BCAR1 Human

Breast Cancer Anti-Estrogen Resistance 1 Human Recombinant
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Description

Molecular Structure and Domains

BCAR1 is characterized by multiple conserved domains that facilitate protein-protein interactions and phosphorylation-dependent signaling:

  • SH3 Domain: Binds proline-rich motifs in partner proteins (e.g., FAK, CRK) .

  • Substrate Domain (SD): Contains 15 YxxP motifs phosphorylated by Src family kinases (SFKs), enabling interactions with SH2-containing proteins .

  • Serine-Rich Domain: Forms a four-helix bundle involved in adhesion-related interactions .

  • Src-Binding Domain: Binds SH2/SH3 domains of Src kinases .

Eight isoforms exist, with BCAR1-iso1 (916 amino acids) being the longest. Phosphorylation at tyrosine residues (e.g., Y165, Y249) regulates its activity in response to stimuli like integrin activation or growth factors .

Biological Functions

BCAR1 integrates signals from diverse pathways to regulate cellular processes:

  • Cell Adhesion and Migration: Interacts with CRK, DOCK1, and RAC1 to remodel the actin cytoskeleton and promote motility .

  • Cancer Progression: Drives epithelial-to-mesenchymal transition (EMT), invasion, and metastasis in breast, lung, and prostate cancers .

  • Therapeutic Resistance: Overexpression confers resistance to anti-estrogen therapies in breast cancer .

  • Immune Evasion: Enhances tumor evasion by suppressing CD8+ T-cell activity in lung adenocarcinoma .

Clinical Significance in Cancer

BCAR1 is overexpressed in multiple malignancies and correlates with poor prognosis:

Cancer TypeKey FindingsReferences
Breast CancerHigh BCAR1 levels predict reduced relapse-free survival (HR = 1.5) and resistance to tamoxifen .
Lung AdenocarcinomaPromotes EMT and metastasis via RAC1 signaling; linked to circulating tumor cell (CTC) survival .
Prostate CancerBCAR1 knockdown inhibits tumor growth and invasion .
Mutant TP53 CancersBinds TP53 R273H mutant to enhance invasion in an SFK-dependent manner .

Mechanisms in Cancer Progression

  • RAC1 Pathway Activation: BCAR1 overexpression upregulates RAC1, driving cytoskeletal changes and metastasis. Inhibition of RAC1 with NSC-23766 reverses EMT markers (e.g., reduced CDH2, vimentin) .

  • Exosome Modulation: BCAR1 alters exosome size and cargo, enriching pathways like integrin and EGFR signaling .

  • Transcriptional Regulation: Cooperates with BRD4 and CD274 (PD-L1) to promote immune evasion .

Therapeutic Implications

  • Diagnostic/Prognostic Marker: BCAR1 levels in tumor cytosols independently predict survival in breast cancer .

  • Therapeutic Target: Challenges exist due to its non-catalytic nature, but downstream effectors (e.g., RAC1, SFKs) are potential targets .

Table 1: BCAR1 Interaction Partners and Functional Roles

PartnerRolePathwayReference
CRKMediates cell spreading and migration via Rac activationCytoskeletal remodeling
DOCK1Enhances phagocytosis and motilityCell adhesion
RAPGEF1Activates RAS/ERK signalingProliferation
TP53 R273HCooperates to drive invasion in mutant TP53 cancersMetastasis

