Phospho-ESR1 (S167) Antibody

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Description

Definition and Biological Significance

Phospho-ESR1 (S167) antibodies target ERα phosphorylated at serine 167 (pS167-ERα), a residue critical for ligand-independent receptor activation. Phosphorylation at this site is mediated by kinases such as S6K1, RSK, and Aurora A , enhancing ERα-dependent transcription and cellular proliferation. Clinically, elevated pS167-ERα correlates with tamoxifen resistance and poor prognosis in breast cancer .

Key Features of pS167-ERα Antibodies

PropertyDetails
Target EpitopePhosphorylated Ser167 on human ERα (UniProt P03372)
Host SpeciesRabbit (polyclonal or monoclonal)
ApplicationsWestern blot (WB), Immunofluorescence (IF), Immunohistochemistry (IHC)
Cross-ReactivityHuman-specific

Research Applications and Validation

These antibodies are pivotal in studying ERα signaling dynamics. For example:

  • IHC Validation: In breast cancer tissue microarrays, pS167-ERα antibodies demonstrated nuclear-specific staining, validated via peptide-blocking assays . Positive staining (IHC-score >0) was observed in 43% of ER+ tumors .

  • Clinical Correlations: A study of 104 tamoxifen-treated patients revealed pS167-ERα positivity in 26.9% of cases, though no significant survival correlation was found .

Clinical Study Data (n=104)

ParameterpS167-ERα+ (n=28)pS167-ERα− (n=76)P-value
HER-2 Status32.1%18.4%0.041
5-Year OS76.6 ± 5.6 months63.7 ± 2.9 months0.300

Mechanisms and Functional Insights

  • Kinase Regulation: pS167-ERα activation occurs via growth factor signaling pathways (e.g., PI3K/AKT), bypassing estrogen dependence .

  • Therapeutic Resistance: Preclinical models associate pS167-ERα with reduced tamoxifen sensitivity, partly due to enhanced receptor stability and coactivator recruitment .

Limitations and Considerations

  • Specificity Challenges: Cross-reactivity with non-phosphorylated ERα or other phospho-sites (e.g., S118) necessitates rigorous validation using peptide competition assays .

  • Clinical Utility: While pS167-ERα is a biomarker candidate, its prognostic value remains debated due to cohort heterogeneity and assay variability .

Product Specs

Buffer
Liquid in PBS containing 50% glycerol, 0.5% BSA and 0.02% sodium azide.
Form
Liquid
Lead Time
Typically, we can ship products within 1-3 business days after receiving your order. Delivery times may vary depending on the purchase method and location. For specific delivery times, please consult your local distributors.
Synonyms
7*/654 isoform antibody; 7*/819 2 isoform antibody; 7*/822 isoform antibody; 8*/901 isoform antibody; 8*/941 isoform antibody; DKFZp686N23123 antibody; ER alpha antibody; ER antibody; ER-alpha antibody; Era antibody; ESR antibody; ESR1 antibody; ESR1_HUMAN antibody; ESRA antibody; Estradiol receptor antibody; Estrogen nuclear receptor alpha antibody; Estrogen receptor 1 antibody; Estrogen receptor alpha 3*,4,5,6,7*/822 isoform antibody; Estrogen receptor alpha antibody; Estrogen receptor alpha delta 3*,4,5,6,7*,8*/941 isoform antibody; Estrogen receptor alpha delta 3*,4,5,6,7*/819 2 isoform antibody; Estrogen receptor alpha delta 4 +49 isoform antibody; Estrogen receptor alpha delta 4*,5,6,7*/654 isoform antibody; Estrogen receptor alpha delta 4*,5,6,7,8*/901 isoform antibody; Estrogen receptor alpha E1 E2 1 2 antibody; Estrogen receptor alpha E1 N2 E2 1 2 antibody; Estrogen receptor antibody; ESTRR antibody; NR3A1 antibody; Nuclear receptor subfamily 3 group A member 1 antibody
Target Names
Uniprot No.

