Evidence map›Paper›PMID 27386569›Full record

ArticleScience advances2016

Genomic agonism and phenotypic antagonism between estrogen and progesterone receptors in breast cancer.

Hari Singhal, Marianne E Greene, Gerard Tarulli, Allison L Zarnke, Ryan J Bourgo, Muriel Laine, Ya-Fang Chang, Shihong Ma, Anna G Dembo, Ganesh V Raj and 3 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 2 syntheses or guidelines pooled it, 153 citations in OpenAlex.

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  12. ERFrontiers in oncology · 2026
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Hari SinghalBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.
Marianne E GreeneBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0001-9048-6910
Gerard TarulliDame Roma Mitchell Cancer Research Laboratories, School of Medicine, University of Adelaide, Adelaide, South Australia 5005, Australia.
Allison L ZarnkeBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0003-1544-4256
Ryan J BourgoBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.
Muriel LaineBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.
Ya-Fang ChangBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.
Shihong MaDepartment of Urology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75080, USA.
Anna G DemboBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-6228-9466
Ganesh V RajDepartment of Urology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75080, USA.
Theresa E HickeyDame Roma Mitchell Cancer Research Laboratories, School of Medicine, University of Adelaide, Adelaide, South Australia 5005, Australia.ORCID 0000-0002-2752-730X
Wayne D TilleyDame Roma Mitchell Cancer Research Laboratories, School of Medicine, University of Adelaide, Adelaide, South Australia 5005, Australia.
Geoffrey L GreeneBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.
University of Chicago · USCentre for Cancer Biology · AUThe University of Texas Southwestern Medical Center · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
Multi-Disciplinary Training Grant in Cancer ResearchT32CA009594 · NCI · UNIVERSITY OF CHICAGO · PI KAY F MACLEOD, Scott A. Oakes · 1989 to 2026
$11.5M
NCI NIH HHS P30 CA142543NCI NIH HHS T32 CA009594
6 · The paper itself

Abstract

The functional role of progesterone receptor (PR) and its impact on estrogen signaling in breast cancer remain controversial. In primary ER(+) (estrogen receptor-positive)/PR(+) human tumors, we report that PR reprograms estrogen signaling as a genomic agonist and a phenotypic antagonist. In isolation, estrogen and progestin act as genomic agonists by regulating the expression of common target genes in similar directions, but at different levels. Similarly, in isolation, progestin is also a weak phenotypic agonist of estrogen action. However, in the presence of both hormones, progestin behaves as a phenotypic estrogen antagonist. PR remodels nucleosomes to noncompetitively redirect ER genomic binding to distal enhancers enriched for BRCA1 binding motifs and sites that link PR and ER/PR complexes. When both hormones are present, progestin modulates estrogen action, such that responsive transcriptomes, cellular processes, and ER/PR recruitment to genomic sites correlate with those observed with PR alone, but not ER alone. Despite this overall correlation, the transcriptome patterns modulated by dual treatment are sufficiently different from individual treatments, such that antagonism of oncogenic processes is both predicted and observed. Combination therapies using the selective PR modulator/antagonist (SPRM) CDB4124 in combination with tamoxifen elicited 70% cytotoxic tumor regression of T47D tumor xenografts, whereas individual therapies inhibited tumor growth without net regression. Our findings demonstrate that PR redirects ER chromatin binding to antagonize estrogen signaling and that SPRMs can potentiate responses to antiestrogens, suggesting that cotargeting of ER and PR in ER(+)/PR(+) breast cancers should be explored.

Indexed as

Genome-Wide Association StudyAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBinding SitesBreast NeoplasmsChromatinCluster AnalysisEnhancer Elements, GeneticGene Expression ProfilingGenes, BRCA1GenomicsHumansMolecular Targeted TherapyNucleosomesNucleotide MotifsPhenotypeAntineoplastic Agents, HormonalChromatinNucleosomesProgestinsReceptors, EstrogenReceptors, ProgesteroneSelective Estrogen Receptor ModulatorsTamoxifenagonismantagonismBRCA1breast cancerchromatinEstrogenprogesteroneprognosisreprogrammingtherapies

Identifiers

PMID27386569
PMCPMC4928895
OpenAlexW2469048362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.