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Autoantibodies Specific to ER? are Involved in Tamoxifen Resistance in Hormone Receptor Positive Breast Cancer.


ABSTRACT: Tamoxifen resistance is a major hurdle in the treatment of estrogen receptor (ER)-positive breast cancer. The mechanisms of tamoxifen resistance are not fully understood although several underlying molecular events have been suggested. Recently, we identified autoantibodies reacting with membrane-associated ER? (anti-ER? Abs) in sera of breast cancer patients, able to promote tumor growth. Here, we investigated whether anti-ER? Abs purified from sera of ER-positive breast cancer patients could contribute to tamoxifen resistance. Anti-ER? Abs inhibited tamoxifen-mediated effects on cell cycle and proliferation in MCF-7 cells. Moreover, anti-ER? Abs hampered the tamoxifen-mediated reduction of tumor growth in SCID mice xenografted with breast tumor. Notably, simvastatin-mediated disaggregation of lipid rafts, where membrane-associated ER? is embedded, restored tamoxifen sensitivity, preventing anti-ER? Abs effects. In conclusion, detection of serum anti-ER? Abs may help predict tamoxifen resistance and concur to appropriately inform therapeutic decisions concerning hormone therapy in ER-positive breast cancer patients.

SUBMITTER: Maselli A 

PROVIDER: S-EPMC6678306 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Tamoxifen resistance is a major hurdle in the treatment of estrogen receptor (ER)-positive breast cancer. The mechanisms of tamoxifen resistance are not fully understood although several underlying molecular events have been suggested. Recently, we identified autoantibodies reacting with membrane-associated ERα (anti-ERα Abs) in sera of breast cancer patients, able to promote tumor growth. Here, we investigated whether anti-ERα Abs purified from sera of ER-positive breast cancer patients could c  ...[more]

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