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双磷酸肌醇3激酶/雷帕霉素哺乳动物靶点抑制剂是一种有效的结直肠癌放射增敏剂。

Dual phosphoinositide 3-kinase/mammalian target of rapamycin inhibitor is an effective radiosensitizer for colorectal cancer.

作者信息

Chen Yu-Hsuan, Wei Ming-Feng, Wang Chun-Wei, Lee Hsiao-Wei, Pan Shiow-Lin, Gao Ming, Kuo Sung-Hsin, Cheng Ann-Lii, Teng Che-Ming

机构信息

Department of Oncology, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan; Cancer Research Center, National Taiwan University, Taipei, Taiwan; Pharmacological Institute, National Taiwan University, Taipei, Taiwan.

Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.

出版信息

Cancer Lett. 2015 Feb 28;357(2):582-90. doi: 10.1016/j.canlet.2014.12.015. Epub 2014 Dec 10.

Abstract

The present study was aimed to investigate whether combination of molecular targeting therapy, a dual PI3K/mTOR inhibitor (BEZ235), with radiation can enhance the radiosensitivity of colorectal cancer cells (CRC). K-RAS mutant CRC cells (HCT 116 and SW 620) and wild type CRC cells (HT 29) were irradiated with different dose of radiation (0-6 Gy). The synergistic effects of combining radiation with different concentration of BEZ235 (0-10 nM) pretreatment were demonstrated by cell survival assay. When comparing with radiation alone and BEZ235 alone, the combination of BEZ235 pretreatment and radiation resulted in an increased percentage of sub-G1 phase cells, and an increased number of γ-H2AX/cell (DNA double strand breaks). Radiation up-regulated AKT/mTOR signaling pathway, including the activation of phospho (p)-AKT, p-mTOR, p-eIF4E, and p-rpS6; and this activated AKT/mTOR signaling pathway was attenuated by BEZ235 pretreatment. In addition, BEZ235 blocked double strand break repair induced by radiation through attenuating the activation of ATM and DNA-PKcs and sensitized CRC cells to radiation. In vivo model, the tumor size and the expression pattern of p-mTOR, p-eIF4E, and p-rpS6 were significantly decreased in combined group than radiation alone or BEZ235 alone. Our findings indicate that the administration of BEZ235 before radiation enhances the radiotherapeutic effect of CRC cells both in vitro and in vivo.

摘要

本研究旨在探讨分子靶向治疗药物双PI3K/mTOR抑制剂(BEZ235)与放疗联合应用是否能增强结肠癌细胞(CRC)的放射敏感性。用不同剂量的辐射(0 - 6 Gy)照射K-RAS突变的结肠癌细胞(HCT 116和SW 620)以及野生型结肠癌细胞(HT 29)。通过细胞存活试验证明了放疗与不同浓度的BEZ235(0 - 10 nM)预处理联合应用的协同效应。与单纯放疗和单纯BEZ235相比,BEZ235预处理与放疗联合应用导致亚G1期细胞百分比增加,且每个细胞中γ-H2AX(DNA双链断裂)数量增加。放疗上调了AKT/mTOR信号通路,包括磷酸化(p)-AKT、p-mTOR、p-eIF4E和p-rpS6的激活;而BEZ235预处理减弱了这种激活的AKT/mTOR信号通路。此外,BEZ235通过减弱ATM和DNA-PKcs的激活来阻断放疗诱导的双链断裂修复,并使结肠癌细胞对放疗敏感。在体内模型中,联合治疗组的肿瘤大小以及p-mTOR、p-eIF4E和p-rpS6的表达模式比单纯放疗组或单纯BEZ235组显著降低。我们的研究结果表明,放疗前给予BEZ235在体外和体内均能增强结肠癌细胞的放射治疗效果。

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