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PI3K-dependent multiple myeloma cell survival is mediated by the PIK3CA isoform
Claudia Hofmann1, Thorsten Stühmer, Nadine Schmiedl
1Division of Haematology and Oncology, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.
Abstract:
Constitutive phosphatidylinositide 3-kinase (PI3K) signalling has been implicated in multiple myeloma (MM) pathophysiology and is regarded as an actionable target for pharmacological intervention. Isoform-specific PI3K inhibition may offer the most focused treatment approach and could result in greater clinical efficacy and reduced side effects. We therefore performed isoform-specific knockdown of PIK3CA, PIK3CB, PIK3CD, and PIK3CG to analyse their individual contributions to MM cell survival and downstream signalling. In addition, we tested the effectivity of the novel PI3K isoform-specific inhibitors BYL-719 (PIK3CA), TGX-221 (PIK3CB), CAL-101 (PIK3CD), and CAY10505 (PIK3CG). We found the PIK3CA isoform to be of paramount importance for constitutive Akt activity in MM cells, and - in contrast to inhibition of other class I isoforms - only the blockade of PIK3CA was sufficient to induce cell death in a sizeable subgroup of MM samples. Furthermore, pharmacological PIK3CA inhibition in combination treatments of BYL-719 and established anti-myeloma agents resulted in strongly enhanced MM cell death. Our data thus clearly indicate therapeutic potential of PIK3CA inhibitors and support their clinical evaluation in multiple myeloma.
Insights
Targeting PIK3CA, a specific form of phosphatidylinositide 3-kinase (PI3K), shows promise for treating multiple myeloma (MM). Inhibiting PIK3CA effectively kills MM cells and enhances existing therapies, suggesting its clinical potential.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Constitutive phosphatidylinositide 3-kinase (PI3K) signaling is crucial in multiple myeloma (MM) pathophysiology.
- Targeting PI3K offers a potential therapeutic strategy for MM.
- Isoform-specific inhibition may improve efficacy and reduce side effects.
Purpose of the Study:
- To investigate the individual roles of PI3K isoforms (PIK3CA, PIK3CB, PIK3CD, PIK3CG) in MM cell survival and signaling.
- To evaluate the efficacy of novel PI3K isoform-specific inhibitors in MM.
Main Methods:
- Performed isoform-specific knockdown of PIK3CA, PIK3CB, PIK3CD, and PIK3CG.
- Tested PI3K isoform-specific inhibitors: BYL-719 (PIK3CA), TGX-221 (PIK3CB), CAL-101 (PIK3CD), and CAY10505 (PIK3CG).
- Assessed MM cell death and downstream signaling pathways.
Main Results:
- PIK3CA is essential for constitutive Akt activity in MM cells.
- PIK3CA blockade, unlike other isoform inhibitions, induced significant MM cell death in a subset of samples.
- Combined treatment with PIK3CA inhibitor BYL-719 and standard anti-myeloma agents enhanced MM cell death.
Conclusions:
- PIK3CA plays a critical role in MM cell survival.
- PIK3CA inhibition demonstrates significant therapeutic potential in multiple myeloma.
- PIK3CA inhibitors warrant further clinical evaluation for MM treatment.
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