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Updated: Jan 26, 2026

Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
Published on: April 11, 2018
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.
Abstract:
An activated AKT pathway underlies the pathogenesis of soft tissue sarcoma (STS), with over-expressed phosphorylated AKT (p-AKT) correlating with a poor prognosis in a subset of STS cases. Recently, eribulin, a microtubule dynamics inhibitor, has demonstrated efficacy and is approved in patients with advanced/metastatic liposarcoma and breast cancer. However, mechanisms of eribulin resistance and/or insensitivity remain largely unknown. In this study, we demonstrated that an increased p-AKT level was associated with eribulin resistance in STS cells. We found a combination of eribulin with the AKT inhibitor, MK-2206, synergistically inhibited STS cell growth in vivo as well as in vitro. Mechanistically, eribulin plus MK-2206 induced G1 or G2/M arrest by down-regulating cyclin-dependent kinases, cyclins and cdc2, followed by caspase-dependent apoptosis in STS cells. Our findings demonstrate the significance of p-AKT signaling for eribulin-resistance in STS cells and provide a rationale for the development of an AKT inhibitor in combination with eribulin to treat patients with STS.
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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