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.

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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