Perifosine and CCI 779 co-operate to induce cell death and decrease proliferation in PTEN-intact and PTEN-deficient

Kenneth L Pitter1, Craig J Galbán, Stefanie Galbán

  • 1Department of Cancer Biology and Genetics, Memorial Sloan-Kettering Cancer Center, New York, New York, United States of America.

Plos One
|January 27, 2011
PubMed
Abstract

Insights

Simultaneously inhibiting Akt and mTOR with perifosine and CCI-779 effectively reduces proliferation and increases cell death in Platelet-Derived Growth Factor Receptor (PDGFR) driven glioblastoma models, regardless of PTEN status.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Deregulation of Platelet-Derived Growth Factor Receptor (PDGFR) signaling, particularly PDGFR-alpha, is implicated in approximately 25-30% of human Glioblastoma Multiforme (GBM).
  • This aberrant signaling activates key downstream kinases like phosphatidylinositol 3-kinase (PI3K), Akt, and mammalian target of rapamycin (mTOR), driving tumor growth.
  • Understanding the response of PDGFR-driven GBMs to Akt and mTOR inhibition is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the efficacy of inhibiting Akt and mTOR, alone and in combination, in PDGFR-driven GBM mouse models.
  • To evaluate the impact of these inhibitors on GBM cell proliferation and survival.
  • To determine if the combination therapy's effectiveness is dependent on PTEN status.

Main Methods:

  • Utilized genetically engineered PTEN-intact and PTEN-deficient PDGF-driven mouse models of GBM.
  • Employed perifosine to inhibit Akt and CCI-779 to inhibit mTOR.
  • Conducted in vitro studies on primary glioma cell cultures and in vivo studies involving 5-day treatment of tumor-bearing mice.
  • Assessed signaling pathway activity, proliferation, and cell death using immunoblot analysis, histology, and MRI.

Main Results:

  • In vitro studies demonstrated that combining perifosine and CCI-779 achieved the most effective inhibition of Akt and mTOR activity in both PTEN-intact and PTEN-null glioma cells.
  • In vivo treatment with the combination therapy led to decreased Akt and mTOR signaling.
  • This reduction in signaling correlated with decreased tumor cell proliferation and increased cell death, independent of PTEN status.

Conclusions:

  • Simultaneous inhibition of Akt and mTOR is essential for significant downregulation of the PI3K pathway in PDGFR-driven GBM.
  • The combination of perifosine and CCI-779 shows promise for treating the PDGF-subgroup of GBM.
  • These findings support the clinical investigation of this combination therapy in human GBM patients.