PMID- 27267852 OWN - NLM STAT- MEDLINE DCOM- 20180112 LR - 20191008 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 22 IP - 24 DP - 2016 Dec 15 TI - Targeting Estrogen Receptor Signaling with Fulvestrant Enhances Immune and Chemotherapy-Mediated Cytotoxicity of Human Lung Cancer. PG - 6204-6216 AB - PURPOSE: The conversion of tumor cells from an epithelial to a mesenchymal-like phenotype, via a process designated as the epithelial-mesenchymal transition (EMT), is known to mediate tumor resistance to a variety of cell death inducers, including cytotoxic effector immune cells. The goal of this study was to identify and potentially repurpose FDA-approved compounds capable of reducing mesenchymal features of human lung carcinoma cells, which could be used in combination with immunotherapies or chemotherapeutic strategies to improve clinical responses. EXPERIMENTAL DESIGN: In the current report, we have utilized a quantitative high-throughput screening (qHTS) of a pharmaceutical collection of more than 2,000 compounds to identify clinically approved drugs capable of augmenting the sensitivity of mesenchymal-like, lung cancer cells to immune- and chemotherapy-mediated lysis, both in vitro and in vivo RESULTS: The estrogen receptor antagonist fulvestrant was shown to reduce mesenchymal features of lung carcinoma cells, resulting in tumor sensitization to the cytotoxic effect of antigen-specific T cells, natural killer (NK) effector cells, and chemotherapy both in vivo and in vitro CONCLUSIONS: To our knowledge, this is the first report defining a potential role for estrogenic signaling in promoting tumor resistance to immune-mediated cytotoxicity and chemotherapy in lung cancer. Our data demonstrate a robust association between the acquisition of mesenchymal attributes, therapeutic resistance of lung carcinoma cells, and the expression of estrogen receptor 1 (ESR1), supporting further investigations on the role of estrogen signaling in lung cancer progression via the induction of EMT. Clin Cancer Res; 22(24); 6204-16. (c)2016 AACR. CI - (c)2016 American Association for Cancer Research. FAU - Hamilton, Duane H AU - Hamilton DH AD - Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland. FAU - Griner, Lesley Mathews AU - Griner LM AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - Keller, Jonathan M AU - Keller JM AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - Hu, Xin AU - Hu X AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - Southall, Noel AU - Southall N AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - Marugan, Juan AU - Marugan J AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - David, Justin M AU - David JM AD - Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland. FAU - Ferrer, Marc AU - Ferrer M AD - National Center for Advancing Translational Sciences, NIH, Rockville, Maryland. FAU - Palena, Claudia AU - Palena C AD - Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland. palenac@mail.nih.gov. LA - eng GR - ZIC BC010937-03/Intramural NIH HHS/United States PT - Journal Article DEP - 20160607 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Estrogen Receptor alpha) RN - 22X328QOC4 (Fulvestrant) RN - 4TI98Z838E (Estradiol) SB - IM MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm/drug effects/immunology MH - Epithelial-Mesenchymal Transition/drug effects/immunology MH - Estradiol/*analogs & derivatives/pharmacology MH - Estrogen Receptor alpha/*metabolism MH - Fulvestrant MH - Humans MH - Killer Cells, Natural/drug effects/immunology MH - Lung Neoplasms/*drug therapy/*immunology/metabolism MH - Signal Transduction/*drug effects/immunology MH - T-Lymphocytes/drug effects/immunology PMC - PMC5143224 MID - NIHMS794586 COIS- The authors have no conflict of interest to declare. EDAT- 2016/06/09 06:00 MHDA- 2018/01/13 06:00 PMCR- 2017/12/15 CRDT- 2016/06/09 06:00 PHST- 2015/12/21 00:00 [received] PHST- 2016/05/09 00:00 [revised] PHST- 2016/05/24 00:00 [accepted] PHST- 2016/06/09 06:00 [pubmed] PHST- 2018/01/13 06:00 [medline] PHST- 2016/06/09 06:00 [entrez] PHST- 2017/12/15 00:00 [pmc-release] AID - 1078-0432.CCR-15-3059 [pii] AID - 10.1158/1078-0432.CCR-15-3059 [doi] PST - ppublish SO - Clin Cancer Res. 2016 Dec 15;22(24):6204-6216. doi: 10.1158/1078-0432.CCR-15-3059. Epub 2016 Jun 7.