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JNCI Journal of the National Cancer Institute 2003 95(5):353-361; doi:10.1093/jnci/95.5.353
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Journal of the National Cancer Institute, Vol. 95, No. 5, 353-361, March 5, 2003
© 2003 Oxford University Press


ARTICLE

Role of the Estrogen Receptor Coactivator AIB1 (SRC-3) and HER-2/neu in Tamoxifen Resistance in Breast Cancer

C. Kent Osborne, Valerie Bardou, Torsten A. Hopp, Gary C. Chamness, Susan G. Hilsenbeck, Suzanne A. W. Fuqua, Jiemin Wong, D. Craig Allred, Gary M. Clark, Rachel Schiff

Affiliation of authors: C. K. Osborne, S. A. W. Fuqua (Departments of Medicine and Molecular and Cellular Biology and the Breast Center), V. Bardou, T. A. Hopp, G. C. Chamness, S. G. Hilsenbeck, R. Schiff, G. M. Clark (Department of Medicine and the Breast Center), J. Wong (Department of Molecular and Cellular Biology), D. C. Allred (Department of Pathology and the Breast Center), Baylor College of Medicine, Houston, TX.

Correspondence to: C. Kent Osborne, M.D., Baylor College of Medicine, One Baylor Plaza, BCM 600, Houston, TX 77030 (e-mail: kosborne{at}breastcenter.tmc.edu).

Background: AIB1 (SRC-3) is an estrogen receptor (ER) coactivator that, when overexpressed in cultured cells, can reduce the antagonist activity of tamoxifen-bound ERs. Signaling through the HER-2 receptor pathway activates AIB1 by phosphorylation. To determine whether high AIB1 expression alone or together with HER-2 reduces the effectiveness of tamoxifen in breast cancer patients, we quantified expression of AIB1 and HER-2 in tumors from breast cancer patients with long-term clinical follow-up who received either no adjuvant therapy or adjuvant tamoxifen therapy after breast cancer surgery. Methods: AIB1 and HER-2 protein levels in tumors from 316 breast cancer patients were determined using western blot analysis. Molecular variables (e.g., expression of AIB1, ER, progesterone receptor, p53, Bcl-2), tumor characteristics, and patient outcome were assessed using Spearman rank correlation. Disease-free survival (DFS) curves were derived from Kaplan–Meier estimates, and the curves were compared by log-rank tests. The effect of AIB1 on DFS adjusted for other prognostic factors was assessed by multivariable analysis using the Cox proportional hazards model. All statistical tests were two-sided. Results: High AIB1 expression in patients not receiving adjuvant tamoxifen therapy was associated with better prognosis and longer DFS (P = .018, log-rank test). In contrast, for patients who did receive tamoxifen therapy, high AIB1 expression was associated with worse DFS (P = .049, log-rank test), which is indicative of tamoxifen resistance. The test for interaction between AIB1 expression and tamoxifen therapy was statistically significant (P = .004). When expression of AIB1 and HER-2 were considered together, patients whose tumors expressed high levels of both AIB1 and HER-2 had worse outcomes with tamoxifen therapy than all other patients combined (P = .002, log-rank test). Conclusions: The antitumor activity of tamoxifen in patients with breast cancer may be determined, in part, by tumor levels of AIB1 and HER-2. Thus, AIB1 may be an important diagnostic and therapeutic target.



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Cancer Res.Home page
R. B. Riggins, K. S. Thomas, H. Q. Ta, J. Wen, R. J. Davis, N. R. Schuh, S. S. Donelan, K. A. Owen, M. A. Gibson, M. A. Shupnik, et al.
Physical and Functional Interactions between Cas and c-Src Induce Tamoxifen Resistance of Breast Cancer Cells through Pathways Involving Epidermal Growth Factor Receptor and Signal Transducer and Activator of Transcription 5b.
Cancer Res., July 15, 2006; 66(14): 7007 - 7015.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
P. D. Ryan and P. E. Goss
Adjuvant Hormonal Therapy in Peri- and Postmenopausal Breast Cancer
Oncologist, July 1, 2006; 11(7): 718 - 731.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
V. C. Jordan
Pak up your breast tumor--and grow!
J Natl Cancer Inst, May 17, 2006; 98(10): 657 - 659.
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Proc. Natl. Acad. Sci. USAHome page
W. Xia, S. Bacus, P. Hegde, I. Husain, J. Strum, L. Liu, G. Paulazzo, L. Lyass, P. Trusk, J. Hill, et al.
A model of acquired autoresistance to a potent ErbB2 tyrosine kinase inhibitor and a therapeutic strategy to prevent its onset in breast cancer
PNAS, May 16, 2006; 103(20): 7795 - 7800.
[Abstract] [Full Text] [PDF]


