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Published on: August 27, 2019
Activation of the unfolded protein response in sarcoma cells treated with rapamycin or temsirolimus
Joseph W Briggs1, Ling Ren1, Kristi R Chakrabarti1
1Tumor Metastasis Biology Section, Pediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States of America.
Abstract:
Activation of the unfolded protein response (UPR) in eukaryotic cells represents an evolutionarily conserved response to physiological stress. Here, we report that the mTOR inhibitors rapamycin (sirolimus) and structurally related temsirolimus are capable of inducing UPR in sarcoma cells. However, this effect appears to be distinct from the classical role for these drugs as mTOR inhibitors. Instead, we detected these compounds to be associated with ribosomes isolated from treated cells. Specifically, temsirolimus treatment resulted in protection from chemical modification of several rRNA residues previously shown to bind rapamycin in prokaryotic cells. As an application for these findings, we demonstrate maximum tumor cell growth inhibition occurring only at doses which induce UPR and which have been shown to be safely achieved in human patients. These results are significant because they challenge the paradigm for the use of these drugs as anticancer agents and reveal a connection to UPR, a conserved biological response that has been implicated in tumor growth and response to therapy. As a result, eIF2 alpha phosphorylation and Xbp-1 splicing may serve as useful biomarkers of treatment response in future clinical trials using rapamycin and rapalogs.
Insights
The mTOR inhibitors rapamycin and temsirolimus activate the unfolded protein response (UPR) in sarcoma cells. This UPR activation, linked to ribosome binding, enhances anti-cancer effects and may serve as a biomarker for treatment response.
Area of Science:
- Cellular Biology
- Molecular Biology
- Oncology
Background:
- The unfolded protein response (UPR) is a conserved cellular stress response in eukaryotes.
- mTOR inhibitors like rapamycin are used as anticancer agents.
- The precise mechanism of action for these drugs, particularly in relation to cellular stress responses, requires further elucidation.
Purpose of the Study:
- To investigate the effect of mTOR inhibitors rapamycin and temsirolimus on the UPR in sarcoma cells.
- To determine if the UPR induction by these drugs is linked to their known mTOR inhibitory function.
- To explore the potential of UPR activation as a biomarker for therapeutic response in cancer treatment.
Main Methods:
- Treatment of sarcoma cells with rapamycin and temsirolimus.
- Isolation and analysis of ribosomes from treated cells.
- Assessment of rRNA modification and UPR activation markers (e.g., eIF2 alpha phosphorylation, Xbp-1 splicing).
Main Results:
- Rapamycin and temsirolimus were found to induce UPR in sarcoma cells.
- The UPR induction was associated with drug binding to ribosomes, suggesting a mechanism independent of classical mTOR inhibition.
- Temsirolimus protected specific rRNA residues from chemical modification.
- Maximum tumor cell growth inhibition was observed at doses that induced UPR and are safely achievable in patients.
Conclusions:
- mTOR inhibitors can induce UPR through mechanisms potentially involving ribosome binding, distinct from direct mTOR inhibition.
- UPR activation correlates with enhanced anti-cancer efficacy of rapamycin and rapalogs.
- eIF2 alpha phosphorylation and Xbp-1 splicing may serve as predictive biomarkers for patient response to these therapies.
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