<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.59598/ME-2305-6053-2026-118-1-152-162</article-id><article-id custom-type="elpub" pub-id-type="custom">medecol-1321</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТЕОРЕТИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>THEORETICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Оценка экспрессии гена ESR1 in silico при злокачественных новообразованиях</article-title><trans-title-group xml:lang="en"><trans-title>In silico assessment of ESR1 gene expression in malignancies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чаухан</surname><given-names>П.</given-names></name><name name-style="western" xml:lang="en"><surname>Chauhan</surname><given-names>P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ландран, шоссе Грейтер Мохали Харар-Банур, сектор 112, Пенджаб, 140307</p></bio><bio xml:lang="en"><p>Landran, Greater Mohali Kharar-Banur Highway, Sector 112, Punjab 140307</p></bio><email xlink:type="simple">admissions@cgc.edu.in</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Кафедра биотехнологии, Технологический колледж Чандигарха, Группа колледжей Чандигарха<country>Индия</country></aff><aff xml:lang="en">Department of Biotechnology, Chandigarh College of Technology, Chandigarh Group of Colleges<country>India</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>05</day><month>07</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>152</fpage><lpage>162</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Чаухан П., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Чаухан П.</copyright-holder><copyright-holder xml:lang="en">Chauhan P.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medecol.qmu.kz/jour/article/view/1321">https://medecol.qmu.kz/jour/article/view/1321</self-uri><abstract><p>Ген рецептора эстрогена 1 (ESR1) играет ключевую роль в регуляции генов, чувствительных к ER, и влияет на многие физиологические процессы. Этот ген кодирует рецептор эстрогена (ERa), который необходим для пролиферации и дифференцировки клеток, и участвует в развитии различных заболеваний, включая остеопороз, а также злокачественных новообразований, таких как рак толстой кишки, яичников, эндометрия и молочной железы. В связи с ассоциацией мутагенной формы ESR1 со многими видами рака, она также исследуется в качестве потенциального биомаркера рака. Наибольшая экспрессия гена ESR1 в тканях обнаружена в основном в тканях, связанных с женскими репродуктивными органами (молочные железы, ткани шейки матки, фаллопиевы трубы, матка и влагалище). В представленном исследовании анализировалась экспрессия ESR1 при злокачественных новообразованиях с использованием инструментов in silico. TNMplot, TIMER2.0, GTEx, GEPIA, TCGA и др. были использованы для изучения дифференциальной экспрессии генов ESR1 при различных видах рака, изучения корреляции генов и оценки прогностического воздействия и выживаемости пациентов. Исследование показало, что опухолевая ткань демонстрирует более высокую экспрессию ESR1, чем нормальные или метастатические ткани. Экспрессия ESR1 была высокой на всех стадиях развития злокачественного новообразования. Наблюдались различия в общей выживаемости при злокачественных новообразованиях молочной железы, шейки матки, матки и яичников. Результаты исследования могут быть полезны при разработке более эффективных таргетных методов лечения, послужить улучшению результатов лечения пациентов и совершенствованию стратегий лечения рака, а аспект совместной экспрессии генов и связанной транскрипции может стать предметом будущих молекулярных исследований.