RT Journal Article SR Electronic T1 Modulating HSF1 levels impacts expression of the estrogen receptor α and antiestrogen response JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000811 DO 10.26508/lsa.202000811 VO 4 IS 5 A1 Maruhen AD Silveira A1 Christophe Tav A1 Félix-Antoine Bérube-Simard A1 Tania Cuppens A1 Mickaël Leclercq A1 Éric Fournier A1 Maxime C Côté A1 Arnaud Droit A1 Steve Bilodeau YR 2021 UL https://www.life-science-alliance.org/content/4/5/e202000811.abstract AB Master transcription factors control the transcriptional program and are essential to maintain cellular functions. Among them, steroid nuclear receptors, such as the estrogen receptor α (ERα), are central to the etiology of hormone-dependent cancers which are accordingly treated with corresponding endocrine therapies. However, resistance invariably arises. Here, we show that high levels of the stress response master regulator, the heat shock factor 1 (HSF1), are associated with antiestrogen resistance in breast cancer cells. Indeed, overexpression of HSF1 leads to ERα degradation, decreased expression of ERα-activated genes, and antiestrogen resistance. Furthermore, we demonstrate that reducing HSF1 levels reinstates expression of the ERα and restores response to antiestrogens. Last, our results establish a proof of concept that inhibition of HSF1, in combination with antiestrogens, is a valid strategy to tackle resistant breast cancers. Taken together, we are proposing a mechanism where high HSF1 levels interfere with the ERα-dependent transcriptional program leading to endocrine resistance in breast cancer.