Livers were frozen in liquid nitro gen for ApoM RNA analysis afte

Livers were frozen in liquid nitro gen for ApoM RNA analysis after mice were killed using CO2. Levels ApoM mRNA were measured with RT PCR. Levels of liver ApoM mRNA were reduced in DHT treated mice significantly. Discussion In the present study, we demonstrate that ApoM expres sion is regulated by DHT in Ivacaftor purchase HepG2 cells in a dose dependent manner and that inhibition of ApoM expression by DHT is mediated by PKC. Moreover, DHT did not affect ApoAI expression and we demonstrated further that inhib ition of PI3K did not influence DHT mediated apoM expression. Androgens administration lowers HDL C levels in both genders, but androgens modulate cholesterol metabolism in poorly understood ways.

Most studies in dicate that administration of natural or synthetic andro gens produces a plethora of effects, Inhibitors,Modulators,Libraries some of which appear negative, such as reduction of HDL C levels, and others positive, such as increased lean mass and reduced effect on ApoM secretion and ApoM mRNA levels in HepG2 cells. The present study supports the view that DHT affects lipoprotein production by demonstrating that DHT significantly decreased ApoM mRNA levels in hepG2 cells and the secretion of ApoM secretion into the medium, whereas there was no effect on the ApoAI mRNA levels. These findings suggest that there are dif ferent mechanisms for regulating ApoAI and ApoM ex pression in this particular cell line. To analyze the effect visceral fat, lower Inhibitors,Modulators,Libraries total cholesterol, and improved sensi tivity to insulin. To understand the role of endogen ous and therapeutic androgens in CVD, it will be necessary to identify the mechanisms responsible for the reduction in HDL C.

One hypothesis considers reduced synthesis of ApoAI, ApoM, or HDL. The second hypoth esis considers that there is decreased donation of choles terol from peripheral tissues to HDL particles, and the third proposes that there is increased clearance of HDL C. The fourth, Inhibitors,Modulators,Libraries a more complex hypothesis, is that androgens lead to HDL remodeling, cholesterol redistribution, Inhibitors,Modulators,Libraries or changes in lipoprotein catabolism. ApoAI and apoM are constituents of HDL. In some studies, ApoAI levels are reduced after androgen treat ment, suggesting decreased synthesis or increased catabol ism of HDL. ApoM was first identified as a component of human postprandial lipoproteins in 1999. It was estimated that 5% of HDL particles contain ApoM.

ApoM content in the healthy human plasma pool was 0. 94 mM. This roughly corresponds to 150th of the mean molar concentration of apoA I in plasma. However, the physiopathological functions of ApoM are not fully elucidated. Studies of the regulation of ApoM ex pression may reveal the clinical importance of Inhibitors,Modulators,Libraries ApoM. The kinase inhibitor Axitinib AR is highly expressed in adipocytes and regulates their function by a variety of mechanisms, including local transcriptional regulation of lipases and increased levels of adrenergic receptors as well as inhibition of adi pogenesis.

The proteins were separated by electrophoresis and transferred to

The proteins were separated by electrophoresis and transferred to nitrocellulose mem branes. The membranes were blocked with 5% nonfat dry milk in 0. 01 M PBS and 0. mostly 05% Tween 20 at room temperature for 1 hour. Subsequently, the mem brane was incubated with primary antibodies directed against target proteins overnight at 4 C. The final dilu tions for primary antibodies were 6E10, LC3, and Beclin1. After three quick washes in TPBS, the membranes were incubated with secondary antibodies conjugated to horseradish peroxidase diluted at 1 5,000 in TPBS for 1 hour. The immuno complexes were detected by the enhanced chemilumin escence method. The density of immunoblotting was quantified with the software of Quantity One. Assaying AB42 degradation The analysis for AB42 degradation in the NG2 cell line was performed as previously described.

NG2 cell line cultured in Sato medium containing 1% horse serum was exposed to human AB42. AB42 levels in cell culture supernatants and adherent cells were determined by immunoblotting. For some experiments, NG2 cell line was incubated with HiLyte Inhibitors,Modulators,Libraries Fluor 488 AB42 Inhibitors,Modulators,Libraries for 6 hours, followed by the treatment of leupeptin, pepstatin A, wortmannin, and bafilomycin A1 Inhibitors,Modulators,Libraries for 18 hours. The protein levels of AB42, LC3, and beclin1 were determined by immunoblotting. Real time PCR NG2 cell line was incubated with HiLyte Fluor 488 labeled AB42 for the indicated times. Total RNA extraction and reverse transcription for NG2 cell line and cerebral cortex were performed as previously reported with some modifications. Briefly, total RNA was extracted using Trizol reagent.

