Following estrogenic activation, the estrogen receptor-␣ (ER␣) directly regulates the transcription of target genes via DNA binding. MicroRNAs (miRNAs) modulated by ER␣ have the potential to fine tune these regulatory systems and also provide an alternate mechanism that could impact on estrogen-dependent developmental and pathological systems. Through a microarray approach, we identify the subset of microRNAs (miRNAs) modulated by ER␣, which include upregulation of miRNAs derived from the processing of the paralogous primary transcripts (pri-) mir-17-92 and mir-106a-363. Characterization of the mir-17-92 locus confirms that the ER␣ target protein c-MYC binds its promoter in an estrogen-dependent manner. We observe that levels of pri-mir-17-92 increase earlier than the mature miRNAs derived from it, implicating precursor cleavage modulation after transcription. Pri-mir-17-92 is immediately cleaved by DROSHA to pre-miR-18a, indicating that its regulation occurs during the formation of the mature molecule from the precursor. The clinical implications of this novel regulatory system were confirmed by demonstrating that pre-miR-18a was significantly upregulated in ER␣-positive compared to ER␣-negative breast cancers. Mechanistically, miRNAs derived from these paralogous pri-miRNAs (miR-18a, miR-19b, and miR-20b) target and downregulate ER␣, while a subset of pri-miRNA-derived miRNAs inhibit protein translation of the ER␣ transcriptional p160 coactivator, AIB1. Therefore, different subsets of miRNAs identified act as part of a negative autoregulatory feedback loop. We propose that ER␣, c-MYC, and miRNA transcriptional programs invoke a sophisticated network of interactions able to provide the wide range of coordinated cellular responses to estrogen.AIB1 ͉ autoregulatory feedback loop ͉ primary transcript ͉ processing U pon 17-␤-estradiol (E2) binding, estrogen receptors (ERs) mediate transcription by interacting directly to specific estrogen response elements (EREs) located in the promoter/ enhancer region of its target genes or indirectly by tethering to nuclear proteins, such as AP1 and SP1 transcription factors (2-4). The cellular response to estrogen is highly regulated at multiple levels including transcription, RNA stability, and posttranslational modifications (5-8). Following treatment with E2, ER␣ transcription and mRNA stability is substantially reduced within 1 h of stimulation (7). Furthermore, E2-ER␣ interactions accelerate receptor degradation through the ubiquitinproteasome pathway, an effect associated with its major coactivator AIB1 (8).MicroRNAs (miRNAs) are a class of noncoding short RNAs, 21-24 nucleotides (nt) in length, that play a role in gene regulation. They downregulate expression of their target genes by base pairing to the 3Ј-UTR of target messenger RNAs (mRNAs) (9). During their biogenesis most miRNAs are transcribed as part of a longer transcript named pri-miRNA (10). These molecules are processed inside the nucleus by DROSHA, producing a pre-miRNA that is a 70-nt ''imperfect'' stem loop ...

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Background On average, 21% of women in the USA treated with Breast Conserving Surgery (BCS) undergo a second operation because of close positive margins. Tumor identification with fluorescence imaging could improve positive margin rates through demarcating location, size, and invasiveness of tumors. We investigated the technique’s diagnostic accuracy in detecting tumors during BCS using intravenous indocyanine green (ICG) and a custom-built fluorescence camera system. Methods In this single-center prospective clinical study, 40 recruited BCS patients were sub-categorized into two cohorts. In the first ‘enhanced permeability and retention’ (EPR) cohort, 0.25 mg/kg ICG was injected ~ 25 min prior to tumor excision, and in the second ‘angiography’ cohort, ~ 5 min prior to tumor excision. Subsequently, an in-house imaging system was used to image the tumor in situ prior to resection, ex vivo following resection, the resection bed, and during grossing in the histopathology laboratory to compare the technique’s diagnostic accuracy between the cohorts. Results The two cohorts were matched in patient and tumor characteristics. The majority of patients had invasive ductal carcinoma with concomitant ductal carcinoma in situ. Tumor-to-background ratio (TBR) in the angiography cohort was superior to the EPR cohort (TBR = 3.18 ± 1.74 vs 2.10 ± 0.92 respectively, p = 0.023). Tumor detection reached sensitivity and specificity scores of 0.82 and 0.93 for the angiography cohort and 0.66 and 0.90 for the EPR cohort, respectively (p = 0.1051 and p = 0.9099). Discussion ICG administration timing during the angiography phase compared with the EPR phase improved TBR and diagnostic accuracy. Future work will focus on image pattern analysis and adaptation of the camera system to targeting fluorophores specific to breast cancer.