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Co-Targeting ErbB Receptors and the PI3K/AKT Axis in Androgen-Independent Taxane-Sensitive and Taxane-Resistant Human
Samusi Adediran1, Linbo Wang1, Mohammad Afnan Khan1
1University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA.
Abstract:
Using two representative models of androgen-independent prostate cancer (PCa), PC3 and DU145, and their respective paclitaxel- and docetaxel-resistant derivatives, we explored the anti-tumor activity of targeting the ErbB receptors and AKT using small-molecule kinase inhibitors. These cells manifest varying degrees of neuroendocrine differentiation characteristics and differ in their expression of functional PTEN. Although the specific downstream signaling events post the ErbB receptor and AKT co-targeting varied between the PC3- and DU145-lineage cells, synergistic anti-proliferative and enhanced pro-apoptotic responses occurred across the wild-type and the taxane-resistant cells, independent of their basal AKT activation state, their degree of paclitaxel- or docetaxel-resistance, or whether this resistance was mediated by the ATP Binding Cassette transport proteins. Dual targeting also led to enhanced anti-tumor responses in vivo, although there was pharmacodynamic discordance between the PCa cells in culture versus the tumor xenografts in terms of the relative activation and inhibition states of AKT and ERK under basal conditions and upon AKT and/or ErbB targeting. The consistent inhibition, particularly of AKT, occurred both in vitro and in vivo, independent of the underlying PTEN status. Thus, co-targeting AKT with ErbB, and possibly other partners, may be a useful strategy to explore further for potential therapeutic effect in advanced PCa.
Insights
Targeting ErbB receptors and AKT simultaneously shows potent anti-tumor activity in advanced prostate cancer (PCa). This dual inhibition effectively combats both standard and resistant cancer cells, offering a promising therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Androgen-independent prostate cancer (PCa) remains a significant therapeutic challenge.
- Paclitaxel and docetaxel resistance are common in advanced PCa.
- ErbB receptor and AKT signaling pathways are implicated in PCa progression.
Purpose of the Study:
- To investigate the anti-tumor efficacy of co-targeting ErbB receptors and AKT in prostate cancer models.
- To evaluate this strategy in both drug-sensitive and drug-resistant PCa cell lines.
- To assess the in vivo anti-tumor activity and pharmacodynamics of dual inhibition.
Main Methods:
- Utilized PC3 and DU145 prostate cancer cell lines and their taxane-resistant derivatives.
- Employed small-molecule kinase inhibitors targeting ErbB receptors and AKT.
- Assessed in vitro anti-proliferative and pro-apoptotic effects.
- Evaluated in vivo anti-tumor responses using tumor xenografts.
Main Results:
- Synergistic anti-proliferative and enhanced pro-apoptotic effects were observed across all tested cell lines, irrespective of resistance status or PTEN expression.
- Dual targeting demonstrated enhanced anti-tumor activity in vivo.
- Pharmacodynamic discordance was noted between in vitro and in vivo models regarding AKT and ERK signaling.
- Consistent AKT inhibition was achieved both in vitro and in vivo.
Conclusions:
- Co-targeting AKT with ErbB receptors presents a promising therapeutic strategy for advanced prostate cancer.
- This approach demonstrates efficacy against both sensitive and resistant PCa, independent of PTEN status.
- Further exploration of dual targeting, potentially with other partners, is warranted for advanced PCa treatment.
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