Target Background

Function
Estrogen receptor 1 (ESR1) is a nuclear hormone receptor that plays a crucial role in regulating eukaryotic gene expression. It influences cellular proliferation and differentiation in target tissues. Upon binding to estrogen ligands, ESR1 undergoes a conformational change, enabling its interaction with coactivator complexes through LXXLL motifs. This interaction mediates ligand-dependent nuclear transactivation, which can involve direct homodimer binding to estrogen response elements (EREs) or association with other DNA-binding transcription factors like AP-1/c-Jun, c-Fos, ATF-2, Sp1, and Sp3. ESR1 can also participate in ERE-independent signaling. Notably, ESR1 exhibits mutual transrepression with NF-kappa-B in a cell-type-specific manner. It decreases NF-kappa-B DNA-binding activity and inhibits NF-kappa-B-mediated transcription. Moreover, ESR1 can displace RELA/p65 and associated coregulators from the promoter. ESR1 is recruited to the NF-kappa-B response element of the CCL2 and IL8 promoters, potentially displacing CREBBP. It colocalizes with NF-kappa-B components RELA/p65 and NFKB1/p50 on ERE sequences, and can synergistically activate transcription with NF-kappa-B. This synergistic activation involves CREBBP recruitment to adjacent response elements. ESR1 can activate the transcriptional activity of TFF1 and mediate membrane-initiated estrogen signaling through various kinase cascades. It is essential for MTA1-mediated transcriptional regulation of BRCA1 and BCAS3, and is involved in the activation of NOS3 and endothelial nitric oxide production. Isoforms lacking functional domains may modulate transcriptional activity through competitive ligand or DNA binding, or by heterodimerization with the full-length receptor. ESR1 binds to EREs and inhibits isoform 1 activity.
Gene References Into Functions
  1. Estrogen-induced miR-191 has been identified as a direct upstream regulator of DAB2 in ER-positive breast cancer cells. PMID: 29247596
  2. This research provides comprehensive genome-wide insights that contribute to a deeper understanding of ER1's biological roles in breast cancer. PMID: 30301189
  3. A study in Vietnamese women revealed a relationship between rs2046210 and rs3803662, and the risk of developing breast cancer. The A allele was identified as a risk allele for both rs2046210 (OR [95% CI] = 1.43 [1.14 - 1.78], P = 0.0015) and rs3803662 (OR [95% CI] = 1.45 [1.16 - 1.83], P = 0.001). The findings suggest that these two polymorphisms, rs2046210 in ESR1 and rs3803662 in TNRC9, are associated with breast cancer risk in the Vietnamese population. PMID: 30078824
  4. Research indicates that Oestrogen receptor alpha can enhance the odonto/osteogenic differentiation of stem cells from apical papilla via ERK and JNK MAPK pathways. PMID: 30069950
  5. No association was found between polymorphisms in genes encoding estrogen receptors (ESR1 and ESR2) and excreted BPA levels in orthodontic patients after bracket bonding. PMID: 29961922
  6. Analysis of genome-wide ER binding sites identified mutant ER unique recruitment mediating the allele-specific transcriptional program. PMID: 29438694
  7. A study describes RNF8 as a co-activator of ERalpha that increases ERalpha stability via a post-transcriptional pathway. This research provides new insights into the mechanisms by which RNF8 promotes cell growth in ERalpha-positive breast cancer. PMID: 28216286
  8. Reduced expression of ERbeta1 in female ERalpha-negative papillary thyroid carcinoma patients is associated with increased disease progression. PMID: 29655286
  9. ERbeta1 exhibits a heterogeneous distribution in deep infiltrating endometriosis. PMID: 29383962
  10. The ER-alpha36/EGFR signaling loop promotes growth in hepatocellular carcinoma cells. PMID: 29481815
  11. A study aimed to determine the presence and localization of oestrogen receptors (ERs), progesterone receptors (PRs), and androgen receptors (ARs) in both healthy and varicose vein wall cells, and their relationship with gender. PMID: 30250632
