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Published on: August 23, 2019
Combined Inhibition of PI3Kβ and mTOR Inhibits Growth of PTEN-null Tumors
James T Lynch1, Urszula M Polanska1, Ursula Hancox2
1Bioscience, Oncology, IMED Biotech Unit, AstraZeneca, Cambridge, United Kingdom.
Abstract:
Loss of the tumor suppressor PTEN confers a tumor cell dependency on the PI3Kβ isoform. Achieving maximal inhibition of tumor growth through PI3K pathway inhibition requires sustained inhibition of PI3K signaling; however, efficacy is often limited by suboptimal inhibition or reactivation of the pathway. To select combinations that deliver comprehensive suppression of PI3K signaling in PTEN-null tumors, the PI3Kβ inhibitor AZD8186 was combined with inhibitors of kinases implicated in pathway reactivation in an extended cell proliferation assay. Inhibiting PI3Kβ and mTOR gave the most effective antiproliferative effects across a panel of PTEN-null tumor cell lines. The combination of AZD8186 and the mTOR inhibitor vistusertib was also effective in vivo controlling growth of PTEN-null tumor models of TNBC, prostate, and renal cancers. In vitro, the combination resulted in increased suppression of pNDRG1, p4EBP1, as well as HMGCS1 with reduced pNDRG1 and p4EBP1 more closely associated with effective suppression of proliferation. In vivo biomarker analysis revealed that the monotherapy and combination treatment consistently reduced similar biomarkers, while combination increased nuclear translocation of the transcription factor FOXO3 and reduction in glucose uptake. These data suggest that combining the PI3Kβ inhibitor AZD8186 and vistusertib has potential to be an effective combination treatment for PTEN-null tumors. Mol Cancer Ther; 17(11); 2309-19. ©2018 AACR.
Insights
Combining PI3Kβ inhibitor AZD8186 with mTOR inhibitor vistusertib effectively suppresses PTEN-null tumors. This combination shows promise for treating various cancers by enhancing PI3K pathway inhibition.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Loss of PTEN tumor suppressor gene creates a dependency on PI3Kβ.
- Sustained PI3K pathway inhibition is crucial for maximal tumor growth inhibition.
- Tumor growth is often limited by incomplete PI3K inhibition or pathway reactivation.
Purpose of the Study:
- To identify effective combination therapies for PTEN-null tumors.
- To evaluate the synergistic effects of PI3Kβ inhibition with other kinase inhibitors.
- To assess the antiproliferative and in vivo efficacy of AZD8186 combined with mTOR inhibitors.
Main Methods:
- Extended cell proliferation assays were used to test drug combinations.
- PTEN-null tumor cell lines and xenograft models were utilized.
- Biomarker analysis (in vitro and in vivo) assessed pathway suppression and cellular changes.
Main Results:
- Combination of PI3Kβ inhibitor AZD8186 and mTOR inhibitor vistusertib demonstrated the most potent antiproliferative effects.
- The combination effectively controlled tumor growth in PTEN-null models of TNBC, prostate, and renal cancers.
- Enhanced suppression of pNDRG1, p4EBP1, and HMGCS1, increased FOXO3 nuclear translocation, and reduced glucose uptake were observed.
Conclusions:
- Combining AZD8186 and vistusertib offers a promising therapeutic strategy for PTEN-null tumors.
- This combination achieves comprehensive PI3K signaling suppression.
- Further investigation into this combination for PTEN-null cancer treatment is warranted.
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