Combination of eribulin plus AKT inhibitor evokes synergistic cytotoxicity in soft tissue sarcoma cells

Naotaka Hayasaka1, Kohichi Takada2,3, Hajime Nakamura1

  • 1Department of Medical Oncology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Scientific Reports
|April 10, 2019
PubMed

Insights

The AKT pathway drives soft tissue sarcoma (STS) progression. Combining eribulin with an AKT inhibitor, MK-2206, overcomes eribulin resistance by inducing cell cycle arrest and apoptosis in STS cells.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Activated AKT signaling is implicated in soft tissue sarcoma (STS) pathogenesis.
  • Elevated phosphorylated AKT (p-AKT) levels correlate with poor prognosis in some STS cases.
  • Eribulin, a microtubule inhibitor, shows efficacy in advanced liposarcoma and breast cancer, but resistance mechanisms are unclear.

Purpose of the Study:

  • To investigate the role of AKT signaling in eribulin resistance in STS.
  • To evaluate the efficacy of combining eribulin with an AKT inhibitor (MK-2206) for STS treatment.

Main Methods:

  • Assessed p-AKT levels in STS cells and correlated them with eribulin resistance.
  • Evaluated the synergistic effect of eribulin and MK-2206 on STS cell growth in vitro and in vivo.
  • Investigated the molecular mechanisms underlying the combination therapy's effects, including cell cycle regulation and apoptosis.

Main Results:

  • Increased p-AKT levels were associated with eribulin resistance in STS cells.
  • The combination of eribulin and MK-2206 synergistically inhibited STS cell growth.
  • Combined treatment induced G1/G2/M cell cycle arrest and caspase-dependent apoptosis.

Conclusions:

  • p-AKT signaling is significant in mediating eribulin resistance in STS.
  • Combining eribulin with an AKT inhibitor offers a potential therapeutic strategy for STS patients.
  • This combination warrants further clinical development for STS treatment.

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