  12. Estrogen receptor-alpha was expressed exclusively in women and showed a positive correlation with the amount of fungi in oral paracoccidioidomycosis. Progesterone receptor was observed in both genders but exhibited no correlation with estrogen receptor-alpha or fungi counting. PMID: 29796757
  13. ERalpha upregulates vinculin expression in breast cancer cells. Loss of vinculin promotes amoeboid features of cancer cells. PMID: 28266545
  14. Polymorphisms in the ERalpha and ERbeta genes do not predict in vitro fertilization outcome. PMID: 29916276
  15. High ESR1 expression is associated with metastasis in breast cancer. PMID: 29187405
  16. The G/G XbaI genotype of the ESR1 gene is associated with breast cancer risk. PMID: 29893332
  17. miR-221 may impair the protective effect of estrogen in degenerated cartilaginous endplate cells by targeting estrogen receptor alpha. PMID: 29529124
  18. Research indicates that NAT1 and ESR1 expression are increased in primary breast tumor samples compared to normal breast tissue samples, and in ER+ primary breast tumors compared to ER- tumors. Furthermore, NAT1 and ESR1 expression appear to have overlapping regulation. PMID: 29901116
  19. In a study using molecular barcode next-generation sequencing (MB-NGS), all patients without ESR1 mutations were found to be free of mutations when analyzed by ddPCR. This suggests that MB-NGS can detect ESR1 mutations in cfDNA with higher sensitivity (0.1%) than conventional NGS and is clinically comparable to ddPCR. PMID: 28905136
  20. An association was found between the presence of specific genotypes at three ESR1 polymorphisms (rs2234693, rs6902771, rs7774230) and one ESR2 polymorphism (rs3020449), and the presence of metabolic syndrome in postmenopausal women. PMID: 30049354
  21. A higher frequency of ESR1 and PIK3CA mutations was observed in plasma compared to serum in 33 MBC patients. Therefore, serum samples may not be the preferred source of cfDNA. PMID: 29689710
  22. These results suggest that miR-125a-3p can act as a novel tumor suppressor in ER(+) breast cancer by targeting CDK3, which may offer a potential therapeutic approach for TamR breast cancer therapy. PMID: 28939591
  23. A significant finding of this study is that 20% of patients with breast cancer bone marrow (BM) exhibited a receptor discrepancy between the primary tumor and subsequent BM. Loss of hormone receptors (ER and/or PR) expression, and gain of HER2 overexpression were the most common observed changes. PMID: 28975433
  24. This study reports a nodal role for IGF-IR in regulating ERalpha-positive breast cancer cell aggressiveness and the regulation of expression levels of several extracellular matrix molecules. PMID: 28079144
  25. Associations between PvuII (T>C) and XbaI (A>G) polymorphisms of the estrogen receptor alpha (ESR1) gene and type 2 diabetes mellitus (T2DM) or metabolic syndrome (MetS) have been reported. PMID: 29883973
  26. The ERalpha gene appears to play a key role in stress urinary incontinence in the premenopausal period. PMID: 29769420
  27. This study reports the first discovery of naturally occurring ESR1 (Y537C) and ESR1 (Y537S) mutations in MCF7 and SUM44 ESR1-positive cell lines after acquisition of resistance to long-term-estrogen-deprivation (LTED) and subsequent resistance to fulvestrant (ICIR). These mutations were enriched over time, impacting ESR1 binding to the genome and altering the ESR1 interactome. PMID: 29192207
  28. Concomitant high expression of ERalpha36, GRP78, and GRP94 is associated with aggressive papillary thyroid cancer behavior and may serve as a predictor for extrathyroid extension, lymph node metastasis, and distant metastasis. PMID: 29368272
  29. Estrogen receptor-1 is a key regulator of HIV-1 latency that imparts gender-specific restrictions on the latent reservoir. PMID: 30061382
