bAntiestrogen therapy induces the unfolded protein response (UPR) in estrogen receptor-positive (ER ؉ ) breast cancer. X-box binding protein 1 (XBP1), which exists in the transcriptionally inactive unspliced form [XBP1(U)] and the spliced active form [XBP1(S)], is a key UPR component mediating antiestrogen resistance. We now show a direct link between the XBP1 and NF-B survival pathways in driving the cell fate decisions in response to antiestrogens in ER ؉ breast cancer cells, both in vitro and in a xenograft mouse model. Using novel spliced and nonspliceable forms of XBP1, we show that XBP1(U) functions beyond being a dominant negative of XBP1(S). Both isoforms regulate NF-B activity via ER␣; XBP1(S) is more potent because it also directly regulates p65/RelA expression. These findings provide new insights into the fundamental signaling activities of spliced and unspliced XBP1 in breast cancer, establish NF-B to be a mediator of these activities, and identify XBP1 and its splicing to be novel therapeutic targets.A pproximately 70% of all newly diagnosed breast cancers express the estrogen receptor alpha (ER␣) protein. Antiestrogens, such as tamoxifen (TAM) and fulvestrant (ICI 182,780 [ICI]; Faslodex), are widely used to treat these breast cancers, but resistance, either de novo or acquired, limits their curative potential (1). More patients die from ER␣-positive (ER␣ ϩ ) breast cancer than from any other breast cancer subtype. Identifying the underlying molecular mechanisms of antiestrogen resistance remains a critical and immediate need. The unfolded protein response (UPR) that cells initiate to recover from endoplasmic reticulum (EnR) stress plays a central role in mediating antiestrogen resistance (2).EnR stress is sensed by the EnR transmembrane proteins IRE1, PERK, and ATF6; these proteins then activate downstream signaling to enhance proper protein folding, decrease the rate of protein biosynthesis, and promote cell survival in an attempt to recover homeostasis (3). Some UPR functions are prosurvival, and their expression/activation is often altered in cancer cells. We have previously shown that a key UPR effector, X-box binding protein 1 (XBP1), is involved in antiestrogen resistance in breast cancer (4). XBP1 exists in two forms, an unspliced form [XBP1(U)] and a spliced form [XBP1(S)]. The unconventional cytosolic splicing of XBP1 mRNA by IRE1␣ removes a 26-bp intron, resulting in a translational frameshift and a protein product with a distinct C terminus that can now act as a transcription factor (5, 6). The transactivation domain within the C terminus of XBP1(S) confers its transcription factor activity, whereas the C terminus of XBP1(U) lacks the transactivation domain but contains a nuclear export signal and a protein degradation domain (7).XBP1(S) is a central UPR effector, binding to EnR stress response elements (ERSEs) and unfolded protein response elements (UPREs) in the promoter of its target genes to induce the transcription of EnR chaperones and other genes involved in coping with EnR str...