Breast cancer, the most common malignancy in women, was already known to be
associated with the steroid hormone estrogen more than a century ago. The
discovery of the estrogen receptor (ER) provided us not only with a powerfu
l predictive and prognostic marker, but also an efficient target for the tr
eatment of hormone-dependent breast cancer with antiestrogens. In this pape
r we will sketch the important role of ER in the development, progression,
and treatment of the disease, which is complicated by the receptor's intera
ction with coregulatory proteins, its cross-talk with other signal transduc
tion pathways, and its involvement in the development of antiestrogen resis
tance.