Previously, we have identified a panel of breast cancer antiestrogen resistance (BCAR) genes. Several of these genes have clinical relevance because mRNA or protein levels associate with tamoxifen resistance or tumor aggressiveness. We postulated that changes in activation status of protein signaling networks induced by BCAR genes may provide better insight into the mechanisms underlying antiestrogen resistance. Key signal transduction pathways were analyzed for changes in activation or expression using reverse-phase protein microarrays probed with 78 antibodies against signaling proteins with known roles in tumorigenesis. We used ZR-75-1-derived cell lines transduced with AKT1, AKT2, BCAR1, BCAR3, BCAR4, EGFR, GRB7, HRAS, HRAS v12 or HEF1 and MCF7-derived cell lines transduced with BCAR3, BCAR4 or EGFR. In the antiestrogenresistant cell lines, we observed increased phosphorylation of several pathways involved in cell proliferation and survival. All tamoxifen-resistant cell lines contained high levels of phosphorylated AKT and its biochemically linked substrates Forkhead box O1/3. The activation of ERBB2, ERBB3 and the downstream modulators focal adhesion kinase and SHC were activated in cells with overexpression of BCAR4. Remarkable differences were observed for the levels of activated AMPK alpha1, cyclins, STAT5, STAT6, ERK1/2 and BCL2. The comparison of the cell signaling networks in estrogen-dependent and -independent cell lines revealed biochemically linked kinase-substrate markers that comprised systemically activated signaling pathways involved in tamoxifen resistance. Our results show that this model provides insights into the molecular and cellular mechanisms of breast cancer progression and antiestrogen resistance. This knowledge may help the development of novel targeted treatments.Breast cancers are initially dependent on estrogens for growth and progression. Antiestrogens prevent estrogens from binding the estrogen receptor (ER) alpha and thereby inhibit cell proliferation. ERa is expressed in about two-thirds of primary breast cancers. For over 30 years, the estrogen antagonist tamoxifen has been the preferred endocrine treatment for patients with ERa-positive breast cancer in premenopausal and postmenopausal women. 1 Tamoxifen is effective in the treatment of metastatic breast cancer, ductal carcinoma in situ, as adjuvant therapy, and more recently in chemoprevention of the malignancy. 2,3 In patients with breast cancer with recurrent disease, tamoxifen induces an objective response in approximately more than half of the patients with primary cancers expressing the ER 4 and references herein. However, the treatment is palliative, and progression of the tumor cells to a hormone-independent phenotype is inevitable. Several mechanisms have been identified underlying primary endocrine resistance of breast cancer and the progression to acquired resistance. The most favored explanations for mechanisms causing tamoxifen resistance are based on pharmacology of the drug; alterations in the interactions bet...