8-Chloroadenosine Sensitivity in Renal Cell Carcinoma Is Associated with AMPK Activation and mTOR Pathway Inhibition
Alper Y Kearney1, You-Hong Fan2, Uma Giri2
1Department of Genitourinary Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.
Abstract:
The adenosine analog 8-chloroadenosine has been shown to deplete ATP and inhibit tumor growth in hematological malignancies as well as in lung and breast cancer cell lines. We investigated effects of 8-chloroadenosine on clear cell (cc) renal cell carcinoma (RCC) cell lines. 8-chloroadenosine was effective against ccRCC cell viability in vitro, with IC50 ranging from 2 μM in the most sensitive CAKI-1 to 36 μM in the most resistant RXF-393. Proteomic analysis by reverse-phase protein array revealed that 8-chloroadenosine treatment leads to inhibition of the mTOR pathway. In time-course experiments, 8-chloroadenosine treatment rapidly activated AMPK, measured by AMPK and ACC phosphorylation, and subsequently caused dephosphorylation of p70S6K and ribosomal protein RPS6 in the sensitive cell lines. However, in the resistant cell lines, AMPK activity and the mTOR pathway were unaffected by the treatment. We also noted that the resistant cell lines had elevated basal levels of phospho RPS6 and AKT. Inhibition of PI3K pathway enhanced the efficacy of 8-chloroadenosine across all cell lines. Our observations indicate that 8-chloroadenosine activity is associated with inhibition of the mTOR pathway, and that phospho RPS6 and PI3K pathway activation status may determine resistance. Among solid tumors, RCC is one of the few susceptible to mTOR inhibition. We thus infer that 8-chloroadenosine may be effective in RCC by activating AMPK and inhibiting the mTOR pathway.
Insights
The cancer drug 8-chloroadenosine inhibits clear cell renal cell carcinoma (ccRCC) growth by impacting the mTOR pathway. Its effectiveness is linked to AMPK activation and PI3K pathway status, suggesting potential for ccRCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- 8-chloroadenosine depletes ATP and inhibits tumor growth in various cancers.
- Clear cell renal cell carcinoma (ccRCC) is a significant solid tumor with limited targeted therapies.
- The mTOR pathway is implicated in ccRCC pathogenesis and represents a potential therapeutic target.
Purpose of the Study:
- To investigate the effects of 8-chloroadenosine on clear cell renal cell carcinoma (ccRCC) cell lines.
- To elucidate the molecular mechanisms underlying 8-chloroadenosine's efficacy and resistance in ccRCC.
- To explore the potential of 8-chloroadenosine as a therapeutic agent for ccRCC.
Main Methods:
- In vitro assessment of ccRCC cell viability using 8-chloroadenosine.
- Proteomic analysis via reverse-phase protein array to identify signaling pathway alterations.
- Time-course experiments measuring protein phosphorylation (AMPK, ACC, p70S6K, RPS6, AKT).
- Pharmacological inhibition of the PI3K pathway to assess synergistic effects.
Main Results:
- 8-chloroadenosine demonstrated dose-dependent inhibition of ccRCC cell viability (IC50: 2–36 μM).
- Treatment led to mTOR pathway inhibition, rapid AMPK activation, and subsequent dephosphorylation of p70S6K and RPS6 in sensitive cell lines.
- Resistant cell lines showed unaffected AMPK and mTOR signaling, with elevated basal phospho RPS6 and AKT.
- PI3K pathway inhibition enhanced 8-chloroadenosine efficacy across all tested cell lines.
Conclusions:
- 8-chloroadenosine exerts its anti-cancer effects in ccRCC by inhibiting the mTOR pathway and activating AMPK.
- Phospho RPS6 and PI3K pathway activation are potential determinants of resistance to 8-chloroadenosine.
- Given ccRCC's susceptibility to mTOR inhibition, 8-chloroadenosine shows promise as a targeted therapy for this malignancy.
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