After treated with RNase free DNase I, first strand cDNA was synthesized Inhibitors,Modulators,Libraries with M MLV reverse transcript ase and Oligo dTs. Real time quantitative PCR was conducted with ABI Prism 7500 Sequence Detection System according to the instruction of the manufacturer. Dissociation curve analyses were performed using the instruments default setting Inhibitors,Modulators,Libraries immediately after each PCR run to ensure specificity. The expression level of target genes was normalized to the actin gene. The primers which were used for real time PCR are provided in the following Table 1. Small RNA interference Small interfering RNAs were synthesized by Shanghai GenePharma Co The pairs of siRNA oligo nucleotides were prepared as a 20 uM stock.

For transient necessary transfection, NG2 cell line was cultured in six well plates to 80% confluence and transfected with Lipofectamine RNAiMAX according to the manufacturers instructions. After transfection, the cells were left for another 24 hours before they were used for experiments. Quantification of the mCherry LC3 puncta Human microtubule associated protein The nucleotide sequence was inserted into mCherry C1 vector at the Hind III and BamH I restriction sites. The plasmid was verified by sequencing.

We found that na ve CD4 T cells express no or very low

We found that na ve CD4 T cells express no or very low selleck bio levels of CYP27B1. Inhibitors,Modulators,Libraries However, the cells started to express CYP27B1 mRNA shortly after stimulation, and the expression peaked after 2 3 days of stimulation. These results suggested that acti vated human CD4 T cells have the capacity to convert 25 D3 to 1,25 Inhibitors,Modulators,Libraries 2D3. To validate this, we stimulated purified CD4 T cells in the presence of 100 nM 25 D3 corresponding to physiological concentrations of 25 D3 in serum and then measured the production of 1,25 2D3. We found that activated CD4 T cells pro duced 1,25 2D3 with a kinetic similar to the kinetics of CYP27B1 expression in the cells, and that the produc tion peaked after 3 days of stimulation. Finally, to determine whether the cells expressed the receptor for 1,25 2D3, we determined the expression of the VDR in CD4 T cells stimulated for 0 5 days.

We found that VDR expression peaked simultaneously with the peak pro duction of 1,25 2D3 at day 3. Taken to gether, these experiments demonstrated that activated human CD4 T cells express CYP27B1, that they have the capacity to convert 25 D3 at physiological concentra tions to the active 1,25 2D3, and that they express the receptor for 1,25 2D3. Activated T cells have the ability to Inhibitors,Modulators,Libraries produce 1,25 2D3 in sufficiently high concentrations to affect vitamin D responsive genes Having demonstrated that activated CD4 T cells have the capacity to produce the active form of vitamin D in a dose dependent manner. In addition, we found that 25 D3 also induced CD38 up regulation, suggesting that activated T cells can pro duce sufficiently high concentrations of 1,25 2D3 to affect vitamin D responsive genes.

We noted that whereas 25 D3 at a physiological concentration of 100 nM induced maximum CD38 up regulation, 1,25 2D3 was required at a 100 fold higher concentra tion than physiological levels to induce the same effect. That a supra physiological con centration of 1,25 2D3 was required to obtain an ef fect in our study is in good line with previous studies. However, in Inhibitors,Modulators,Libraries contrast to our observations that 25 D3 at 100 nM had a clear effect on T cells, most previous studies on 25 D3 required at least a 100 fold higher concentration of 25 D3 than found in serum to induce an effect. One explanation for this discrepancy could be that whereas our experiments were performed in serum free medium most previous studies have been performed in medium supplemented with serum.

To study whether the presence of serum could explain the discrepancy between the concentra tions of 25 D3 required to obtain an effect on T cells, we activated CD4 T cells in the presence of in creasing concentrations of 25 D3 Inhibitors,Modulators,Libraries and 1,25 2D3 in medium supplemented with 5% fetal bovine serum selleck products and measured CD38 expression at day 3. We found that the presence of serum significantly shifted the con centration of 25 D3 required to induce CD38 expres sion.

