“…186 Importantly, in patients treated only with tamoxifen, GPER protein expression increased and survival was significantly lower in patients with initial GPER-positive tumors, suggesting breast cancer patients with high GPER expression should not be treated with tamoxifen alone. {Ignatov, 2011 #2254} In addition, GPER is widely expressed in cancer cell lines and primary tumors of the breast, 17,18,34,177,184–188 endometrium, 178–180,189,190 ovaries, 47,53,181,191,192 thyroid, 180 lung, 182 prostate, 183 testicular germ cells 193 and the brain (unpublished work). In cell lines of thyroid, ovarian, endometrial and breast cancers, stimulation of GPER with 17β-estradiol 53,180,194 or other estrogenic compounds, such as atrazine, 47 genistein, 180 bisphenol A 46,195 or tamoxifen 194 activates a signaling mechanism that typically promotes proliferation, although inhibition of proliferation has also been reported.…”