Although endocrine therapy has dramatically improved the treatment of
breast cancer therapeutic resistance and tumour recurrence occurs, even in
estrogen receptor (ER) positive cases. Identifying and understanding the molecular mechanisms which underpin endocrine resistance is therefore important if future therapeutic strategies are to be developed. Members of the
fibroblast growth factor (FGF) and
fibroblast growth factor receptor (FGFR) families have been implicated in
breast cancer development and progression. Our results demonstrate that culture of michigan
cancer foundation - 1 (MCF)7 cells with
FGF1 results in reduced sensitivity to
tamoxifen in vitro. Furthermore, our tissue microarray expression data demonstrates that FGFR3 expression is increased in
tamoxifen resistant breast tumours. To confirm that activation of FGFR3 reduced sensitivity to
tamoxifen we used an inducible activation system and a constitutively active mutant of FGFR3 expressed in MCF7 cells. Activation of FGFR3 reduced sensitivity to
tamoxifen and
Fulvestrant but did not lead to phosphorylation of ER demonstrating that FGFR3 does not feedback to modulate ER activity. FGFR3 activation in MCF7 cells stimulated activation of the mitogen-activated
protein kinase (MAPK) and phosphoinositide 3-kinase (PI3K) signalling pathways, both of which have been implicated in
tamoxifen resistance in
breast cancer. Furthermore, our data indicates that activation of
phospholipase C gamma is a key-signalling event regulating MAPK and PI3K activation and that its activation reduces sensitivity to
tamoxifen. Therefore, we hypothesise that FGFRs could play an integral part, not only in
breast cancer development but also in resistance to endocrine-therapy.