Rapalink-1 and Hydroxychloroquine Exhibit an Additive Effect in Undifferentiated Pleomorphic Sarcoma by Inducing

Takahiro Negayama1, Yoichi Ishibashi2, Osamu Nakamura1

  • 1Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Anticancer Research
|October 1, 2021
PubMed
Abstract

Insights

Combining Rapalink-1, an mTOR inhibitor, with hydroxychloroquine may improve treatment for undifferentiated pleomorphic sarcoma (UPS). This combination enhances antitumor effects by blocking autophagy, offering a potential new therapy for advanced UPS.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Advanced undifferentiated pleomorphic sarcoma (UPS) presents a significant clinical challenge with limited therapeutic options.
  • Mammalian target of rapamycin (mTOR) kinase inhibitors, like Rapalink-1, show promise but can induce autophagy and drug resistance.
  • Autophagy induction by mTOR inhibitors necessitates strategies to overcome this resistance mechanism.

Purpose of the Study:

  • To investigate the combined antitumor effects of Rapalink-1 and an autophagy inhibitor in undifferentiated pleomorphic sarcoma (UPS).
  • To determine if co-administration of Rapalink-1 and hydroxychloroquine can enhance anti-UPS activity.
  • To elucidate the impact of this combination therapy on cancer cell proliferation and the PI3K/mTOR pathway.

Main Methods:

  • Utilized three UPS cell lines for in vitro studies.
  • Assessed cell viability using standard assays.
  • Analyzed protein expression and pathway modulation via western blotting.
  • Examined cellular processes including autophagy using flow cytometry and immunofluorescence.

Main Results:

  • Rapalink-1 demonstrated a significant decrease in UPS cell proliferation.
  • Rapalink-1 effectively inhibited the PI3K/mTOR signaling pathway.
  • Combined treatment with Rapalink-1 and hydroxychloroquine synergistically enhanced antitumor effects compared to Rapalink-1 monotherapy.
  • The enhanced efficacy of the combination was attributed to the blockade of autophagy induced by Rapalink-1.

Conclusions:

  • The combination of Rapalink-1 and hydroxychloroquine exhibits potent antitumor activity against UPS.
  • This combination strategy effectively overcomes the resistance mechanism associated with mTOR inhibitors.
  • Combined Rapalink-1 and hydroxychloroquine represents a promising therapeutic approach for advanced undifferentiated pleomorphic sarcoma.

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