  30. Down-regulation of ESR1 gene expression was enhanced by the development of breast cancer. PMID: 29543921
  31. This study aimed to assess whether fibrosis markers, estrogen receptor (ER)alpha, and the stromal derived factor (SDF)1/CXC chemokine receptor type 4 (CXCR4) axis are abnormally expressed in intrauterine adhesions endometrium. PMID: 29568895
  32. The frequency of alleles and genotypes of polymorphisms FSHR(-29G/A) and ESRI (XbaI A/G) in women with normal to poor response did not show significant correlation. PMID: 29526845
  33. Each estrogen receptor alpha and estrogen receptor beta gene polymorphism might have a different impact on postmenopausal osteoporosis risk and bone mineral density in various ethnicities. PMID: 29458346
  34. The results suggest that the minor allele A of the ESR1 gene is associated with the development of arterial hypertension in men. PMID: 29658078
  35. A study found that tamoxifen treatment induced a decrease in PRMT2 and an increase in ER-alpha36, as well as ER-alpha36-mediated non-genomic effects in the MDA-MB-231 breast cancer cell line. PMID: 29620287
  36. ESR1 mutations are not associated with clinical resistance to fulvestrant in breast cancer patients. PMID: 27174596
  37. Overexpression of COPS5, through its isopeptidase activity, leads to ubiquitination and proteasome-mediated degradation of NCoR, a key corepressor for ERalpha and tamoxifen-mediated suppression of ERalpha target genes. PMID: 27375289
  38. ESR alpha PvuII and XbaI polymorphisms have no association with systemic lupus erythematosus. The combination of the TC/AA and CC/GG genotypes was associated with SLE susceptibility. PMID: 29356461
  39. Estrogen receptor (ER) and progesterone receptor (PR) expression in endometrial carcinoma (EC) were significantly higher than those in the paracarcinoma tissue and control. PMID: 29081408
  40. ESR1 promoter methylation was an independent risk factor and had a high value to predict 28-day mortality from acute-on-chronic hepatitis B liver failure. PMID: 29082740
  41. By analyzing different estrogen receptor-alpha(ER-a)-positive and ER-a-negative breast cancer cell lines, researchers defined the role of CCN5 in the leptin-mediated regulation of growth and invasive capacity. PMID: 29370782
  42. This study identified ESR1 as a direct target of miR-301a-3p. PMID: 29763890
  43. Authors report for the first time the presence of ESR1 methylation in plasma ctDNA of patients with HGSC. The agreement between ESR1 methylation in primary tumors and paired ctDNA is statistically significant. PMID: 29807696
  44. This study reports the development of a novel class of ERa AF2 inhibitors, which have the potential to effectively inhibit ERa activity by a unique mechanism and to circumvent the issue of mutation-driven resistance in breast cancer. PMID: 29462880
  45. The P2X7R rs3751143 and ER-alpha PvuII two-locus interaction confers a significantly high susceptibility to osteoporosis in Chinese postmenopausal women. PMID: 28884379
  46. Alcohol consumption may have differential effects on concordant and discordant receptor subtypes of breast cancer. PMID: 29353824
  47. ERalpha and ERbeta mRNA expression was significantly higher (p < 0.05) in tumor tissues relative to their paired normal mucosa and correlated inversely with survival outcome. PMID: 29390981
  48. High ESR1 expression is associated with Papillary Thyroid Carcinoma. PMID: 28124274
  49. Oral administration of RAD140 substantially inhibited the growth of AR/ER(+) breast cancer patient-derived xenografts (PDX). Activation of the AR and suppression of the ER pathway, including the ESR1 gene, were observed with RAD140 treatment. PMID: 28974548
  50. Polymorphism in the ERalpha gene is associated with an increased risk for advanced Pelvic Organ Prolapse. However, polymorphism in the LAMC1 gene does not seem to be associated with such risk. PMID: 29241914

