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Author Spotlight: Unveiling Transmembrane Protein Family-Related Markers in Gastric Cancer and Implications for Targeted Therapies
Published on: September 15, 2023
Ceritinib increases sensitivity of AKT inhibitors to gastric cancer
Jian Wang1, Xiaqing Xu1, Tingting Wang1
1Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, Institute of Pharmacology and Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Abstract:
Gastric cancer (GC), known for high morbidity and mortality, is poorly prognosed with traditional chemotherapy and biological agents. Current studies have found that over-activation of AKT is a common molecular characteristic in GC. Although the development of this targeted inhibitor has entered clinical phases, limited success is reported because of its compensatory signaling pathways. Here, we found that GC cell lines with high phosphorylation of AKT show different sensitivity to AKT inhibitors (AKTis), but a reduction of p-GSK3β related sensitivity of AKTis in GC cells. Besides, we revealed that Ceritinib exerted a strongly synergistic antitumor effect with AKT inhibitors both in vitro and in vivo. Obviously, Ceritinib improved the sensitivity of Capivasertib (AZD5363, AKTs) and Afuresertib (GSK2110183, AKTis) in gastric cancer cells, as illustrated by a significant reduction in the GC cell proliferation and enhanced apoptosis. The drug combination showed tumor regression in BALB/c (nu/nu) mouse MKN45 (Gastric cancer), tumor model. Also, the combination strategy indicated significantly low p-AKT levels due to AKTis compensation and reduced the levels of p-GSK3β in both GC cell lines and GC patient-derived cells. These findings may provide a novel combination strategy for gastric cancer treatment.
Insights
Gastric cancer (GC) treatment shows promise with a new combination therapy. Ceritinib synergizes with AKT inhibitors, reducing tumor growth and improving apoptosis in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Gastric cancer (GC) has high morbidity and mortality, with limited efficacy of traditional treatments.
- Over-activation of AKT signaling is a common molecular hallmark in GC.
- Existing AKT inhibitors (AKTIs) show limited success due to compensatory signaling pathways.
Purpose of the Study:
- To investigate the efficacy of combining Ceritinib with AKT inhibitors in gastric cancer.
- To explore the underlying mechanisms of this combination therapy.
- To identify novel therapeutic strategies for gastric cancer.
Main Methods:
- In vitro and in vivo studies using GC cell lines and patient-derived cells.
- Assessment of cell proliferation, apoptosis, and protein phosphorylation levels (p-AKT, p-GSK3β).
- Evaluation of tumor regression in a mouse xenograft model.
Main Results:
- Ceritinib demonstrated a synergistic antitumor effect with AKT inhibitors (Capivasertib, Afuresertib).
- The combination significantly reduced GC cell proliferation and enhanced apoptosis.
- Tumor regression was observed in vivo, with decreased p-AKT and p-GSK3β levels.
Conclusions:
- Ceritinib can overcome AKT inhibitor resistance by targeting compensatory pathways.
- This combination strategy offers a novel therapeutic approach for gastric cancer.
- Further clinical investigation of Ceritinib and AKT inhibitors is warranted for GC treatment.
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