Why are estrogen-receptor-negative breast cancers more aggressive than the estrogen-receptor-positive breast cancers?

M S Sheikh1, M Garcia, P Pujol

  • 1Université de Montpellier 1, Faculté de Médecine, Institut National de la Santé et de la Recherche Médicale, Hormones et Cancer (U 148), France.

Invasion & Metastasis
|January 1, 1994
PubMed

Insights

Estrogen receptor (ER) status impacts breast cancer aggressiveness. While ER-positive cancers can be driven by estrogen, introducing ER into ER-negative cells may reduce their aggressive nature, suggesting complex protective mechanisms.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Hormone-resistant breast cancers often lack functional estrogen receptor (ER), correlating with a more aggressive metastatic phenotype.
  • Estrogen activation of ER in ER-positive breast cancers increases aggressiveness.
  • Conversely, introducing ER into aggressive ER-negative cells can diminish their aggressiveness, indicating a complex protective role.

Purpose of the Study:

  • To review and propose mechanisms underlying the higher aggressiveness observed in most ER-negative breast cancers.
  • To explore the complex protective effects of the estrogen receptor (ER) in breast cancer.
  • To investigate the altered gene expression potentially mediating ER's influence on proliferation, differentiation, and invasiveness.

Main Methods:

  • Literature review focusing on estrogen receptor (ER) function in breast cancer.
  • Analysis of studies investigating ER-positive and ER-negative breast cancer phenotypes.
  • Synthesis of proposed mechanisms for ER's role in cancer aggressiveness and metastasis.

Main Results:

  • ER-negative breast cancers frequently exhibit a more aggressive metastatic phenotype.
  • The protective effect of ER is complex and may involve altered expression of genes related to cell proliferation, differentiation, and invasiveness.
  • Estrogen activation of ER can enhance aggressiveness in ER-positive cancers, but exogenous ER can reduce aggressiveness in ER-negative cells.

Conclusions:

  • The absence of functional estrogen receptor (ER) is a key factor in the heightened aggressiveness of many breast cancers.
  • Altered gene expression profiles likely mediate the influence of ER on critical cellular processes like proliferation and invasion.
  • Understanding these mechanisms is crucial for developing targeted therapies for aggressive ER-negative breast cancers.

Related Concept Videos

Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Tumor Progression02:07

Tumor Progression

Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...