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Database Links

HGNC: 3467

OMIM: 133430

KEGG: hsa:2099

STRING: 9606.ENSP00000206249

UniGene: Hs.208124

Involvement In Disease
Estrogen resistance (ESTRR)
Protein Families
Nuclear hormone receptor family, NR3 subfamily
Subcellular Location
[Isoform 1]: Nucleus. Cytoplasm. Cell membrane; Peripheral membrane protein; Cytoplasmic side.; Nucleus. Golgi apparatus. Cell membrane. Note=Colocalizes with ZDHHC7 and ZDHHC21 in the Golgi apparatus where most probably palmitoylation occurs. Associated with the plasma membrane when palmitoylated.
Tissue Specificity
Widely expressed. Not expressed in the pituitary gland.; [Isoform 3]: Widely expressed, however not expressed in the pituitary gland.

Q&A

What is Phospho-ESR1 (S167) Antibody and what is its significance in breast cancer research?

Phospho-ESR1 (S167) Antibody is a specialized antibody that specifically recognizes the estrogen receptor alpha (ESR1) protein when it is phosphorylated at serine residue 167. This antibody is crucial for studying post-translational modifications of ESR1, which play significant roles in breast cancer biology.

The significance of this antibody in breast cancer research stems from multiple clinical studies demonstrating that phosphorylation of ESR1 at Ser167 is predictive of response to endocrine therapy in hormone receptor-positive breast cancer patients . Unlike phosphorylation at other sites such as Ser118, Ser167 phosphorylation has been specifically associated with better clinical outcomes, including longer survival after relapse and increased likelihood of response to endocrine therapy .

Mechanistically, ESR1 can be phosphorylated at Ser167 by various kinases such as S6K1, RSK, and Aurora A, promoting ESR1-dependent transcription and cellular proliferation . This modification has been linked to endocrine therapy response mechanisms, making it a valuable biomarker in breast cancer management.

What are the recommended applications and protocols for Phospho-ESR1 (S167) Antibody use?

Phospho-ESR1 (S167) Antibody can be used in multiple experimental applications, with specific protocols optimized for each technique:

Western Blotting (WB):

  • Recommended dilutions range from 1:500-1:2000, with 1:1000 being commonly used

  • Use standard SDS-PAGE and transfer protocols

  • Expected molecular weight: approximately 66-67 kDa

  • Include appropriate positive controls (such as EGF-stimulated cell lysates)

Immunohistochemistry (IHC):

  • Recommended dilution: 1:200

  • Heat-induced antigen retrieval using citrate buffer is recommended

  • Score nuclear staining according to both intensity (scale 0-3) and percentage of positive cells (0-100%)

  • IHC-scores are calculated by multiplying intensity by percentage, generating a 0-300 scale

Enzyme-Linked Immunosorbent Assay (ELISA):

  • Recommended concentration: 0.01-0.1 μg/mL

  • Optimal dilutions should be determined by the end user based on specific assay requirements

Immunofluorescence (IF):

  • Recommended dilution: 1:100-1:800

  • Paraformaldehyde fixation is suitable for this application

How is the specificity of Phospho-ESR1 (S167) Antibody validated?

Validating the specificity of phospho-specific antibodies is critical to ensure accurate experimental results. For Phospho-ESR1 (S167) antibody, multiple validation approaches have been documented:

  • A non-phosphorylated ERα peptide of the same sequence

  • A peptide phosphorylated at a different site (e.g., T311)

Immunoblotting with Controlled Stimulation:

  • In studies with transfected COS-7 cells, P-S167-ERα becomes inducibly phosphorylated in response to EGF but not E2 treatment

  • This differential response can be used to validate antibody specificity

Cross-Reactivity Testing:
The antibody should specifically recognize ESR1 phosphorylated at Ser167 and not cross-react with:

  • Non-phosphorylated peptide

  • ESR1 phosphorylated at other sites (such as Ser106 or Ser118)

These validation methods ensure that the antibody provides specific detection of the phosphorylated form of ESR1 at serine 167.

What is the relationship between ESR1 Ser167 phosphorylation and clinical outcomes in breast cancer?

Multiple clinical studies have established significant correlations between ESR1 Ser167 phosphorylation and breast cancer outcomes:

Association with Favorable Prognostic Factors:
In ER-positive breast cancer patients, Ser167 phosphorylation has been associated with:

Endocrine Therapy Response:

  • Phosphorylation of ER-α Ser167 in primary breast tumors is predictive of response to endocrine therapy after relapse

  • Patients with high phosphorylation of ER-α Ser167 had significantly longer survival after relapse compared to those with low phosphorylation

Multivariate Analysis:
Studies involving 290 primary breast cancer biopsies demonstrated that Ser167 phosphorylation predicts likelihood of response to endocrine therapies in ER-positive breast cancer patients, making it a valuable prognostic marker .

