The therapeutic value of XL388 in human glioma cells

Shan Zhong1, Jun Xue1, Jiao-Jiao Cao2

  • 1Department of Neurosurgery, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China.

Aging
|November 7, 2020
PubMed

Insights

XL388, an oral PI3K-mTOR inhibitor, effectively reduced glioma cell growth, survival, and migration. It induced apoptosis via both Akt-mTOR-dependent and -independent pathways, showing promise in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Glioblastoma (GBM) remains a challenging brain tumor with limited treatment options.
  • The phosphoinositide 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) pathway is frequently dysregulated in GBM, driving tumor growth and survival.

Purpose of the Study:

  • To investigate the efficacy and mechanisms of XL388, an ATP-competitive PI3K-mTOR dual inhibitor, against human glioma cells.
  • To evaluate the in vivo anti-glioma activity of XL388.

Main Methods:

  • In vitro studies using established and primary human glioma cell lines (including Akt1-knockout cells).
  • Assessment of cell viability, proliferation, migration, invasion, cell cycle, apoptosis, and signaling pathway activation (Akt-mTOR, Nrf2).
  • In vivo studies using subcutaneous A172 xenografts in severe combined immunodeficient mice with oral administration of XL388.

Main Results:

  • XL388 potently inhibited glioma cell survival, proliferation, migration, invasion, and cell cycle progression.
  • XL388 induced apoptosis and inhibited Akt-mTORC1/2 signaling, with cytotoxicity observed even in Akt1-knockout cells.
  • XL388 downregulated MAFG, inhibited Nrf2 signaling, and caused oxidative stress, which was partially reversed by antioxidants.
  • Oral XL388 administration suppressed A172 xenograft growth in vivo, with evidence of target engagement.

Conclusions:

  • XL388 demonstrates potent anti-glioma activity through both PI3K-mTOR-dependent and -independent mechanisms.
  • XL388's ability to induce oxidative stress via MAFG/Nrf2 inhibition contributes to its cytotoxicity.
  • XL388 shows therapeutic potential as an orally available agent for glioma treatment.

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