4.8 Article

Estrogen receptor coregulator binding modulators (ERXs) effectively target estrogen receptor positive human breast cancers

Journal

ELIFE
Volume 6, Issue -, Pages -

Publisher

ELIFE SCIENCES PUBLICATIONS LTD
DOI: 10.7554/eLife.26857

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Funding

  1. Cancer Prevention and Research Institute of Texas [DP150096]
  2. Congressionally Directed Medical Research Programs [W81XWH-12-1-0288, W81XWH-13-2-0093, W81XWH-16-1-0294]
  3. Welch Foundation [AT-1595]
  4. National Institutes of Health [CA179120-01, P30 CA-54174]
  5. UTHSA, School of Medicine

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The majority of human breast cancer is estrogen receptor alpha (ER) positive. While anti-estrogens/aromatase inhibitors are initially effective, resistance to these drugs commonly develops. Therapy-resistant tumors often retain ER signaling, via interaction with critical oncogenic coregulator proteins. To address these mechanisms of resistance, we have developed a novel ER coregulator binding modulator, ERX-11. ERX-11 interacts directly with ER and blocks the interaction between a subset of coregulators with both native and mutant forms of ER. ERX-11 effectively blocks ER-mediated oncogenic signaling and has potent anti-proliferative activity against therapy-sensitive and therapy-resistant human breast cancer cells. ERX-11 is orally bioavailable, with no overt signs of toxicity and potent activity in both murine xenograft and patient-derived breast tumor explant models. This first-in-class agent, with its novel mechanism of action of disrupting critical protein-protein interactions, overcomes the limitations of current therapies and may be clinically translatable for patients with therapy-sensitive and therapy-resistant breast cancers.

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