Sorafenib and rapamycin induce growth suppression in mouse models of hepatocellular carcinoma

Hung Huynh1, Van Chanh Ngo1, Heng Nung Koong2

  • 1Laboratory of Molecular Endocrinology, Division of Molecular and Cellular Research, Humphrey Oei Institute of Cancer Research, National Cancer Centre, Singapore.

Insights

Sorafenib effectively inhibits hepatocellular carcinoma (HCC) growth by targeting key signaling pathways. Combination therapy with mTOR inhibitors shows promise for enhanced anti-tumor activity in HCC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Hepatocellular carcinoma (HCC) is a major global health concern.
  • Growth, neovascularization, and metastasis in HCC are regulated by growth factor signaling pathways.

Purpose of the Study:

  • To evaluate the in vivo anti-tumor efficacy of sorafenib tosylate in patient-derived HCC xenografts.
  • To elucidate the molecular mechanisms underlying sorafenib's anti-tumor activity and resistance.

Main Methods:

  • Treatment of four patient-derived HCC xenografts with sorafenib tosylate at 50 mg/kg and 100 mg/kg.
  • Analysis of tumor growth, apoptosis, angiogenesis, and signaling pathway modulation (e.g., Raf/MEK/ERK, mTOR).
  • Combination therapy studies with anti-HGF antibody and rapamycin in resistant xenografts.

Main Results:

  • Sorafenib significantly inhibited tumor growth (85-96%) and induced apoptosis.
  • Sorafenib suppressed angiogenesis and modulated key signaling proteins, including VEGFR, PDGFR, and components of the Raf/MEK/ERK pathway.
  • Resistance in some xenografts was linked to increased HGF/c-met/mTOR signaling, which was overcome by combination therapy with rapamycin.

Conclusions:

  • Sorafenib demonstrates potent in vivo anti-tumor activity in HCC xenografts.
  • Combination therapy with mTOR inhibitors (like rapamycin) may overcome sorafenib resistance and enhance efficacy in HCC treatment.