RNAi experiment The RNAi experiment was performed with the Lipofe

RNAi experiment The RNAi experiment was performed with the Lipofectamine RNAiMAX reagent Enzastaurin PKC in accordance with the manufacturers instructions. The sequences of siRNA for c Myc were 5 AGA CCU UCA UCA AAA ACA UTT 3 and 5 AUG UUU UUG AUG AAG GUC UCG 3, which were designed by Ambion, and the non silencing control siRNA was Inhibitors,Modulators,Libraries purchased from Invitrogen. After incubation with the siRNA for 48 h at 37 C, the mRNA expressions of c Myc and Angptl4 were quantitatively determined by real time PCR. Short hairpin RNA targeting the Angptl4 including entry vector was designed and prepared by Invitrogen. The shRNA was subcloned to a retrovirus vector and Inhibitors,Modulators,Libraries used in the experiments as described in a previous study. ChIP assay The ChIP assay was performed using the ChIP IT Express kit, in accordance with the manufacturers instructions.

LN229 cells were fixed with 1% formaldehyde for 10 min. The cells were then washed, lysed, and sonicated to reduce DNA lengths to the range of 200 to 1500 bp. The chromatin/DNA complexes were incubated with antibodies to c Myc or IgG overnight at 4 C. The immune complexes were precipitated, eluted, reverse crosslinked, and treated with proteinase K. After extraction of the DNA fragments, Inhibitors,Modulators,Libraries real time PCR analysis was performed using Power SYBR green PCR master mixes. The primer for the promoter of Angptl4 was purchased from BioScience The predicted PCR product in cluded a c Myc binding sequence. Relative enrichment was comparatively calculated using IgG negative control as de scribed in eBioScience instructions.

Statistical analysis Significant differences were analyzed by an unpaired Students t test or analysis of variance with Tukeys post hoc test using the GraphPad Prism software. p 0. 05 was considered to indicate statisti cally significant difference. Background Melanoma is the most aggressive form of skin Inhibitors,Modulators,Libraries cancer. Its incidence and mortality have risen dramatically in all de veloped countries during the last half century. Although most cases of melanoma are diagnosed early and surgically resected, later stages of this tumour have very poor survival rates because of the lack of available effective therapies. Recently, promising therapeutic approaches for mel anoma management have been introduced into the clinical practice, based mostly on the use of small molecule inhibi tors directed against oncogenic molecular targets as well as on immunotherapy.

However, a high molecular het erogeneity of melanoma tumours and a complex network 1 of proliferation and survival Inhibitors,Modulators,Libraries pathways involved in its pathogenesis have been reported. For this reason, there is a growing interest in seeking pharmacological agents that could target multiple gene products in order to interfere, at different levels, with pathogenetic pathways in melanoma. During the last decades, several dietary agents have been reported to exert anticancer inhibitor Seliciclib activity.

Smad2/3 and Smad4 are direct mediators of TGF b signalling and th

Smad2/3 and Smad4 are direct mediators of TGF b signalling and there is now ample evidence to nothing suggest that Smad2 and Smad3 have distinct and non overlap ping roles in TGF b signalling and that these differ in epithelial cells and fibroblasts ]. However, relatively few studies on the roles of Smad2 and Smad3 in TGF b signalling have been performed in human epithelial cells from which most cancers arise. Moreover, it remained a mystery why TGF b can induce different functions, such as growth arrest and epithelial to mesenchymal transition, in the same cell lines, even though both play opposing roles in tumourigenesis. The mechanisms for the selec tive activation of Smad2 versus Smad3 are largely unknown but can principally occur at the level of the TbRs, nuclear import and export, protein turnover, and/or at the transcriptional level.

Alternatively, Smad2 versus Smad3 responses may be selected by post translational modifications such as differential phosphorylation at the TbR complex. It is possible that the availability of other factors such as co repres sors and co activators determine which response is mediated by Smad3 and Smad2. Since strategies for therapeutic targeting Inhibitors,Modulators,Libraries of the TGF b signalling pathway are being pursued, revealing the identity of factors that modulate the relative activation of Smad2 or Smad3 in the TGF b response may provide target for more effective strategies for cancer therapy. Rac1 belongs to the Rho family of small GTPases and has been implicated in the organization of the actin cytoskeleton, the formation of lamellopodia and focal adhesions, and in endocytic Inhibitors,Modulators,Libraries vesicle trafficking and recep tor endocytosis.

