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Title: Functional Annotation of ESR1 Gene Fusions in Estrogen Receptor-Positive Breast Cancer.

Authors: Lei, Jonathan T; Shao, Jieya; Zhang, Jin; Iglesia, Michael; Chan, Doug W; Cao, Jin; Anurag, Meenakshi; Singh, Purba; He, Xiaping; Kosaka, Yoshimasa; Matsunuma, Ryoichi; Crowder, Robert; Hoog, Jeremy; Phommaly, Chanpheng; Goncalves, Rodrigo; Ramalho, Susana; Peres, Raquel Mary Rodrigues; Punturi, Nindo; Schmidt, Cheryl; Bartram, Alex; Jou, Eric; Devarakonda, Vaishnavi; Holloway, Kimberly R; Lai, W Victoria; Hampton, Oliver; Rogers, Anna; Tobias, Ethan; Parikh, Poojan A; Davies, Sherri R; Li, Shunqiang; Ma, Cynthia X; Suman, Vera J; Hunt, Kelly K; Watson, Mark A; Hoadley, Katherine A; Thompson, E Aubrey; Chen, Xi; Kavuri, Shyam M; Creighton, Chad J; Maher, Christopher A; Perou, Charles M; Haricharan, Svasti; Ellis, Matthew J

Published In Cell Rep, (2018 08 07)

Abstract: RNA sequencing (RNA-seq) detects estrogen receptor alpha gene (ESR1) fusion transcripts in estrogen receptor-positive (ER+) breast cancer, but their role in disease pathogenesis remains unclear. We examined multiple ESR1 fusions and found that two, both identified in advanced endocrine treatment-resistant disease, encoded stable and functional fusion proteins. In both examples, ESR1-e6>YAP1 and ESR1-e6>PCDH11X, ESR1 exons 1-6 were fused in frame to C-terminal sequences from the partner gene. Functional properties include estrogen-independent growth, constitutive expression of ER target genes, and anti-estrogen resistance. Both fusions activate a metastasis-associated transcriptional program, induce cellular motility, and promote the development of lung metastasis. ESR1-e6>YAP1- and ESR1-e6>PCDH11X-induced growth remained sensitive to a CDK4/6 inhibitor, and a patient-derived xenograft (PDX) naturally expressing the ESR1-e6>YAP1 fusion was also responsive. Transcriptionally active ESR1 fusions therefore trigger both endocrine therapy resistance and metastatic progression, explaining the association with fatal disease progression, although CDK4/6 inhibitor treatment is predicted to be effective.

PubMed ID: 30089255 Exiting the NIEHS site

MeSH Terms: Breast Neoplasms/genetics*; Breast Neoplasms/pathology; Estrogen Receptor alpha/genetics*; Female; Gene Fusion/genetics*; Humans; Transfection

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