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BIOMARKER:

ER positive

i
Other names: ESR1, Era, ESR, NR3A1, ER, ER beta
Entrez ID:
1d
Regulatory mechanisms of steroid hormone receptors on gene transcription through chromatin interaction and enhancer reprogramming. (PubMed, Cell Oncol (Dordr))
In addition, we have presented four enhancer reprogramming mechanisms (transcription factor cooperation, pioneer factor binding, dynamic assisted loading, and tethering) and the multiple enhancer-promoter contact models. Based on these mechanisms and models, this review proposes that the combination of multiple therapy strategies such as agonists/antagonists of SHRs plus endocrine therapy and the adoption of the latest sequencing technologies are expected to improve the efficacy of ER positive breast cancer treatment.
Review • Journal
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ER (Estrogen receptor) • PGR (Progesterone receptor) • AR (Androgen receptor)
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ER positive
2d
NSDHL contributes to breast cancer stem-like cell maintenance and tumor-initiating capacity through TGF-β/Smad signaling pathway in MCF-7 tumor spheroid. (PubMed, BMC Cancer)
Our findings suggest that NSDHL regulates the BCSC/tumor-initiating cell population in MCF-7 spheroids and xenograft tumors.
Journal
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ER (Estrogen receptor) • EPCAM (Epithelial cell adhesion molecule) • SOX2 • CD24 (CD24 Molecule) • TGFB1 (Transforming Growth Factor Beta 1) • ITGA6 (Integrin, alpha 6)
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ER positive • SOX2 expression
3d
Journal
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ER (Estrogen receptor)
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ER positive
3d
Real-world effectiveness of CDK 4/6 inhibitors in estrogen-positive metastatic breast cancer. (PubMed, BJC Rep)
This study confirms first-line CDK 4/6i effectiveness, with abemaciclib and ribociclib showing prolonged PFS vs. palbociclib. This study could not confirm a ranking of the three CDK 4/6i.
Journal • Real-world evidence • Real-world effectiveness • Real-world • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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HER-2 positive • ER positive • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
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Ibrance (palbociclib) • Verzenio (abemaciclib) • Kisqali (ribociclib)
3d
Immunohistochemical-Based Molecular Subtypes of Female Breast Cancer: A Retrospective Cross-Sectional Study at Cheikh Khalifa Hospital in Casablanca, Morocco. (PubMed, Cancer Control)
Our findings should be used to guide breast cancer management policies in Morocco. Larger cohort studies are needed to determine the specificity of the breast cancer profile in Morocco as well as the epidemiological risk factors specific to every subtype.
Observational data • Retrospective data • Journal
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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HER-2 positive • ER positive • HR positive • PGR positive
4d
Impact of major depressive disorder on breast cancer outcomes: a national retrospective cohort study. (PubMed, J Natl Cancer Inst)
Women with MDD had inferior BC outcomes compared to women without a history of MDD. Research is needed to investigate underlying mechanisms linking depression to BC progression and evaluate interventions to improve outcomes in this high-risk population.
Retrospective data • Journal
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ER (Estrogen receptor)
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ER positive
4d
Z-Endoxifen Hydrochloride in Treating Patients With Metastatic or Locally Recurrent Estrogen Receptor-Positive Breast Cancer (clinicaltrials.gov)
P1, N=62, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Oct 2024 --> Oct 2025
Trial completion date
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • mTOR (Mechanistic target of rapamycin kinase) • IGF1R (Insulin-like growth factor 1 receptor) • NCOA3 (Nuclear Receptor Coactivator 3) • PI3K (Phosphoinositide 3-kinases)
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ER positive • HER-2 expression • EGFR expression
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Zonalta (Z-endoxifen hydrochloride)
5d
Highly Sensitive ESR1 Mutation Detection with the APIS Kit: Performance and LoD Testing in Varied Wild-Type Backgrounds (AMP 2024)
The APIS ESR1 Mutations Kit demonstrated high sensitivity and specificity as a qualitative qPCR assay for detecting ESR1 mutations in varying WT backgrounds. Its performance with the SensID ESR1 Reference Set 1% AF cfDNA validated the kit's LoD at ≤1% MAF with external samples. The APIS kit is a valuable tool for assessing ESR1 mutations in both clinical and research settings, offering a more accessible alternative to traditional next-generation sequencing (NGS) and dPCR assays.