Rac1 can also drive cell proliferation and protect cells from apoptosis through its ability to activate extracellular signal regulated kinases, phosphati dylinositol 3 kinase, Inhibitors,Modulators,Libraries and the transcription factor NF B ]. Activated Rac1 acts syner gistically with ligand activated epidermal growth factor receptor Inhibitors,Modulators,Libraries to stimulate pancreatic tumour cell proliferation through cyclin D1 upregulation. Rac1 has a critical role in cell migration, and in the invasive, and metastatic behavior of cancer cells. More over, Rac1 function Inhibitors,Modulators,Libraries is required for oncogenic K Ras tumourigenesis and proliferation. Activation of Rac1 is accompanied by its rapid translocation from the cyto sol to the cell membrane, where it exerts part of its effects as an essential subunit of the reactive oxygen spe cies producing enzyme NAD H oxidase.

In PDAC dysregulated expression of Rac1 was observed in the tumour cell compartment, along with high activ ity of Vav1, a guanine exchange factor, which exhi bits a particularly strong guanine exchange activity EPZ-5676 leukemia for Rac1. Also TGF b and Rac1 signalling exert antago nistic roles in tumour cell proliferation but share com mon nuclear targets such as cyclin D1 and p21WAF1.

Conclusions Roscovitine

Conclusions Roscovitine Dovitinib mechanism has shown to be able to significantly modify the DDR response. Even considering the many genes that are potentially involved, the putative role of CDK2 in multiple DDR pathways along with the downregula tion of cyclin A1, may further explain the effective inhi bition of a broad range of DNA repair mechanisms by Roscovitine. In particular since NHEJ is considered the major pathway for the repair of gIR induced DNA DSBs in human cells, we believe our data support further investigation on the therapeutic advantages of combina tion therapy with Roscovitine and Radiotherapy.

Methods Cell Culture and Serum Starvation The following Inhibitors,Modulators,Libraries solid cancer human cell lines were pur chased from and authenticated by American Type Cul ture Collection and cultured at 37 C in a humidified atmosphere of 5% CO2 in air, within the appropriate medium according to supplier recommendations supplemented with 10% heat inactivated fetal bovine serum and 100U of Penicillin and 100 ug/ml of Streptomycin NSCLC cell lines A549 and H23, breast cancer cell lines MCF 7 and MDA MB 231, prostate cancer cell lines LNCAP and DU145, and the adenovirus transformed human embryonic kidney epithelial cells HEK293FT. Cells were regularly Inhibitors,Modulators,Libraries sub cultured according to ATCC recommen dations with a 0. 25% trypsin EDTA solution. To obtain synchronous populations Inhibitors,Modulators,Libraries of cells, confluent plates of A549 cells were incubated in media supplemented with 0. 1% heat inactivated fetal bovine serum for 96 hours. Cells were then sub cultured into serum con taining medium and time points were taken every four hours.

Drugs, irradiations and treatments Doxorubicin was obtained from BioMol International. Lyopholized drug was re sus pended into a 1 1 mixture of dimethyl sulfoxide and MilliQ fil tered H2O to a concentration of 4. 31 mM, aliquoted for use and stored Inhibitors,Modulators,Libraries at 20 C. Ros covitine was obtained from Signa Gen Laboratories. Lyophilized drug was re suspended into DMSO to a concentration of 14. 1 mM, aliquoted and stored at 20 C until use. Inhibitors,Modulators,Libraries Fresh dilutions from the stock solutions were prepared for each treatment. Taxol was obtained from USB Corporation. Lyophilized drug was re suspended into DMSO to a concentration of 5. 86 mM, aliquoted and stored at 20 C until use. MG 132 was obtained from Sigma. Lyophilized drug was re suspended into DMSO to a concentration of 10 mg/ml, aliquoted and stored at 20 C until use.

Irradiations were performed in an AECL Gamma Cell 40, Cs 137 irradiator at a dose rate of 1 Gy/minute for respective doses. In treatments throughout this article the control samples refer to cells treated with an equal selleck DAPT secretase concentration of DMSO as in the highest drug concentration used per experiment. Western Blot Analysis and SDS PAGE Equal amounts of whole cell lysates were resolved by SDS PAGE and transferred to a nitrocellu lose membrane by wet electrophoretic transfer.

