2004
DOI: 10.1016/j.ccr.2004.05.016
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Tamoxifen resistance by a conformational arrest of the estrogen receptor α after PKA activation in breast cancer

Abstract: Using a novel approach that detects changes in the conformation of ERalpha, we studied the efficacy of anti-estrogens to inactivate ERalpha under different experimental conditions. We show that phosphorylation of serine-305 in the hinge region of ERalpha by protein kinase A (PKA) induced resistance to tamoxifen. Tamoxifen bound but then failed to induce the inactive conformation, invoking ERalpha-dependent transactivation instead. PKA activity thus induces a switch from antagonistic to agonistic effects of tam… Show more

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Cited by 238 publications
(286 citation statements)
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“…Importantly, the major phosphorylation site in response to 17bE2 was previously demonstrated to be S118, whereas S167 is only modified in response to MAPK/AKT pathway signaling (Lannigan, 2003). In addition, pS305 was associated with resistance to tamoxifen treatment (Michalides et al, 2004). According to these observations, subcellular fractionation assays showed relatively higher levels of ERa in the cytoplasm of MCF7-LTED cells (Figure 1d).…”
Section: Resultsmentioning
confidence: 60%
“…Importantly, the major phosphorylation site in response to 17bE2 was previously demonstrated to be S118, whereas S167 is only modified in response to MAPK/AKT pathway signaling (Lannigan, 2003). In addition, pS305 was associated with resistance to tamoxifen treatment (Michalides et al, 2004). According to these observations, subcellular fractionation assays showed relatively higher levels of ERa in the cytoplasm of MCF7-LTED cells (Figure 1d).…”
Section: Resultsmentioning
confidence: 60%
“…In this context, it has been reported that phosphorylation of ERα by EGFR-mediated signaling enhances the estrogeninduced transcriptional activity [49,50]. An increased recruitment of coactivators, such as AIB1 [51], and conformational changes [52] after receptor phosphorylation also contribute to enhanced transcriptional activity of ERα in tamoxifen-resistant breast cancer cells. In addition, an inverse relationship between the expression of ERα and EGFR or c-erbB2 was observed in primary breast cancer samples and was associated with decreased sensitivity to endocrine therapy and a poorer prognosis [47,53].…”
Section: Discussionmentioning
confidence: 99%
“…PKA phosphorylation at S236 in the DNA-binding domain of the ER promotes dimerization of the ER, and the PKA signaling is shown to promote alteration in the agonist/ antagonist balance of antiestrogens in breast cancer cells (38). Similarly, phosphorylation of S305 in the hinge region of the ERa by PKA is shown to induce resistance to tamoxifen (39). It was also shown that down-regulation of the negative regulator of PKA, PKA-RIa, was associated with tamoxifen resistance before clinical treatment, implicating PKA deregulation in tamoxifen resistance (39) Our study extends these earlier studies that PKA signaling promotes tamoxifen agonistic actions and further suggests that mechanism of PKA action also involve ER coregulator PELP1 phosphorylation as the PELP1 mutation that prevents PKA phosphorylation substantially reduced PKA-mediated tamoxifen actions.…”
Section: Discussionmentioning
confidence: 99%