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AR collaborates with ER? in aromatase inhibitor-resistant breast cancer.


ABSTRACT: Androgen receptor (AR) is an attractive target in breast cancer because of its frequent expression in all the molecular subtypes, especially in estrogen receptor (ER)-positive luminal breast cancers. We have previously shown a role for AR overexpression in tamoxifen resistance. We engineered ER-positive MCF-7 cells to overexpress aromatase and AR (MCF-7 AR Arom cells) to explore the role of AR in aromatase inhibitor (AI) resistance. Androstendione (AD) was used as a substrate for aromatization to estrogen. The nonsteroidal AI anastrazole (Ana) inhibited AD-stimulated growth and ER transcriptional activity in MCF-7 Arom cells, but not in MCF-7 AR Arom cells. Enhanced activation of pIGF-1R and pAKT was found in AR-overexpressing cells, and their inhibitors restored sensitivity to Ana, suggesting that these pathways represent escape survival mechanisms. Sensitivity to Ana was restored with AR antagonists, or the antiestrogen fulvestrant. These results suggest that both AR and ER? must be blocked to restore sensitivity to hormonal therapies in AR-overexpressing ER?-positive breast cancers. AR contributed to ER? transcriptional activity in MCF-7 AR Arom cells, and AR and ER? co-localized in AD + Ana-treated cells, suggesting cooperation between the two receptors. AR-mediated resistance was associated with a failure to block ER transcriptional activity and enhanced up-regulation of AR and ER-responsive gene expression. Clinically, it may be necessary to block both AR and ER? in patients whose tumors express elevated levels of AR. In addition, inhibitors to the AKT/IGF-1R signaling pathways may provide alternative approaches to block escape pathways and restore hormone sensitivity in resistant breast tumors.

SUBMITTER: Rechoum Y 

PROVIDER: S-EPMC4337991 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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AR collaborates with ERα in aromatase inhibitor-resistant breast cancer.

Rechoum Yassine Y   Rovito Daniela D   Iacopetta Domenico D   Barone Ines I   Andò Sebastiano S   Weigel Nancy L NL   O'Malley Bert W BW   Brown Powel H PH   Fuqua Suzanne A W SA  

Breast cancer research and treatment 20140902 3


Androgen receptor (AR) is an attractive target in breast cancer because of its frequent expression in all the molecular subtypes, especially in estrogen receptor (ER)-positive luminal breast cancers. We have previously shown a role for AR overexpression in tamoxifen resistance. We engineered ER-positive MCF-7 cells to overexpress aromatase and AR (MCF-7 AR Arom cells) to explore the role of AR in aromatase inhibitor (AI) resistance. Androstendione (AD) was used as a substrate for aromatization t  ...[more]

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