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Published on: August 2, 2024
Analysis of mTOR inhibition-involved pathway in ovarian clear cell adenocarcinoma
Makiko Harasawa1, Masanori Yasuda, Takeshi Hirasawa
1Department of Obstetrics and Gynecology, Tokai University School of Medicine.
Abstract:
This study was designed to clarify the mechanism of the mammalian target of rapamycin (mTOR)-hypoxia inducible factor-1 (HIF-1) pathway using the cultured cell strain derived from human ovarian clear cell adenocarcinoma (CCA). Everolimus (a derivative of rapamycin)-treated cells and non-treated cells did not show any difference in mTOR expression. But, phosphorylated-mTOR (p-mTOR) expression significantly decreased in the treated cells, and mTOR-related factors such as phosphorylated-4E-BP1 (p-4E-BP1), HIF-1α, and vascular endothelial growth factor (VEGF) in the downstream region of mTOR revealed a marked decrease in expression. The analysis of influences of the drug on the HIF-1α degradation system showed an increase in von-Hippel Lindau (VHL) expression in the treated cells. Increase of cleaved caspase-3, one of key factors involved in apoptosis, was also shown in the treated cells. In the next step, using nude mice implanted with RMG-1 cells, a decrease in tumor size was demonstrated in 4 of the 7 mice which were orally administered with everolimus. As a result, it was suggested that everolimus administration would be helpful as an anti-tumor therapy for CCA not only via down-regulation of p-mTOR but also degradation of HIF-1α by VHL and induction of apoptosis by cleaved caspase-3.
Insights
Everolimus effectively targets ovarian clear cell adenocarcinoma (CCA) by inhibiting the mTOR pathway, leading to decreased HIF-1α and VEGF, and inducing apoptosis. This suggests everolimus as a potential anti-cancer therapy for CCA.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Ovarian clear cell adenocarcinoma (CCA) is a challenging gynecologic malignancy.
- The mammalian target of rapamycin (mTOR)-hypoxia inducible factor-1 (HIF-1) pathway plays a role in cancer progression.
- Understanding the molecular mechanisms of CCA is crucial for developing effective therapies.
Purpose of the Study:
- To elucidate the mechanism of the mTOR-HIF-1 pathway in human CCA cells.
- To investigate the effects of everolimus on this pathway and related factors.
- To evaluate the therapeutic potential of everolimus in a preclinical model of CCA.
Main Methods:
- Utilized cultured human CCA cell lines treated with everolimus.
- Analyzed the expression of mTOR, phosphorylated-mTOR (p-mTOR), p-4E-BP1, HIF-1α, VEGF, VHL, and cleaved caspase-3.
- Assessed tumor growth in nude mice xenografted with CCA cells and treated with everolimus.
Main Results:
- Everolimus treatment decreased p-mTOR, p-4E-BP1, HIF-1α, and VEGF expression in CCA cells.
- Everolimus increased VHL expression, suggesting enhanced HIF-1α degradation.
- Cleaved caspase-3 levels increased, indicating apoptosis induction, and tumor size decreased in treated mice.
Conclusions:
- Everolimus down-regulates the mTOR pathway and promotes HIF-1α degradation via VHL in CCA.
- Everolimus induces apoptosis and exhibits anti-tumor activity in a preclinical CCA model.
- Everolimus demonstrates potential as an anti-cancer therapeutic for ovarian clear cell adenocarcinoma.
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