Abstract
The estrogen receptor (ER) is the single most powerful predictor of breast cancer prognosis as well as an important contributor to the biology of carcinogenesis. In addition, endocrine therapy targeting ER directly (SERMS) or indirectly (aromatase inhibitors) forms the mainstay of adjuant therapy. Traditionally, human tumors are scored for the amount and presence of ER. However, this has centered on the population of ER found in the transformed epithelial cell nucleus. Over the last 40 years, it has been appreciated that additional cellular ER pools exist, in cytoplasm and at the plasma membrane. In this review, we discuss the important functions of extra-nuclear ER in breast cancer, including integration of function with nuclear ER.



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Acknowledgments
We regret the inability to cite many fine contributions to this scientific area due to space limitations. This work was supported by grants from the Veterans Administration Research Service and the National Institutes of Health (ERL) and funds from the National Cancer Institute, the US Army Breast Cancer Research Program and the Stiles Program in Integrative Oncology. We wish to thank our scientific partners, Ali Pedram, Mahnaz Razandi, Diana Marquez and Hsiao-Wang Chen for their dedicated and excellent work and advice.
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Levin, E.R., Pietras, R.J. Estrogen receptors outside the nucleus in breast cancer. Breast Cancer Res Treat 108, 351–361 (2008). https://doi.org/10.1007/s10549-007-9618-4
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DOI: https://doi.org/10.1007/s10549-007-9618-4