A model to describe how a point mutation of the estrogen receptor alters the structure-function relationship of

S Y Jiang1, C J Parker, V C Jordan

  • 1Department of Human Oncology, University of Wisconsin Comprehensive Cancer Center, Madison 53792.

Insights

A specific mutation in the estrogen receptor (ER) reduces sensitivity to estradiol and antiestrogens like tamoxifen in breast cancer cells. This finding impacts understanding of hormone therapy resistance.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Cancer Research

Background:

  • Tamoxifen is an effective antiestrogen for hormone-responsive breast cancer.
  • Estrogen receptor (ER) mutations can alter antiestrogen drug efficacy.
  • Previous studies linked ER mutations to altered 4-hydroxytamoxifen pharmacology.

Purpose of the Study:

  • To investigate the impact of a specific ER ligand binding domain mutation (Gly400Val) on antiestrogen pharmacology.
  • To evaluate antiestrogen efficacy in ER-negative breast cancer cells engineered to express wild-type or mutant ER.
  • To compare the effects of estradiol-17 beta (E2) and antiestrogens on cell growth in different ER-expressing cell lines.

Main Methods:

  • Utilized ER-negative MDA-MB-231 CL10A cells stably transfected with wild-type ER (S30) or mutant ER (ML alpha 2H).
  • Included control antisense ER transfectant (AS23) and MCF-7 cells (wild-type ER).
  • Assessed cell growth effects of E2 and antiestrogens (tamoxifen, keoxifene) with or without E2.

Main Results:

  • Mutant ER (ML alpha 2H) cells showed 10-100 fold reduced sensitivity to E2 and antiestrogens compared to wild-type ER cells (S30, MCF-7).
  • E2 stimulated MCF-7 cell growth but inhibited S30 and ML alpha 2H cell growth.
  • Keoxifene retained antiestrogenic activity in both wild-type and mutant ER transfectants.

Conclusions:

  • The Gly400Val mutation in the ER ligand binding domain significantly reduces cellular response to E2 and antiestrogens.
  • This ER mutation may contribute to antiestrogen resistance in breast cancer.
  • Keoxifene demonstrates retained efficacy despite the ER mutation, suggesting potential therapeutic value.

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