</p></abstract><trans-abstract xml:lang="en"><p>The Estrogen Receptor 1 (ESR1) gene plays key roles in regulating ER-responsive genes and affects many physiological processes. This gene encodes the estrogen receptor (ERα), which is essential for cellular proliferation and differentiation and is implicated in various malignancies, including osteoporosis, colon, ovarian, endometrial, and breast cancer. Due to the association of the mutagenic form of ESR1 with many types of cancers, it is also being investigated as a potential biomarker for cancers. The bulk tissue expression of the ESR1 gene is found mainly in the tissues associated with female reproductive organs (breast, cervix tissue, fallopian tubes, uterus, and vagina). This study analyzed ESR1 expression in malignancies using in silico tools. TNMplot, TIMER2.0, GTEx, GEPIA, TCGA, etc., were used to investigate differential expression of ESR1 genes across various cancers, explore gene correlations, and assess prognostic impact and survival outcomes in patients. This study revealed that tumor tissue showed higher ESR1 expression than normal or metastatic tissues. ESR1 expression was high in all pathological stages throughout the course of the malignancy. Differential overall survival was observed among breast, cervical, uterine, and ovarian malignancies. Insights from this research could lead to the development of more effective targeted therapies, improving patient outcomes, and advancing cancer treatment strategies. This aspect of gene co-expression and linked transcription may be the subject of future molecular research.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эндокринный рецептор</kwd><kwd>ESR1</kwd><kwd>экспрессия гена</kwd><kwd>эндокринная терапия</kwd><kwd>общая выживаемость</kwd><kwd>раковые клетки</kwd><kwd>метастазирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>endocrine receptor</kwd><kwd>ESR1</kwd><kwd>gene expression</kwd><kwd>endocrine therapy</kwd><kwd>overall survival</kwd><kwd>cancer cells</kwd><kwd>metastasis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Altwegg K.A., Vadlamudi R.K. Role of estrogen receptor coregulators in endocrine resistant breast cancer. Explor. Target. Antitumor. Ther. 2021; 2 (4): 385-400. https://doi.org/10.37349/etat.2021.00052</mixed-citation><mixed-citation xml:lang="en">Altwegg K.A., Vadlamudi R.K. Role of estrogen receptor coregulators in endocrine resistant breast cancer. Explor. Target. Antitumor. Ther. 2021; 2 (4): 385-400. https://doi.org/10.37349/etat.2021.00052</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Anderson B.O., Ilbawi A.M., Fidarova E., Weiderpass E., Stevens L., Abdel-Wahab M., Mikkelsen B. The Global Breast Cancer Initiative: a strategic collaboration to strengthen health care for non-communicable diseases. Lancet Oncol. 2021; 22 (5): 578-581. https://doi.org/10.1016/S1470-2045(21)00071-1</mixed-citation><mixed-citation xml:lang="en">Anderson B.O., Ilbawi A.M., Fidarova E., Weiderpass E., Stevens L., Abdel-Wahab M., Mikkelsen B. The Global Breast Cancer Initiative: a strategic collaboration to strengthen health care for non-communicable diseases. Lancet Oncol. 