and have been implicated in metabolic reprogramming in breast cancers and other malignancies. We previously identified a novel LXR ligand GAC0001E5 (1E5), with potent antiproliferative activity across breast cancer subtypes. Here, we investigate its mechanisms of action in responsive (MCF-7) and endocrine-resistant (MCF-7-TamR) ER-positive breast cancer cells. Treatment with 1E5 resulted in the downregulation of LXR and its target genes, and significantly reduced ERα expression and the expression of ER-responsive genes. Aberrant expression of androgen receptor (AR) and human epidermal growth factor receptor 2 (HER2), both implicated in endocrine resistance, were downregulated following 1E5 treatment. siRNA-mediated knockdown of LXR expression only partially recapitulated the actions of 1E5, suggesting the involvement of LXR-dependent and independent mechanisms. Collectively, these findings reveal potential crosstalk between LXR and the genetic and epigenetic regulation of pathways involved in endocrine response and alternative signaling mechanisms, highlighting potential targets in endocrine-resistant breast cancer.
Insights
A novel Liver X receptor (LXR) ligand, GAC0001E5 (1E5), shows antiproliferative effects in estrogen receptor-positive breast cancer. It downregulates key proteins and pathways, offering potential for endocrine-resistant tumors.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Endocrine therapy is standard for ER-positive breast cancer, but resistance develops in ~40% of patients.
- Liver X receptors (LXRs) regulate lipid metabolism and are implicated in cancer metabolic reprogramming.
- A novel LXR ligand, GAC0001E5 (1E5), demonstrated antiproliferative activity in breast cancer cells.
Purpose of the Study:
- To investigate the mechanisms of action of LXR ligand 1E5 in ER-positive breast cancer cells.
- To explore 1E5's effects on endocrine-responsive (MCF-7) and endocrine-resistant (MCF-7-TamR) cell lines.
- To elucidate potential crosstalk between LXR and endocrine resistance pathways.
Main Methods:
- Treatment of MCF-7 and MCF-7-TamR cells with LXR ligand 1E5.
- Analysis of LXR, ERα, AR, and HER2 expression levels.
- siRNA-mediated knockdown of LXR to assess LXR-dependent mechanisms.
Main Results:
- 1E5 treatment downregulated LXR and its target genes.
- Significant reduction in ERα and ER-responsive gene expression observed.
- Aberrant AR and HER2 expression, linked to resistance, were downregulated by 1E5.
- LXR knockdown partially mimicked 1E5 effects, indicating LXR-dependent and independent actions.
Conclusions:
- 1E5 exhibits potent effects on ER-positive breast cancer cells, including endocrine-resistant types.
- Findings suggest crosstalk between LXR and pathways regulating endocrine response and resistance.
- 1E5 and LXR represent potential therapeutic targets for endocrine-resistant breast cancer.
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