CXCR4 activation maintains a stem cell population in tamoxifen-resistant breast cancer cells through AhR signalling

Br J Cancer. 2012 Jun 26;107(1):43-52. doi: 10.1038/bjc.2012.105. Epub 2012 May 29.


Background: Tamoxifen is commonly used for breast cancer therapy. However, tamoxifen resistance is an important clinical problem. Continuous treatment with conventional therapy may contribute to cancer progression in recurring cancers through the accumulation of drug-resistant cancer progenitors.

Methods: To investigate signalling mechanisms important for the maintenance and viability of drug-resistant cancer progenitors, we used microarray analysis, PCR array for genes involved in cancer drug resistance and metabolism, flow cytometry, soft agar colony formation assay, in vivo tumourigenicity assay and immunohistochemical analysis using tamoxifen-sensitive and tamoxifen-resistant breast cancer MCF7 cells.

Results: Downregulation of CXCR4 signalling by small molecule antagonist AMD3100 specifically inhibits growth of progenitor cell population in MCF7(TAM-R) cells both in vitro and in vivo. Microarray analysis revealed aryl hydrocarbon receptor (AhR) signalling as one of the top networks that is differentially regulated in MCF7(TAM-R) and MCF7 xenograft tumours treated with AMD3100. Further, small molecule antagonists of AhR signalling specifically inhibit the progenitor population in MCF7(TAM-R) cells and growth of MCF7(TAM-R) xenografts in vivo.

Conclusion: The chemokine receptor CXCR4 maintains a cancer progenitor population in tamoxifen-resistant MCF7 cells through AhR signalling and could be a putative target for the treatment of tamoxifen-resistant breast cancers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily G, Member 2
  • ATP-Binding Cassette Transporters / analysis
  • Animals
  • Antineoplastic Agents, Hormonal / pharmacology*
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / genetics
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm / genetics*
  • Female
  • Gene Expression Regulation, Neoplastic
  • Heterocyclic Compounds / pharmacology
  • Humans
  • Mice
  • Mice, Nude
  • Neoplasm Proteins / analysis
  • Neoplasm Transplantation
  • Neoplastic Stem Cells
  • Receptors, Aryl Hydrocarbon / metabolism*
  • Receptors, CXCR4 / antagonists & inhibitors
  • Receptors, CXCR4 / genetics*
  • Signal Transduction / drug effects
  • Tamoxifen / pharmacology*
  • Transcriptional Activation / drug effects
  • Transplantation, Heterologous


  • ABCG2 protein, human
  • ATP Binding Cassette Transporter, Subfamily G, Member 2
  • ATP-Binding Cassette Transporters
  • Antineoplastic Agents, Hormonal
  • Heterocyclic Compounds
  • Neoplasm Proteins
  • Receptors, Aryl Hydrocarbon
  • Receptors, CXCR4
  • Tamoxifen
  • plerixafor octahydrochloride