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Abstract

Breast cancer (BC) is one of the most significant causes of mortality among women and the second leading cause of cancer death in women. The estrogen receptor (ER) is a key oncogenic driver in the majority of breast cancer. ER+ BC is the most common molecular subtype of BC. Management of ER+ breast cancer varies depending on menopausal status. For premenopausal women, the goal is to suppress estradiol production from the ovaries with surgical oophorectomy and/or aromatase inhibitors. In postmenopausal women, endocrine therapy (ET) serves to suppress estradiol production from sources other than the ovaries. During the menopausal transition, estradiol levels decrease, resulting in a negative balance of the bone remodeling cycle, resulting in osteoporosis. ET also leads to a decrease in estrogen and osteoporosis induced by ET in ER+ BC has become a concern. In this study, ovariectomized NSG mice were treated with different antiestrogens over the course of 6 weeks. We have shown significant differences in bone density and trabecular thickness were observed between the E2 and treatment groups. Hypothesis: Endocrine therapies display context-dependent ER agonist activity in the bone in models of estrogen-withdrawal induced osteoporosis.

Publication Date

2026

Subject Major(s)

Biology

Keywords

endocrine therapies, osteoporosis, ER+ breast cancer

Disciplines

Cancer Biology | Medical Cell Biology | Medical Pathology | Molecular Biology

Current Academic Year

Senior

Faculty Advisor/Mentor

Dr. J. Chuck Harrell

Faculty Advisor/Mentor

Emily K. Zboril

Rights

© The Author(s)

Antiestrogens as Bone Protective Therapeutics for Estrogen Receptor-Positive Breast Cancer in the Presence of Osteoporosis

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