Adaptation is driven by divergent transcriptional reprogramming. A, Tamoxifen resistance analysis of the TAM TEPs (late progression) to increasing doses of 4-OHT is depicted in the left. Growth rates of –E2 (AI) TEPs in response to treatment with different drugs: Tamoxifen (Tam, 4-OHT), fulvestrant (Fulv), CDK7 inhibitor (CDK7i), CDK4/6i (palbociclib) are depicted on the right. Representative graphs are shown as normalized confluency fold change upon 7 days of compound treatment (n = 3). B, Principal component analysis (PCA) of bulk RNA-seq expression data for all MCF7 TRADITIOM samples (POT (pretreatment), latency (time between onset of treatment and dormancy), dormancy, awakening (early progression), and TEP (late progression) of both treatment arms [TAM and –E2(AI)] and their counterpart untreated (UT) samples cultured in parallel for 170 days. C, Heat map from bulk RNA-seq data depicting a subset of TRADITIOM MCF7 dormancy signature with top 50 significantly up- and downregulated genes in TAM and –E2 (AI) treated samples during dormancy in comparison with POT (pretreatment). D, GSEA for TRADITIOM dormancy signature.
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Rosano et al. (2024) studied this question.
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