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Utilizing 18F-FDG PET/CT Imaging and Quantitative Histology to Measure Dynamic Changes in the Glucose Metabolism in Mouse Models of Lung Cancer
Published on: July 21, 2018
Pten-null tumors cohabiting the same lung display differential AKT activation and sensitivity to dietary restriction
Natasha L Curry1, Mari Mino-Kenudson, Trudy G Oliver
1Division of Endocrinology, Center for Basic and Translational Obesity Research, Boston , MA 02115, USA.
Abstract:
PTEN loss is considered a biomarker for activated phosphoinositide 3-kinase (PI3K)/AKT, a pathway frequently mutated in cancer, and was recently shown to confer resistance to dietary restriction. Here, we show that Pten loss is not sufficient to drive AKT activation and resistance to dietary restriction in tumors with low growth factor receptor levels. We describe a murine Pten-null Kras-driven lung cancer model that harbors both dietary restriction-resistant, higher-grade, bronchiolar tumors with high AKT activity, and dietary restriction-sensitive, lower-grade, alveolar tumors with low AKT activity. We find that this phenotype is cell autonomous and that normal bronchiolar cells express higher levels of insulin-like growth factor-I receptor (IGF-IR) and of ectonucleoside triphosphate diphosphohydrolase 5 (ENTPD5), an endoplasmic reticulum enzyme known to modulate growth factor receptor levels. Suppression of ENTPD5 is sufficient to decrease IGF-IR levels and sensitize bronchiolar tumor cells to serum in vitro and to dietary restriction in vivo. Furthermore, we find that a significant percentage of human non-small cell lung carcinomas (NSCLC) have low AKT activity despite PTEN loss.
Insights
PTEN loss alone doesn't guarantee PI3K/AKT pathway activation or dietary restriction resistance in lung tumors. ENTPD5 suppression can restore sensitivity by lowering IGF-IR levels.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- PTEN loss is a biomarker for PI3K/AKT pathway activation, often linked to cancer and dietary restriction resistance.
- However, PTEN loss alone may not be sufficient to drive AKT activation and resistance in all tumor types.
Purpose of the Study:
- To investigate the role of PTEN loss in AKT activation and dietary restriction resistance in lung cancer.
- To identify factors that modulate PI3K/AKT pathway activity and treatment response in Pten-null lung tumors.
Main Methods:
- Utilized a murine Pten-null Kras-driven lung cancer model with distinct tumor grades.
- Analyzed AKT activity, growth factor receptor levels (IGF-IR), and ENTPD5 expression.
- Investigated the effect of ENTPD5 suppression on tumor cell sensitivity in vitro and in vivo.
Main Results:
- Pten loss resulted in both resistant (high-grade, bronchiolar) and sensitive (lower-grade, alveolar) tumors with differing AKT activity.
- Normal bronchiolar cells exhibited higher IGF-IR and ENTPD5 levels, influencing tumor phenotypes.
- ENTPD5 suppression reduced IGF-IR, sensitizing tumor cells to serum and dietary restriction.
Conclusions:
- Tumor heterogeneity in response to PTEN loss is influenced by cell-autonomous factors like ENTPD5 and IGF-IR levels.
- ENTPD5 is a potential therapeutic target to overcome dietary restriction resistance in lung cancer.
- A subset of human non-small cell lung carcinomas (NSCLC) shows low AKT activity despite PTEN loss, suggesting complex regulatory mechanisms.
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