New research on common breast cancer that is resistant to hormone therapies

Promising new approach developed for overcoming treatment resistance in oestrogen receptor-positive (ER+) breast cancer

Woman wearing black blouse holding pink ribbon next to chest

Researchers have found new compounds that could be used to treat a common breast cancer that can be resistant to hormone therapies.

Published in the journal RSC Medicinal Chemistry, new research targets two critical enzymes involved in the production of the hormone oestrogen —aromatase and steroid sulfatase—at the same time.

Oestrogen receptor-positive (ER+) breast cancer, which makes up around 70% of all breast cancer cases, often becomes resistant to current hormone therapies. Now, researchers have designed and synthesised new compounds that target the two enzymes.

This is an exciting new development that could pave the way for treating the most common breast cancer when other therapies stop working.

Dr Paul Foster, co-author of the study

The new potential therapy is called a dual aromatase-steroid sulfatase inhibitor (DASI). Some of these new compounds were found to effectively block both enzymes, which may help reduce oestrogen levels in cancer cells more comprehensively.

Dr Paul Foster from the University of Birmingham and a co-author of the study said:

“This is an exciting new development that could pave the way for treating the most common breast cancer when other therapies stop working.

“We have shown for the first time that the particular molecules, called benzofuran-based molecules act to inhibit the two enzymes, and in doing so find an alternative way to suppress oestrogen production and reduce tumour growth.”

Chemical modifications

Previous research involving earlier versions of the compounds only inhibited one enzyme or the other. Achieving dual activity by adding a simple methyl group was an unexpected but crucial insight, showing that small chemical modifications can significantly enhance biological activity.

If developed further, these compounds could offer new treatment options for patients with ER+ breast cancer that has become resistant to standard hormone therapies.

Research collaborators Dr Claire Simons, University of Cardiff, and Dr Paul Foster, University of Birmingham, hope the findings will lead to the development of a new class of breast cancer treatments.

Further preclinical and clinical studies could explore their use in overcoming resistance to current endocrine therapies. Researchers at both universities are already in the process of developing even more potent dual inhibitors to circumnavigate treatment resistance in ER+ breast cancer.

Notes for editors

  • For media enquiries please contact Tim Mayo, Press Office, University of Birmingham, tel: +44 (0)7815 607 157.
  • The University of Birmingham is ranked amongst the world’s top 100 institutions. Its work brings people from across the world to Birmingham, including researchers, educators and more than 40,000 students from over 150 countries.
  • England’s first civic university, the University of Birmingham is proud to be rooted in of one of the most dynamic and diverse cities in the country. A member of the Russell Group and a founding member of the Universitas 21 global network of research universities, the University of Birmingham has been changing the way the world works for more than a century.
  • The University of Birmingham is committed to achieving operational net zero carbon. It is seeking to change society and the environment positively, and use its research and education to make a major global contribution to the UN Sustainable Development Goals. Find out at birmingham.ac.uk/sustainability.
  • The University of Birmingham is a founding member of Birmingham Health Partners (BHP), a strategic alliance which transcends organisational boundaries to rapidly translate healthcare research findings into new diagnostics, drugs and devices for patients. Birmingham Health Partners is a strategic alliance between nine organisations who collaborate to bring healthcare innovations through to clinical application:
    • University of Birmingham
    • University Hospitals Birmingham NHS Foundation Trust
    • Birmingham Women's and Children's Hospitals NHS Foundation Trust
    • Aston University
    • The Royal Orthopaedic Hospital NHS Foundation Trust
    • Sandwell and West Birmingham Hospitals NHS Trust
    • Health Innovation West Midlands
    • Birmingham and Solihull Mental Health NHS Foundation Trust
    • Birmingham Community Healthcare NHS Foundation Trust