The expression of progesterone receptor (PR) is normally estrogen-dependent, and progesterone is only active in target cells following estrogen exposure. This study revealed that the effect of estrogen was markedly disrupted by estrogen-independent expression of PR. Ovarian steroid hormones estrogen and progesterone are essential for the normal growth and development of the breast. The two hormones also play critical roles in the regulation of breast cancer development. It has been established that estrogen stimulates the growth of breast cancer cells both in vivo and in vitro (1-3). Antiestrogens have been the front-line therapy for hormone-dependent breast cancers (4), which are estrogen receptor (ER) 1 -and progesterone receptor (PR)-positive. Nonetheless, antiestrogen-induced remissions are often followed by acquisition of antiestrogen resistance and ultimately disease relapse (5). The acquired resistance is mostly manifested by insensitivity to antiestrogens such as tamoxifen and increased ER activity (6). It has been shown that signaling via the epidermal growth factor receptor and HER-2/neu can activate both ER and the important ER coactivator AIB1 (7). Breast tumors with high levels of AIB1 and HER-2 may be resistant to tamoxifen because of an increase in its estrogen agonist activity. The development of strategies for the effective treatment of tamoxifen-resistant breast cancer is one of the main challenges for breast cancer research.
Transfection of PR in estrogen receptor (ER)-Whereas it is established that estrogen stimulates the growth of breast cancer cells, the function of progesterone in breast cancer remains controversial. Progestins were found to stimulate growth, have no effect, or inhibit growth depending on the experimental conditions and the status of hormone receptors (8 -11). This controversy reflects our insufficient understanding of progesterone biology and has hampered effective applications of progestins or antiprogestins in breast cancer treatment.The controversies over the effect of progesterone in breast cancer are due to several complexities in the PR system. One of the complexities is that PR is an estrogen receptor-dependent gene product (12, 13), and the action of progesterone requires priming treatment of estrogen to induce PR. It is conceivable that the prior presence of estrogen may significantly confound assessment of the role of progesterone on growth and other cellular processes in breast cancer cells. On the other hand, the effects of progesterone also depend on a complex interaction between estrogen, progesterone, and their receptors. Studies have demonstrated the suppression of estrogen-stimulated ER activity by agonist-and antagonist-occupied PR (14 -15). However, ER can transmit signals received from the agonist-activated PR to the Src/p21 (ras)/Erk pathway (16), suggesting a synergistic interaction between the ER and PR.Our previous work has shown that estrogen-independent expression of PR by transfection in the ER-and PR-negative breast cancer cells MDA-MB-231, fac...