Figure 7.
Model of the regulation of the ESR1 gene expression and DNA methylation by PR in hormone-free breast cancer cells. In hormone-free ER+/PR+ breast cancer cells, PR binds to the low-methylated gene promoter, as well as to an enhancer-like intronic sequence of ESR1. PR binding at the gene promoter is required for maintaining ESR1 transcription. In the absence of PR, DNA methylation (mC) increases at the ESR1 promoter, and ESR1 transcription is reduced. Re-expression of PR in PR-depleted cells leads to PR binding to the low-methylated enhancer-like intronic sequence, but the high level of DNA methylation (mC) at the ESR1 promoter impedes PR binding to this genomic region. Consequently, re-expression of PR in PR-depleted cells is insufficient to restore ESR1 expression.
