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Estrogen receptor alpha (ER alpha) is a ligand-activated transcription factor. In a classical model, ER alpha regulates gene expression by binding to DNA sequences called estrogen response elements (EREs). A perfect ERE contains a palindromic consensus sequence of 5'-GGTCAnnnTGACC-3'. A slight variation in ERE sequence alters ER alpha binding affinity and, thus, the gene transcription activity.