PMID- 37772550 OWN - NLM STAT- MEDLINE DCOM- 20231002 LR - 20231002 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 43 IP - 10 DP - 2023 Oct TI - Estrogen Effects Differ Between Medium Maintenance and Replacement from Transcriptional and Clinical Perspectives in T47D Breast Cancer Cells. PG - 4447-4469 LID - 10.21873/anticanres.16640 [doi] AB - BACKGROUND/AIM: Our most recent study revealed that the responsiveness of hormone receptor-positive breast cancer (HR+ BC) cells to estrogen or endocrine therapy can be altered by certain cell culture or ambient environmental conditions. Nevertheless, we were unable to investigate the relevant molecular mechanism and clinical relevance. Therefore, this study was planned as a follow-up. MATERIALS AND METHODS: RNA sequencing was mainly used with T47D cells treated with or without 17beta-estradiol (E2) under medium maintenance (MTN; conventional culture method) and medium exchange (EXC; daily replacing the existing medium with fresh medium). RESULTS: The role of E2 in transcription differed between MTN and EXC, and E2 played more important roles in transcription in terms of cancer development under EXC than under MTN, consistent with the previous functional effects of EXC. The novel concept of the "estrogen-responsive and proliferation-related gene (ERPG)" was introduced. The expression of ERPGs, which were distinguished from typical estrogen-responsive genes, was correlated with that of prognostic and predictive factors for HR+ BC. The transcriptional induction of ERPGs and typical estrogen-responsive genes regardless of E2 treatment under MTN was reminiscent of constitutive estrogen receptor (ER) activation. Additionally, phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) inhibitors were more effective under EXC than under MTN. CONCLUSION: This study, demonstrating the more important roles of estrogen in terms of cancer development under EXC than under MTN, supports the use of our research model in future studies to overcome endocrine resistance in HR+ BC. CI - Copyright (c) 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Jang, Seok-Hoon AU - Jang SH AD - Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Republic of Korea. AD - Laboratory of Developmental Biology and Genomics, College of Veterinary Medicine, Seoul National University, Seoul, Republic of Korea. FAU - Paek, Se Hyun AU - Paek SH AD - Department of Surgery, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea. FAU - Kim, Jong-Kyu AU - Kim JK AD - Department of Surgery, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea. FAU - Seong, Je Kyung AU - Seong JK AD - Laboratory of Developmental Biology and Genomics, College of Veterinary Medicine, Seoul National University, Seoul, Republic of Korea. FAU - Lim, Woosung AU - Lim W AD - Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Republic of Korea; limw@ewha.ac.kr. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Estrogens) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - 4TI98Z838E (Estradiol) RN - 0 (Receptors, Estrogen) SB - IM MH - Humans MH - Female MH - *Estrogens/pharmacology MH - *Breast Neoplasms/drug therapy MH - Phosphatidylinositol 3-Kinases/metabolism MH - Estradiol/pharmacology/therapeutic use MH - Receptors, Estrogen/genetics/metabolism MH - Cell Line, Tumor OTO - NOTNLM OT - Breast cancer OT - RNA sequencing OT - autocrine factor OT - endocrine resistance OT - estrogen-responsive gene OT - medium replacement EDAT- 2023/09/29 12:43 MHDA- 2023/10/02 06:42 CRDT- 2023/09/29 07:31 PHST- 2023/07/28 00:00 [received] PHST- 2023/09/03 00:00 [revised] PHST- 2023/09/04 00:00 [accepted] PHST- 2023/10/02 06:42 [medline] PHST- 2023/09/29 12:43 [pubmed] PHST- 2023/09/29 07:31 [entrez] AID - 43/10/4447 [pii] AID - 10.21873/anticanres.16640 [doi] PST - ppublish SO - Anticancer Res. 2023 Oct;43(10):4447-4469. doi: 10.21873/anticanres.16640.