Human estrogen receptor alpha (hERα) is an essential nuclear receptor regulating female development and reproductive functions. In the context of breast cancer, both hERα protein concentration and mRNA abundance have been shown to be associated with specific cancer sub-types and to influence survival rates [
1-
3]
Estrogen receptor is known to bind DNA at estrogen responsive elements (EREs) and to activate transcription of its target genes, in particular early estrogen-responsive genes [
4-
7]. It was also shown that some hERα targets, such as c-Myc, lack the ERE, but instead contain AP1 or SP1 binding sites, which appear to be essential for transcription
in vitro [
5,
8,
9]. Studies about how the estrogen receptor eventually induces transcription of its target genes have lead to the identification of complex interactions between hERα and a large number of cofactors [
7,
10,
11].
Several recent approaches have been developed to identify hERα targets in vivo on a genome-wide scale. Correlation studies have used mRNA expression levels [
12] from compendia of cancer samples to identify estrogen induced genes in cells. Other approaches have resulted in refined binding motifs from sequence analysis [
13], novel candidate regulatory elements from comparative genomics, and most recently high-resolution maps of binding sites from ChIP-chip [
14-
16].
From ChIP-chip studies, Carroll and colleagues [
15] drew the conclusion that estrogen receptor can activate transcription when bound to distal enhancers and that it is assisted in this function by the transcription factor FOXA1. The authors eventually refined their conclusions stating that FOXA1 can translate epigenetic signatures into cell-type specific transcriptional programs; i.e. FOXA1 recruits hERα, or androgen receptor, which, in turn, may act as stabilizer for FOXA1 binding [
17]. Enrichment of FOXA1 binding seems to be most evident around intergenic ERE's, and almost undetectable at promoters [
16].
Another approach uses a ChIP paired end diTags (ChIP-pet) technique to map hERα binding sites [
18]. The authors found that the majority of hERα binding events happen in intragenic regions, in particular in introns; hERα sites at promoters are capable of inducing transcription, as are hERα binding sites in distal enhancers, as previously reported [
15]. The ChIP-pet investigation [
18] found poor conservation of estrogen receptor binding sites between human and mouse, and overlaps in the consensus motifs of hERα and putative transcription factor partners such as AP1.
A previous study [
19] isolated 12 transcriptionally active genomic sites which recruit hERα. It showed one case of an ERE located 3.7 kb downstream of the first transcriptional start site of a target gene. Moreover, the presence of the SP1 transcription factor at the promoter of genes induced by hERα was shown by ChIP. Nevertheless, SP1 binding was not influenced by estradiol, pointing to independent mechanisms of recruitment. Further expression profiling analyses [
20] tackled the same question employing an inhibitor of transcription, cycloheximide, to discriminate between primary and secondary targets. The authors concluded that AP1 and GC-box binding factors such as SP1, are enriched around the transcription start sites of up-regulated primary targets. Thus local nucleotide composition seems to play a role in defining active ERE's. This observation is supported by
in silico investigations [
13] reporting that extending the hERα PWM with CG rich flanks improves the prediction of functional hERα binding sites. Transcriptional regulation of hERα secondary target genes is, on the other hand, controlled by E2F, a transcription factor involved in cell-cycle regulation [
20].
In this study we investigate mechanisms of target gene regulation by hERα by studying the relationship between EREs and gene expression. For this, we combine independent genome-wide ChIP analyses with large-scale microarray studies of estrogen response as well as genomic sequence analysis. In this context, we also investigate the roles of binding sites of known cofactors such as FOX and SP1 in silico. Our analysis confirms important characteristics of EREs such as their intergenic localization, the presence of cofactor sites, and GC biased local nucleotide composition. Unexpected however, was the finding that stronger and weaker hERα sites show different localization patterns with respect to annotated transcripts. Specifically, weak sites are enriched near transcription start sites, while stronger sites show no positional bias. We then study the relationship between binding and expression patterns and find binding sites downstream of the transcription start site to be equally good or better predictors of hERα-mediated expression than upstream sites. Studying FOX and SP1 cofactor sites near hERα ChIP sites shows that both factors reinforce the response to estrogen. Taken together, our results argue against significant hERα activity as a promoter bound transcription factor, and rather favor the long-range interaction model involving SP1 as the main mechanism of hERα-mediated response to estrogen. Finally we compile a reliable set of direct targets related to both normal and pathological states using our integrative approach.