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.

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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