In today's article we are going to delve into the fascinating world of Progesterone receptor A. We will learn about its origin, its practical applications and its relevance today. Progesterone receptor A is a topic that has captured the attention of experts and fans alike, and its study and understanding are essential to understand its impact on different aspects of our daily lives. Through this article, we will dive into its details, explore its implications and discover new aspects that will help us better understand the world around us. Get ready to explore a fascinating topic that will undoubtedly leave you with a new perspective on Progesterone receptor A.
The AlphaFold predictive structure of the entire progesterone receptor with the region unique to isoform A highlighted in purple. Amino acids 1-164 are seen in grey as they are not included in isoform A. AlphaFold Identifier: AF-P060401-F
PR-A is 164 residues shorter than PR-B in humans[3] and anywhere from 128-165 residues shorter in other organisms.[4] Each isoform binds its natural ligand, progesterone, but also demonstrates the ability to bind a number of other agonists including norethindrone, a synthetic progestin.[5]
The crystallographic structure of the ligand-binding domain which is common to both isoforms A and B in its dimerized conformation (purple). Dimerization will only occur when a ligand is bound. The study which yielded this structure (Maduass et al. 2004) used agonists mometasone fuorate and norethindrone (grey) to induce dimerization. PBD Identifier: 1SQN
Expression and overexpression
PR-A and PR-B are generally expressed in equal ratios,[3] but PR-A is expressed in larger amounts in uterine stromal cells normally.[6] A spike in PR-A expression in the myometrium has been observed to initiate parturition in placental mammals.[7]
PR-A is the isoform most commonly observed to be overexpressed in human breast cancer. Currently PR is estimated by immunohistochemistry and earlier was quantified by standardized radio-ligand binding assays developed by New England Nuclear and Wittliff.[8] Patients with PR-A rich carcinomas, as opposed to patients with PR-B rich carcinomas, have faster recurrence rates.[9]
^Fisher, B., Redmond, C., Brown, A., Wickerham, D. L., Wolmark, N., Allegra, J. C., Escher, G., Lippman, M., Savlov, E., Wittliff, J. L. and Fisher, E. R. et al. Influence of Tumor Estrogen and Progesterone Receptor Levels on the Response to Tamoxifen and Chemotherapy in Primary Breast Cancer. J. Clin. Oncol., 1:227-241, 1983. https://pubmed.ncbi.nlm.nih.gov/6366135/