Acquired convergence of hormone signaling in breast cancer: ER and PR transition from functionally distinct in normal breast to predictors of metastatic disease

Cumulative exposure to estrogen (E) and progesterone (P) over the menstrual cycle significantly influences the risk of developing breast cancer. Despite the dogma that PR in the breast merely serves as a marker of an active estrogen receptor (ER), and as an inhibitor of the proliferative actions of...

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Veröffentlicht in:Oncotarget 2014-09, Vol.5 (18), p.8651-8664
Hauptverfasser: Hilton, Heidi N, Doan, Tram B, Graham, J Dinny, Oakes, Samantha R, Silvestri, Audrey, Santucci, Nicole, Kantimm, Silke, Huschtscha, Lily I, Ormandy, Christopher J, Funder, John W, Simpson, Evan R, Kuczek, Elizabeth S, Leedman, Peter J, Tilley, Wayne D, Fuller, Peter J, Muscat, George E O, Clarke, Christine L
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container_end_page 8664
container_issue 18
container_start_page 8651
container_title Oncotarget
container_volume 5
creator Hilton, Heidi N
Doan, Tram B
Graham, J Dinny
Oakes, Samantha R
Silvestri, Audrey
Santucci, Nicole
Kantimm, Silke
Huschtscha, Lily I
Ormandy, Christopher J
Funder, John W
Simpson, Evan R
Kuczek, Elizabeth S
Leedman, Peter J
Tilley, Wayne D
Fuller, Peter J
Muscat, George E O
Clarke, Christine L
description Cumulative exposure to estrogen (E) and progesterone (P) over the menstrual cycle significantly influences the risk of developing breast cancer. Despite the dogma that PR in the breast merely serves as a marker of an active estrogen receptor (ER), and as an inhibitor of the proliferative actions of E, it is now clear that in the breast P increases proliferation independently of E action. We show here that the progesterone receptor (PR) and ER are expressed in different epithelial populations, and target non-overlapping pathways in the normal human breast. In breast cancer, PR becomes highly correlated with ER, and this convergence is associated with signaling pathways predictive of disease metastasis. These data challenge the established paradigm that ER and PR function co-operatively in normal breast, and have significant implications not only for our understanding of normal breast biology, but also for diagnosis, prognosis and/or treatment options in breast cancer patients.
doi_str_mv 10.18632/oncotarget.2354
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subjects Animals
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Breast Neoplasms - genetics
Breast Neoplasms - metabolism
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Carcinoma, Intraductal, Noninfiltrating - genetics
Carcinoma, Intraductal, Noninfiltrating - metabolism
Carcinoma, Intraductal, Noninfiltrating - mortality
Carcinoma, Intraductal, Noninfiltrating - secondary
Case-Control Studies
Cell Lineage
Cell Proliferation
Cell Transformation, Neoplastic - genetics
Cell Transformation, Neoplastic - metabolism
Cell Transformation, Neoplastic - pathology
Epithelial Cells - metabolism
Epithelial Cells - pathology
Female
Gene Expression Regulation, Neoplastic
Gene Regulatory Networks
Humans
Kaplan-Meier Estimate
Mammary Glands, Animal - metabolism
Mammary Glands, Human - metabolism
Mammary Glands, Human - pathology
Prognosis
Receptor Cross-Talk
Receptors, Estrogen - genetics
Receptors, Estrogen - metabolism
Receptors, Progesterone - genetics
Receptors, Progesterone - metabolism
Research Paper
RNA, Messenger - metabolism
Signal Transduction
Time Factors
title Acquired convergence of hormone signaling in breast cancer: ER and PR transition from functionally distinct in normal breast to predictors of metastatic disease
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