New discovery offers hope in treating breast cancer

Researchers have discovered how specific protein regions contribute to breast cancer, potentially paving the way for new treatment. The discovery also offers scientists new tools and ideas beyond breast cancer, as similar protein regions are involved in many other diseases.

The study focuses on what is known as the oestrogen receptor, a protein linked in previous research to the development of roughly 70 per cent of all breast tumours.

Just as a machine needs specific controls to function, proteins like the oestrogen receptor control how cells grow and behave.

“We found previously unknown ‘molecular switches’ within the oestrogen receptor that, while flexible, work together with remarkable precision to coordinate cellular processes,” said Sichun Yang, an associate professor of nutrition at the School of Medicine and a member of the Case Comprehensive Cancer Center. “Changing one part of the protein can trigger a chain reaction that affects how breast cancer cells grow.”

Breast cancer is the most commonly diagnosed cancer worldwide, with over 2.3 million new cases and 670,000 deaths reported in 2022, according to the World Health Organization. Despite the initial effectiveness of drugs that target the estrogen receptor, many patients eventually develop resistance, making therapies ineffective. This new discovery could result in more effective treatments and help explain why that might occur.

“Instead of simply shutting down the estrogen receptor,” Yang said, “future drugs might be designed to target these newly discovered switches, offering new ways to control how the protein works.”

The research team used small-angle X-ray scattering and nuclear magnetic resonance spectroscopy tools from Advanced Photon Source at Argonne National Laboratory and the National Synchrotron Light Source II to study the proteins switches in extraordinary detail. The collaboration included researchers from Arizona State University and Ohio State University. Additional support came from the National Institutes of Health, the American Cancer Society and the Mary Kay Ash Foundation.

“Yang’s work highlights the importance of using cutting-edge technology and teamwork to answer big scientific questions,” said Mark Chance, director of the Center for Proteomics and Bioinformatics at the School of Medicine. “These national facilities allow us to make breakthroughs that can drive new cancer treatments.”