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Kinase-dead PKB gene therapy combined with hyperthermia for human breast cancer
Nancy Ma1, Paul Szmitko, Anthony Brade
1Division of Experimental Therapeutics, Ontario Cancer Institute, University Health Network, Toronto, Ontario, Canada.
Abstract:
We have previously demonstrated that protein kinase B (PKB) is a mediator of heat-induced apoptosis for human breast cancer cells. To investigate the therapeutic potential of abrogating the function of this important survival protein, a novel replication-deficient adenovirus was constructed, wherein a mutant, kinase-inactive PKB gene (AAA) was inserted downstream of the CMV promoter. Two human breast cancer cell lines, MCF-7 and MDA-468, were treated, along with the MCF-10 serving as a "normal" mammary epithelial comparator. Apoptosis was increased with adv.AAA (25 PFU/cell) infection alone, but was significantly enhanced with the addition of heat exposure. Differential survival was observed with the MDA-468 cancer cells being more sensitive than the MCF-7 cells. The MCF-10 cells, in contrast, were most resistant to these treatments. Results from the clonogenic assay reflected the apoptosis data, with an apparent additive interaction between adv.AAA and hyperthermia treatments, again with greater differential sensitivity of the malignant, compared to the "normal" mammary epithelial cells. Heat or adv.beta-gal treatments led to phosphorylation of PKB and Forkhead, but this phosphorylation was reduced with adv.AAA therapy. In parallel, the combination of adv.AAA and heat treatment reduced PKB kinase activity more so than with either heat or adv.beta-gal alone. In conclusion, our results demonstrate that inhibition of the PKB-dependent survival pathway will promote apoptosis and thermosensitization in malignant breast cancer cells, with relative sparing of their normal counterpart, suggesting that a therapeutic gain could be achievable using this therapeutic strategy.
Insights
Inhibiting protein kinase B (PKB) with a novel gene therapy enhanced heat-induced apoptosis in breast cancer cells. This targeted approach showed greater sensitivity in malignant cells versus normal cells, suggesting a promising therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- Protein kinase B (PKB) is a key mediator of heat-induced apoptosis in human breast cancer cells.
- Abrogating PKB function holds therapeutic potential for breast cancer treatment.
Purpose of the Study:
- To investigate the therapeutic potential of inhibiting PKB function in human breast cancer cells.
- To evaluate the combined effect of a novel adenovirus expressing a kinase-inactive PKB gene (adv.AAA) and hyperthermia on cancer cell apoptosis and survival.
Main Methods:
- Construction of a replication-deficient adenovirus (adv.AAA) carrying a mutant, kinase-inactive PKB gene.
- Treatment of human breast cancer cell lines (MCF-7, MDA-468) and a normal mammary epithelial cell line (MCF-10) with adv.AAA and/or heat exposure.
- Assessment of apoptosis via apoptosis assays and clonogenic assays.
- Analysis of PKB and Forkhead phosphorylation and PKB kinase activity.
Main Results:
- Adv.AAA infection alone increased apoptosis, which was significantly enhanced by co-treatment with heat.
- MDA-468 cells showed greater sensitivity to adv.AAA and heat than MCF-7 cells; MCF-10 cells were most resistant.
- Clonogenic assays confirmed an additive interaction between adv.AAA and hyperthermia, with malignant cells being more sensitive.
- Adv.AAA therapy reduced PKB and Forkhead phosphorylation and inhibited PKB kinase activity, especially when combined with heat.
Conclusions:
- Inhibition of the PKB-dependent survival pathway promotes apoptosis and enhances thermosensitization in malignant breast cancer cells.
- The adv.AAA and hyperthermia combination demonstrates differential sensitivity, sparing normal mammary epithelial cells.
- This strategy suggests a potential therapeutic gain for breast cancer treatment by targeting PKB.
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