Related Experiment Video
Updated: Dec 9, 2025

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Synergistic Anti-Tumor Activity by Targeting Multiple Signaling Pathways in Ovarian Cancer
Wei Wen1,2, Ernest S Han1, Thanh H Dellinger1
1Department of Surgery, City of Hope National Med Center, Duarte, CA 91010, USA.
Abstract:
More effective therapy is needed to improve the survival of patients with advanced and recurrent ovarian cancer. Preclinical and early clinical studies with single molecular targeted agents have shown limited antitumor activity in ovarian cancer, likely due to compensation by alternative growth/survival pathways. An emerging strategy in overcoming resistance is to combine inhibitors targeting multiple pathways. In this study, we used a novel strategy of combining several FDA-approved targeted drugs, including sunitinib, dasatinib, and everolimus, in human ovarian cancers. Combination of the tyrosine kinase inhibitor sunitinib with the SRC inhibitor dasatinib showed synergistic anti-tumor activity in human ovarian cancer cells. The increased activity was associated with inhibition of the STAT3, SRC, and MAPK signaling pathways, but not AKT signaling. To inhibit the PI3K/AKT/mTOR pathway, we added the mTOR inhibitor everolimus, which further increased anti-tumor activity in cells. Combined treatment with sunitinib, dasatinib, and everolimus also resulted in greater inhibition of human ovarian tumor growth in mice. Furthermore, the triple combination also synergistically increased the anti-tumor activity of paclitaxel, both in vitro and in vivo. Taken together, our results demonstrate that simultaneous inhibition of several signaling pathways results in better anti-tumor activity compared to inhibiting any of these signaling pathways alone.
Insights
Combining targeted drugs like sunitinib, dasatinib, and everolimus shows promise for advanced ovarian cancer. This triple therapy effectively inhibits multiple cancer growth pathways, improving outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Advanced and recurrent ovarian cancer require more effective therapies.
- Single targeted agents show limited success due to pathway compensation.
- Combination therapy is a promising strategy to overcome drug resistance.
Purpose of the Study:
- To investigate the efficacy of combining FDA-approved targeted drugs in human ovarian cancer.
- To evaluate the synergistic anti-tumor activity of sunitinib, dasatinib, and everolimus.
- To assess the impact of this combination on key signaling pathways and tumor growth.
Main Methods:
- Utilized a combination of sunitinib (tyrosine kinase inhibitor), dasatinib (SRC inhibitor), and everolimus (mTOR inhibitor).
- Assessed anti-tumor activity in human ovarian cancer cells and in mouse models.
- Analyzed the effects on STAT3, SRC, MAPK, and AKT signaling pathways.
- Evaluated the combination's synergy with paclitaxel.
Main Results:
- Sunitinib and dasatinib demonstrated synergistic anti-tumor activity by inhibiting STAT3, SRC, and MAPK pathways.
- Adding everolimus further enhanced anti-tumor activity and inhibited the PI3K/AKT/mTOR pathway.
- The triple combination significantly inhibited ovarian tumor growth in mice.
- Combined treatment synergistically increased the efficacy of paclitaxel both in vitro and in vivo.
Conclusions:
- Simultaneous inhibition of multiple signaling pathways offers superior anti-tumor activity compared to single-pathway inhibition.
- This multi-targeted drug combination represents a potential therapeutic strategy for ovarian cancer.
- The triple combination therapy warrants further investigation for clinical application in ovarian cancer patients.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Treatment Resistant Cancers
PI3K/mTOR/AKT Signaling Pathway

