ESR1 and breast cancer: Taken together, these results show that i) ADA3 overexpression is seen in a subset of ER+ patients, ii) ADA3 overexpression correlates with c-MYC overexpression, iii) ER+ breast cancers can be categorized into 4 groups ADA3Low/c-MYCLow, ADA3High/c-MYCLow, ADA3Low/c-MYCHigh and ADA3High/c-MYCHigh, iv) these four subgroups showed significant differences in their association with biomarkers and tumors grade and patients’ outcomes, and v) most importantly low nuclear ADA3 or c-MYC High status independently predicts poor survival in ER+ breast cancer patients.