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Updated: May 20, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Dual targeting of the Akt/mTOR signaling pathway inhibits castration-resistant prostate cancer in a genetically
Nicolas Floc'h1, Carolyn Waugh Kinkade, Takashi Kobayashi
1Department of Urology and Pathology and Cell Biology, Columbia University Medical Center, New York, NY 10031, USA.
Abstract:
Although the prognosis for clinically localized prostate cancer is now favorable, there are still no curative treatments for castration-resistant prostate cancer (CRPC) and, therefore, it remains fatal. In this study, we investigate a new therapeutic approach for treatment of CRPC, which involves dual targeting of a major signaling pathway that is frequently deregulated in the disease. We found that dual targeting of the Akt and mTOR signaling pathways with their respective inhibitors, MK-2206 and ridaforolimus (MK-8669), is highly effective for inhibiting CRPC in preclinical studies in vivo using a refined genetically engineered mouse model of the disease. The efficacy of the combination treatment contrasts with their limited efficacy as single agents, since delivery of MK-2206 or MK-8669 individually had a modest impact in vivo on the overall tumor phenotype. In human prostate cancer cell lines, although not in the mouse model, the synergistic actions of MK-2206 and ridaforolimus (MK-8669) are due in part to limiting the mTORC2 feedback activation of Akt. Moreover, the effects of these drugs are mediated by inhibition of cellular proliferation via the retinoblastoma (Rb) pathway. Our findings suggest that dual targeting of the Akt and mTOR signaling pathways using MK-2206 and ridaforolimus (MK-8669) may be effective for treatment of CRPC, particularly for patients with deregulated Rb pathway activity.
Insights
Dual targeting of Akt and mTOR pathways with MK-2206 and ridaforolimus effectively inhibits castration-resistant prostate cancer (CRPC) in preclinical models. This combination therapy shows promise where single agents are less effective.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Castration-resistant prostate cancer (CRPC) remains a fatal disease with no curative treatments.
- Targeting deregulated signaling pathways is a key strategy for CRPC therapy.
Purpose of the Study:
- To investigate a novel therapeutic approach for CRPC by simultaneously targeting the Akt and mTOR signaling pathways.
- To evaluate the efficacy of combined MK-2206 and ridaforolimus (MK-8669) in preclinical CRPC models.
Main Methods:
- Utilized a refined genetically engineered mouse model for in vivo studies of CRPC.
- Administered dual inhibitors MK-2206 (Akt inhibitor) and ridaforolimus (MK-8669, mTOR inhibitor).
- Assessed drug effects on tumor phenotype, cellular proliferation (retinoblastoma pathway), and signaling pathway feedback in cell lines and mouse models.
Main Results:
- Combination therapy with MK-2206 and ridaforolimus demonstrated high efficacy in inhibiting CRPC in vivo.
- Single-agent treatment with MK-2206 or MK-8669 showed only modest effects on tumor phenotype.
- Synergistic effects in human cell lines were partly attributed to limiting mTORC2 feedback activation of Akt, with effects mediated by retinoblastoma (Rb) pathway inhibition.
Conclusions:
- Dual targeting of Akt and mTOR signaling pathways with MK-2206 and ridaforolimus presents a promising therapeutic strategy for CRPC.
- This combination therapy may be particularly beneficial for CRPC patients with deregulated Rb pathway activity.
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