Structural basis for an unexpected mode of SERM-mediated ER antagonism

Mol Cell. 2005 May 13;18(4):413-24. doi: 10.1016/j.molcel.2005.04.014.


Tamoxifen is effective for the prevention and treatment of estrogen-dependent breast cancers, but is associated with an increased incidence of endometrial tumors. We report the crystal structure of the estrogen receptor alpha (ERalpha) ligand binding domain (LBD) bound to the structurally similar compound GW5638, which has therapeutic potential and does not stimulate the uterus. Like tamoxifen, GW5638 relocates the carboxy-terminal helix (H12) to the known coactivator-docking site in the ERalpha LBD. However, GW5638 repositions residues in H12 through specific contacts with the N terminus of this helix. In contrast to tamoxifen, the resulting increase in exposed hydrophobic surface of ERalpha LBD correlates with a significant destabilization of ERalpha in MCF-7 cells. Thus, the GW5638-ERalpha LBD structure reveals an unexpected mode of SERM-mediated ER antagonism, in which the stability of ERalpha is decreased through an altered position of H12. This dual mechanism of antagonism may explain why GW5638 can inhibit tamoxifen-resistant breast tumors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amino Acid Sequence
  • Cinnamates / chemistry
  • Cinnamates / pharmacology*
  • Estrogen Receptor alpha / antagonists & inhibitors*
  • Humans
  • Hydrophobic and Hydrophilic Interactions
  • Ligands
  • Molecular Sequence Data
  • Protein Structure, Tertiary
  • Selective Estrogen Receptor Modulators / chemistry
  • Selective Estrogen Receptor Modulators / pharmacology*
  • Stilbenes / chemistry
  • Stilbenes / pharmacology*
  • Structure-Activity Relationship


  • Cinnamates
  • Estrogen Receptor alpha
  • Ligands
  • Selective Estrogen Receptor Modulators
  • Stilbenes
  • 3-(4-(1,2-diphenylbut-1-enyl)phenyl)acrylic acid

Associated data

  • PDB/1R5K