Estrogen receptor ?-coupled Bmi1 regulation pathway in breast cancer and its clinical implications.
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ABSTRACT: Bmi1 has been identified as an important regulator in breast cancer, but its relationship with other signaling molecules such as ER? and HER2 is undetermined.The expression of Bmi1 and its correlation with ER?, PR, Ki-67, HER2, p16INK4a, cyclin D1 and pRB was evaluated by immunohistochemistry in a collection of 92 cases of breast cancer and statistically analyzed. Stimulation of Bmi1 expression by ER? or 17?-estradiol (E2) was analyzed in cell lines including MCF-7, MDA-MB-231, ER?-restored MDA-MB-231 and ER?-knockdown MCF-7 cells. Luciferase reporter and chromatin immunoprecipitation assays were also performed.Immunostaining revealed strong correlation of Bmi1 and ER? expression status in breast cancer. Expression of Bmi1 was stimulated by 17?-estradiol in ER?-positive MCF-7 cells but not in ER?-negative MDA-MB-231 cells, while the expression of Bmi1 did not alter expression of ER?. As expected, stimulation of Bmi1 expression could also be achieved in ER?-restored MDA-MB-231 cells, and at the same time depletion of ER? decreased expression of Bmi1. The proximal promoter region of Bmi1 was transcriptionally activated with co-transfection of ER? in luciferase assays, and the interaction of the Bmi1 promoter with ER? was confirmed by chromatin immunoprecipitation. Moreover, in breast cancer tissues activation of the ER?-coupled Bmi1 pathway generally correlated with high levels of cyclin D1, while loss of its activity resulted in aberrant expression of p16INK4a and a high Ki-67 index, which implied a more aggressive phenotype of breast cancer.Expression of Bmi1 is influenced by ER?, and the activity of the ER?-coupled Bmi1 signature impacts p16INK4a and cyclin D1 status and thus correlates with the tumor molecular subtype and biologic behavior. This demonstrates the important role which is played by ER?-coupled Bmi1 in human breast cancer.
SUBMITTER: Wang H
PROVIDER: S-EPMC3939403 | biostudies-literature | 2014 Feb
REPOSITORIES: biostudies-literature
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