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Control of mammary stem cell function by steroid hormone signalling
Abstract
The ovarian hormones oestrogen and progesterone profoundly influence breast cancer risk, underpinning the benefit of endocrine therapies in the treatment of breast cancer. Modulation of their effects through ovarian ablation or chemoprevention strategies also significantly decreases breast cancer incidence. Conversely, there is an increased risk of breast cancer associated with pregnancy in the short term. The cellular mechanisms underlying these observations, however, are poorly defined. Here we demonstrate that mouse mammary stem cells (MaSCs) are highly responsive to steroid hormone signalling, despite lacking the oestrogen and progesterone receptors. Ovariectomy markedly diminished MaSC number and outgrowth potential in vivo, whereas MaSC activity increased in mice treated with oestrogen plus progesterone. Notably, even three weeks of treatment with the aromatase inhibitor letrozole was sufficient to reduce the MaSC pool. In contrast, pregnancy led to a transient 11-fold increase in MaSC numbers, probably mediated through paracrine signalling from RANK ligand. The augmented MaSC pool indicates a cellular basis for the short-term increase in breast cancer incidence that accompanies pregnancy. These findings further indicate that breast cancer chemoprevention may be achieved, in part, through suppression of MaSC function.
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“It is therefore especially useful for finding similarities in gene expression patterns between different expression studies (57,59–61) (Figure 4C).”
From limma powers differential expression analyses for RNA-sequencing and microarray studies (2015) · cites this paper as [61]
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BackgroundProgesterone from ovulatory menstrual cycles is an important cause of breast cancer
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“Similar evidence indicates a role for steroids such as E2 and progesterone in the control of normalmammary stem cell function (16, 17) and implicates stem cells as key targets during hormonal carcinogenesis.”
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Colostrogenesis: Role and Mechanism of the Bovine Fc Receptor of the Neonate (FcRn)
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The Normal Microenvironment Directs Mammary Gland Development
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“125,126 Moreover, EMT has been observed following knockdown of ER in MCF-7 breast cancer cells by RNA interference.”
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RANKL inhibition: a promising novel strategy for breast cancer treatment
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“Likewise, treatment of virgin or pregnant mice with anti-RANKL monoclonal antibody and subsequent in vitro assays showed impairment in clonogenicity of MaSCs enriched CD29 cells compared to their untreated counterpart (Asselin-Labat et al., 2010) (Fig.”
BackgroundInfluentialTimmermans‐Sprang, E. P. M., Gracanin, A., & Mol, J. A. (2017) · Frontiers in Veterinary Science · doi:10.3389/fvets.2017.00053 · Cited by 29
“Thus, steroids do influence stem cells, in both their proliferative and self-renewal abilities (52, 67).”
ErbB3 drives mammary epithelial survival and differentiation during pregnancy and lactation
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“A second type of multipotent stem cell is dramatically expanded during pregnancy and likely drives the massive increase in alveolar epithelium (Asselin-Labat et al, 2010).”
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“Two groups recently reported that progesterone and estrogen induce hormonesensitive luminal cells to secrete RANKL, which activates RANK, expressed on MaSCs, to increase proliferation of MaSC populations during puberty, diestrus, and pregnancy.(47,48) Thus, it is not unexpected that tumor cells may usurp these signali…”
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“It is now accepted that MaSC hormone sensitivity is mediated indirectly by the RANK/ RANKL axis (Asselin-Labat et al., 2010; Joshi et al., 2010; Tanos et al., 2013).”
InfluentialPark, S. H., Zhao, Y., Yoon, S., Xu, J., Liao, L., Lydon, J. P., DeMayo, F. J., O’Malley, B. W., & Katzenellenbogen, B. S. (2011) · Endocrinology · doi:10.1210/en.2011-1100 · Cited by 26
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Minireview: Prolactin Regulation of Adult Stem Cells
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“Pregnancy modulates mammary stem cell number and function, but the long-term implications of these changes are unclear (33).”
