Benzothiophenone Derivatives Targeting Mutant Forms of Estrogen Receptor-? in Hormone-Resistant Breast Cancers.
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ABSTRACT: Estrogen receptor-? positive (ER??) breast cancers represent 75% of all invasive breast cancer cases, while de novo or acquired resistance to ER-directed therapy is also on the rise. Numerous factors contribute to this phenomenon including the recently-reported ESR1 gene mutations such as Y537S, which amplifies co-activator interactions with ER? and promotes constitutive activation of ER? function. Herein, we propose that direct targeting of the activation function-2 (AF2) site on ER? represents a promising alternative therapeutic strategy to overcome mutation-driven resistance in breast cancer. A systematic computer-guided drug discovery approach was employed to develop a potent ER? inhibitor that was extensively evaluated by a series of experiments to confirm its AF2-specific activity. We demonstrate that the developed small-molecule inhibitor effectively prevents ER?-coactivator interactions and exhibits a strong anti-proliferative effect against tamoxifen-resistant cells, as well as downregulates ER?-dependent genes and effectively diminishes the receptor binding to chromatin. Notably, the identified lead compound successfully inhibits known constitutively-active, resistance-associated mutant forms of ER? observed in clinical settings. Overall, this study reports the development of a novel class of ER? AF2 inhibitors, which have the potential to effectively inhibit ER? activity by a unique mechanism and to circumvent the issue of mutation-driven resistance in breast cancer.
SUBMITTER: Singh K
PROVIDER: S-EPMC5855801 | biostudies-other | 2018 Feb
REPOSITORIES: biostudies-other
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