2021; 22 (5): 578-581. https://doi.org/10.1016/S1470-2045(21)00071-1</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Arumalla K.K., Haince J.F., Bux R.A., Huang G., Tappia P.S., Ramjiawan B., Ford W.R., Vaida M. Metabolomics-Based Machine Learning Models Accurately Predict Breast Cancer Estrogen Receptor Status. Int. J. Mol. Sci. 2024; 25 (23): 13029. https://doi.org/10.3390/ijms252313029</mixed-citation><mixed-citation xml:lang="en">Arumalla K.K., Haince J.F., Bux R.A., Huang G., Tappia P.S., Ramjiawan B., Ford W.R., Vaida M. Metabolomics-Based Machine Learning Models Accurately Predict Breast Cancer Estrogen Receptor Status. Int. J. Mol. Sci. 2024; 25 (23): 13029. https://doi.org/10.3390/ijms252313029</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bahia W., Soltani I., Haddad A., Soua A., Radhouani A., Mahdhi A., Ferchichi S. Association of genetic variants in Estrogen receptor (ESR)1 and ESR2 with susceptibility to recurrent pregnancy loss in Tunisian women: A case control study. Gene. 2020; 736: 144406. https://doi.org/10.1016/j.gene.2020.144406</mixed-citation><mixed-citation xml:lang="en">Bahia W., Soltani I., Haddad A., Soua A., Radhouani A., Mahdhi A., Ferchichi S. Association of genetic variants in Estrogen receptor (ESR)1 and ESR2 with susceptibility to recurrent pregnancy loss in Tunisian women: A case control study. Gene. 2020; 736: 144406. https://doi.org/10.1016/j.gene.2020.144406</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Blakely B., Shin S., Jin K. Overview of the therapeutic strategies for ER positive breast cancer. Biochem. Pharmacol. 2023; 212: 115552. https://doi.org/10.1016/j.bcp.2023.115552</mixed-citation><mixed-citation xml:lang="en">Blakely B., Shin S., Jin K. Overview of the therapeutic strategies for ER positive breast cancer. Biochem. Pharmacol. 2023; 212: 115552. https://doi.org/10.1016/j.bcp.2023.115552</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Chakraborty B., Byemerwa J., Krebs T., Lim F., Chang C.Y., McDonnell D.P. Estrogen Receptor Signaling in the Immune System. Endocr. Rev. 2023; 44 (1): 117-141. https://doi.org/10.1210/endrev/bnac017</mixed-citation><mixed-citation xml:lang="en">Chakraborty B., Byemerwa J., Krebs T., Lim F., Chang C.Y., McDonnell D.P. Estrogen Receptor Signaling in the Immune System. Endocr. Rev. 2023; 44 (1): 117-141. https://doi.org/10.1210/endrev/bnac017</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Chhabra A., Tripathi A., Rizvi S., Tyagi R.K. Ligand-independent homo-/hetero-dimerization events of ERα and ERβ occur in the cytoplasmic compartment: Evidences from receptor dynamics in live cells. The Journal of Steroid Biochemistry and Molecular Biology. 2025; 247: 106668. https://doi.org/10.1016/j.jsbmb.2024.106668</mixed-citation><mixed-citation xml:lang="en">Chhabra A., Tripathi A., Rizvi S., Tyagi R.K. Ligand-independent homo-/hetero-dimerization events of ERα and ERβ occur in the cytoplasmic compartment: Evidences from receptor dynamics in live cells. The Journal of Steroid Biochemistry and Molecular Biology. 2025; 247: 106668. https://doi.org/10.1016/j.jsbmb.2024.106668</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chimento A., De Luca A., Avena P., De Amicis F., Casaburi I., Sirianni R., Pezzi V. Estrogen Receptors-Mediated Apoptosis in Hormone- Dependent Cancers. Int. J. Mol. Sci. 2022; 23 (3): 1242. https://doi.org/10.3390/ijms23031242</mixed-citation><mixed-citation xml:lang="en">Chimento A., De Luca A., Avena P., De Amicis F., Casaburi I., Sirianni R., Pezzi V. Estrogen Receptors-Mediated Apoptosis in Hormone- Dependent Cancers. Int. J. Mol. Sci. 2022; 23 (3): 1242. https://doi.org/10.3390/ijms23031242</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Clarke R., Jones B.C., Sevigny C.M., Hilakivi- Clarke L.A., Sengupta S. Experimental models of endocrine responsive breast cancer: strengths, limitations, and use. Cancer Drug Resist. 