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JCOHome page
D. S. Oh, M. A. Troester, J. Usary, Z. Hu, X. He, C. Fan, J. Wu, L. A. Carey, and C. M. Perou
Estrogen-Regulated Genes Predict Survival in Hormone Receptor-Positive Breast Cancers
J. Clin. Oncol., April 10, 2006; 24(11): 1656 - 1664.
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Clin. Cancer Res.Home page
R. M. O'Regan, C. Osipo, E. Ariazi, E. S. Lee, K. Meeke, C. Morris, A. Bertucci, M. A.B. Sarker, R. Grigg, and V. C. Jordan
Development and therapeutic options for the treatment of raloxifene-stimulated breast cancer in athymic mice.
Clin. Cancer Res., April 1, 2006; 12(7): 2255 - 2263.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
S. Colilla, P. W. Kantoff, S. L. Neuhausen, A. K. Godwin, M. B. Daly, S. A. Narod, J. E. Garber, H. T. Lynch, M. Brown, B. L. Weber, et al.
The joint effect of smoking and AIB1 on breast cancer risk in BRCA1 mutation carriers
Carcinogenesis, March 1, 2006; 27(3): 599 - 605.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
S. P. Linke, T. M. Bremer, C. D. Herold, G. Sauter, and C. Diamond
A Multimarker Model to Predict Outcome in Tamoxifen-Treated Breast Cancer Patients
Clin. Cancer Res., February 15, 2006; 12(4): 1175 - 1183.
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Mol. Endocrinol.Home page
S. Jiang, R. Meyer, K. Kang, C. K. Osborne, J. Wong, and S. Oesterreich
Scaffold Attachment Factor SAFB1 Suppresses Estrogen Receptor {alpha}-Mediated Transcription in Part via Interaction with Nuclear Receptor Corepressor
Mol. Endocrinol., February 1, 2006; 20(2): 311 - 320.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
A. B. Spurdle, A. C. Antoniou, L. Kelemen, H. Holland, S. Peock, M. R. Cook, P. L. Smith, M. H. Greene, J. Simard, M. Plourde, et al.
The AIB1 Polyglutamine Repeat Does Not Modify Breast Cancer Risk in BRCA1 and BRCA2 Mutation Carriers
Cancer Epidemiol. Biomarkers Prev., January 1, 2006; 15(1): 76 - 79.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
C.-C. Lin, Y.-L. Tsai, M.-T. Huang, Y.-P. Lu, C.-T. Ho, S.-F. Tseng, and S.-C. Teng
Inhibition of estradiol-induced mammary proliferation by dibenzoylmethane through the E2-ER-ERE-dependent pathway
Carcinogenesis, January 1, 2006; 27(1): 131 - 136.
[Abstract] [Full Text] [PDF]


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Endocr Relat CancerHome page
T. Suzuki, Y. Miki, Y. Nakamura, T. Moriya, K. Ito, N. Ohuchi, and H. Sasano
Sex steroid-producing enzymes in human breast cancer
Endocr. Relat. Cancer, December 1, 2005; 12(4): 701 - 720.
[Abstract] [Full Text] [PDF]


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Endocr Relat CancerHome page
N. Normanno, M. Di Maio, E. De Maio, A. De Luca, A. de Matteis, A. Giordano, F. Perrone, and on behalf of the NCI-Naples Breast Cancer Group
Mechanisms of endocrine resistance and novel therapeutic strategies in breast cancer
Endocr. Relat. Cancer, December 1, 2005; 12(4): 721 - 747.
[Abstract] [Full Text] [PDF]


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Mol. Interv.Home page
J. M. Hall and D. P. McDonnell
Coregulators in Nuclear Estrogen Receptor Action: From Concept to Therapeutic Targeting
Mol. Interv., December 1, 2005; 5(6): 343 - 357.
[Abstract] [Full Text] [PDF]


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JCOHome page
M. Dowsett, J. Cuzick, C. Wale, T. Howell, J. Houghton, and M. Baum
Retrospective Analysis of Time to Recurrence in the ATAC Trial According to Hormone Receptor Status: An Hypothesis-Generating Study
J. Clin. Oncol., October 20, 2005; 23(30): 7512 - 7517.
[Abstract] [Full Text] [PDF]