Product Specs

Introduction
Breast Cancer Anti-Estrogen Resistance 1 (BCAR1), also known as p130, is a substrate of the Src family kinases and is implicated in various cellular processes such as cell migration, survival, transformation, and invasion. It is a key player in tyrosine kinase-mediated signaling pathways associated with cell adhesion.
Description
Recombinant human BCAR1 protein was expressed in E. coli and purified to a single polypeptide chain. It encompasses amino acids 465 to 848 of the full-length protein and has a molecular weight of 43.9 kDa, including a 23-amino acid His-tag fused at its N-terminus. The protein was purified using proprietary chromatographic techniques.
Physical Appearance
Clear, sterile-filtered solution.
Formulation
BCAR1 is supplied in a solution at a concentration of 0.5 mg/ml. The solution is buffered with 20 mM Tris-HCl at pH 8.0 and contains 0.4 M urea and 10% glycerol.
Stability
For short-term storage (2-4 weeks), the BCAR1 solution should be stored at 4°C. For extended storage, it is recommended to store the protein at -20°C. To ensure long-term stability, the addition of a carrier protein such as 0.1% HSA or BSA is advised. Repeated freezing and thawing of the protein should be avoided.
Purity
The purity of BCAR1 is greater than 85% as determined by SDS-PAGE analysis.
Synonyms
CAS, CAS1, CASS1, CRKAS, P130Cas, Breast cancer anti-estrogen resistance protein 1, CRK-associated substrate, Cas scaffolding protein family member 1, BCAR1.
Source
Escherichia Coli.
Amino Acid Sequence
MGSSHHHHHH SSGLVPRGSH MGSRLQQGVS ATVAHLLDLA GSAGATGSWR SPSEPQEPLV QDLQAAVAAV QSAVHELLEF ARSAVGNAAH TSDRALHAKL SRQLQKMEDV HQTLVAHGQA LDAGRGGSGA TLEDLDRLVA CSRAVPEDAK QLASFLHGNA SLLFRRTKAT APGPEGGGTL HPNPTDKTSS IQSRPLPSPP KFTSQDSPDG QYENSEGGWM EDYDYVHLQG KEEFEKTQKE LLEKGSITRQ GKSQLELQQL KQFERLEQEV SRPIDHDLAN WTPAQPLAPG RTGGLGPSDR QLLLFYLEQC EANLTTLTNA VDAFFTAVAT NQPPKIFVAH SKFVILSAHK LVFIGDTLSR QAKAADVRSQ VTHYSNLLCD LLRGIVATTK AAALQYPSPS AAQDMVE.

Q&A

What is the genomic organization of the human BCAR1 gene?

BCAR1 is a protein-coding gene located on chromosome 16q23.1 on the negative strand. The gene consists of seven exons, with multiple transcript variants identified. Genomic analysis has revealed that at least eight different gene isoforms exist, all sharing the same sequence starting from the second exon onward but differing in their transcription start sites . The longest isoform, BCAR1-iso1, encodes a protein of 916 amino acids, though earlier research identified a slightly shorter 870 amino acid form .

What are the primary cellular functions of BCAR1 protein?

BCAR1 functions primarily as a docking protein that coordinates tyrosine kinase-based signaling related to cell adhesion. It serves as a scaffold for assembling various signaling complexes that regulate:

  • Cell adhesion and migration

  • Cell invasion and metastasis

  • Apoptosis regulation

  • Hypoxia response

  • Mechanical force transduction

  • Cell branching morphogenesis

  • BCAR3-mediated inhibition of TGFβ signaling

As an adaptor molecule, BCAR1 was originally identified as a major substrate of v-Src and v-Crk kinases. It belongs to the Cas family of adaptor proteins and can interact with numerous signaling partners, creating a molecular hub for pathway integration .

How is BCAR1 regulated at the post-translational level?

BCAR1 activity is primarily regulated through phosphorylation and dephosphorylation events. Key regulatory mechanisms include:

  • Tyrosine phosphorylation by receptor tyrosine kinases (RTKs)

  • Phosphorylation triggered by integrin signaling

  • Dephosphorylation by specific phosphatases

  • Potential regulation by other post-translational modifications

These phosphorylation events, particularly within the substrate domain of BCAR1, create binding sites for SH2 domain-containing proteins, enabling the assembly of multiprotein signaling complexes . The dynamic regulation of BCAR1 phosphorylation status directly influences its functional consequences in cellular signaling.

What is the role of BCAR1 in breast cancer antiestrogen resistance?

BCAR1 was initially identified through a functional genetic screen for genes that confer resistance to antiestrogen therapy in breast cancer. Research has demonstrated that overexpression of BCAR1 allows estrogen-dependent breast cancer cells (specifically ZR-75-1 cells) to proliferate in the presence of antiestrogens such as tamoxifen .

The mechanism appears to involve activation of alternative signaling pathways that bypass the requirement for estrogen receptor (ER) signaling. In laboratory studies, transfer of the BCAR1 locus from retrovirus-mutated, antiestrogen-resistant cells to estrogen-dependent ZR-75-1 cells through cell fusion conferred an antiestrogen-resistant phenotype on the recipient cells. Similarly, transfection of BCAR1 cDNA into ZR-75-1 cells resulted in sustained cell proliferation in the presence of antiestrogens .

