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Somatic estrogen receptor α mutations that induce dimerization promote receptor activity and breast cancer proliferation.

The Journal of clinical investigation | 2024

Physiologic activation of estrogen receptor α (ERα) is mediated by estradiol (E2) binding in the ligand-binding pocket of the receptor, repositioning helix 12 (H12) to facilitate binding of coactivator proteins in the unoccupied coactivator binding groove. In breast cancer, activation of ERα is often observed through point mutations that lead to the same H12 repositioning in the absence of E2. Through expanded genetic sequencing of breast cancer patients, we identified a collection of mutations located far from H12 but nonetheless capable of promoting E2-independent transcription and breast cancer cell growth. Using machine learning and computational structure analyses, this set of mutants was inferred to act distinctly from the H12-repositioning mutants and instead was associated with conformational changes across the ERα dimer interface. Through both in vitro and in-cell assays of full-length ERα protein and isolated ligand-binding domain, we found that these mutants promoted ERα dimerization, stability, and nuclear localization. Point mutations that selectively disrupted dimerization abrogated E2-independent transcriptional activity of these dimer-promoting mutants. The results reveal a distinct mechanism for activation of ERα function through enforced receptor dimerization and suggest dimer disruption as a potential therapeutic strategy to treat ER-dependent cancers.

Pubmed ID: 37883178 RIS Download

Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R01 CA204999
  • Agency: NCI NIH HHS, United States
    Id: R01 CA234361
  • Agency: NCI NIH HHS, United States
    Id: P50 CA247749
  • Agency: NCI NIH HHS, United States
    Id: R01 CA220284
  • Agency: NCI NIH HHS, United States
    Id: R01 CA245069
  • Agency: NCI NIH HHS, United States
    Id: P30 CA008748
  • Agency: NIGMS NIH HHS, United States
    Id: R35 GM124952

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