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Published on: July 25, 2020
Rational cotargeting of Pim-1 and Akt in prostate cancer
1The Vancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
Abstract:
Evaluation of: Cen B, Mahajan S, Wang W, Kraft AS. Elevation of receptor tyrosine kinases by small molecule AKT inhibitors in prostate cancer is mediated by Pim-1. Cancer Res. 73(11), 3402-3411 (2013). The PI3K/Akt pathway is a key pathway in many advanced and aggressive cancers. Targeted inhibition of this pathway is currently an actively pursued therapeutic strategy. However, blockade of this pathway with inhibitors has been challenging, with up-regulation of reciprocal feedback pathways contributing to treatment failures. The article evaluated presents mechanistic data on how Pim is a critical mediator of the receptor tyrosine elevation induced by Akt inhibition. Pim-1 kinases are overexpressed in resistant and aggressive cancers. Following Akt inhibition, Pim- regulates receptor tyrosine kinases up-regulation, at least in part, through a cap-independent translation. This research leads the way for further evaluation of co-targeting strategies using Pim-1 inhibitors in combination with PI3K/Akt pathway inhibitors.
Insights
Small molecule AKT inhibitors can increase receptor tyrosine kinases in prostate cancer. Pim-1 kinase mediates this effect, suggesting co-targeting strategies for improved cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The phosphoinositide 3-kinase/AKT (PI3K/Akt) pathway is crucial in aggressive cancers.
- Targeting the PI3K/Akt pathway is a key therapeutic strategy, but faces challenges due to feedback mechanisms.
- Pim-1 kinases are often overexpressed in aggressive and treatment-resistant cancers.
Purpose of the Study:
- To investigate the role of Pim-1 in the elevation of receptor tyrosine kinases (RTKs) induced by Akt inhibition.
- To elucidate the mechanism by which Pim-1 mediates this RTK upregulation.
- To explore potential co-targeting strategies in prostate cancer therapy.
Main Methods:
- Utilized small molecule AKT inhibitors in prostate cancer models.
- Assessed the expression and activity of Pim-1 kinase.
- Investigated the translational regulation of RTKs, focusing on cap-independent mechanisms.
Main Results:
- Akt inhibition led to the elevation of receptor tyrosine kinases.
- Pim-1 was identified as a critical mediator of this RTK elevation.
- This upregulation was found to be mediated, at least in part, by cap-independent translation.
Conclusions:
- Pim-1 plays a significant role in the feedback loop following Akt inhibition.
- Understanding this mechanism opens avenues for combination therapies.
- Co-targeting Pim-1 and PI3K/Akt pathways may overcome treatment resistance in prostate cancer.
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