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Publication : ERĪ±-Mediated Nuclear Sequestration of RSK2 Is Required for ER<sup>+</sup> Breast Cancer Tumorigenesis.

First Author  Ludwik KA Year  2018
Journal  Cancer Res Volume  78
Issue  8 Pages  2014-2025
PubMed ID  29351904 Mgi Jnum  J:260717
Mgi Id  MGI:6151003 Doi  10.1158/0008-5472.CAN-17-2063
Citation  Ludwik KA, et al. (2018) ERalpha-Mediated Nuclear Sequestration of RSK2 Is Required for ER(+) Breast Cancer Tumorigenesis. Cancer Res 78(8):2014-2025
abstractText  Although ribosomal protein S6 kinase A3 (RSK2) activation status positively correlates with patient responses to antiestrogen hormonal therapies, the mechanistic basis for these observations is unknown. Using multiple in vitro and in vivo models of estrogen receptor-positive (ER(+)) breast cancer, we report that ERalpha sequesters active RSK2 into the nucleus to promote neoplastic transformation and facilitate metastatic tumor growth. RSK2 physically interacted with ERalpha through its N terminus to activate a proneoplastic transcriptional network critical to the ER(+) lineage in the mammary gland, thereby providing a gene signature that effectively stratified patient tumors according to ERalpha status. ER(+) tumor growth was strongly dependent on nuclear RSK2, and transgenic mice engineered to stably express nuclear RSK2 in the mammary gland developed high-grade ductal carcinoma in situ Mammary cells isolated from the transgenic model and introduced systemically successfully disseminated and established metastatic lesions. Antiestrogens disrupted the interaction between RSK2 and ERalpha, driving RSK2 into the cytoplasm and impairing tumor formation. These findings establish RSK2 as an obligate participant of ERalpha-mediated transcriptional programs, tumorigenesis, and divergent patient responses to antiestrogen therapies.Significance: Nuclear accumulation of active RSK drives a protumorigenic transcriptional program and renders ER(+) breast cancer susceptible to endocrine-based therapies. Cancer Res; 78(8); 2014-25. (c)2018 AACR.
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