title: ERRgamma mediates tamoxifen resistance in novel models of invasive lobular breast cancer.
abstract: One-third of all estrogen receptor (ER)-positive breast tumors treated with endocrine therapy fail to respond, and the remainder is likely to relapse in the future. Almost all data on endocrine resistance has been obtained in models of invasive ductal carcinoma (IDC). However, invasive lobular carcinomas (ILC) comprise up to 15% of newly diagnosed invasive breast cancers each year and, whereas the incidence of IDC has remained relatively constant during the last 20 years, the prevalence of ILC continues to increase among postmenopausal women. We report a new model of Tamoxifen (TAM)-resistant invasive lobular breast carcinoma cells that provides novel insights into the molecular mechanisms of endocrine resistance. SUM44 cells express ER and are sensitive to the growth inhibitory effects of antiestrogens. Selection for resistance to 4-hydroxytamoxifen led to the development of the SUM44/LCCTam cell line, which exhibits decreased expression of ERalpha and increased expression of the estrogen-related receptor gamma (ERRgamma). Knockdown of ERRgamma in SUM44/LCCTam cells by siRNA restores TAM sensitivity, and overexpression of ERRgamma blocks the growth-inhibitory effects of TAM in SUM44 and MDA-MB-134 VI lobular breast cancer cells. ERRgamma-driven transcription is also increased in SUM44/LCCTam, and inhibition of activator protein 1 (AP1) can restore or enhance TAM sensitivity. These data support a role for ERRgamma/AP1 signaling in the development of TAM resistance and suggest that expression of ERRgamma may be a marker of poor TAM response.
authors.affiliation: Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University School of Medicine, Washington, District of Columbia 20057, USA. rbr7@georgetown.edu
authors.forename: Rebecca B
authors.initials: RB
authors.lastname: Riggins
authors.forename: Jennifer P-J
authors.initials: JP
authors.lastname: Lan
authors.forename: Yuelin
authors.initials: Y
authors.lastname: Zhu
authors.forename: Uwe
authors.initials: U
authors.lastname: Klimach
authors.forename: Alan
authors.initials: A
authors.lastname: Zwart
authors.forename: Luciane R
authors.initials: LR
authors.lastname: Cavalli
authors.forename: Bassem R
authors.initials: BR
authors.lastname: Haddad
authors.forename: Li
authors.initials: L
authors.lastname: Chen
authors.forename: Ting
authors.initials: T
authors.lastname: Gong
authors.forename: Jianhua
authors.initials: J
authors.lastname: Xuan
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Ethier
authors.forename: Robert
authors.initials: R
authors.lastname: Clarke
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000494:pharmacology*; D015153:Blotting, Western; D001943:Breast Neoplasms / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000473:pathology*; D019008:Drug Resistance, Neoplasm; D004797:Enzyme-Linked Immunosorbent Assay; D005455:Fluorescent Antibody Technique; D006801:Humans; D009361:Neoplasm Invasiveness; D016133:Polymerase Chain Reaction; D011401:Promoter Regions, Genetic; D011960:Receptors, Estrogen / Q000502:physiology*; D013629:Tamoxifen / Q000031:analogs & derivatives* / Q000494:pharmacology; D018808:Transcription Factor AP-1 / Q000502:physiology
chemical_list: D018931:Antineoplastic Agents, Hormonal; C490917:ESRRG protein, human; D011960:Receptors, Estrogen; D018808:Transcription Factor AP-1; D013629:Tamoxifen; C016601:afimoxifene