Background: IQGAP1 is a scaffold protein that modulates diverse signaling pathways. Results: IQGAP1 binds to estrogen receptor-␣ (ER␣) and ER, and knockdown of IQGAP1 impairs 17-estradiol (E 2 )-stimulated transcriptional activation in human breast epithelial cells. Conclusion: IQGAP1 modulates ER␣ function and is required for maximal E 2 function. Significance: IQGAP1 might be a therapeutic target for patients with breast carcinoma.