(A) Single agent treatments and growth on metastatic organ sites rewire metabolic pathways to enhance survival of BCa cells A. GSEA analysis showing activation of amino acid deprivation genes in MCF7-ESR1Y537S cells. (B) Endocrine-sensitive MCF7 cells, endocrine-resistant MCF7-ESR1Y537S, MCF7-ESR1D538G or BT474 cells were grown in minimal media containing only 2 mM individual amino acids. Cells were treated with different endocrine agents (1 µM 4-OHT, Fulv or Palb, and 100 nM SEL) and cell viability was quantified with WST-1 assay. All experiment conditions were repeated in six technical replicates and statistical significance values were calculated according to two-way ANOVA test. (C) Endocrine-sensitive MCF7 cells, endocrine-resistant MCF7-ESR1Y537S, MCF7-ESR1D538G or BT474 cells were grown in minimal media conditions supplemented only 2 mM individual amino acids. Cells were treated with different endocrine agents (1 µM 4-OHT, Fulv or Palb, in the presence or absence of 100 nM SEL) and cell viability of cells were quantified with WST-1 assay. All experiment conditions were repeated in six technical replicates and statistical significance values were calculated according to two-way ANOVA test. ** p < 0.01, *** p <0.001, **** p < 0.0001. (D) Cell viability assay showing the effect of glutamine addition to the media. BT474 cells were cultured at a density of 2 × 103 cells/well in a 96-well plate and treated with 1 µM 4-OHT alone and in combination with 100 nM SEL in different limiting media conditions. (E) Similar experimental conditions were tested in presence of 1 µM Glutaminase inhibitors, BPTES or CB839. A one-way analysis of variance (ANOVA) model was used for statistical significance of treatment and values were presented as mean ± SEM from three independent experimental repeats.