This result is consistent with no major effects of MEK/ERK inhibi

This result is consistent with no major effects of MEK/ERK inhibition on prolifer ation status of muscle and non muscle untransformed cell lines. All together these data are in line with the notion that c Myc is a downstream target of MEK/ERK pathway and suggest that aberrant growth of different tumor cell lines can be halted inhibitor U0126 by targeting c Myc following MEK/ERK inhibition. Although c Myc has previously been reported to be a downstream target of MEKs/ERKs the correla tion between ERK mediated c Myc stability and aberrant growth, though inferable from recent studies in the litera ture, has so far received little attention. Besides inducing growth arrest, U0126 also abolished, in the cell lines used here, anchorage independent growth, as demonstrated by the lack of clones in the soft agar assay.

In addition, in RD cells the comparison of Inhibitors,Modulators,Libraries growth in soft agar in the presence of U0126 or TPA demonstrates that while TPA only reduces the growth potential of RD offer, while a number of papers reporting that c Myc inactivation results in tumor inhibition Inhibitors,Modulators,Libraries and regression. Our data attempt to demonstrate a possible link between these two major targets in a cascade in which MEK/ERK kinases lie upstream of the oncogenic molecule c Myc which, in turn, induces neoplastic transformation. In fact, we here show that ERKs and particularly ERK2, are upstream kinases of c Myc in RD cells as demonstrated by siRNA results. These results are in line with data reported by others that c Myc stability and accumulation is regu lated by ERK mediated phosphorylation of ser62.

Moreover, it is evident the relationship between MEK/ERK inhibition, c Myc down regulation and blockade of cell Inhibitors,Modulators,Libraries transformation in the cell lines Inhibitors,Modulators,Libraries here used. This functional correlation is highly relevant in the field of possible new therapeutic approaches for some human tumor, including rhabdomyosarcoma. In an attempt to determine the specific role of c Myc in sustaining aberrant growth as well as cell transformation and inhibition of differentiation, we used RD cells on account of their ability to undergo growth arrest and myo genic differentiation upon MEK/ERK inhibition. Our data show that MEK/ERK inhibition down regulates cyclin E2, A and B and CDK2, all of which are known to be transcriptional targets of c Myc. It can, con sequently, be hypothesized that the disruption of the c Myc network by ERK depletion is responsible for the failed expression of the relevant cell cycle proteins.

Hypothesising that c Myc expression alone sustains the program for deregulated growth as well as transformation and inhibition of differentiation, we stably Inhibitors,Modulators,Libraries over expressed MadMyc chimera in RD cells to specifically block c Myc activity. We found that growth of MadMyc over expressing RD cells is arrested, as demonstrated by p21WAF1 enhanced expression http://www.selleckchem.com/products/AG-014699.html and cyclin D1, A and B and CDK2 down regulation, as also observed in U0126 treated cells.

We also investigated the growth response of these cancer cell lin

We also investigated the growth response of these cancer cell lines to treatment with PI3K and MAPKK inhibitors and found that these sellectchem were less effective contain compared to afatinib and NVP AEW541. Since the selleck screening library Inhibitors,Modulators,Libraries IC50 values of these inhibitors for Inhibitors,Modulators,Libraries their respective targets are below 2 uM, our results suggest that the panel of pancreatic cancer cell lines used in this study is highly re sistant to inhibition of PI3K and MAPKK. We next assessed the anti tumour activity of these agents when used in combination. There was Inhibitors,Modulators,Libraries no im provement in anti tumour activity when NVP AEW541 was used in combination with mAb ICR62. Treatment with a combination of gemcitabine and NVP AEW541 resulted in synergistic growth inhib ition only in PANC1 cell line.

Interestingly, treatment with a combination of NVP AEW541 and afatinib was found to be superior, leading to a synergistic growth inhibition of all pancreatic cancer cells Inhibitors,Modulators,Libraries with the exception Inhibitors,Modulators,Libraries of PT45 which was Inhibitors,Modulators,Libraries the most resistance Inhibitors,Modulators,Libraries cell line to treatment with NVP AEW541. Synergism following treatment with Inhibitors,Modulators,Libraries a combination of NVP AEW541 and HER inhibitors has previ ously been reported in studies involving breast and colo rectal cancer cells. Investigation of the effect of IGF IR ligands and HER ligands EGF and NRG 1 on the downstream signaling in BxPc3 cells revealed that EGF primarily induces phosphorylation of MAPK Inhibitors,Modulators,Libraries while IGF IR ligands activate predominantly the PI3K/AKT pathway.