2021; 4 (4): 762-783. https://doi.org/10.20517/cdr.2021.33</mixed-citation><mixed-citation xml:lang="en">Clarke R., Jones B.C., Sevigny C.M., Hilakivi- Clarke L.A., Sengupta S. Experimental models of endocrine responsive breast cancer: strengths, limitations, and use. Cancer Drug Resist. 2021; 4 (4): 762-783. https://doi.org/10.20517/cdr.2021.33</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Clusan L., Ferrière F., Flouriot G., Pakdel F. A Basic Review on Estrogen Receptor Signaling Pathways in Breast Cancer. Int. J. Mol. Sci. 2023; 24 (7): 6834. https://doi.org/10.3390/ijms24076834</mixed-citation><mixed-citation xml:lang="en">Clusan L., Ferrière F., Flouriot G., Pakdel F. A Basic Review on Estrogen Receptor Signaling Pathways in Breast Cancer. Int. J. Mol. Sci. 2023; 24 (7): 6834. https://doi.org/10.3390/ijms24076834</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Dai F., Chen G., Wang Y., Zhang L., Long Y., Yuan M., Yang D., Liu S., Cheng Y., Zhang L. Identification of candidate biomarkers correlated with the diagnosis and prognosis of cervical cancer via integrated bioinformatics analysis. OncoTargets and therapy. 2019; 12: 4517-4532. https://doi.org/10.2147/OTT.S199615</mixed-citation><mixed-citation xml:lang="en">Dai F., Chen G., Wang Y., Zhang L., Long Y., Yuan M., Yang D., Liu S., Cheng Y., Zhang L. Identification of candidate biomarkers correlated with the diagnosis and prognosis of cervical cancer via integrated bioinformatics analysis. OncoTargets and therapy. 2019; 12: 4517-4532. https://doi.org/10.2147/OTT.S199615</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Englert-Golon M., Andrusiewicz M., Żbikowska A., Chmielewska M., Sajdak S., Kotwicka M. Altered Expression of ESR1, ESR2, PELP1 and c-SRC Genes Is Associated with Ovarian Cancer Manifestation. Int. J. Mol. Sci. 2021; 22 (12): 6216. https://doi.org/10.3390/ijms22126216</mixed-citation><mixed-citation xml:lang="en">Englert-Golon M., Andrusiewicz M., Żbikowska A., Chmielewska M., Sajdak S., Kotwicka M. Altered Expression of ESR1, ESR2, PELP1 and c-SRC Genes Is Associated with Ovarian Cancer Manifestation. Int. J. Mol. Sci. 2021; 22 (12): 6216. https://doi.org/10.3390/ijms22126216</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Flouriot G., Brand H., Denger S., Metivier R., Kos M., Reid G., Sonntag-Buck V., Gannon F. Identification of a new isoform of the human estrogen receptor-alpha (hER-alpha) that is encoded by distinct transcripts and that is able to repress hER-alpha activation function 1. EMBO J. 2000; 19 (17): 4688- 4700. https://doi.org/10.1093/emboj/19.17.4688</mixed-citation><mixed-citation xml:lang="en">Flouriot G., Brand H., Denger S., Metivier R., Kos M., Reid G., Sonntag-Buck V., Gannon F. Identification of a new isoform of the human estrogen receptor-alpha (hER-alpha) that is encoded by distinct transcripts and that is able to repress hER-alpha activation function 1. EMBO J. 2000; 19 (17): 4688- 4700. https://doi.org/10.1093/emboj/19.17.4688</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Gogola-Mruk J., Pietrus M., Piechowicz M., Milian-Ciesielska K., Głód P., Wolnicka-Glubisz A., Szpor J., Ptak A. Low androgen/progesterone or high oestrogen/androgen receptors ratio in serous ovarian cancer predicts longer survival. Reprod Biol. 2024; 24 (3): 100917. https://doi.org/10.1016/j.repbio.2024.100917</mixed-citation><mixed-citation xml:lang="en">Gogola-Mruk J., Pietrus M., Piechowicz M., Milian-Ciesielska K., Głód P., Wolnicka-Glubisz A., Szpor J., Ptak A. Low androgen/progesterone or high oestrogen/androgen receptors ratio in serous ovarian cancer predicts longer survival. Reprod Biol. 2024; 24 (3): 100917. https://doi.org/10.1016/j.repbio.2024.100917</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Honkanen