These findings collectively suggest that assessment of Ser167 phosphorylation status could help in selecting patients who may benefit from endocrine therapy and serve as a prognostic marker in metastatic breast cancer.

How does ESR1 Ser167 phosphorylation differ from other phosphorylation sites in terms of function and clinical significance?

ESR1 can be phosphorylated at multiple sites, each with distinct functional consequences and clinical implications:

Comparison of Ser167 vs. Ser118 Phosphorylation:

FeatureSer167 PhosphorylationSer118 Phosphorylation
Association with HER2Not associated with HER2 overexpression Positively associated with HER2 overexpression
Response to endocrine therapyPredictive of positive response Not predictive of response to endocrine therapy
Survival outcomesAssociated with longer survival after relapse Not significantly associated with survival
Phosphorylating kinasesS6K1, RSK, Aurora A MAPK pathway kinases
Response to growth factorsInducibly phosphorylated in response to EGF Constitutively phosphorylated, enhanced by EGF

Additionally, while seven phosphorylated ERα forms have been detected in breast cancer (P-S104/106-ERα, P-S118-ERα, P-S167-ERα, P-S282-ERα, P-S294-ERα, P-T311-ERα, and P-S559-ERα) , the phosphorylation of Ser167 has emerged as particularly significant for predicting endocrine therapy response.

What kinases are responsible for ESR1 Ser167 phosphorylation and what signaling pathways are involved?

Multiple kinases have been identified as responsible for phosphorylating ESR1 at Ser167, connecting this modification to several important signaling pathways:

Primary Kinases Phosphorylating Ser167:

  • S6K1 (p70 ribosomal S6 kinase 1)

  • RSK (p90 ribosomal S6 kinase)

  • Aurora A kinase

Signaling Pathways:

  • The MAPK pathway: Phosphorylated MAPK (p44/p42) has been strongly associated with Ser167 phosphorylation (P < 0.0005)

  • The PI3K/AKT/mTOR pathway: S6K1 is downstream of this pathway

  • Growth factor signaling: EGF stimulation induces Ser167 phosphorylation

Cellular and Molecular Consequences:

  • Phosphorylation on Ser167 promotes ERα-dependent transcription

  • Enhances cellular proliferation

  • May contribute to tamoxifen resistance in some contexts

Interestingly, while HER2 positivity is associated with phosphorylation of Ser118, it is not associated with Ser167 phosphorylation . This suggests that other cell surface receptors may be important in regulating the activities of MAPK and RSK that lead to Ser167 phosphorylation in breast cancer.

What are the best practices for quantifying Phospho-ESR1 (S167) expression in immunohistochemistry studies?

Accurate quantification of Phospho-ESR1 (S167) in immunohistochemistry studies is critical for generating reliable and reproducible results:

Scoring Methodology:

  • Use semi-quantitative IHC-scores derived from:

    • Staining intensity (scale 0–3)

    • Percentage of positive cells (0–100%)

    • Multiply these values to generate a final score (0–300)

  • Focus only on nuclear staining when evaluating ESR1 phosphorylation

Cut-off Selection:

  • No universally accepted clinical cut-off points exist for phosphorylated ESR1 sites

  • Many studies define positivity based on the 25th percentile of IHC-scores (often equating to scores >0)

  • Independent evaluation by multiple investigators is recommended, with re-evaluation of discordant cases to reach consensus

Validation Practices:

  • Include appropriate positive and negative controls

  • Perform parallel staining with immunoabsorbed antibodies to demonstrate specificity

  • Compare with total ESR1 expression in sequential sections

Technical Considerations:

  • Use automated tissue immunostainers when possible to enhance reproducibility

  • Perform heat-induced antigen retrieval in citrate buffer (CC1)

  • Evaluate TMA (tissue microarray) cores in duplicate or triplicate to account for tumor heterogeneity

How do different growth factors and hormones affect ESR1 Ser167 phosphorylation?