ER (Estrogen receptor) • KIT (KIT proto-oncogene, receptor tyrosine kinase)
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TP53 mutation • ER positive • KIT mutation • ER mutation • ER Y537S • ER D538G • ESR1 mutation • ER Y537C
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APIS ESR1 Mutations Kit
6d
ADAPTcycle: Adj. Marker-adjusted Personalized Therapy Comparing ET+Ribociclib vs Chemotherapy in Intermediate Risk, HR+/HER2- EBC (clinicaltrials.gov)
P3, N=1684, Active, not recruiting, West German Study Group | Recruiting --> Active, not recruiting
Enrollment closed
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER positive • HER-2 negative • PGR positive • HER-2 negative + AR positive + ER positive • HER-2 negative + ER positive • HER-2 negative + PGR positive
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Kisqali (ribociclib)
7d
ERα status of invasive ductal breast carcinoma as a result of regulatory interactions between lysine deacetylases KAT6A and KAT6B. (PubMed, Sci Rep)
Based on our findings, the lysine acetyltransferases KAT6A and KAT6B may be involved in the progression of invasive ductal breast cancer. Further research on other types of cancer may show that KAT6A and KAT6B could serve as diagnostic and prognostic markers for these types of malignancies.
Journal
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ER (Estrogen receptor) • KAT6A (Lysine Acetyltransferase 6A) • KAT6B (Lysine Acetyltransferase 6B)
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ER positive
8d
New P4 trial
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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HER-2 positive • ER positive
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Herceptin (trastuzumab) • Irene (pyrotinib) • letrozole • AiRuiKang (dalpiciclib)
8d
Neoadjuvant endocrine therapy for breast cancer (ChiCTR2400088944)
P2, N=60, Recruiting, The First Affiliated Hospital of Xi'an Jiaotong University; The First Affiliated Hospital of Xi'an Jiaotong University
New P2 trial • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER positive • HR positive • HER-2 negative • HER-2 expression • PGR positive • PTEN mutation + HR positive • HER-2 negative + AR positive + ER positive • HER-2 negative + ER positive • HER-2 negative + PGR positive
8d
Dalcilib combined with aromatase inhibitors and capecitabine neoadjuvant therapy Open, single arm, multi arm treatment of HR positive/HER2 negative early breast cancer Central research (ChiCTR2400090076)
P2, N=30, Not yet recruiting, Fujian Medical University Affiliated Union Hospital; Fujian Medical University Affiliated Union Hospital
New P2 trial
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • HER-2 expression • PGR expression
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capecitabine
11d
Encapsulated Papillary Carcinoma of the Breast: A Review of Clinicopathologic Characteristics, Molecular Mechanisms, and Patient Management. (PubMed, Cancer Control)
In cases with associated IDC, management prioritizes the treatment of the invasive component. High-grade EPC often requires systemic therapies due to its poorer prognosis and increased risk of lymph node involvement.
Review • Journal
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ER (Estrogen receptor)
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ER positive
11d
Magnetic resonance imaging-guided single-fraction preoperative radiotherapy for early-stage breast cancer (the RICE trial): feasibility study. (PubMed, Pilot Feasibility Stud)
The RICE trial represents a significant step in breast cancer treatment, offering insights that could lead to treatment protocols with minimized RT appointments and enhanced patient outcomes.
Journal • MRI
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
11d
Spatio-temporal localization of P21-activated kinase in endometrial cancer. (PubMed, Biotechnol Appl Biochem)
Tamoxifen is the drug of choice in ER-positive breast cancer, and several studies have shown better disease-free survival in these patients...In addition, a computational approach involving molecular modeling and simulation of phosphorylated and unphosphorylated forms of PAK1 was used to elucidate the dynamics of nuclear localization. Thus, PAK1 phosphorylation by JAK2 is a prerequisite for its nuclear localization and its tumorigenic effects on endometrial cancer cells.
