Review Article

Sex Hormone Receptor Repertoire in Breast Cancer

Table 1

Receptor-mediated effects and features in breast cancer.

ER ER ERα/ERβ heterodimerAR

ProliferationStimulates (in the presence of E2 and coactivators) Suppresses but may depend on variant
(only ER 1 binds E2 with high affinity)
Data support suppression but may depend on ER variant and density of each receptor subtypeStimulates or suppresses (may depend on concurrent signaling pathways activated)

ApoptosisSuppresses (in the presence of E2 and coactivators)Promotes (but may depend on variant)Data support promotion but may depend on ER variant and density of each receptor subtypeStimulates or suppresses (may depend on concurrent signaling pathways or variant)

PR geneActivatesRepresses activationRepresses activation

Prognostic factorYesUncertain but possibleUncertain but possibleUncertain but possible

ERE bindingYesOnly ER 1, βins, and ER 2 bind EREYesAndrogen response element (ARE)

Dimerization with ER and ER 1YesYes for wild type and ins; ER 2 binds ER onlyNo

Receptor variantsBest characterized is hER-alpha36At least 5
(ER 1 (wild type), delta5, 18 a.a insert ( ins), ER cx (ER 2), and 5)
At least 7 splice variants have been identified (AR-V1, AR-V2, AR-V3, AR-V4, AR-V5, AR-V6, and AR-V7) but many more likely to exist

AF-2Independent Dependent

Interaction with other signaling pathwaysYesYesYesYes