title: FKBPL regulates estrogen receptor signaling and determines response to endocrine therapy.
abstract: The HSP90 chaperone and immunophilin FKBPL is an estrogen-responsive gene that interacts with estogen receptor alpha (ERalpha) and regulates its levels. In this study, we explored the effects of FKBPL on breast cancer proliferation. Breast cancer cells stably overexpressing FKBPL became dependent on estrogen for their growth and were dramatically more sensitive to the antiestrogens tamoxifen and fulvestrant, whereas FKBPL knockdown reverses this phenotype. FKBPL knockdown also decreased the levels of the cell cycle inhibitor p21WAF1 and increased ERalpha phosphorylation on Ser(118) in response to 17beta-estradiol and tamoxifen. In support of the likelihood that these effects explained FKBPL-mediated cell growth inhibition and sensitivity to endocrine therapies, FKBPL expression was correlated with increased overall survival and distant metastasis-free survival in breast cancer patients. Our findings suggest that FKBPL may have prognostic value based on its impact on tumor proliferative capacity and sensitivity to endocrine therapies, which improve outcome.
authors.affiliation: School of Pharmacy, McClay Research Centre and Centre for Cancer Research and Cell Biology, Queen's University, Belfast, Northern Ireland BT9 7BL, United Kingdom.
authors.forename: Hayley D
authors.initials: HD
authors.lastname: McKeen
authors.forename: Christopher
authors.initials: C
authors.lastname: Byrne
authors.forename: Puthen V
authors.initials: PV
authors.lastname: Jithesh
authors.forename: Christopher
authors.initials: C
authors.lastname: Donley
authors.forename: Andrea
authors.initials: A
authors.lastname: Valentine
authors.forename: Anita
authors.initials: A
authors.lastname: Yakkundi
authors.forename: Martin
authors.initials: M
authors.lastname: O'Rourke
authors.forename: Charles
authors.initials: C
authors.lastname: Swanton
authors.forename: Helen O
authors.initials: HO
authors.lastname: McCarthy
authors.forename: David G
authors.initials: DG
authors.lastname: Hirst
authors.forename: Tracy
authors.initials: T
authors.lastname: Robson
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000494:pharmacology; D001943:Breast Neoplasms / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D002402:Cathepsin D / Q000235:genetics / Q000378:metabolism; D045744:Cell Line, Tumor; D049109:Cell Proliferation / Q000187:drug effects; D050759:Cyclin-Dependent Kinase Inhibitor p21 / Q000235:genetics / Q000378:metabolism; D004958:Estradiol / Q000031:analogs & derivatives / Q000494:pharmacology; D047628:Estrogen Receptor alpha / Q000378:metabolism*; D004967:Estrogens / Q000494:pharmacology; D000077267:Fulvestrant; D020869:Gene Expression Profiling; D015972:Gene Expression Regulation, Neoplastic / Q000187:drug effects; D018841:HSP90 Heat-Shock Proteins / Q000235:genetics / Q000378:metabolism; D006801:Humans; D020104:Immunophilins / Q000235:genetics / Q000378:metabolism / Q000502:physiology*; D047468:Immunoprecipitation; D053208:Kaplan-Meier Estimate; D015201:Meta-Analysis as Topic; D010766:Phosphorylation / Q000187:drug effects; D011485:Protein Binding; D034622:RNA Interference; D012694:Serine / Q000378:metabolism; D015398:Signal Transduction / Q000235:genetics / Q000502:physiology*; D022021:Tacrolimus Binding Proteins; D013629:Tamoxifen / Q000494:pharmacology*; D014162:Transfection
chemical_list: D018931:Antineoplastic Agents, Hormonal; C493956:CDKN1A protein, human; D050759:Cyclin-Dependent Kinase Inhibitor p21; D047628:Estrogen Receptor alpha; D004967:Estrogens; C400101:FKBPL protein, human; D018841:HSP90 Heat-Shock Proteins; D013629:Tamoxifen; D000077267:Fulvestrant; D012694:Serine; D004958:Estradiol; D002402:Cathepsin D; D022021:Tacrolimus Binding Proteins; D020104:Immunophilins