Protein kinase B modulates the sensitivity of human neuroblastoma cells to insulin-like growth factor receptor inhibition
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Published on: July 21, 2018
Ana S Guerreiro1, Danielle Boller, Tarek Shalaby
1Division of Clinical Chemistry and Biochemistry, University Children's Hospital Zurich, CH-8032 Zurich, Switzerland.
Abstract:
The potential of the novel insulin-like growth factor receptor (IGF-IR) inhibitor NVP-AEW541 as an antiproliferative agent in human neuroblastoma was investigated. Proliferation of a panel of neuroblastoma cell lines was inhibited by NVP-AEW541 with IC(50) values ranging from 0.15 to 5 microM. Experiments using an IGF-IR neutralizing antibody confirmed that the IGF-IR was essential to support growth of neuroblastoma cell lines. The expression levels of the IGF-IR in individual neuroblastoma cell lines did not correlate with the sensitivities to NVP-AEW541, while coexpression of the IGF-IR and the insulin receptor (IR) correlated with lower sensitivity to the inhibitor in some cell lines. Intriguingly, high levels of activation of Akt/protein kinase B (PKB) and phosphorylation of the ribosomal S6 protein were observed in neuroblastoma cell lines with decreased sensitivities to NVP-AEW541. Inhibition of Akt/PKB activity restored the sensitivity of neuroblastoma cells to the IGF-IR inhibitor. Transfection of neuroblastoma cells with activated Akt or ribosomal protein S6 kinase (S6K) decreased the sensitivity of the cells to NVP-AEW541. IGF-I-stimulated proliferation of neuroblastoma cell lines was completely blocked by NVP-AEW541, or by a combination of an inhibitor of phosphoinositide 3-kinase and rapamycin. In addition to its antiproliferative effects, NVP-AEW541 sensitized neuroblastoma cells to cisplatin-induced apoptosis. Together, our data demonstrate that NVP-AEW541 in combination with Akt/PKB inhibitors or chemotherapeutic agents may represent a novel approach to target human neuroblastoma cell proliferation.
Insights
The novel insulin-like growth factor receptor (IGF-IR) inhibitor NVP-AEW541 effectively reduces neuroblastoma cell growth. Combining NVP-AEW541 with Akt/PKB inhibitors or chemotherapy may offer a new treatment strategy for neuroblastoma.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Neuroblastoma is a pediatric cancer with limited treatment options.
- Insulin-like growth factor receptor (IGF-IR) signaling promotes cancer cell proliferation.
- Targeting IGF-IR is a potential therapeutic strategy for neuroblastoma.
Purpose of the Study:
- To investigate the antiproliferative potential of the IGF-IR inhibitor NVP-AEW541 in human neuroblastoma.
- To elucidate the mechanisms underlying neuroblastoma cell sensitivity and resistance to NVP-AEW541.
- To explore combination therapies involving NVP-AEW541.
Main Methods:
- Assessed NVP-AEW541's effect on neuroblastoma cell proliferation using IC50 values.
- Utilized IGF-IR neutralizing antibodies to confirm receptor dependence.
- Investigated the role of Akt/protein kinase B (PKB) and ribosomal S6 protein phosphorylation in drug sensitivity.
- Examined the impact of Akt/PKB and S6K modulation on NVP-AEW541 sensitivity.
- Evaluated NVP-AEW541's effect on IGF-I-stimulated proliferation and cisplatin-induced apoptosis.
Main Results:
- NVP-AEW541 inhibited proliferation of neuroblastoma cell lines with IC50 values from 0.15 to 5 microM.
- IGF-IR was essential for neuroblastoma cell growth; its expression level did not correlate with sensitivity.
- Coexpression of IGF-IR and insulin receptor (IR) correlated with lower sensitivity in some cell lines.
- High Akt/PKB activation and S6 protein phosphorylation were linked to decreased sensitivity.
- Inhibition of Akt/PKB restored sensitivity, while Akt or S6K activation decreased it.
- NVP-AEW541 blocked IGF-I-stimulated proliferation and sensitized cells to cisplatin-induced apoptosis.
Conclusions:
- NVP-AEW541 demonstrates significant antiproliferative activity against human neuroblastoma.
- Akt/PKB signaling pathways play a crucial role in mediating resistance to NVP-AEW541.
- Combination therapy with NVP-AEW541 and Akt/PKB inhibitors or chemotherapeutic agents shows promise for neuroblastoma treatment.
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