Estrogen receptors in gastric cancer: Advances and perspectives

Figure 2 Molecular mechanisms for the functions of estrogen receptors. Genomic pathway: Estrogen binding leads to dimerization of ERs, then ERs translocate into nucleus and interact with transcriptional co-activators and/or co-repressor and bind to genomic DNA at specific sequences known as estrogen response elements (EREs) to activate or repress the transcription of specific genes. Non-genomic signaling pathway: Membrane ERs interact with SRC/G protein and activate PI3K/Akt signaling. Both MAPK signaling initiated by binding of growth factors to receptor tyrosine kinases and PI3K/Akt signaling can modify cytosolic ERs, which may interact with other transcription factors and modulate the transcription of specific genes. GF: Growth factor; RTK: Receptor tyrosine kinase; GP: G proteins; CoA: Transcription co-activator; CoR: Transcription co-receptor; TFs: Transcription factors; MAPK: Mitogen activated protein kinase; PI3K: Phosphoinositide 3 kinase; ERs: Estrogen receptors.