Journal
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ER (Estrogen receptor)
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ER positive
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tamoxifen
11d
RESOLVE: Abemaciclib + Letrozole +/- Metformin or Zotatifin in Endometrial or Low-Grade Serous Ovarian Cancer (clinicaltrials.gov)
P2, N=130, Active, not recruiting, Dana-Farber Cancer Institute | Recruiting --> Active, not recruiting | Trial completion date: Aug 2029 --> Aug 2030 | Trial primary completion date: Aug 2026 --> Aug 2027
Enrollment closed • Trial completion date • Trial primary completion date • Combination therapy
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ER (Estrogen receptor)
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ER positive
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Verzenio (abemaciclib) • letrozole • zotatifin (eFT226) • metformin • samotolisib (LY3023414)
11d
PALVEN: Palbociclib, Letrozole & Venetoclax in ER and BCL-2 Positive Breast Cancer (clinicaltrials.gov)
P1, N=17, Active, not recruiting, Peter MacCallum Cancer Centre, Australia | Trial primary completion date: Jun 2024 --> Jun 2025
Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • BCL2 (B-cell CLL/lymphoma 2)
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ER positive • HER-2 negative • BCL2 positive • HER-2 negative + ER positive
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Venclexta (venetoclax) • Ibrance (palbociclib) • letrozole
11d
Trial suspension
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • HER-2 negative + ER positive
12d
Increased levels of versican and insulin-like growth factor 1 in peritumoral mammary adipose tissue are related to aggressiveness in estrogen receptor-positive breast cancer. (PubMed, Mol Med)
Interestingly, VCAN correlated with tumoral Ki67, while IGF1 with tumoral OCT4 that, in turn, correlated with tumoral Ki67 and patient BMI. Thus, peritumoral AT content of VCAN, and IGF1 are related to BC proliferation and aggressiveness.
Journal
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ER (Estrogen receptor) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • IGF1 (Insulin-like growth factor 1) • POU5F1 (POU Class 5 Homeobox 1) • VCAN (Versican) • RTN4 (Reticulon 4)
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ER positive • CXCL8 expression
14d
Effects on Health and Costs of Delayed Implementation of the Oncotype DX® Test for Eligible Breast Cancer Patients (ISPOR-EU 2024)
Implementing the Oncotype DX test for women with ER-positive and HER2-negative early breast cancer is of great value. Delayed implementation leads to increased costs, reduced quality of life, and life-years lost.
Clinical
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
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Prosigna™ Breast Cancer Prognostic Gene Signature Assay • Oncotype DX Breast Recurrence Score®Test
14d
Menopausal status-dependent alterations in the transcript levels of genes encoding ERα, ERβ, PR and HER2 in breast tumors with different receptor status. (PubMed, Clin Transl Oncol)
Together, the results suggest that mRNA expression of ESR1, ESR2, and PGR might differ depending on menopausal status in breast tumors with certain receptor status. More importantly, the change in the expression of ESR1 and ESR2 following menopause is in the opposite directions in breast cancer patients showing the need to identify particular molecular mechanisms regulating the expression of ER isoforms post-menopause in different directions in breast cancer patients, considering the high clinical importance of these receptors in terms of the prognosis of patients with breast cancer.
Journal • BRCA Biomarker
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • BRCA (Breast cancer early onset)
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ER positive • HER-2 negative • ER expression • PGR expression • HER-2 negative + AR positive + ER positive • HER-2 negative + ER positive • HER-2 negative + PGR positive
15d
Benefit of systemic therapy in MINDACT patients with small, ER-positive, HER2-negative breast cancers. (PubMed, NPJ Breast Cancer)
P3; In conclusion, although the number of randomized patients is small, patients with small, genomic high-risk breast cancer did not seem to derive benefit from chemotherapy. Endocrine therapy was associated with improved outcomes even in genomic low-risk breast cancers.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HR positive • HER-2 negative • HER-2 negative + ER positive
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MammaPrint
15d
Skimmed milk intake reduces the risk of ER- breast cancer: a Mendelian randomization analysis. (PubMed, Discov Oncol)
Our findings strengthen the evidence for a protective effect of skimmed milk consumption on ER-breast cancer risk. Further two-step MR analyses suggest that this protective effect may partly result from body mass index (BMI). There is no evidence that full cream milk consumption affects the risk of BC.
Journal
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ER (Estrogen receptor)
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ER positive • ER negative
15d
The role of adjuvant endocrine treatment in ER+, PR-, HER2- early breast cancer: a retrospective study of real-world data. (PubMed, Sci Rep)
ER+/PR-/HER2- BC was a special subtype with aggressive clinicopathological features and more tend to have distant metastasis rather than nodal involvement or local relapse. ER+/PR-/HER2- early BC did not seem to benefit from adjuvant ET.
