Background: Multidrug resistance (MDR) is associated with over expression of the P-glycoprotein (P-gp) drug transporter, which is encoded by the MDR1 gene. Estradiol (E2) is thought to regulate P-gp expression in breast cancer and the aim of this study was to determine the role of estrogen receptor subtypes (ERalpha and ERbeta) in modulating drug resistance and P-gp expression in cultured breast carcinoma cells.
Materials and methods: The cytotoxic effects of doxorubicin and P-gp concentrations were determined in E2-treated and untreated T47D and MCF7 breast carcinoma cells. Western blot and mobility shift/super shift analyses were used to determine estrogen receptor subtype interaction with AP1 and Sp1 transcription factors.
Results: ERalpha-positive MCF7 cells were resistant to doxorubicin cytotoxicity, while ERbeta-expressing T47D cells were sensitive to doxorubicin treatment. E2 increased the cytoplasmic concentration of P-gp in MCF7 cells but not in T47D cells. ERalpha binds both AP1 and Sp1 transcription factors in extracts from MCF7 cells, while ERbeta binds AP1 in extracts from T47D cells.
Conclusion: These interactions of the ER subtypes with transcription factors correlates with their functional effects on the MDR1 promoter and the observed effects of E2 on drug resistance.