This finding has significant clinical implications, as approximately half of estrogen receptor-positive breast cancers eventually develop resistance to tamoxifen treatment, often leading to recurrence and metastasis.

How does BCAR1 contribute to circulating tumor cell (CTC) formation and immune evasion?

Recent research has uncovered a critical role for BCAR1 in promoting the formation and immune evasion of circulating tumor cells (CTCs) in lung adenocarcinoma (LUAD). High expression of BCAR1 in CTCs correlates with increased expression of CD274 (PD-L1) and enhanced epithelial-to-mesenchymal transition (EMT) .

The experimental approach to investigating this relationship involved:

  • Evaluation of CTC biomarkers (including BCAR1 and CD274) using the CanPatrol method

  • Proteomic analysis of LUAD cells and their exosomes after BCAR1 overexpression

  • Functional studies after BCAR1 knockdown or overexpression

  • Both in vitro and in vivo validation experiments

These findings suggest that BCAR1 may promote cancer progression through dual mechanisms: enhancing the invasive properties of tumor cells while simultaneously helping them evade immune surveillance through upregulation of immune checkpoint molecules.

What is the relationship between BCAR1 and BRCA1/BRCA2 in cancer pathways?

While BCAR1 and BRCA genes are distinct, they intersect in cancer-related pathways, particularly in breast cancer. BRCA1 and BRCA2 are primarily involved in DNA repair through homologous recombination (HR), whereas BCAR1 functions mainly in signaling pathways related to cell adhesion, migration, and invasion .

Research suggests potential crosstalk between these pathways:

  • BCAR1-mediated signaling may influence DNA repair processes

  • Both pathways affect cell cycle regulation and apoptosis

  • Alterations in both can contribute to breast cancer development and progression

Understanding these relationships is important for comprehensive characterization of breast cancer subtypes and potential therapeutic targeting strategies, especially in the context of antiestrogen resistance mechanisms where BCAR1 plays a crucial role .

What are the recommended methods for studying BCAR1 expression and activation?

MethodApplicationAdvantagesLimitations
Western blottingProtein expression and phosphorylationQuantifiable, detects post-translational modificationsLimited spatial information
ImmunohistochemistryTissue localizationPreserves tissue architecture, clinical correlationSemi-quantitative
RT-qPCRmRNA expressionHighly sensitive, quantitativeDoes not detect protein or activation
Proximity ligation assayProtein-protein interactionsIn situ detection, high specificityTechnically demanding
Mass spectrometryProteomic analysisComprehensive, identifies novel interactionsComplex data analysis, requires specialized equipment
CanPatrol methodCTC analysisEnables CTC characterizationLimited to specific applications

When studying BCAR1 activation specifically, phospho-specific antibodies targeting key tyrosine residues are essential, as the phosphorylation status directly correlates with BCAR1 activity in signaling cascades .

How can researchers effectively model BCAR1-mediated antiestrogen resistance?

Modeling BCAR1-mediated antiestrogen resistance requires careful experimental design:

  • Cell line selection: The ZR-75-1 breast cancer cell line has been established as a reliable model for studying BCAR1-mediated antiestrogen resistance .

  • Gene manipulation approaches:

    • Transfection with BCAR1 cDNA for overexpression studies

    • CRISPR/Cas9 or siRNA for knockdown studies

    • Retroviral mutagenesis for random gene activation (historical approach)

  • Functional assessments:

    • Cell proliferation assays in the presence of antiestrogens

    • Colony formation assays

    • Cell cycle analysis

    • Apoptosis assays

  • Signaling pathway analysis:

    • Phosphorylation status of BCAR1 and downstream effectors

    • Interaction with other signaling molecules (co-immunoprecipitation)

    • Transcriptional changes (RNA-seq)

  • In vivo validation:

    • Xenograft models with manipulated BCAR1 expression

    • Response to antiestrogen therapy in animal models

What techniques are employed to study BCAR1's role in circulating tumor cells?