BackgroundSomatic loss of estrogen receptor beta and p53 synergize to induce breast tumorigenesis
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BackgroundThyroid Hormone Receptor β Inhibits Self-Renewal Capacity of Breast Cancer Stem Cells
López-Mateo, I., Alonso-Merino, E., Suárez-Cabrera, C., Park, J. W., Cheng, S.-Y., Alemany, S., Paramio, J. M., & Aranda, A. (2019) · Thyroid · doi:10.1089/thy.2019.0175 · Cited by 25
“Although ERa levels are low in CSCs (10,11), estrogen induces paracrine fibroblast growth factor 9 (FGF9)/ fibroblast growth factor receptor (FGFR) signaling in the non-CSC compartment that ultimately increases the CSC population (10,12).”
Gomes, I., de Almeida, B. P., Dâmaso, S., Mansinho, A., Correia, I. A., Henriques, S. C., Cruz-Duarte, R., Vilhais, G., Félix, P., Alves, P., et al. (2020) · Oncotarget · doi:10.18632/oncotarget.27576 · Cited by 25
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BackgroundModifications to glucocorticoid and progesterone receptors alter cell fate in breast cancer
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A method of producing genetically manipulated mouse mammary gland
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“Also it has been studied that both luminal and myoepithelial lineages in mammary gland contain long-lived stem cells and pregnancy leads to a transient 11-fold increase in these mammary stem cells [12, 13].”
BackgroundHormone-responsive 3D multicellular culture model of human breast tissue
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“This is important because a number of studies have demonstrated that steroid hormone-receptor systems participate in mammary gland morphogenesis, functional differentiation, apoptosis as well as neoplastic transformation [25,26].”
BackgroundStudying Therapy Response and Resistance in Mouse Models for BRCA1-Deficient Breast Cancer
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BackgroundStat5 assumes distinct functions in mammary gland development and mammary tumor formation
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“In both virgin and pregnant glands, MaSCs reside in a specialized microenvironment and systemic reproductive hormones mainly determine their activation (32, 33).”
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“Asselin-Labat et al. demonstrated a similar effect by attenuating ER signaling using an aromatase inhibitor [2], but did not observe this with MFP, likely related to use of a lower dose than was used in our experiments.”
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The association between RANKL and Osteoprotegerin gene polymorphisms with breast cancer
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Developmental Insights into Breast Cancer Intratumoral Heterogeneity
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“Gene expression studies performed first in PR-null and later in ERα-null mammary epithelial cells (MECs) in comparison to wild-type MECs identified several putative paracrine mediators involved in both MaSC self-renewal [16, 25] and hormone-induced proliferation [28].”
BackgroundResultAnatomy and Physiology of the Breast
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“receptors, which mediate expansion of the stem cell population (12,13).”
BackgroundKim, S., Goel, S., & Alexander, C. M. (2011) · PLoS ONE · doi:10.1371/journal.pone.0019310 · Cited by 22
“Indeed, recent data extracted from transcriptional arrays of basal and luminal cells show reciprocal expression of several ligand-receptor pairs [23,24].”
BackgroundTRAF6 maintains mammary stem cells and promotes pregnancy-induced mammary epithelial cell expansion
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“Microenvironment signals, extracellular matrix (ECM) 11 , and systemic hormones 12 form a complex interaction network to coordinate the proper structural and functional development of the mammary gland.”
Breast cancer prevention: lifestyle changes and chemoprevention.
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“between ovarian hormones and the mammary stem cell is a plausible underlying cellular mechanism of action (21).”
BackgroundNakles, R. E., Tilli, M. T., Díaz‐Cruz, E. S., Cabrera, M. C., Alotaiby, M., Miermont, A. M., Riegel, A. T., & Furth, P. A. (2011) · Molecular Endocrinology · doi:10.1210/me.2010-0114 · Cited by 22
Modeling Prolactin Actions in Breast Cancer In Vivo: Insights from the NRL-PRL Mouse
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“Progesterone is of particular interest, since it augments stem cell activity [70,71].”
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Role of epigenetic modulation in cancer stem cell fate
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Stem-like breast cancer cells in the activated state resist genetic stress via TGFBI-ZEB1
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“The selective benefits could reflect differential effects of pregnancy and lactation on stem/progenitor cells that give rise to luminal A (ER-positive) versus basal breast cancers [10, 11].”
HORMONAL IMPACT ON TUMOR GROWTH AND PROGRESSION
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“Later, they demonstrated that MaSCs were highly responsive to the steroid hormone via paracrine signaling from the RANK (also called Tnfrsf11a) ligand produced by luminal cells [56].”