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JCOHome page
X. Cui, R. Schiff, G. Arpino, C. K. Osborne, and A. V. Lee
Biology of Progesterone Receptor Loss in Breast Cancer and Its Implications for Endocrine Therapy
J. Clin. Oncol., October 20, 2005; 23(30): 7721 - 7735.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
H. Kishimoto, Z. Wang, P. Bhat-Nakshatri, D. Chang, R. Clarke, and H. Nakshatri
The p160 family coactivators regulate breast cancer cell proliferation and invasion through autocrine/paracrine activity of SDF-1{alpha}/CXCL12
Carcinogenesis, October 1, 2005; 26(10): 1706 - 1715.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
F. F. Zheng, R.-C. Wu, C. L. Smith, and B. W. O'Malley
Rapid Estrogen-Induced Phosphorylation of the SRC-3 Coactivator Occurs in an Extranuclear Complex Containing Estrogen Receptor
Mol. Cell. Biol., September 15, 2005; 25(18): 8273 - 8284.
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Cancer Res.Home page
C. Osipo, K. Meeke, H. Liu, D. Cheng, S. Lim, A. Weichel, and V. C. Jordan
Trastuzumab Therapy for Tamoxifen-Stimulated Endometrial Cancer
Cancer Res., September 15, 2005; 65(18): 8504 - 8513.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
G. Arpino, H. Weiss, A. V. Lee, R. Schiff, S. De Placido, C. K. Osborne, and R. M. Elledge
Estrogen Receptor-Positive, Progesterone Receptor-Negative Breast Cancer: Association With Growth Factor Receptor Expression and Tamoxifen Resistance
J Natl Cancer Inst, September 7, 2005; 97(17): 1254 - 1261.
[Abstract] [Full Text] [PDF]


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Endocr Relat CancerHome page
K-M Rau, H-Y Kang, T-L Cha, S A Miller, and M-C Hung
The mechanisms and managements of hormone-therapy resistance in breast and prostate cancers
Endocr. Relat. Cancer, September 1, 2005; 12(3): 511 - 532.
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Cancer Res.Home page
H.-J. Zhou, J. Yan, W. Luo, G. Ayala, S.-H. Lin, H. Erdem, M. Ittmann, S. Y. Tsai, and M.-J. Tsai
SRC-3 Is Required for Prostate Cancer Cell Proliferation and Survival
Cancer Res., September 1, 2005; 65(17): 7976 - 7983.
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Cancer Res.Home page
S.-Q. Kuang, L. Liao, S. Wang, D. Medina, B. W. O'Malley, and J. Xu
Mice Lacking the Amplified in Breast Cancer 1/Steroid Receptor Coactivator-3 Are Resistant to Chemical Carcinogen-Induced Mammary Tumorigenesis
Cancer Res., September 1, 2005; 65(17): 7993 - 8002.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
N. C. Peterson, M. D. Servinsky, A. Christian, Z. Peng, W. Qiu, J. Mann, J. Dicello, and D. L. Huso
Tamoxifen resistance and Her2/neu expression in an aged, irradiated rat breast carcinoma model
Carcinogenesis, September 1, 2005; 26(9): 1542 - 1552.
[Abstract] [Full Text] [PDF]


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JCOHome page
J. Baselga, J. Albanell, A. Ruiz, A. Lluch, P. Gascon, V. Guillem, S. Gonzalez, S. Sauleda, I. Marimon, J. M. Tabernero, et al.
Phase II and Tumor Pharmacodynamic Study of Gefitinib in Patients with Advanced Breast Cancer
J. Clin. Oncol., August 10, 2005; 23(23): 5323 - 5333.
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Molecular Cancer TherapeuticsHome page
Y. M. Shah, M. Al-Dhaheri, Y. Dong, C. Ip, F. E. Jones, and B. G. Rowan
Selenium disrupts estrogen receptor {alpha} signaling and potentiates tamoxifen antagonism in endometrial cancer cells and tamoxifen-resistant breast cancer cells
Mol. Cancer Ther., August 1, 2005; 4(8): 1239 - 1249.
[Abstract] [Full Text] [PDF]