T.J., Tikkanen A., Karihtala P., Mäkinen M., Väyrynen J.P., Koivunen J.P. Prognostic and predictive role of tumour-associated macrophages in HER2 positive breast cancer. Sci. Rep. 2019; 9 (1): 10961. https://doi.org/10.1038/s41598-019-47375-2</mixed-citation><mixed-citation xml:lang="en">Honkanen T.J., Tikkanen A., Karihtala P., Mäkinen M., Väyrynen J.P., Koivunen J.P. Prognostic and predictive role of tumour-associated macrophages in HER2 positive breast cancer. Sci. Rep. 2019; 9 (1): 10961. https://doi.org/10.1038/s41598-019-47375-2</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Hu C., Liu Y., Jiang S., Chen H., Xu H., Hu J., Li C., Xia H. The variable association between expression and methylation of estrogen receptors and the survival of patients with different tumors. Clin. Transl. Med. 2020; 10 (2): e49. https://doi. org/10.1002/ctm2.49</mixed-citation><mixed-citation xml:lang="en">Hu C., Liu Y., Jiang S., Chen H., Xu H., Hu J., Li C., Xia H. The variable association between expression and methylation of estrogen receptors and the survival of patients with different tumors. Clin. Transl. Med. 2020; 10 (2): e49. https://doi. org/10.1002/ctm2.49</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Ji Y., Zhang R., Han X., Zhou J. Targeting the N-terminal domain of the androgen receptor: The effective approach in therapy of CRPC. Eur. J. Med. Chem. 2023; 247: 115077. https://doi.org/10.1016/j.ejmech.2022.115077</mixed-citation><mixed-citation xml:lang="en">Ji Y., Zhang R., Han X., Zhou J. Targeting the N-terminal domain of the androgen receptor: The effective approach in therapy of CRPC. Eur. J. Med. Chem. 2023; 247: 115077. https://doi.org/10.1016/j.ejmech.2022.115077</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Johansson Å., Schmitz D., Höglund J., Hadizadeh F., Karlsson T., Ek W.E. Investigating the Effect of Estradiol Levels on the Risk of Breast, Endometrial, and Ovarian Cancer. J. Endocr. Soc. 2022; 6 (8): bvac100. https://doi.org/10.1210/jendso/bvac100</mixed-citation><mixed-citation xml:lang="en">Johansson Å., Schmitz D., Höglund J., Hadizadeh F., Karlsson T., Ek W.E. Investigating the Effect of Estradiol Levels on the Risk of Breast, Endometrial, and Ovarian Cancer. J. Endocr. Soc. 2022; 6 (8): bvac100. https://doi.org/10.1210/jendso/bvac100</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Koirala N., Dey N., Aske J., De P. Targeting Cell Cycle Progression in HER2+ Breast Cancer: An Emerging Treatment Opportunity. Int. J. Mol. Sci. 2022; 23 (12): 6547. https://doi.org/10.3390/ijms23126547</mixed-citation><mixed-citation xml:lang="en">Koirala N., Dey N., Aske J., De P. Targeting Cell Cycle Progression in HER2+ Breast Cancer: An Emerging Treatment Opportunity. Int. J. Mol. Sci. 2022; 23 (12): 6547. https://doi.org/10.3390/ijms23126547</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Langdon S.P., Herrington C.S., Hollis R.L., Gourley C. Estrogen Signaling and Its Potential as a Target for Therapy in Ovarian Cancer. Cancers (Basel). 2020; 12 (6): 1647. https://doi.org/10.3390/cancers12061647</mixed-citation><mixed-citation xml:lang="en">Langdon S.P., Herrington C.S., Hollis R.L., Gourley C. Estrogen Signaling and Its Potential as a Target for Therapy in Ovarian Cancer. Cancers (Basel). 