Hotspot ESR1 mutations are multimodal and contextual modulators of breast cancer metastasis
Author(s)
Type
Journal Article
Abstract
Constitutively active estrogen receptor α (ER/ESR1) mutations have been identified in approximately one-third of ER+ metastatic breast cancers. Although these mutations are known as mediators of endocrine resistance, their potential role in promoting metastatic disease has not yet been mechanistically addressed. In this study, we show the presence of ESR1 mutations exclusively in distant but not local recurrences in five independent breast cancer cohorts. In concordance with transcriptomic profiling of ESR1-mutant tumors, genome-edited ESR1 Y537S and D538G-mutant cell models exhibited a reprogrammed cell adhesive gene network via alterations in desmosome/gap junction genes and the TIMP3/MMP axis, which functionally conferred enhanced cell–cell contacts while decreasing cell-extracellular matrix adhesion. In vivo studies showed ESR1-mutant cells were associated with larger multicellular circulating tumor cell (CTC) clusters with increased compactness compared with ESR1 wild-type CTCs. These preclinical findings translated to clinical observations, where CTC clusters were enriched in patients with ESR1-mutated metastatic breast cancer. Conversely, context-dependent migratory phenotypes revealed cotargeting of Wnt and ER as a vulnerability in a D538G cell model. Mechanistically, mutant ESR1 exhibited noncanonical regulation of several metastatic pathways, including secondary transcriptional regulation and de novo FOXA1-driven chromatin remodeling. Collectively, these data provide evidence for ESR1 mutation–modulated metastasis and suggest future therapeutic strategies for targeting ESR1-mutant breast cancer.
Date Issued
2022-04-01
Date Acceptance
2022-01-18
Citation
Cancer Research, 2022, 82 (7), pp.1321-1339
ISSN
0008-5472
Publisher
American Association for Cancer Research
Start Page
1321
End Page
1339
Journal / Book Title
Cancer Research
Volume
82
Issue
7
Copyright Statement
2022 American Association for Cancer Research. This manuscript has been accepted for publication in 'Cancer Research' which is published by the American Association for Cancer Research.
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000787930700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
ADHESION
BINDING
CELL-FREE DNA
Epigenetic reprogramming
ESTROGEN-RECEPTOR-ALPHA
EXPRESSION
Gap junction
IDENTIFICATION
Life Sciences & Biomedicine
Ligand-independent activation
METHYLATION
MIGRATION
Oncology
Science & Technology
Secondary transactivation
THERAPEUTIC VULNERABILITIES
TUMOR-CELLS
Publication Status
Published
Date Publish Online
2022-04-01