Investigating BCAR1's role in CTC biology requires specialized techniques:

  • CTC isolation and characterization:

    • The CanPatrol method has been successfully used to evaluate biomarkers including BCAR1 and CD274 in CTCs

    • Microfluidic-based isolation techniques

    • Flow cytometry-based approaches

  • Molecular profiling:

    • Single-cell RNA sequencing of CTCs

    • Proteomic analysis using mass spectrometry

    • Immunofluorescence for protein localization

  • Functional studies:

    • Manipulation of BCAR1 expression through overexpression or knockdown

    • Assessment of EMT markers

    • In vitro invasion and migration assays

    • Anoikis resistance assays (survival in suspension)

  • In vivo models:

    • Mouse models for CTC generation and metastasis

    • Optical imaging of labeled CTCs

    • Analysis of immune cell interactions with CTCs

How does BCAR1 interact with the tumor microenvironment?

BCAR1's role extends beyond cancer cell-intrinsic functions to interactions with the tumor microenvironment:

  • Extracellular matrix interactions:

    • BCAR1 mediates integrin signaling, affecting cell-matrix adhesion

    • It influences matrix remodeling through regulation of matrix metalloproteinases

    • BCAR1 responds to mechanical forces at focal adhesions, potentially mediating mechanotransduction in the tumor microenvironment

  • Immune cell interactions:

    • BCAR1 expression correlates with CD274 (PD-L1) expression, suggesting a role in immune checkpoint regulation

    • This relationship may contribute to immune evasion mechanisms of circulating tumor cells

    • Research suggests BCAR1 might influence tumor-associated macrophage polarization

  • Angiogenesis:

    • BCAR1 signaling pathways intersect with angiogenic factors

    • It may influence tumor vasculature through regulation of hypoxia responses

Future research should focus on dissecting these complex interactions using co-culture systems, 3D organoid models, and advanced in vivo imaging techniques to fully understand BCAR1's role in the tumor ecosystem.

What mechanisms underlie BCAR1's role in epithelial-to-mesenchymal transition?

BCAR1 has been implicated in promoting epithelial-to-mesenchymal transition (EMT), particularly in the context of circulating tumor cells. Mechanistic studies suggest:

  • Signaling pathway integration:

    • BCAR1 works in conjunction with RAC1 to induce EMT

    • It activates downstream signaling cascades that regulate EMT transcription factors

    • BCAR1 phosphorylation status may serve as a molecular switch for EMT programming

  • Cytoskeletal reorganization:

    • As a scaffold protein at focal adhesions, BCAR1 coordinates cytoskeletal remodeling

    • This function is critical for the morphological changes associated with EMT

    • It influences cell motility and invasive capacity

  • Transcriptional regulation:

    • BCAR1 signaling impacts expression of EMT markers

    • It may regulate epigenetic modifications that stabilize the mesenchymal phenotype

Experimental approaches to study these mechanisms include time-course analyses of EMT induction after BCAR1 manipulation, chromatin immunoprecipitation studies to identify transcriptional targets, and live-cell imaging to visualize cytoskeletal dynamics.

How might BCAR1 targeting be integrated into precision oncology approaches?

Integrating BCAR1 targeting into precision oncology strategies requires consideration of several factors:

  • Biomarker development:

    • BCAR1 expression or phosphorylation status as predictive biomarkers for therapy response

    • Correlation with other molecular markers (hormone receptor status, PD-L1 expression)

    • Development of clinically validated assays for BCAR1 activity

  • Therapeutic approaches:

    • Small molecule inhibitors targeting BCAR1 scaffold functions or key phosphorylation sites

    • Combination strategies with antiestrogens for breast cancer

    • Integration with immunotherapy based on BCAR1's role in CD274 regulation

    • Targeting BCAR1 to prevent CTC formation and metastasis

  • Patient stratification strategies:

    • Identification of cancer subtypes most likely to benefit from BCAR1-targeted approaches

    • Development of companion diagnostics

    • Integration with other genomic and proteomic markers

  • Resistance mechanisms:

    • Understanding potential compensatory pathways

    • Strategies to overcome adaptive resistance

    • Rational design of combination therapies

This approach requires integration of basic research findings with translational studies and ultimately clinical trials focused on BCAR1 as a therapeutic target.

What are the key considerations for analyzing BCAR1 in clinical samples?

