Molecular and cellular determinants of estrogen receptor alpha expression

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This review examines molecular mechanisms, including chromatin structure effectors and DNA methylation, that modulate estrogen receptor alpha expression in human systems.

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This review examines the molecular mechanisms regulating estrogen receptor alpha (ERα) expression, focusing on epigenetic modifications such as DNA methylation and histone deacetylation, as well the roles of transcription factors and hormonal signaling pathways. The authors highlight that while methylation is a primary silencing mechanism in breast cancer, its role in endometrial tumors is complex, with specific isoforms like ER-C showing strong association with hypermethylation in carcinomas. Additionally, the paper discusses how various hormones, growth factors, and chromatin modifiers interact to modulate ER levels across different tissues, including the uterus and ovary. Relevance to endometriosis: mentioned tangentially through discussion of ovarian tissue and general estrogen-responsive uterine pathologies, but the paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Conclusions

Effectors of chromatin structure, hormones, growth factors, and a variety of other agents implicate multiple cellular systems in the control of ERα expression. The dramatic increase in information about these agents provides investigators with an enhanced conceptual framework for the role of estrogen biology in health and disease. The factors reviewed above serve as tools that can be utilized to further accelerate the pace of discovery in this area. Moreover, the diversity of ER regulatory agents reflects the biologic importance of precisely coordinating the timing and extent of ER expression and suggests that investigators working in a number of fields can contribute relevant molecular knowledge that may result in the clinical use of novel molecular determinants of ER expression. Acknowledgments We are grateful to Richard Pestell for his critical review of the manuscript. In part, this review is supported by NIH grants 1 K08 CA101875-01 (J.J.P.) and CA91149 (P.E.B.).

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MeSH descriptors

Gene Expression Regulation Receptors, Estrogen Cell Nucleus Cell Nucleus Chromatin Chromatin DNA Methylation Epigenesis, Genetic Estradiol Estradiol Estrogen Receptor alpha Gene Expression Regulation Receptors, Estrogen Receptors, Estrogen

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