Target intelligence / Profile preview

Estrogen receptor alpha 46 kDa isoform (ERα46)

Target
ERα46
Molecular classification
Nuclear receptor, Transcription factor, Receptor
01

Overview

The Estrogen receptor alpha 46 kDa isoform (ERα46) is a naturally occurring, truncated variant of the full-length 66 kDa estrogen receptor alpha (ERα66), lacking the N-terminal A/B domain which contains the transactivation function-1 (AF-1) (Flouriot et al., 2000, EMBO J). It is frequently localized to the plasma membrane (mERα) via palmitoylation, where it mediates rapid, non-genomic signaling pathways such as the activation of endothelial nitric oxide synthase (eNOS) and the PI3K/Akt and MAPK/ERK cascades (Li et al., 2003, PNAS; Simoncini et al., 2000, Nature). In the nucleus, ERα46 can form heterodimers with ERα66, acting as a dominant-negative inhibitor of AF-1-dependent gene transcription while retaining AF-2-dependent activity (Penot et al., 2005, Mol Cell Biol). This isoform is particularly significant in the cardiovascular system, where it contributes to the protective effects of estrogen on the endothelium (Chambliss et al., 2002, Circ Res). In oncology, ERα46 is expressed in various breast cancer cell lines and tissues, and its ratio relative to ERα66 may influence the effectiveness of endocrine therapies like tamoxifen and fulvestrant (Figtree et al., 2003, J Biol Chem). Because it lacks the AF-1 domain, drugs that specifically target or bypass this domain may show differential efficacy in cells where ERα46 is the predominant isoform.

Other names
ER46mERα-ER46ESR1 isoform 2hERα46Truncated estrogen receptor alphaMembrane estrogen receptor alpha 46
02

Mechanism of action

ERα46 lacks the AF-1 domain, making its genomic activity dependent on the AF-2 domain. It primarily functions by mediating rapid non-genomic signaling at the plasma membrane through the activation of G proteins and downstream kinases like PI3K and MAPK, and by competitively inhibiting the AF-1 activity of the full-length ERα66 isoform.

03

Biological functions

Signal transductionCell proliferationNon-genomic estrogen signalingVasodilationApoptosis regulationGene expression regulation
04

Disease associations

Breast cancerCardiovascular diseaseOsteoporosisOsteosarcoma
05

Safety considerations

Potential for resistance to traditional endocrine therapies (e.g., tamoxifen resistance)Risk of promoting non-genomic proliferative signaling in cancer cellsTissue-specific hormonal side effects
06

Interacting drugs

17β-estradiol

3 more in the full profile.

07

Biomarkers

ERα46/ERα66 expression ratioERα46 protein levels in tumor tissue

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