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Published on: May 1, 2020
mTOR-independent 4E-BP1 phosphorylation is associated with cancer resistance to mTOR kinase inhibitors
Yanjie Zhang1, X F Steven Zheng
1Cancer Institute of New Jersey and Department of Pharmacology, University of Medicine & Dentistry New Jersey-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Abstract:
ATP-competitive mTOR kinase inhibitors (mTorKIs) are a new generation of mTOR-targeted agents with more potent anticancer activity than rapamycin in several tumor models. However, the sensitivity and resistance of cancer cells to mTorKIs remain poorly understood. In this study, we tested mTorKIs against a large panel of colorectal cancer (CRC) cell lines, and found that mTorKIs displayed broader anti-CRC activity than rapamycin, including CRC cells with K-Ras or B-Raf mutations, suggesting that these mTorKIs are particularly useful for CRCs resistant to EGFR inhibitors. Unexpectedly, we found that 40% CRC cell lines were intrinsically drug resistant. Moreover, we discovered an mTOR-independent 4E‑BP1 phosphorylation that was correlated with mTorKI resistance. Altogether, our findings provide compelling preclinical support for testing mTorKIs in human CRC clinical trials. They further reveal the existence of significant intrinsic mTorKI drug resistance in cancer cells and suggest that 4E-BP1 phosphorylation is a predictive biomarker for mTorKI sensitivity and resistance.
Insights
New ATP-competitive mTOR kinase inhibitors (mTorKIs) show potent anticancer activity against colorectal cancer (CRC), even in resistant cells. Intrinsic resistance and mTOR-independent 4E-BP1 phosphorylation were identified as key factors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- ATP-competitive mTOR kinase inhibitors (mTorKIs) represent a novel class of mTOR-targeted agents.
- mTorKIs exhibit enhanced anticancer potency compared to rapamycin in preclinical models.
- Understanding sensitivity and resistance mechanisms to mTorKIs in cancer is crucial.
Purpose of the Study:
- To evaluate the efficacy of mTorKIs across a diverse panel of colorectal cancer (CRC) cell lines.
- To investigate the potential of mTorKIs in treating CRCs resistant to other therapies, such as EGFR inhibitors.
- To identify biomarkers predicting sensitivity or resistance to mTorKIs.
Main Methods:
- Screening of a large panel of colorectal cancer cell lines with mTorKIs.
- Analysis of CRC cell lines harboring K-Ras or B-Raf mutations.
- Investigation of mTOR-independent 4E-BP1 phosphorylation as a resistance marker.
Main Results:
- mTorKIs demonstrated broader anti-CRC activity than rapamycin, including in cells with K-Ras/B-Raf mutations.
- A significant proportion (40%) of CRC cell lines exhibited intrinsic resistance to mTorKIs.
- mTOR-independent 4E-BP1 phosphorylation was correlated with mTorKI resistance.
Conclusions:
- mTorKIs show promising preclinical efficacy for human CRC clinical trials.
- Intrinsic drug resistance to mTorKIs is prevalent in cancer cells.
- 4E-BP1 phosphorylation serves as a potential predictive biomarker for mTorKI response.
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