Prolactin-induced mouse mammary carcinomas model estrogen resistant luminal breast cancer

Introduction: Tumors that express estrogen receptor alpha (ER alpha+) comprise 75% of breast cancers in women. While treatments directed against this receptor have successfully lowered mortality rates, many primary tumors initially or later exhibit resistance. The paucity of murine models of this "luminal" tumor subtype has hindered studies of factors that promote their pathogenesis and modulate responsiveness to estrogen-directed therapeutics. Since epidemiologic studies closely link prolactin and the development of ER alpha+ tumors in women, we examined characteristics of the aggressive ER alpha+ and ER alpha-carcinomas which develop in response to mammary prolactin in a murine transgenic model (neu-related lipocalin-prolactin (NRL-PRL)). To evaluate their relationship to clinical tumors, we determined phenotypic relationships among these carcinomas, other murine models of breast cancer, and features of luminal tumors in women. Methods: We examined a panel of prolactin-induced tumors for characteristics relevant to clinical tumors: histotype, ER alpha/progesterone receptor (PR) expression and estrogen responsiveness, Activating Protein 1 (AP-1) components, and phosphorylation of signal transducer and activator of transcription 5 (Stat5), extracellular signal regulated kinase (ERK) 1/2 and AKT. We compared levels of transcripts in the ER alpha-associated "luminal" signature that defines this subtype of tumors in women and transcripts enriched in various mammary epithelial lineages to other well-studied genetically modified murine models of breast cancer. Finally, we used microarray analyses to compare prolactin-induced ER alpha+ and ER alpha-tumors, and examined responsiveness to estrogen and the antiestrogen, Faslodex, in vivo. Results: Prolactin-induced carcinomas were markedly diverse with respect to histotype, ER alpha/PR expression, and activated signaling cascades. They constituted a heterogeneous, but distinct group of murine mammary tumors, with molecular features of the luminal subtype of human breast cancer. In contrast to morphologically normal and hyperplastic structures in NRL-PRL females, carcinomas were insensitive to ER alpha-mediated signals. These tumors were distinct from mouse mammary tumor virus (MMTV)-neu tumors, and contained elevated transcripts for factors associated with luminal/alveolar expansion and differentiation, suggesting that they arose from physiologic targets of prolactin. These features were shared by ER alpha+ and ER alpha-tumors, suggesting a common origin, although the former exhibited transcript profiles reflecting greater differentiation. Conclusions: Our studies demonstrate that prolactin can promote diverse carcinomas in mice, many of which resemble luminal breast cancers, providing a novel experimental model to examine the pathogenesis, progression and treatment responsiveness of this tumor subtype.