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Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
PI3 Kinase Pathway and MET Inhibition is Efficacious in Malignant Pleural Mesothelioma
Rajani Kanteti1, Jacob J Riehm1, Immanuel Dhanasingh1
1Department of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL, USA.
Abstract:
Malignant pleural mesothelioma (MPM) is an aggressive cancer that is commonly associated with prior asbestos exposure. Receptor tyrosine kinases (RTKs) such as MET and its downstream target PI3K are overexpressed and activated in a majority of MPMs. Here, we studied the combinatorial therapeutic efficacy of the MET/ALK inhibitor crizotinib, with either a pan-class I PI3K inhibitor, BKM120, or with a PI3K/mTOR dual inhibitor, GDC-0980, in mesothelioma. Cell viability results showed that MPM cells were highly sensitive to crizotinib, BKM120 and GDC-0980 when used individually and their combination was more effective in suppressing growth. Treatment of MPM cells with these inhibitors also significantly decreased cell migration, and the combination of them was synergistic. Treatment with BKM120 alone or in combination with crizotinib induced G2-M arrest and apoptosis. Both crizotinib and BKM120 strongly inhibited the activity of MET and PI3K as evidenced by the decreased phosphorylation of MET, AKT and ribosomal S6 kinase. Using a PDX mouse model, we showed that a combination of crizotinib with BKM120 was highly synergetic in inhibiting MPM tumor growth. In conclusion our findings suggest that dual inhibition of PI3K and MET pathway is an effective strategy in treating MPM as compared to a single agent.
Insights
Combining MET and PI3K inhibitors like crizotinib and BKM120 shows strong efficacy against malignant pleural mesothelioma (MPM). This dual-targeting approach effectively suppresses tumor growth and migration, offering a promising therapeutic strategy for MPM patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Malignant pleural mesothelioma (MPM) is an aggressive cancer often linked to asbestos exposure.
- Overexpression and activation of MET and PI3K signaling pathways are common in MPM.
- Targeting these pathways presents a potential therapeutic avenue for MPM.
Purpose of the Study:
- To investigate the combined therapeutic effects of MET/ALK inhibitor crizotinib with PI3K inhibitors (BKM120 or GDC-0980) in MPM.
- To evaluate the impact of these combinations on MPM cell viability, migration, and cell cycle.
- To assess the in vivo efficacy of crizotinib and BKM120 combination in a patient-derived xenograft (PDX) mouse model.
Main Methods:
- MPM cell lines were treated with individual and combination therapies (crizotinib, BKM120, GDC-0980).
- Cell viability, migration, and apoptosis assays were performed.
- Western blotting was used to assess protein phosphorylation (MET, AKT, S6K).
- A PDX mouse model was utilized to evaluate in vivo tumor growth inhibition.
Main Results:
- Individual and combination treatments significantly reduced MPM cell viability and migration.
- Combinations demonstrated synergistic effects on growth inhibition and migration.
- BKM120, alone or with crizotinib, induced G2-M cell cycle arrest and apoptosis.
- In vivo studies showed significant synergistic tumor growth inhibition with crizotinib and BKM120.
Conclusions:
- Dual inhibition of the MET and PI3K pathways is a highly effective strategy for MPM treatment.
- Combination therapy with crizotinib and BKM120 shows significant synergistic efficacy.
- Targeting both MET and PI3K pathways offers a superior therapeutic approach compared to single-agent treatments for MPM.
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