Antiestrogen Resistant Cell Lines Expressing Estrogen Receptor ? Mutations Upregulate the Unfolded Protein Response and are Killed by BHPI.
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ABSTRACT: Outgrowth of metastases expressing ER? mutations Y537S and D538G is common after endocrine therapy for estrogen receptor ? (ER?) positive breast cancer. The effect of replacing wild type ER? in breast cancer cells with these mutations was unclear. We used the CRISPR-Cas9 genome editing system and homology directed repair to isolate and characterize 14 T47D cell lines in which ER?Y537S or ER?D538G replace one or both wild-type ER? genes. In 2-dimensional, and in quantitative anchorage-independent 3-dimensional cell culture, ER?Y537S and ER?D538G cells exhibited estrogen-independent growth. A progestin further increased their already substantial proliferation in micromolar 4-hydroxytamoxifen and fulvestrant/ICI 182,780 (ICI). Our recently described ER? biomodulator, BHPI, which hyperactivates the unfolded protein response (UPR), completely blocked proliferation. In ER?Y537S and ER?D538G cells, estrogen-ER? target genes were constitutively active and partially antiestrogen resistant. The UPR marker sp-XBP1 was constitutively activated in ER?Y537S cells and further induced by progesterone in both cell lines. UPR-regulated genes associated with tamoxifen resistance, including the oncogenic chaperone BiP/GRP78, were upregulated. ICI displayed a greater than 2 fold reduction in its ability to induce ER?Y537S and ER?D538G degradation. Progestins, UPR activation and perhaps reduced ICI-stimulated ER? degradation likely contribute to antiestrogen resistance seen in ER?Y537S and ER?D538G cells.
SUBMITTER: Mao C
PROVIDER: S-EPMC5054422 | biostudies-literature | 2016 Oct
REPOSITORIES: biostudies-literature
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