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JCOHome page
L. Ryden, K. Jirstrom, P.-O. Bendahl, M. Ferno, B. Nordenskjold, O. Stal, S. Thorstenson, P.-E. Jonsson, and G. Landberg
Tumor-Specific Expression of Vascular Endothelial Growth Factor Receptor 2 but Not Vascular Endothelial Growth Factor or Human Epidermal Growth Factor Receptor 2 Is Associated With Impaired Response to Adjuvant Tamoxifen in Premenopausal Breast Cancer
J. Clin. Oncol., July 20, 2005; 23(21): 4695 - 4704.
[Abstract] [Full Text] [PDF]


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JCOHome page
G. Arpino, H.L. Weiss, G.M. Clark, S.G. Hilsenbeck, and C.K. Osborne
Hormone Receptor Status of a Contralateral Breast Cancer Is Independent of the Receptor Status of the First Primary in Patients Not Receiving Adjuvant Tamoxifen
J. Clin. Oncol., July 20, 2005; 23(21): 4687 - 4694.
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Clin. Cancer Res.Home page
M. De Laurentiis, G. Arpino, E. Massarelli, A. Ruggiero, C. Carlomagno, F. Ciardiello, G. Tortora, D. D'Agostino, F. Caputo, G. Cancello, et al.
A Meta-Analysis on the Interaction between HER-2 Expression and Response to Endocrine Treatment in Advanced Breast Cancer
Clin. Cancer Res., July 1, 2005; 11(13): 4741 - 4748.
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Clin. Cancer Res.Home page
S. Tovey, B. Dunne, C. J. Witton, A. Forsyth, T. G. Cooke, and J. M.S. Bartlett
Can Molecular Markers Predict When to Implement Treatment with Aromatase Inhibitors in Invasive Breast Cancer?
Clin. Cancer Res., July 1, 2005; 11(13): 4835 - 4842.
[Abstract] [Full Text] [PDF]


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Endocr Relat CancerHome page
A. Howell and A. M Wardley
Overview of the impact of conventional systemic therapies on breast cancer
Endocr. Relat. Cancer, July 1, 2005; 12(Supplement_1): S9 - S16.
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Mol. Endocrinol.Home page
B. W. O'Malley
A Life-Long Search for the Molecular Pathways of Steroid Hormone Action
Mol. Endocrinol., June 1, 2005; 19(6): 1402 - 1411.
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Endocr. Rev.Home page
R.-C. Wu, C. L. Smith, and B. W. O'Malley
Transcriptional Regulation by Steroid Receptor Coactivator Phosphorylation
Endocr. Rev., May 1, 2005; 26(3): 393 - 399.
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Clin. Cancer Res.Home page
J. Geisler and P. E. Lonning
Aromatase Inhibition: Translation into a Successful Therapeutic Approach
Clin. Cancer Res., April 15, 2005; 11(8): 2809 - 2821.
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JCOHome page
J. Baselga and C. L. Arteaga
Critical Update and Emerging Trends in Epidermal Growth Factor Receptor Targeting in Cancer
J. Clin. Oncol., April 10, 2005; 23(11): 2445 - 2459.
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JCOHome page
M. C. Gutierrez, S. Detre, S. Johnston, S. K. Mohsin, J. Shou, D. C. Allred, R. Schiff, C. K. Osborne, and M. Dowsett
Molecular Changes in Tamoxifen-Resistant Breast Cancer: Relationship Between Estrogen Receptor, HER-2, and p38 Mitogen-Activated Protein Kinase
J. Clin. Oncol., April 10, 2005; 23(11): 2469 - 2476.
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Clin. Cancer Res.Home page
E. Myers, A. D.K. Hill, G. Kelly, E. W. McDermott, N. J. O'Higgins, Y. Buggy, and L. S. Young
Associations and Interactions between Ets-1 and Ets-2 and Coregulatory Proteins, SRC-1, AIB1, and NCoR in Breast Cancer
Clin. Cancer Res., March 15, 2005; 11(6): 2111 - 2122.
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Clin. Cancer Res.Home page
B. Burwinkel, M. Wirtenberger, R. Klaes, R. K. Schmutzler, E. Grzybowska, A. Forsti, B. Frank, J. L. Bermejo, P. Bugert, B. Wappenschmidt, et al.
Association of NCOA3 Polymorphisms with Breast Cancer Risk
Clin. Cancer Res., March 15, 2005; 11(6): 2169 - 2174.
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JCOHome page
C. K. Osborne and R. Schiff
Estrogen-Receptor Biology: Continuing Progress and Therapeutic Implications
J. Clin. Oncol., March 10, 2005; 23(8): 1616 - 1622.
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