2020; 12 (6): 1647. https://doi.org/10.3390/cancers12061647</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Lee N., Park M.J., Song W., Jeon K., Jeong S. Currently Applied Molecular Assays for Identifying ESR1 Mutations in Patients with Advanced Breast Cancer. Int. J. Mol. Sci. 2020; 21 (22): 8807. https://doi.org/10.3390/ijms21228807</mixed-citation><mixed-citation xml:lang="en">Lee N., Park M.J., Song W., Jeon K., Jeong S. Currently Applied Molecular Assays for Identifying ESR1 Mutations in Patients with Advanced Breast Cancer. Int. J. Mol. Sci. 2020; 21 (22): 8807. https://doi.org/10.3390/ijms21228807</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Marra A., Trapani D., Ferraro E., Curigliano G. Mechanisms of Endocrine Resistance in Hormone Receptor-Positive Breast Cancer. Cancer Treat. Res. 2023; 188: 219-235. https://doi.org/10.1007/978-3-031-33602-7_9</mixed-citation><mixed-citation xml:lang="en">Marra A., Trapani D., Ferraro E., Curigliano G. Mechanisms of Endocrine Resistance in Hormone Receptor-Positive Breast Cancer. Cancer Treat. Res. 2023; 188: 219-235. https://doi.org/10.1007/978-3-031-33602-7_9</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Mangani S., Piperigkou Z., Koletsis N.E., Ioannou P., Karamanos N.K. Estrogen receptors and extracellular matrix: the critical interplay in cancer development and progression. FEBS J. 2025; 292 (7): 1558-1572. https://doi.org/10.1111/febs.17270</mixed-citation><mixed-citation xml:lang="en">Mangani S., Piperigkou Z., Koletsis N.E., Ioannou P., Karamanos N.K. Estrogen receptors and extracellular matrix: the critical interplay in cancer development and progression. FEBS J. 2025; 292 (7): 1558-1572. https://doi.org/10.1111/febs.17270</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Miziak P., Baran M., Błaszczak E., Przybyszewska-Podstawka A., Kałafut J., Smok- Kalwat J., Dmoszyńska-Graniczka M., Kiełbus M., Stepulak A. Estrogen Receptor Signaling in Breast Cancer. Cancers (Basel). 2023; 15 (19): 4689. https://doi.org/10.3390/cancers15194689</mixed-citation><mixed-citation xml:lang="en">Miziak P., Baran M., Błaszczak E., Przybyszewska-Podstawka A., Kałafut J., Smok- Kalwat J., Dmoszyńska-Graniczka M., Kiełbus M., Stepulak A. Estrogen Receptor Signaling in Breast Cancer. Cancers (Basel). 2023; 15 (19): 4689. https://doi.org/10.3390/cancers15194689</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Nagaraj G., Ma C.X. Clinical Challenges in the Management of Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Metastatic Breast Cancer: A Literature Review. Adv. Ther. 2021; 38 (1): 109-136. https://doi.org/10.1007/s12325-020-01552-2</mixed-citation><mixed-citation xml:lang="en">Nagaraj G., Ma C.X. Clinical Challenges in the Management of Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Metastatic Breast Cancer: A Literature Review. Adv. Ther. 2021; 38 (1): 109-136. https://doi.org/10.1007/s12325-020-01552-2</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Razavi P., Chang M.T., Xu G., Bandlamudi C., Ross D.S., Vasan N., Cai Y., Bielski C.M., Donoghue M.T.A., Jonsson P., Penson A., Shen R., Pareja F., Kundra R., Middha S., Cheng M.L., Zehir A., Kandoth C., Patel R., Huberman K., Smyth L.M., Jhaveri K., Modi S., Traina T.A., Dang C., Zhang W., Weigelt B., Li B.T., Ladanyi M., Hyman D.M., Schultz N., Robson M.E., Hudis C., Brogi E., Viale A., Norton L., Dickler M.N., Berger M.F., Iacobuzio-Donahue C.A., Chandarlapaty S., Scaltriti M., Reis-Filho J.S., Solit D.B., Taylor B.S., Baselga J. The Genomic Landscape of Endocrine-Resistant Advanced Breast Cancers. Cancer Cell. 2018; 34 (3): 427-438. https://doi.org/10.1016/j.ccell.2018.08.008</mixed-citation><mixed-citation xml:lang="en">Razavi P., Chang M.T., Xu G., Bandlamudi C., Ross D.S., Vasan N., Cai Y., Bielski C.M., Donoghue M.T.A., Jonsson P., Penson A., Shen R., Pareja