Retrospective data • Journal • Real-world evidence • Real-world
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER positive • HER-2 negative • PGR negative
16d
Clinical • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
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Oncotype DX Breast Recurrence Score®Test
16d
Clinical
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative • HER-2 negative + ER positive
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Prosigna™ Breast Cancer Prognostic Gene Signature Assay
17d
Systemic and local chronic inflammation and hormone disposition promote a tumor-permissive environment for breast cancer in older women. (PubMed, bioRxiv)
Pharmacologic targeting of estrogen signaling (either by HSD17B7 inhibition or with fulvestrant) and chemokine inflammation both decrease local E2 and prevent macrophage polarization. Overall, these findings suggest that chronic inflammation and hormonal disposition are critical contributors to the age-related nature of ER+ breast cancer development and growth and offer potential therapeutic insight to treat these patients. We uncover the unique underpinnings establishing how the systemic host environment contributes to the aged breast tumor microenvironment, characterized by high local estradiol and chronic inflammation with immune dysregulation, and show that targeting avenues of estrogen conversion and chronic inflammation work to restore anti-tumor immunity.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • ER (Estrogen receptor) • CCL2 (Chemokine (C-C motif) ligand 2) • MRC1 (Mannose Receptor C-Type 1)
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ER positive
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fulvestrant
17d
Cell Populations in Human Breast Cancers are Molecularly and Biologically Distinct with Age. (PubMed, Res Sq)
Cell interactome analysis reveals candidate signaling pathways that drive many of these cell states. This work lays a foundation for discovery of age-adapted therapeutic interventions for breast cancer.
Journal
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ER (Estrogen receptor)
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ER positive
18d
Camizestrant, a next-generation oral SERD, versus fulvestrant in post-menopausal women with oestrogen receptor-positive, HER2-negative advanced breast cancer (SERENA-2): a multi-dose, open-label, randomised, phase 2 trial. (PubMed, Lancet Oncol)
Camizestrant at 75 and 150 mg showed a significant benefit in progression-free survival versus fulvestrant. These results support further development of camizestrant for the treatment of oestrogen receptor-positive, HER2-negative breast cancer.
Clinical • P2 data • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HR positive • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
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fulvestrant • camizestrant (AZD9833)
18d
Breast cancers that disseminate to bone marrow acquire aggressive phenotypes through CX43-related tumor-stroma tunnels. (PubMed, J Clin Invest)
Reinstating GIV alone in GIV-negative breast cancer cells reproduced approximately 20% of both the 'borrowed' and the 'intrinsic' gene induction patterns from contact co-cultures; conferred resistance to anti-estrogen drugs; and enhanced tumor dissemination. Findings provide a multiomic insight into MSC→tumor cell intercellular transport and validate how transport of one such candidate, GIV, from the haves (MSCs) to have-nots (ER+ breast cancer) orchestrates aggressive disease states.
Journal • Stroma
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ER (Estrogen receptor)
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ER positive
18d
CKPBI: Conformal Partial Breast Irradiation With CyberKnife After Resection for Early Stage Breast Cancer (clinicaltrials.gov)
P=N/A, N=20, Active, not recruiting, Essentia Health | Trial primary completion date: Jun 2024 --> Jun 2025
Trial primary completion date
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ER (Estrogen receptor)
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ER positive
19d
Trial completion date • Combination therapy • Surgery • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PTEN (Phosphatase and tensin homolog) • PIK3CB (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta)
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ER positive • HR positive • HER-2 negative • ER positive + HER-2 negative • PIK3CB mutation • HER-2 negative + ER positive
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docetaxel • AZD8186
20d
Genetic evidence supporting the causal role of 25-hydroxyvitamin D levels in the prognosis of ER- breast cancer: A Mendelian randomization study. (PubMed, Medicine (Baltimore))
In multivariate MR analysis, after adjusting for total triglycerides, total cholesterol, and body mass index, the correlation between the protective relationship between 25(OH)D levels and the prognosis for ER- breast cancer remained and became increasingly significant (OR = 0.51, 95% CI = 0.31-0.83, P = .007). This study demonstrated a protective relationship between 25(OH)D levels and the prognosis of ER- breast cancer, but there was no connection between 25(OH)D levels and the prognosis of ER+ breast cancer.
