Xia Yiqun, Chen Jundixia, Yu Yun, Wu Fengjiao, Shen Xin, Qiu Chenyu, Zhang Tingting, Hong Lin, Zheng Peisen, Shao Rongrong, Xu Chenxin, Wu Fang, Chen Wei, Xie Congying, Cui Ri, Zou Peng
The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou 325035, China.
Cancer and Anticancer Drug Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou 325035, China.
Theranostics. 2021 Feb 25;11(9):4335-4350. doi: 10.7150/thno.52077. eCollection 2021.
Cancer is a leading cause of death worldwide. Extensive research over decades has led to the development of therapies that inhibit oncogenic signaling pathways. The mammalian target of rapamycin (mTOR) signaling pathway plays an important role in the development of many cancers. Several mTOR inhibitors are approved for the treatment of cancers. However, the anticancer efficacies of mTOR inhibitor monotherapy are still limited. Western blot was used to detect the expression of indicated molecules. Thioredoxin reductase (TrxR) activity in cells was determined by the endpoint insulin reduction assay. Immunofluorescence staining was used to analyze precise location and expression of target proteins. Nude mice were used for xenograft tumor models. We identified a synergistic lethal interaction of mTOR and TrxR inhibitors and elucidated the underlying molecular mechanisms of this synergism. We demonstrated that mTOR and TrxR inhibitors cooperated to induce cell death by triggering oxidative stress, which led to activation of autophagy, endoplasmic reticulum (ER) stress and c-Jun N-terminal Kinase (JNK) signaling pathway in cancer cells. Remarkably, we found that auranofin (AF) combined with everolimus significantly suppressed tumor growth in HCT116 and SGC-7901 xenograft models with no significant signs of toxicity. Our findings identify a promising therapeutic combination for cancer and has important implications for developing mTOR inhibitor-based combination treatments.
癌症是全球主要的死亡原因之一。数十年来的广泛研究促成了抑制致癌信号通路疗法的发展。雷帕霉素哺乳动物靶标(mTOR)信号通路在许多癌症的发展中起重要作用。几种mTOR抑制剂已被批准用于癌症治疗。然而,mTOR抑制剂单药治疗的抗癌疗效仍然有限。采用蛋白质免疫印迹法检测所示分子的表达。通过终点胰岛素还原试验测定细胞中的硫氧还蛋白还原酶(TrxR)活性。采用免疫荧光染色分析靶蛋白的精确位置和表达。使用裸鼠建立异种移植肿瘤模型。我们确定了mTOR和TrxR抑制剂的协同致死相互作用,并阐明了这种协同作用的潜在分子机制。我们证明,mTOR和TrxR抑制剂通过引发氧化应激协同诱导细胞死亡,这导致癌细胞中自噬、内质网(ER)应激和c-Jun氨基末端激酶(JNK)信号通路的激活。值得注意的是,我们发现金诺芬(AF)与依维莫司联合使用可显著抑制HCT116和SGC-7901异种移植模型中的肿瘤生长,且无明显毒性迹象。我们的研究结果确定了一种有前景的癌症治疗联合方案,对开发基于mTOR抑制剂的联合治疗具有重要意义。