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Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
The Anti-Proliferative Effect of PI3K/mTOR and ERK Inhibition in Monolayer and Three-Dimensional Ovarian Cancer Cell
Elizabeth Dunn1, Kenny Chitcholtan2, Peter Sykes2
1School of Biological Sciences, University of Canterbury, Christchurch 8041, New Zealand.
Abstract:
Most ovarian cancer patients are diagnosed with advanced stage disease, which becomes unresponsive to chemotherapeutic treatments. The PI3K/AKT/mTOR and the RAS/RAF/MEK/ERK kinase signaling pathways are attractive targets for potential therapeutic inhibitors, due to the high frequency of mutations to PTEN, PIK3CA, KRAS and BRAF in several ovarian cancer subtypes. However, monotherapies targeting one of these pathways have shown modest effects in clinical trials. This limited efficacy of the agents could be due to upregulation and increased signaling via the adjacent alternative pathway. In this study, the efficacy of combined PI3K/mTOR (BEZ235) and ERK inhibition (SCH772984) was investigated in four human ovarian cancer cell lines, grown as monolayer and three-dimensional cell aggregates. The inhibitor combination reduced cellular proliferation in a synergistic manner in OV-90 and OVCAR8 monolayers and in OV-90, OVCAR5 and SKOV3 aggregates. Sensitivity to the inhibitors was reduced in three-dimensional cell aggregates in comparison to monolayers. OV-90 cells cultured in large spheroids were sensitive to the inhibitors and displayed a robust synergistic antiproliferative response to the inhibitor combination. In contrast, OVCAR8 spheroids were resistant to the inhibitors. These findings suggest that combined PI3K/mTOR and ERK inhibition could be a useful strategy for overcoming treatment resistance in ovarian cancer and warrants further preclinical investigation. Additionally, in some cell lines the use of different three-dimensional models can influence cell line sensitivity to PI3K/mTOR and RAS/RAF/MEK/ERK pathway inhibitors.
Insights
Combining PI3K/mTOR and ERK inhibitors shows synergistic effects against ovarian cancer cells, offering a potential strategy to overcome treatment resistance. Three-dimensional models revealed varying sensitivities, highlighting the need for further preclinical research.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Ovarian cancer is often diagnosed at advanced stages, leading to resistance to chemotherapy.
- The PI3K/AKT/mTOR and RAS/RAF/MEK/ERK pathways are frequently mutated in ovarian cancer, making them therapeutic targets.
- Monotherapies targeting these pathways have shown limited efficacy, possibly due to alternative pathway activation.
Purpose of the Study:
- To investigate the efficacy of combined PI3K/mTOR and ERK inhibition in ovarian cancer.
- To evaluate the impact of 2D (monolayer) versus 3D (cell aggregate) models on drug sensitivity.
Main Methods:
- Four human ovarian cancer cell lines were treated with combined PI3K/mTOR (BEZ235) and ERK (SCH772984) inhibitors.
- Cells were cultured as both monolayers and three-dimensional aggregates (spheroids).
- Cellular proliferation and synergistic effects were assessed.
Main Results:
- The inhibitor combination demonstrated synergistic antiproliferative effects in most monolayer and 3D cultures.
- Sensitivity to inhibitors was generally reduced in 3D aggregates compared to monolayers.
- OV-90 spheroids showed sensitivity, while OVCAR8 spheroids exhibited resistance to the combination therapy.
Conclusions:
- Combined PI3K/mTOR and ERK inhibition is a promising strategy for overcoming ovarian cancer treatment resistance.
- The choice of 3D model can significantly influence drug sensitivity, necessitating careful consideration in preclinical studies.
- Further preclinical investigation is warranted to explore this combination therapy for ovarian cancer.
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