Journal
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ER (Estrogen receptor)
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ER positive • ER negative
20d
Experience With Palbociclib in Metastatic Breast Cancer Patients Managed Under a Government Health Scheme at a Cancer Care Center in Southern India. (PubMed, Cureus)
However, in developing countries like India, where most patients come from rural areas, using innovator palbociclib may not be feasible for many. With the availability of generic palbociclib under the Government Health Scheme, patients of metastatic hormone receptor-positive breast cancer will receive the protocol-based treatment.
Journal • Metastases
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ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER positive • HR positive
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Ibrance (palbociclib)
20d
Transcriptional responses to direct and indirect TGFB1 stimulation in cancerous and noncancerous mammary epithelial cells. (PubMed, Cell Commun Signal)
Estrogen receptor-positive breast cancer patients may benefit from high levels of TGFB1 expression due to the repression of estrogen receptor signaling, inhibition of proliferation, and induction of apoptosis in cancer cells. However, some TGFB1-stimulated cells may undergo EMT, which increases the risk of metastasis.
Journal
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ER (Estrogen receptor) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • TGFB1 (Transforming Growth Factor Beta 1) • TP63 (Tumor protein 63) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • SMAD3 (SMAD Family Member 3)
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ER positive
20d
Long-term estrogen-deprived estrogen receptor α-positive breast cancer cell migration assisted by fatty acid 2-hydroxylase. (PubMed, J Biochem)
Fulvestrant (FUL), a selective estrogen receptor degrader used to treat AI-resistant ERα-positive postmenopausal BC, was found to induce degradation of ERα together with a decrease in ER-mediated transcription; however, FA2H protein expression and migration remained unchanged. Overall, the findings of this study suggest that FA2H is one of the drivers of LTED cell migration, and that LTED cells resistant to FUL therapy may be involved in malignancy and metastatic mechanisms.
Journal
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ER (Estrogen receptor)
|
ER positive
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fulvestrant
20d
A proteome-wide association study identifies putative causal proteins for breast cancer risk. (PubMed, Br J Cancer)
We conducted the first breast-tissue-based PWAS and identified seven proteins associated with breast cancer, including five proteins not previously implicated. These findings help improve our understanding of the underlying genetic mechanism of breast cancer development.
Journal
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ER (Estrogen receptor)
|
ER positive
21d
GULP1 as a Downstream Effector of the Estrogen Receptor-β Modulates Cisplatin Sensitivity in Bladder Cancer. (PubMed, Cancer Genomics Proteomics)
ERβ activation was found to reduce the expression of GULP1 as a direct downstream target in bladder cancer cells, resulting in the induction of cisplatin resistance.
Journal
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ER (Estrogen receptor)
|
ER positive
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cisplatin • gemcitabine • tamoxifen • doxorubicin hydrochloride • methotrexate • vinblastine
21d
[18F]Fluoroestradiol-PET/CT Companion Imaging Study to the FORESEE Trial (clinicaltrials.gov)
P1, N=2, Terminated, University of Utah | Trial completion date: Apr 2026 --> Jul 2024 | Recruiting --> Terminated; It was not feasible to perform FES PET/CT
Trial completion date • Trial termination • Metastases
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ER (Estrogen receptor)
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ER positive
21d
Glutamate Transport Proteins and Metabolic Enzymes are Poor Prognostic Factors in Invasive Lobular Carcinoma. (PubMed, bioRxiv)
We further explore the effects of GLUD1 inhibition in endocrine therapy-resistant ILC cells using the small-molecule inhibitor R162, which reduces ER protein levels, increases reactive oxygen species, and inhibits oxidative phosphorylation. These findings highlight a potentially important role for glutamate metabolism in ILC, particularly for Black women, and position several of these glutamate-handling proteins as potential targets for therapeutic intervention in ILC.
Journal
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ER (Estrogen receptor) • SLC3A2 (Solute Carrier Family 3 Member 2) • GPX4 (Glutathione Peroxidase 4) • SLC7A11 (Solute Carrier Family 7 Member 11) • GLUD1 (Glutamate Dehydrogenase 1)
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ER positive