Enolase-alpha (ENO-1) is a key glycolytic
enzyme that has been used as a diagnostic marker to identify human
lung cancers. To investigate the role of ENO-1 in
breast cancer diagnosis and
therapy, the
mRNA levels of ENO-1 in 244
tumor and normal paired tissue samples and 20
laser capture-microdissected cell clusters were examined by quantitative real-time PCR analysis. Increased ENO-1
mRNA expression was preferentially detected in
estrogen receptor-positive (ER+)
tumors (
tumor/normal ratio >90-fold) when compared to ER-negative (
tumor/normal ratio >20-fold)
tumor tissues. The data presented here demonstrate that those patients whose
tumors highly expressed ENO-1 had a poor prognosis with greater
tumor size (>2 cm, *P = .017), poor nodal status (N > 3, *P = .018), and a shorter disease-free interval (<==1 year, *P < .009). We also found that higher-expressing ENO-1
tumors confer longer distance relapse (
tumor/normal ratio = 82.8-92.4-fold) when compared to locoregional relapse (
tumor/normal ratio = 43.4-fold) in postsurgical
4-hydroxy-tamoxifen (4-OHT)-treated ER+ patients (*P = .014). These data imply that changes in
tumor ENO-1 levels are related to clinical
4-OHT therapeutic outcome. In vitro studies demonstrated that decreasing ENO-1 expression using
small interfering RNA (
siRNA) significantly augmented
4-OHT (100 nM)-induced cytotoxicity in
tamoxifen-resistant (Tam-R)
breast cancer cells. These results suggest that downregulation of ENO-1 could be utilized as a novel pharmacological approach for overcoming
4-OHT resistance in
breast cancer therapy.