DNA methylation of oestrogen-regulated enhancers defines endocrine sensitivity in breast cancer

Expression of oestrogen receptor (ESR1) determines whether a breast cancer patient receives endocrine therapy, but does not guarantee patient response. The molecular factors that define endocrine response in ESR1-positive breast cancer patients remain poorly understood. Here we characterize the DNA...

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Veröffentlicht in:Nature communications 2015-07, Vol.6 (1), p.7758-7758, Article 7758
Hauptverfasser: Stone, Andrew, Zotenko, Elena, Locke, Warwick J., Korbie, Darren, Millar, Ewan K. A., Pidsley, Ruth, Stirzaker, Clare, Graham, Peter, Trau, Matt, Musgrove, Elizabeth A., Nicholson, Robert I., Gee, Julia M. W., Clark, Susan J.
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container_issue 1
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container_title Nature communications
container_volume 6
creator Stone, Andrew
Zotenko, Elena
Locke, Warwick J.
Korbie, Darren
Millar, Ewan K. A.
Pidsley, Ruth
Stirzaker, Clare
Graham, Peter
Trau, Matt
Musgrove, Elizabeth A.
Nicholson, Robert I.
Gee, Julia M. W.
Clark, Susan J.
description Expression of oestrogen receptor (ESR1) determines whether a breast cancer patient receives endocrine therapy, but does not guarantee patient response. The molecular factors that define endocrine response in ESR1-positive breast cancer patients remain poorly understood. Here we characterize the DNA methylome of endocrine sensitivity and demonstrate the potential impact of differential DNA methylation on endocrine response in breast cancer. We show that DNA hypermethylation occurs predominantly at oestrogen-responsive enhancers and is associated with reduced ESR1 binding and decreased gene expression of key regulators of ESR1 activity, thus providing a novel mechanism by which endocrine response is abated in ESR1-positive breast cancers. Conversely, we delineate that ESR1-responsive enhancer hypomethylation is critical in transition from normal mammary epithelial cells to endocrine-responsive ESR1-positive cancer. Cumulatively, these novel insights highlight the potential of ESR1-responsive enhancer methylation to both predict ESR1-positive disease and stratify ESR1-positive breast cancer patients as responders to endocrine therapy. The molecular factors influencing patient response to endocrine therapy are poorly understood. Here Stone et al. characterize the DNA methylome of endocrine response and show that methylation of oestrogen receptor-associated enhancers underpins endocrine sensitivity in human breast cancer.
doi_str_mv 10.1038/ncomms8758
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subjects 631/208/176/1988
631/208/199
692/699/67/1059
692/699/67/1347
Adult
Aged
Antineoplastic Agents, Hormonal - therapeutic use
Breast cancer
Breast Neoplasms - drug therapy
Breast Neoplasms - genetics
Breast Neoplasms - metabolism
Carcinoma, Ductal, Breast - drug therapy
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - metabolism
Carcinoma, Lobular - drug therapy
Carcinoma, Lobular - genetics
Carcinoma, Lobular - metabolism
Chromatin Immunoprecipitation
DNA Methylation - genetics
Drug Resistance, Neoplasm - genetics
Enhancer Elements, Genetic - genetics
Estrogen Receptor alpha - genetics
Estrogen Receptor alpha - metabolism
Female
Humanities and Social Sciences
Humans
MCF-7 Cells
Middle Aged
multidisciplinary
Multiplex Polymerase Chain Reaction
Science
Science (multidisciplinary)
Tamoxifen - therapeutic use
title DNA methylation of oestrogen-regulated enhancers defines endocrine sensitivity in breast cancer
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