Analyzing BCAR1 in clinical samples presents unique challenges that require specific methodological considerations:

  • Sample collection and preservation:

    • Rapid fixation is critical to preserve phosphorylation status

    • Consider using phosphatase inhibitors during sample processing

    • For CTCs, use appropriate stabilization buffers

  • Analytical approaches:

    • Immunohistochemistry protocols should be optimized and validated for BCAR1

    • Consider multiplexed immunofluorescence to assess BCAR1 in relation to other markers

    • For protein analysis, laser capture microdissection may help isolate specific cell populations

  • Data interpretation:

    • Develop scoring systems for BCAR1 expression and phosphorylation

    • Consider subcellular localization of BCAR1 (membrane vs. cytoplasmic)

    • Correlate with clinical parameters and outcomes

  • Quality control:

    • Include appropriate positive and negative controls

    • Validate antibody specificity using knockdown/knockout samples

    • Consider using multiple antibodies targeting different epitopes

These considerations are essential for generating reliable and clinically relevant data regarding BCAR1 expression and activity in patient samples.

What are the recommended genetic manipulation techniques for BCAR1 functional studies?

TechniqueApplicationAdvantagesConsiderations
CRISPR/Cas9Gene knockout or knock-inPrecise, complete elimination of expressionPotential off-target effects, clonal selection required
siRNA/shRNATransient or stable knockdownRapid, can target specific isoformsIncomplete knockdown, potential off-target effects
Overexpression vectorsGain-of-function studiesCan express wild-type or mutant formsNon-physiological expression levels
Inducible expression systemsTemporal control of expressionAllows study of acute vs. chronic effectsLeakiness of expression, limited dynamic range
Domain deletion/mutationStructure-function analysisIdentifies critical protein regionsMay affect protein stability or localization
Phosphomimetic mutationsActivation state studiesMimics constitutive phosphorylationMay not fully recapitulate natural activation

When designing genetic manipulation experiments for BCAR1, researchers should consider:

  • The specific research question (protein interaction, signaling pathway, cellular phenotype)

  • The cellular context (cancer type, baseline BCAR1 expression)

  • The need for physiologically relevant expression levels

  • Appropriate controls (empty vector, non-targeting sgRNA/siRNA)

How can researchers effectively study BCAR1 protein-protein interactions?

Investigating BCAR1 protein-protein interactions requires specialized approaches:

  • Co-immunoprecipitation (Co-IP):

    • Traditional approach for verifying protein-protein interactions

    • Can be performed with endogenous proteins or tagged overexpression constructs

    • Consider crosslinking for transient interactions

  • Proximity-based methods:

    • BioID or TurboID for proximity labeling

    • FRET/BRET for direct interaction assessment

    • Proximity ligation assay (PLA) for in situ detection

  • Mass spectrometry-based approaches:

    • Affinity purification followed by mass spectrometry (AP-MS)

    • Crosslinking mass spectrometry (XL-MS) for interaction interfaces

    • Hydrogen-deuterium exchange mass spectrometry (HDX-MS) for structural changes

  • Genetic approaches:

    • Yeast two-hybrid screening

    • Mammalian two-hybrid systems

    • Protein-fragment complementation assays

  • Structural biology:

    • X-ray crystallography of complexes

    • Cryo-electron microscopy

    • NMR spectroscopy for dynamic interactions

Each method has specific strengths and limitations, and integration of multiple approaches provides the most robust characterization of BCAR1 interactomes .

How might single-cell technologies advance our understanding of BCAR1 function?

Single-cell technologies offer unprecedented opportunities to understand BCAR1 function in heterogeneous cell populations:

  • Single-cell RNA sequencing (scRNA-seq):

    • Reveals cell-type specific expression patterns of BCAR1

    • Identifies co-expression patterns with interacting partners

    • Maps BCAR1-associated transcriptional networks in rare cell populations like CTCs

  • Single-cell proteomics:

    • Quantifies BCAR1 protein levels at single-cell resolution

    • Measures activation status through phosphorylation

    • Correlates with other signaling proteins

  • Spatial transcriptomics/proteomics:

    • Maps BCAR1 expression in the context of the tumor microenvironment

    • Reveals spatial relationships with immune cells and stromal components

    • Integrates with clinical pathology

  • CyTOF/mass cytometry:

    • Simultaneous measurement of multiple proteins and phosphorylation sites

    • Enables deep phenotyping of BCAR1-expressing cells

    • Facilitates trajectory analysis during processes like EMT

These technologies will be particularly valuable for understanding BCAR1's role in rare cell populations like CTCs and for mapping its dynamic regulation during cancer progression and treatment resistance development.

What are the emerging therapeutic strategies targeting BCAR1-dependent pathways?

