HGF/c‐Met Promotes Breast Cancer Tamoxifen Resistance Through the EZH2/HOTAIR‐miR‐141/200a Feedback Signaling Pathway
Open accessAbstract
Tamoxifen is one of the most frequently used endocrine medications for the treatment of estrogen receptor‐positive (ER + ) breast cancer (BC). Unfortunately, tamoxifen resistance (TR) brings more challenges to the clinical treatment, and the mechanisms of TR have not yet been fully clarified. HGF/c‐Met is closely associated with cancer metastasis, but whether it is involved in TR remains unclear. In our study, we found that the activation of HGF/c‐Met was crucial for TR maintenance. Synergistic interaction with HOTAIR and EZH2 accelerated HGF expression by repressing miR‐141/200a. Additionally, HGF/c‐Met activated NF‐κB, forming a positive feedback loop of EZH2/HOTAIR‐miR‐141/200a‐HGF/c‐Met‐NF‐κB. Our findings indicated that HGF/c‐Met functioned as an important biomarker for TR, and HGF/c‐Met inhibition provided a novel approach to TR treatment.
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Approximately 30% of ER+ breast cancer cases recur with resistance to Tamoxifen, and this recurrence can lead to more aggressive neoplasms.
“Approximately 30% of ER+ breast cancer cases recur with resistance to Tamoxifen, and this recurrence can lead to more aggressive neoplasms23,24.”
From Harnessing artificial intelligence to identify Bufalin as a molecular glue degrader of estrogen receptor alpha (2025) · cites this paper as [23]
The Introduction says approximately 30% of ER+ breast cancer patients have primary tamoxifen resistance, not that 30% recur with resistance. Section 3.1 reports that tamoxifen-resistant cells showed more aggressive biological functions than parental cells, but does not establish that recurrence leads to more aggressive tumors in patients. Page numbers are unavailable in our copy. (LLM, conf=0.87)
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Cited by
Sorted by citations
Jiang, S., Liu, K., Jiang, T., Li, H., Wei, X., Wan, X., Zhong, C., Gong, R., Chen, Z., Zou, C., et al. (2025) · Nature Communications · doi:10.1038/s41467-025-62288-7 · Cited by 23 · see citing works
“Additionally, they confirm that bufalin effectively overcomes resistance to Tamoxifen, suggesting its potential as a therapeutic agent in treating hormone-resistant breast cancer.”
- Authors
- Lai, X., Zhang, Y., Li, M., Yu, S., Wang, S., Zhang, S., Niu, H., Chen, L., Lan, X., Zhang, J., & Chen, S.
- Affiliations
- Fujian Medical University (CN)
- Shaanxi Provincial People's Hospital (CN)
- Chinese PLA General Hospital (CN)
- Department of Pathology 900TH Hospital of Joint Logistics Support Force Fuzhou China
- Air Force Medical University (CN)
- Xijing Hospital (CN)
- Corresponding author
- Lan, Xiaopeng
- Zhang, Jian
- Chen, Suning
- Venue
- Molecular Carcinogenesis
- Publisher
- Wiley
- Published
- 2025-01-24
- Volume
- 64
- Issue
- 4
- Pages
- 769-783
- ISSN
- 0899-1987 (ISSN-L)
- 1098-2744
- OpenAlex
- W4406807466
- Cited by
- 11
- References
- 1
- Citations by year
- 2026: 4 · 2025: 7
- FWCI
- 6.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Molecular Carcinogenesis (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (82073202, 81972710)
- Natural Science Foundation of Fujian Province (2021J011269)
- Chinese People’s Liberation Army
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
- Keywords
- tamoxifen resistance, breast cancer, HGF/MET signaling, EZH2, HOTAIR, miR-141, miR-200a, NF-κB, estrogen receptor-positive breast cancer, endocrine therapy, positive feedback loop, biomarkers
- MeSH terms
- Enhancer of Zeste Homolog 2 Protein, Animals, Breast Neoplasms, Female, Humans, Tamoxifen, Signal Transduction, Gene Expression Regulation, Neoplastic, Hepatocyte Growth Factor, Antineoplastic Agents, Hormonal, Drug Resistance, Neoplasm, Proto-Oncogene Proteins c-met, Feedback, Physiological, MicroRNAs, Cell Line, Tumor, Cell Proliferation, Mice, RNA, Long Noncoding
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