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Protein Level and Survival Function by DBC-1Department of Molecular Medicine and Institute of Biotechnology, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78245
Address all correspondence and requests for reprints to: Thomas G. Boyer, Department of Molecular Medicine and Institute of Biotechnology, University of Texas Health Science Center at San Antonio, 15355 Lambda Drive, San Antonio, Texas 78245-3207. E-mail: boyer{at}uthscsa.edu.
Acquired resistance to endocrine therapy represents a major clinical obstacle to the successful management of estrogen-dependent breast cancers expressing estrogen receptor
(ER
). Because a switch from ligand-dependent to ligand-independent activation of ER
-regulated breast cancer cell growth and survival may define a path to endocrine resistance, enhanced mechanistic insight concerning the ligand-independent fate and function of ER
, including a more complete inventory of its ligand-independent cofactors, could identify novel markers of endocrine resistance and possible targets for therapeutic intervention in breast cancer. Here, we identify the deleted in breast cancer 1 gene product DBC-1 (KIAA1967) to be a principal determinant of unliganded ER
expression and survival function in human breast cancer cells. The DBC-1 amino terminus binds directly to the ER
hormone-binding domain both in vitro and in vivo in a strict ligand-independent manner. Furthermore, like estrogen, the antiestrogens tamoxifen and ICI 182,780 (7
,17ß-[9-[(4,4,5,5,5-pentafluoropentyl)sulfinyl]nonyl]estra-1,3,5(10)-triene-3,17-diol) disrupt the DBC-1/ER
interaction, thus revealing the DBC-1/ER
interface to be a heretofore-unrecognized target of endocrine compounds commonly used in hormonal therapy. Notably, RNA interference-mediated DBC-1 depletion reduces the steady-state level of unliganded but not liganded ER
protein, suggesting that DBC-1 may stabilize unliganded ER
by virtue of their direct association. Finally, DBC-1 depletion promotes hormone-independent apoptosis of ER
-positive, but not ER
-negative, breast cancer cells in a manner reversible by endocrine agents that disrupt the DBC-1/ER
interaction. Collectively, these findings establish a principal biological function for DBC-1 in the modulation of ER
expression and hormone-independent breast cancer cell survival.
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