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磷脂酰肌醇3-激酶抑制作用可广泛使胶质母细胞瘤细胞对死亡受体和药物诱导的凋亡敏感。

Phosphatidylinositol 3-kinase inhibition broadly sensitizes glioblastoma cells to death receptor- and drug-induced apoptosis.

作者信息

Opel Daniela, Westhoff Mike-Andrew, Bender Ariane, Braun Veit, Debatin Klaus-Michael, Fulda Simone

机构信息

University Children's Hospital, Ulm, Germany.

出版信息

Cancer Res. 2008 Aug 1;68(15):6271-80. doi: 10.1158/0008-5472.CAN-07-6769.

Abstract

The aberrant activity of the phosphatidylinositol 3-kinase (PI3K) pathway has been reported to correlate with adverse clinical outcome in human glioblastoma in vivo. However, the question of how this survival network can be successfully targeted to restore the sensitivity of glioblastoma to apoptosis induction has not yet been answered. Here, we report that inhibition of PI3K by LY294002 broadly sensitizes wild-type and mutant PTEN glioblastoma cells to both death receptor- and chemotherapy-induced apoptosis, whereas mammalian target of rapamycin (mTOR) inhibition is not sufficient to restore apoptosis sensitivity. LY294002 significantly enhances apoptosis triggered by tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), agonistic anti-CD95 antibodies, or several anticancer drugs (i.e., doxorubicin, etoposide, and vincristine) in a highly synergistic manner. In addition, LY294002 cooperates with TRAIL or doxorubicin to suppress colony formation, thus also showing a strong effect on long-term survival. Similarly, genetic knockdown of PI3K subunits p110alpha and/or p110beta by RNA interference (RNAi) primes glioblastoma cells for TRAIL- or doxorubicin-mediated apoptosis. In contrast to PI3K inhibition, pharmacologic or genetic blockade of mTOR by RAD001 (everolimus), rapamycin, or RNAi fails to enhance TRAIL- or doxorubicin-induced apoptosis. Analysis of apoptosis pathways reveals that PI3K inhibition acts in concert with TRAIL or doxorubicin to trigger mitochondrial membrane permeabilization, caspase activation, and caspase-dependent apoptosis, which are abolished by the caspase inhibitor N-benzyloxycarbonyl-Val-Ala-Asp-fluoromethylketone. Most importantly, PI3K inhibition by LY294002 sensitizes primary cultured glioblastoma cells obtained from surgical specimens to TRAIL- or chemotherapy-induced cell death. By showing that PI3K inhibition broadly primes glioblastoma cells for apoptosis, our findings provide the rationale for using PI3K inhibitors in combination regimens to enhance TRAIL- or chemotherapy-induced apoptosis in glioblastoma.

摘要

据报道,磷脂酰肌醇3激酶(PI3K)信号通路的异常激活与人类胶质母细胞瘤患者体内不良临床预后相关。然而,如何成功靶向该生存网络以恢复胶质母细胞瘤对凋亡诱导的敏感性这一问题尚未得到解答。在此,我们报道,LY294002抑制PI3K可使野生型和突变型PTEN胶质母细胞瘤细胞对死亡受体诱导的凋亡及化疗诱导的凋亡普遍敏感,而抑制哺乳动物雷帕霉素靶蛋白(mTOR)不足以恢复凋亡敏感性。LY294002以高度协同的方式显著增强肿瘤坏死因子相关凋亡诱导配体(TRAIL)、抗CD95激动性抗体或几种抗癌药物(即阿霉素、依托泊苷和长春新碱)触发的凋亡。此外,LY294002与TRAIL或阿霉素协同抑制集落形成,因此对长期生存也有显著影响。同样,通过RNA干扰(RNAi)对PI3K亚基p110α和/或p110β进行基因敲低,可使胶质母细胞瘤细胞对TRAIL或阿霉素介导的凋亡敏感。与PI3K抑制相反,RAD001(依维莫司)、雷帕霉素或RNAi对mTOR进行药理或基因阻断均无法增强TRAIL或阿霉素诱导的凋亡。对凋亡途径的分析表明,PI3K抑制与TRAIL或阿霉素协同作用,触发线粒体膜通透性改变、半胱天冬酶激活及半胱天冬酶依赖性凋亡,而半胱天冬酶抑制剂N-苄氧羰基-Val-Ala-Asp-氟甲基酮可消除这些作用。最重要的是,LY294002抑制PI3K可使从手术标本中获取的原代培养胶质母细胞瘤细胞对TRAIL或化疗诱导的细胞死亡敏感。我们的研究结果表明,PI3K抑制可使胶质母细胞瘤细胞普遍对凋亡敏感,为在联合治疗方案中使用PI3K抑制剂增强胶质母细胞瘤中TRAIL或化疗诱导的凋亡提供了理论依据。

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