Huang Jin-Cheng, Cui Zhi-Fei, Chen Shui-Mu, Yang Lian-Jun, Lian Hong-Kai, Liu Bin, Su Zhi-Hai, Liu Jin-Shi, Wang Min, Hu Zheng-Bo, Ouyang Jia-Yao, Li Qing-Chu, Lu Hai
Department of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Academy of Orthopedics, Guangdong Province, Guangzhou 510665, China.
Department of Orthopedics, Zhengzhou Central Hospital, Zhengzhou University, Zhengzhou 450000, China.
Oncotarget. 2017 Dec 27;9(12):10483-10496. doi: 10.18632/oncotarget.23711. eCollection 2018 Feb 13.
Osteosarcoma(OS) remains a major health concern in childhood and adolescence, although cisplatin is one of the gold standard chemotherapeutic drugs in the treatment of OS, chemoresistant to cisplatin is common. Phosphoinositide 3-kinase (PI3K)-Akt-mammalian target of rapamycin inhibitor (mTOR) pathway and autophagy regulates chemosensitivity incancer cells. In this study, we hypothesized that NVP-BEZ235, a dual inhibitor of PI3K/mTOR, could synergize cisplatin sensitivity in OS. , NVP-BEZ235 plus cisplatinexerted a synergistic effect on cell proliferation inhibition and apoptosis induction. Cisplatin could activate PI3K-Akt-mTOR pathway activity in early times, whereas, NVP-BEZ235 could inhibit PI3K-Akt -mTOR pathway activity all the times alone or combined with cisplatin. What's more, NVP-BEZ235 could switch function of autophagy induced by cisplatin to synergize cisplatin sensitivity. , pronounced decrease in tumor cell proliferation and increase in apoptosisin combination-treated mouse xenograft models compared with cisplatin or NVP-BEZ235 treated models. All these results suggest NVP-BEZ235 could synergize cisplatin sensitivity in OS, combination of NVP-BEZ235 with cisplatin could represent a novel therapeutic strategy for treatment of OS.
骨肉瘤(OS)仍然是儿童和青少年时期的一个主要健康问题,尽管顺铂是治疗骨肉瘤的金标准化疗药物之一,但对顺铂耐药很常见。磷脂酰肌醇3激酶(PI3K)-蛋白激酶B(Akt)-雷帕霉素哺乳动物靶蛋白(mTOR)通路和自噬调节癌细胞的化学敏感性。在本研究中,我们假设PI3K/mTOR双重抑制剂NVP-BEZ235可增强骨肉瘤对顺铂的敏感性。NVP-BEZ235联合顺铂对细胞增殖抑制和凋亡诱导具有协同作用。顺铂在早期可激活PI3K-Akt-mTOR通路活性,而NVP-BEZ235单独或与顺铂联合使用时可一直抑制PI3K-Akt-mTOR通路活性。此外,NVP-BEZ235可改变顺铂诱导的自噬功能以增强顺铂敏感性。与顺铂或NVP-BEZ235处理的模型相比,联合治疗的小鼠异种移植模型中肿瘤细胞增殖明显减少,凋亡增加。所有这些结果表明,NVP-BEZ235可增强骨肉瘤对顺铂的敏感性,NVP-BEZ235与顺铂联合使用可能代表一种治疗骨肉瘤的新策略。