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“Recent studies have reported that both progesterone (6, 31) and prolactin (40) signaling induce the expression of RANKL, and progesterone induces the expansion of MaSC by a paracrine effecter, RANKL, suggesting that these hormones regulate mammary gland development via the RANKL-RANK signaling pathway (2, 11, 17, 36).”
BackgroundInfluentialAmphiregulin mediates the hormonal regulation on Rspondin-1 expression in the mammary gland
Cai, C., Geng, A., Wang, M., Yang, L. C., Yu, Q. C., & Zeng, Y. A. (2019) · Developmental Biology · doi:10.1016/j.ydbio.2019.10.006 · Cited by 20
“In the mammary gland, the level of Rspo1 is found to be elevated during dioestrus phase when progesterone level is high, which coincides with the occurrence of robust mammary stem cells activity (Asselin-Labat et al., 2010; Joshi et al., 2010).”
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“Both Wnt4 and RankL have been demonstrated to function downstream of Pgr in stimulating lobuloalveolar development and have more recently been shown to be requisite paracrine mediators of the actions of progesterone in the regulation of mammary stem cell number [33-37].”
BackgroundAromatase overexpression induces malignant changes in estrogen receptor α negative MCF-10A cells
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Human Breast Progenitor Cell Numbers Are Regulated by WNT and TBX3
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Kwa, M. J., Hussey, G. A., Novik, Y., Franke, A. A., Volkova, A., Flores, K., Blaser, M. J., Speyer, J. L., Oratz, R., Meyers, M. I., et al. (2025) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-025-06338-z · Cited by 21
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“Polymorphisms in the RANK/RANKL Genes and Their Effect on”
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“Thus, ER /RANKþ LPs may differentiate normally in BRCA2 mutation carriers.”
BackgroundInfluentialEstrogen-induced immune changes within the normal mammary gland
Tower, H., Dall, G., Davey, A. S., Stewart, M. K., Lanteri, P., Ruppert, M., Lambouras, M., Nasir, I., Yeow, S., Darcy, P. K., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-21871-4 · Cited by 20
Guo, H., Ming, J., Liu, C., Li, Z., Zhang, N., Cheng, H., Wang, W., Shi, W., Shen, N., Zhao, Q., et al. (2012) · PLoS ONE · doi:10.1371/journal.pone.0052445 · Cited by 19
“Additionally, recent studies in mice have revealed that the mammary stem cell compartment could be regulated by estrogen and progesterone through a paracrine signaling mechanism from ER positive cells to ER negative cells [50,51].”
Background
Metadata
- Authors
- Asselin-Labat, M.-L., Vaillant, F., Sheridan, J. M., Pal, B., Wu, D., Simpson, E. R., Yasuda, H., Smyth, G. K., Martin, T. J., Lindeman, G. J., & Visvader, J. E.
- Affiliations
- Walter and Eliza Hall Institute of Medical Research (AU)
- The University of Melbourne (AU)
- Monash Medical Centre (AU)
- Oriental Yeast Co., Ltd. (Japan) (JP)
- St Vincents Institute of Medical Research (AU)
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Lindeman, Geoffrey J.
- Visvader, Jane E.
- ORCID
- Venue
- Nature
- Published
- 2010-04-11
- Volume
- 465
- Issue
- 7299
- Pages
- 798-802
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2117963341
- Cited by
- 693
- References
- 38
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 29 · 2023: 22 · 2022: 29 · 2021: 30 · 2020: 30 · 2019: 32 · 2018: 40 · 2017: 44 · 2016: 45 · 2015: 63 · 2014: 53 · 2013: 64 · 2012: 76
- FWCI
- 45.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Keywords
- mammary stem cells, steroid hormone signaling, estrogen, progesterone, RANKL, breast cancer risk, pregnancy, ovariectomy, letrozole, aromatase inhibition, chemoprevention, paracrine signaling, mammary gland development
- MeSH terms
- Letrozole, Animals, Aromatase, Cell Count, Estrogens, Female, Humans, Mammary Glands, Animal, Nitriles, Ovariectomy, Pregnancy, Pregnancy, Animal, Progesterone, Receptors, Estrogen, Receptors, Progesterone, Stem Cells, Triazoles, Signal Transduction, Integrin beta1, Paracrine Communication, Integrin beta3, Aromatase Inhibitors, Mice, CD24 Antigen, RANK Ligand, ErbB Receptors
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