双 PI3K/mTOR 抑制剂 BEZ235 通过靶向 PI3K/Akt/mTOR 通路,成为治疗紫杉醇耐药胃癌的有希望的治疗策略。
Dual PI3K/mTOR inhibitor BEZ235 as a promising therapeutic strategy against paclitaxel-resistant gastric cancer via targeting PI3K/Akt/mTOR pathway.
机构信息
Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, 100142, China.
Department of Pathology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, 100142, China.
出版信息
Cell Death Dis. 2018 Jan 26;9(2):123. doi: 10.1038/s41419-017-0132-2.
Paclitaxel (PTX) is widely used in the front-line chemotherapy for gastric cancer (GC), but resistance limits its use. Due to the lack of proper models, mechanisms underlying PTX resistance in GC were not well studied. Using established PTX-resistant GC cell sublines HGC-27R, we for the first time integrated biological traits and molecular mechanisms of PTX resistance in GC. Data revealed that PTX-resistant GC cells were characterized by microtubular disorders, an EMT phenotype, reduced responses to antimitotic drugs, and resistance to apoptosis (marked by upregulated β-tubulin III, vimentin, attenuated changes in G/M molecules or pro-apoptotic factors in response to antimitotic drugs or apoptotic inducers, respectively). Activation of the phosphoinositide 3-kinase, the serine/threonine kinase Akt and mammalian target of rapamycin (PI3K/Akt/mTOR) and mitogen-activated protein kinase (MAPK) pathways were also observed, which might be the reason for above phenotypic alternations. In vitro data suggested that targeting these pathways were sufficient to elicit antitumor responses in PTX-resistant GC, in which the dual PI3K/mTOR inhibitor BEZ235 displayed higher therapeutic efficiency than the mTOR inhibitor everolimus or the MEK inhibitor AZD6244. Antitumor effects of BEZ235 were also confirmed in mice bearing HGC-27R tumors. Thus, these data suggest that PI3K/Akt/mTOR and MAPK pathway inhibition, especially PI3K/mTOR dual blockade, might be a promising therapeutic strategy against PTX-resistant GC.
紫杉醇(PTX)广泛用于胃癌(GC)的一线化疗,但耐药性限制了其应用。由于缺乏合适的模型,GC 中 PTX 耐药的机制尚未得到很好的研究。我们使用已建立的 PTX 耐药 GC 细胞亚系 HGC-27R,首次整合了 GC 中 PTX 耐药的生物学特征和分子机制。数据显示,PTX 耐药 GC 细胞的特征是微管紊乱、上皮间质转化(EMT)表型、对抗有丝分裂药物的反应降低以及抗凋亡(通过上调β-微管蛋白 III、波形蛋白来标记),对凋亡诱导剂的反应减弱,或促凋亡因子)分别。还观察到磷酸肌醇 3-激酶、丝氨酸/苏氨酸激酶 Akt 和雷帕霉素哺乳动物靶蛋白(PI3K/Akt/mTOR)和丝裂原活化蛋白激酶(MAPK)途径的激活,这可能是上述表型改变的原因。体外数据表明,靶向这些途径足以在 PTX 耐药 GC 中引发抗肿瘤反应,其中双重 PI3K/mTOR 抑制剂 BEZ235 比 mTOR 抑制剂依维莫司或 MEK 抑制剂 AZD6244 显示出更高的治疗效率。BEZ235 在携带 HGC-27R 肿瘤的小鼠中的抗肿瘤作用也得到了证实。因此,这些数据表明,PI3K/Akt/mTOR 和 MAPK 途径抑制,特别是 PI3K/mTOR 双重阻断,可能是治疗 PTX 耐药 GC 的一种有前途的治疗策略。