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Published on: August 23, 2019
Utility of a PI3K/mTOR inhibitor (NVP-BEZ235) for thyroid cancer therapy
Shu-Fu Lin1, Yu-Yao Huang, Jen-Der Lin
1Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, Republic of China. mmg@cgmh.org.tw
Background:
We assessed the utility of the dual PI3K/mTOR inhibitor NVP-BEZ235 (BEZ235) as single agent therapy and in combination with conventional chemotherapy for thyroid cancer.
Methodology/Principal Findings:
Eight cell lines from four types of thyroid cancer (papillary, follicular, anaplastic, medullary) were studied. The cytotoxicity of BEZ235 and five conventional chemotherapeutic agents alone and in combination was measured using LDH assay. Quantitative western blot assessed expression of proteins associated with cell cycle, apoptosis and signaling pathways. Cell cycle distribution and apoptosis were measured by flow cytometry. Murine flank anaplastic thyroid cancers (ATC) were treated with oral BEZ235 daily. We found that BEZ235 effectively inhibited cell proliferation of all cancer lines, with ATC exhibiting the greatest sensitivity. BEZ235 consistently inactivated signaling downstream of mTORC1. BEZ235 generally induced cell cycle arrest at G0/G1 phase, and also caused apoptosis in the most sensitive cell lines. Baseline levels of p-S6 ribosomal protein (Ser235/236) and p27 correlated with BEZ235 sensitivity. Growth of 8505C ATC xenograft tumors was inhibited with BEZ235, without any observed toxicity. Combination therapy of BEZ235 and paclitaxel consistently demonstrated synergistic effects against ATC in vitro.
Conclusions:
BEZ235 as a single therapeutic agent inhibits thyroid cancer proliferation and has synergistic effects in combination with paclitaxel in treating ATC. These findings encourage future clinical trials using BEZ235 for patients with this fatal disease.
Insights
The dual PI3K/mTOR inhibitor NVP-BEZ235 (BEZ235) effectively inhibits thyroid cancer cell proliferation. BEZ235 shows synergistic effects with paclitaxel in anaplastic thyroid cancer, supporting further clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Thyroid cancer presents a significant therapeutic challenge.
- Targeting the PI3K/mTOR pathway is a promising strategy for cancer treatment.
Purpose of the Study:
- To evaluate the efficacy of NVP-BEZ235 (BEZ235) as a single agent and in combination with chemotherapy for thyroid cancer.
- To investigate the molecular mechanisms underlying BEZ235's action in thyroid cancer.
Main Methods:
- Cytotoxicity assays (LDH) were performed on eight thyroid cancer cell lines.
- Western blot and flow cytometry analyzed cell cycle, apoptosis, and signaling pathways.
- In vivo efficacy was assessed using anaplastic thyroid cancer (ATC) xenograft models.
Main Results:
- BEZ235 inhibited proliferation across all tested thyroid cancer types, with ATC showing highest sensitivity.
- BEZ235 inactivated mTORC1 signaling, induced G0/G1 cell cycle arrest, and apoptosis in sensitive cell lines.
- Combination therapy with paclitaxel demonstrated synergistic effects against ATC in vitro, and BEZ235 inhibited tumor growth in vivo without toxicity.
Conclusions:
- BEZ235 demonstrates significant potential as a single agent for thyroid cancer.
- Combination therapy with paclitaxel shows promise for treating anaplastic thyroid cancer.
- These findings warrant further clinical investigation of BEZ235 for advanced thyroid cancer.
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