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Targeting the PI3K/PTEN/AKT/mTOR Pathway in Treatment of Sarcoma Cell Lines
Hui Jun Lim1, Xiaochun Wang1, Philip Crowe1
1Sarcoma and Nano-oncology Group, Adult Cancer Program, Lowy Cancer Research Centre, Department of Medical Oncology and Surgery, Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia.
Background/Aim:
Sarcoma carries a poor prognosis prompting the need for targeted therapies aimed at deregulated signaling pathways. These include the PI3K/Akt/mTOR pathway commonly up-regulated in malignancies attributed to loss of PTEN expression. However, PTEN status and activation state of PI3K/Akt/mTOR pathway have not been comprehensively studied in sarcoma. The aims of this study were to characterise PTEN and Akt expression in a panel of sarcoma cell lines and then to examine mTOR inhibition using ridaforolimus.
Materials And Methods:
PTEN genomic expression was analyzed using Sanger sequencing. PTEN, total Akt (tAkt) and phosphorylated Akt (pAkt) expression were quantified with western blot analysis. Antiproliferative effects of treatment regimens were designed using Chou & Talalay's isobologram and determined with crystal violet assay.
Results:
Four cell lines had wild-type PTEN (exons 2 to 8), with normal protein expression. The GCT cell line had a missense mutation in exon 6 (C>T), associated with loss of PTEN protein expression. Increased pAkt expression was found in all cell lines following epidermal growth factor (EGF) stimulation, indicating that wild-type PTEN expression in four cell lines did not inhibit constitutive activation of PI3K/Akt/mTOR pathway. Nonetheless, all cell lines demonstrated sensitivity to ridaforolimus within a clinically relevant dose-range (half-maximal inhibitory concentration (IC50)=0.7-10 nM).
Conclusion:
PTEN mutation is rare in sarcoma cell lines and constitutive activation of PI3K/Akt/mTOR is independent of PTEN status.
Insights
Sarcoma cell lines rarely have PTEN mutations, and PI3K/Akt/mTOR pathway activation is independent of PTEN status. All tested sarcoma cell lines responded to mTOR inhibition with ridaforolimus.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Sarcoma has a poor prognosis, necessitating targeted therapies.
- The PI3K/Akt/mTOR pathway is frequently dysregulated in cancers, often due to loss of PTEN.
- Comprehensive studies on PTEN status and PI3K/Akt/mTOR pathway activation in sarcoma are lacking.
Purpose of the Study:
- To characterize PTEN and Akt expression in sarcoma cell lines.
- To investigate the efficacy of mTOR inhibition using ridaforolimus in sarcoma.
Main Methods:
- PTEN gene sequencing (Sanger).
- Western blot analysis for PTEN, total Akt (tAkt), and phosphorylated Akt (pAkt).
- Crystal violet assay for antiproliferative effects and Chou & Talalay's isobologram for drug synergy.
Main Results:
- PTEN mutations were rare; one GCT cell line showed a missense mutation with loss of PTEN protein.
- Constitutive PI3K/Akt/mTOR pathway activation was observed, independent of wild-type PTEN status.
- All sarcoma cell lines were sensitive to ridaforolimus, with IC50 values in the nanomolar range.
Conclusions:
- PTEN mutations are uncommon in sarcoma cell lines.
- Constitutive PI3K/Akt/mTOR activation in sarcoma is not solely dependent on PTEN status.
- Ridaforolimus demonstrates potential as a targeted therapy for sarcoma.
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