Several innovative approaches are being explored to target BCAR1-dependent pathways:

  • Direct targeting strategies:

    • Small molecule inhibitors of BCAR1 scaffold functions

    • Peptide-based inhibitors of specific protein-protein interactions

    • Degraders (PROTACs) targeting BCAR1 for proteasomal degradation

  • Pathway-based approaches:

    • Inhibition of upstream kinases that phosphorylate BCAR1

    • Targeting downstream effectors in BCAR1 signaling cascades

    • Combination with antiestrogens to overcome resistance

  • Immunotherapeutic opportunities:

    • Targeting the BCAR1-CD274 axis to enhance immune recognition

    • Combination of BCAR1 inhibition with immune checkpoint blockade

    • Development of therapeutic antibodies against BCAR1-expressing CTCs

  • RNA-based therapeutics:

    • siRNA delivery strategies targeting BCAR1

    • Antisense oligonucleotides

    • mRNA destabilizing approaches

These emerging approaches will require rigorous preclinical validation and careful clinical trial design to evaluate their efficacy and safety profiles.

How does BCAR1 contribute to therapy resistance beyond antiestrogens?

While BCAR1's role in antiestrogen resistance is well-established, emerging evidence suggests broader implications in therapy resistance:

  • Chemotherapy resistance:

    • BCAR1 signaling may promote survival pathways that protect against cytotoxic agents

    • Its role in cell adhesion may contribute to cell adhesion-mediated drug resistance

    • BCAR1-mediated EMT could contribute to a chemoresistant phenotype

  • Targeted therapy resistance:

    • BCAR1 might activate alternative signaling pathways when primary targets are inhibited

    • It could serve as a node for pathway rewiring in response to RTK inhibitors

    • Its scaffold function may stabilize signaling complexes even in the presence of inhibitors

  • Radiotherapy resistance:

    • BCAR1 signaling intersects with DNA damage response pathways

    • It may promote survival following radiation-induced damage

    • Its role in cell adhesion could influence radiation sensitivity

  • Immunotherapy resistance:

    • The connection between BCAR1 and CD274 (PD-L1) suggests a potential role in immune evasion

    • BCAR1 might influence tumor microenvironment composition

    • It could modify antigen presentation or recognition

Future research should systematically investigate these relationships using appropriate models and clinical samples to develop comprehensive strategies for overcoming BCAR1-mediated therapy resistance.

Product Science Overview

Introduction

Breast Cancer Anti-Estrogen Resistance 1 (BCAR1), also known as p130Cas, is a protein encoded by the BCAR1 gene in humans. This protein plays a crucial role in cell signaling and has been implicated in the development of resistance to anti-estrogen therapies in breast cancer. BCAR1 is an adapter protein that interacts with various signaling molecules, influencing cell adhesion, migration, and survival. Its overexpression has been associated with poor prognosis in breast cancer patients, particularly those undergoing anti-estrogen treatments such as tamoxifen.

Preparation Methods

The recombinant form of BCAR1 can be produced using bacterial expression systems. A common method involves cloning the BCAR1 gene into an expression vector, which is then introduced into bacterial cells, such as Escherichia coli. The bacteria are cultured, and the expression of BCAR1 is induced using specific inducers like IPTG (Isopropyl β-D-1-thiogalactopyranoside). The recombinant BCAR1 protein is then purified from the bacterial lysate using affinity chromatography techniques, such as nickel-nitrilotriacetic acid (Ni-NTA) chromatography, which exploits the histidine tags often added to recombinant proteins for purification purposes.

Analysis of Chemical Reactions

BCAR1 is involved in various signaling pathways that regulate cell behavior. One of the key interactions is with focal adhesion kinase (FAK), which is crucial for cell adhesion and migration. BCAR1 can be phosphorylated on tyrosine residues, which creates binding sites for SH2 domain-containing proteins, further propagating signaling cascades. These interactions can lead to the activation of downstream pathways such as the MAPK/ERK pathway, which promotes cell proliferation and survival.

In the context of breast cancer, BCAR1 overexpression can lead to resistance to anti-estrogen therapies. This resistance is thought to arise from the activation of alternative survival pathways that bypass the estrogen receptor signaling. For example, BCAR1 can activate the PI3K/AKT pathway, which promotes cell survival and growth independently of estrogen signaling. This mechanism highlights the complexity of cancer cell signaling and the challenges in overcoming therapeutic resistance.

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