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MEK 抑制剂曲美替尼联合 PI3K/mTOR 抑制剂 BEZ-235 通过损害葡萄糖代谢对 NSCLC 具有治疗作用。

MEK inhibitor trametinib combined with PI3K/mTOR inhibitor BEZ-235 as an effective strategy against NSCLC through impairment of glucose metabolism.

机构信息

College of Life Science and Technology, Guangxi University, Nanning 530004, PR China.; Pharmaceutical College, Guangxi Medical University, Nanning 530021, PR China.

College of Life Science and Technology, Guangxi University, Nanning 530004, PR China.

出版信息

Cell Signal. 2024 Dec;124:111415. doi: 10.1016/j.cellsig.2024.111415. Epub 2024 Sep 16.


DOI:10.1016/j.cellsig.2024.111415
PMID:39293743
Abstract

The MAPK and PI3K/AKT/mTOR pathways are aberrantly activated in non-small cell lung cancer (NSCLC) patients, but therapeutic efficacy of NSCLC using trametinib (MEK inhibitor) or BEZ-235 (dual PI3K/mTOR inhibitor) alone is still unsatisfactory. Therefore, in this study, we aimed to determine whether the combination of trametinib with BEZ-235 exerted synergistic effects against NSCLC in both in vitro and in vivo models, and we preliminarily explored the effect of this combination therapy on glucose metabolism. Our results showed that trametinib combined with BEZ-235 could better inhibit cell proliferation and colony formation, induce G0/G1 phase arrest and apoptosis, and suppress cell invasion and migration compared with the single agent. The combination index demonstrated that trametinib and BEZ-235 exerted strong synergistic effects. Additionally, trametinib and BEZ-235 exhibited synergistic antitumor effects in vivo. Furthermore, trametinib and BEZ-235 synergistically downregulated the expression of related proteins in the MAPK and PI3K/AKT/mTOR pathways, and decreased glucose consumption and lactic acid production through suppressing the expressions of glucose transporter 1 (GLUT1) and lactate dehydrogenase A (LDHA). These data imply that simultaneous inhibition of the MAPK and PI3K/AKT/mTOR pathways using trametinib combined with BEZ-235 could synergistically impair glucose metabolism, resulting in an obvious synergistic therapeutic effect against NSCLC.

摘要

MAPK 和 PI3K/AKT/mTOR 通路在非小细胞肺癌(NSCLC)患者中异常激活,但单独使用 trametinib(MEK 抑制剂)或 BEZ-235(双重 PI3K/mTOR 抑制剂)治疗 NSCLC 的疗效仍不尽人意。因此,在这项研究中,我们旨在确定 trametinib 与 BEZ-235 联合是否对 NSCLC 的体外和体内模型具有协同作用,并初步探讨了这种联合治疗对葡萄糖代谢的影响。我们的结果表明,与单药治疗相比,tramet inib 联合 BEZ-235 能更好地抑制细胞增殖和集落形成,诱导 G0/G1 期阻滞和细胞凋亡,并抑制细胞侵袭和迁移。组合指数表明 trametinib 和 BEZ-235 具有很强的协同作用。此外,tramet inib 和 BEZ-235 在体内也表现出协同的抗肿瘤作用。此外,tramet inib 和 BEZ-235 协同地下调了 MAPK 和 PI3K/AKT/mTOR 通路相关蛋白的表达,并通过抑制葡萄糖转运蛋白 1(GLUT1)和乳酸脱氢酶 A(LDHA)的表达,降低葡萄糖消耗和乳酸生成。这些数据表明,同时抑制 MAPK 和 PI3K/AKT/mTOR 通路,使用 trametinib 联合 BEZ-235 可能协同损害葡萄糖代谢,对 NSCLC 产生明显的协同治疗效果。

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