The phosphorylation status of ESR1 at Ser167 is dynamically regulated by various growth factors and hormones, with distinct patterns of response:

Epidermal Growth Factor (EGF):

  • EGF treatment induces phosphorylation of ESR1 at Ser167

  • This has been demonstrated in transfected COS-7 cells using immunoblotting with phospho-specific antibodies

  • EGF activates the MAPK pathway, which in turn activates RSK, leading to Ser167 phosphorylation

Estradiol (E2):

  • In contrast to EGF, treatment with E2 alone does not significantly affect Ser167 phosphorylation in experimental systems

  • When ERα becomes phosphorylated at Ser167 in response to EGF, this phosphorylation status is not further affected by E2 treatment

Combined Growth Factor and Hormone Effects:

  • Co-treatment with EGF and E2 maintains EGF-induced phosphorylation of Ser167

  • This suggests that growth factor signaling may operate independently of classical estrogen signaling for this particular phosphorylation site

Understanding these differential effects is important when designing experiments to study the dynamics of ESR1 phosphorylation and when interpreting results from different experimental conditions.

What experimental challenges exist in detecting Phospho-ESR1 (S167) in different research contexts?

Researchers face several challenges when attempting to detect and quantify Phospho-ESR1 (S167) in various experimental settings:

Tissue Preservation and Processing Effects:

  • Phosphorylation status can be affected by ischemic time before fixation

  • Formalin fixation and paraffin embedding can reduce phospho-epitope detection

  • Proper tissue handling and processing protocols are critical to preserve phosphorylation status

Antibody Specificity Concerns:

  • Cross-reactivity with similar phosphorylation sites must be rigorously controlled

  • Batch-to-batch variation in antibody production may affect consistency

  • Validation using peptide competition assays is essential

Transient Nature of Phosphorylation:

  • Phosphorylation is a dynamic process that can change rapidly

  • Experimental timing is critical when studying phosphorylation events

  • Phosphatase activity during sample preparation can reduce signal

Quantification Challenges:

  • Establishing appropriate cut-off values for positivity remains subjective

  • Comparison between different studies is complicated by varied scoring systems

  • Inter-observer variability must be addressed through consensus scoring

Technical Recommendations:

  • Use freshly prepared or properly stored antibodies

  • Include appropriate positive and negative controls

  • Consider using recombinant antibodies for superior lot-to-lot consistency

  • For long-term storage, store at -20°C or lower and aliquot to avoid repeated freezing and thawing

How can Phospho-ESR1 (S167) status be integrated with other biomarkers for improved breast cancer prognosis?

Integration of Phospho-ESR1 (S167) status with other biomarkers provides a more comprehensive approach to breast cancer prognosis and treatment selection:

Complementary Biomarkers for Integrated Assessment:

BiomarkerCorrelation with P-Ser167-ESR1Combined Prognostic Value
Total ERαPositive correlation (r = 0.267, P < 0.0001) Enhanced prediction of endocrine therapy response
PRPositive association with PR levels Combined high expression associated with better outcomes
Phosphorylated p90RSKStrong association (P < 0.001) Indicates active signaling pathway leading to Ser167 phosphorylation
Phosphorylated MAPKPositive association (P < 0.0005) Suggests upstream pathway activation
HER2No association HER2 status affects different phosphorylation sites (Ser118)
P-S118-ERαPositive correlation (r = 0.463, P < 0.0001) Different clinical implications require distinct interpretation

Multivariate Analysis Approach:
Studies have demonstrated that phosphorylation of ER-α Ser167 remains an independent prognostic factor even after adjusting for other clinicopathological variables, suggesting its unique contribution to outcome prediction .

Practical Implementation:

  • Developing multiplex assays that simultaneously detect multiple phosphorylation sites

  • Creating integrated scoring systems that weight different biomarkers appropriately

  • Incorporating phosphorylation status into existing prognostic models

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