F., Kundra R., Middha S., Cheng M.L., Zehir A., Kandoth C., Patel R., Huberman K., Smyth L.M., Jhaveri K., Modi S., Traina T.A., Dang C., Zhang W., Weigelt B., Li B.T., Ladanyi M., Hyman D.M., Schultz N., Robson M.E., Hudis C., Brogi E., Viale A., Norton L., Dickler M.N., Berger M.F., Iacobuzio-Donahue C.A., Chandarlapaty S., Scaltriti M., Reis-Filho J.S., Solit D.B., Taylor B.S., Baselga J. The Genomic Landscape of Endocrine-Resistant Advanced Breast Cancers. Cancer Cell. 2018; 34 (3): 427-438. https://doi.org/10.1016/j.ccell.2018.08.008</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Rong J., Xie X., Niu Y., Su Z. Correlation between the RNA Expression and the DNA Methylation of Estrogen Receptor Genes in Normal and Malignant Human Tissues. Curr. Issues. Mol. Biol. 2024; 46 (4): 3610-3625. https://doi.org/10.3390/cimb46040226</mixed-citation><mixed-citation xml:lang="en">Rong J., Xie X., Niu Y., Su Z. Correlation between the RNA Expression and the DNA Methylation of Estrogen Receptor Genes in Normal and Malignant Human Tissues. Curr. Issues. Mol. Biol. 2024; 46 (4): 3610-3625. https://doi.org/10.3390/cimb46040226</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Saatci O., Huynh-Dam K.T., Sahin O. Endocrine resistance in breast cancer: from molecular mechanisms to therapeutic strategies. J. Mol. Med. (Berl). 2021; 99 (12): 1691-1710. https://doi.org/10.1007/s00109-021-02136-5</mixed-citation><mixed-citation xml:lang="en">Saatci O., Huynh-Dam K.T., Sahin O. Endocrine resistance in breast cancer: from molecular mechanisms to therapeutic strategies. J. Mol. Med. (Berl). 2021; 99 (12): 1691-1710. https://doi.org/10.1007/s00109-021-02136-5</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Shen Y.T., Huang X., Zhang G., Jiang B., Li C.J., Wu Z.S. Pan-Cancer Prognostic Role and Targeting Potential of the Estrogen-Progesterone Axis. Front Oncol. 2021; 11: 636365. https://doi.org/10.3389/fonc.2021.636365</mixed-citation><mixed-citation xml:lang="en">Shen Y.T., Huang X., Zhang G., Jiang B., Li C.J., Wu Z.S. Pan-Cancer Prognostic Role and Targeting Potential of the Estrogen-Progesterone Axis. Front Oncol. 2021; 11: 636365. https://doi.org/10.3389/fonc.2021.636365</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Tanim M.T.H., Nath S.D., Khan S.F., Khan A., Sajib A.A. Transcriptomes of cervical cancer provide novel insights into dysregulated pathways, potential therapeutic targets, and repurposed drugs. Cancer Treat. Res. Commun. 2024; 39: 100808. https://doi.org/10.1016/j.ctarc.2024.100808</mixed-citation><mixed-citation xml:lang="en">Tanim M.T.H., Nath S.D., Khan S.F., Khan A., Sajib A.A. Transcriptomes of cervical cancer provide novel insights into dysregulated pathways, potential therapeutic targets, and repurposed drugs. Cancer Treat. Res. Commun. 2024; 39: 100808. https://doi.org/10.1016/j.ctarc.2024.100808</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Yuan J., Wen M., Matnuri A., Zhao S., Jian N., Shen G. The expression of lnc-CCDC170-4:1, ESR1, lncRNA SRA, and CYP19A1 in cervical squamous cell carcinoma and their relationship with the clinical characteristics. Front. Oncol. 2024; 14: 1430826. https://doi.org/10.3389/fonc.2024.1430826</mixed-citation><mixed-citation xml:lang="en">Yuan J., Wen M., Matnuri A., Zhao S., Jian N., Shen G. The expression of lnc-CCDC170-4:1, ESR1, lncRNA SRA, and CYP19A1 in cervical squamous cell carcinoma and their relationship with the clinical characteristics. Front. Oncol. 2024; 14: 1430826. https://doi.org/10.3389/fonc.2024.1430826</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
