Abstract Approximately two-thirds of all breast cancer cases are estrogen receptor (ER) positive. The treatment of this breast cancer subtype with endocrine therapies is effective in the adjuvant and recurrent settings. However, their effectiveness is compromised by the emergence of intrinsic or acquired resistance. Thus, identification of new molecular targets can significantly contribute to the development of novel therapeutic strategies. In recent years, many studies have implicated aberrant levels of translation initiation factors in cancer etiology and provided evidence that identifies these factors as promising therapeutic targets. Accordingly, we observed reduced levels of the eukaryotic translation initiation factor 3 (eIF3) subunit eIF3f in ER-positive breast cancer cells compared to ER-negative cells and determined that low eIF3f levels are required for proper proliferation and survival of ER-positive MCF7 cells. The expression of eIF3f is tightly controlled by ERa at transcriptional (genomic pathway) and translational (non-genomic pathway) level. Specifically, estrogen-bound ERa represses transcription of the EIF3F gene, while promoting eIF3f mRNA translation. In regulation of translation, estrogen activates the mTORC1 pathway, which enhances the binding of eIF3 to the eIF4F complex and, consequently, the assembly of 48S preinitiation complexes and protein synthesis. We observed preferential translation of mRNAs with highly structured 5' untranslated regions (UTRs) that usually encode factors involved in cell proliferation and survival (e.g., cyclin D1 and survivin). Our results underscore the importance of estrogen-ERa-mediated control of eIF3f expression for the proliferation and survival of ER-positive breast cancer cells. These findings may provide rationale for the development of new therapies to treat ER-positive breast cancer. Citation Format: Rafael Cuesta, Marina K. Holz. Estrogen receptor alpha (ERa) promotes protein synthesis by fine-tuning the expression of the eukaryotic translation initiation factor 3 subunit f (eIF3f) [abstract]. In: Proceedings of the AACR Special Conference on Targeting PI3K/mTOR Signaling; 2018 Nov 30-Dec 8; Boston, MA. Philadelphia (PA): AACR; Mol Cancer Res 2020;18(10_Suppl):Abstract nr B28.
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