Shan Liping, Liu Wei, Zhan Yunhong
Department of Urology, Shengjing Hospital, China Medical University, Shenyang, Liaoning 110004, China.
Emergency Department, First Hospital of China Medical University, Shenyang, Liaoning, China.
Aging (Albany NY). 2019 Sep 23;11(18):7780-7795. doi: 10.18632/aging.102286.
Rapid appearance of resistance to fibroblast growth factor receptor (FGFR) inhibitors hampers targeted regimens in bladder cancer. In the present study, we evaluated whether SIP-SII, a sulphated derivative of the polysaccharide in (spineless cuttlefish) ink used in traditional Chinese medicine, could attenuate resistance to FGFR inhibition in bladder cancer cells. In vitro assays indicated that SIP-SII reduced cell viability and migration, restricted cell cycle progression, and increased apoptosis in parallel with decreased AKT phosphorylation and downregulation of CDK4, MMP2, and Bcl-2 in RT112 and JMSU1 cells. Synergistic effects on cell viability were observed when SIP-SII was combined with the small-molecule FGFR inhibitor AZD4547. Specific Akt targeting by SIP-SII was suggested by the fact that neither Akt knockdown nor the selective PI3K inhibitor BKM120 enhanced the inhibitory effects of SIP-II, while expression of a constitutively active Akt mutant rescued SIP-SII effects. Furthermore, subcutaneous transplantation of RT112 xenografts confirmed the superiority and tolerability of combined SIP-SII and AZD4547 administration over monotherapy regimens. The present study thus provides pre-clinical evidence of the ability of SIP-SII to improve FGFR-targeted therapies for bladder cancer by inhibiting Akt.
对成纤维细胞生长因子受体(FGFR)抑制剂的耐药性迅速出现,阻碍了膀胱癌的靶向治疗方案。在本研究中,我们评估了中药(乌贼)墨汁中多糖的硫酸化衍生物SIP-SII是否能减弱膀胱癌细胞对FGFR抑制的耐药性。体外试验表明,SIP-SII降低了细胞活力和迁移能力,限制了细胞周期进程,并增加了细胞凋亡,同时RT112和JMSU1细胞中的AKT磷酸化降低,CDK4、MMP2和Bcl-2表达下调。当SIP-SII与小分子FGFR抑制剂AZD4547联合使用时,观察到对细胞活力的协同作用。SIP-SII对Akt的特异性靶向作用体现在以下方面:Akt基因敲低或选择性PI3K抑制剂BKM120均未增强SIP-II的抑制作用,而组成型活性Akt突变体的表达挽救了SIP-SII的作用。此外,RT112异种移植瘤的皮下移植证实了联合使用SIP-SII和AZD4547优于单一治疗方案。因此,本研究提供了临床前证据,证明SIP-SII能够通过抑制Akt来改善膀胱癌的FGFR靶向治疗。