The activation of different pathways Inhibitors,Modulators,Libraries by the HER family and IGF IR systems could explain the syner gistic effect exhibited by the combination of pan HER blocker afatinib and IGF IR inhibitor in this cell line.

In op timal growth conditions afatinib Inhibitors,Modulators,Libraries was more potent at down regulating both AKT and MAPK basal phosphorylation levels while NVP AEW541 Inhibitors,Modulators,Libraries downregulated pAKT but had no Inhibitors,Modulators,Libraries effect on pMAPK basal levels in BxPc3 cells. However, even Inhibitors,Modulators,Libraries though afatinib was more effective at downregulating Inhibitors,Modulators,Libraries pAKT than NVP AEW541, only the combination of NVP AEW541 with afatinib led to complete loss of AKT phosphorylation.

In order p53/MDM2 interaction to determine whether the diverse activation of AKT and MAPK pathways by EGFR and IGF IR acti vation could explain the synergism exhibited by the same combination in the rest of the cell lines we determined the selleck Tipifarnib effect of EGF and IGF on the phosphor ylation of AKT and MAPK in all cell lines included in this study.

Interestingly, with the exception of FA6 cells, the pattern of AKT and MAPK selleck bio activation in all the other pancreatic cells was found to be similar to BxPc3 cells . EGF predominantly led to the activation of MAPK whereas IGF treatment increased mainly the phosphorylation of AKT but had low or no effect on phosphorylation of MAPK.

Therefore, it is particularly worth investigation whether the epi

Therefore, it is particularly worth investigation whether the epigenetic modifications ob served in trastuzumab resistant cells are also outcomes of upstream IGF1R signaling, Calcitriol buy which will eventually form a regulatory circuit to facilitate the establishement of trastuzumab resistance in breast cancers. miRNAs are a class of small RNAs critically involved in the regulation of gene expression. By targeting oncogenes or tumor suppressors, miRNAs play divergent roles in cancer occurrence, progression, and drug resist ance, and may be useful for cancer therapy by artificially counteracting the signals leading to carcinogenesis. The ability of a single miRNA to simultaneously target multiple genes suggests that these small RNA species are important candidates for the regulation of cellular processes that require multiple and intersecting signaling pathways, including the development of trastuzumab re sistance in breast cancers.

Trastuzumab resistance of breast cancers can be either cell autonomous or non autonomous. the latter reflects an extensive interaction between cancer cells and other cells in the microenvir onment, including stromal and immune cells. Although this study identified IGF1R as a target of miR 375, and other investigations revealed that cyclin E2 and the cytoskeletal protein Inhibitors,Modulators,Libraries talin2 are targeted by miR 30b and miR 194, respectively, in the development of trastu zumab resistance, the non autonomous mechanisms of trastuzumab resistance are to be unraveled.

It is possible that alterations in the expression levels of these miRNAs contribute to trastuzumab sensitivity by targeting additional genes that are indispensable for the acquisition of resistance in breast cancer cells in vivo. Whereas the role of specific miRNA dominates over others in differ ent models of trastuzumab resistance, there might be wide crosstalk between the signaling Inhibitors,Modulators,Libraries events mediated by these miRNAs. Inhibitors,Modulators,Libraries Conclusions In this study, we established that miR 375 is among the most significantly downregulated miRNAs in trastuzumab resistant breast cancer cells, which is attributed to epigen etic mechanisms involving DNA methylation and histone deacetylation. Restoring cellular miR 375 level suppresses trastuzumab resistance of breast cancers by directly tar geting the insulin like growth factor 1 receptor. Our study suggests Inhibitors,Modulators,Libraries the therapeutic potential of miR 375 for HER2 positive breast cancers in combination with trastuzumab.

Background Breast cancer is the most common cancer among women worldwide. Despite the Inhibitors,Modulators,Libraries improvement in treatment, therapy resistance remains a major problem in the clinic. Endocrine therapy has become the most important treatment option for women with estrogen full report receptor positive breast cancer, which is approximately 70% of all breast tumours. The ER ? antagonist tamoxifen is commonly used with these ER positive breast cancers. Unfortunately, around 40% of all ER positive patients do not respond to tamoxifen treatment.