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Disruption of Autophagic Flux and Treatment with the PDPK1 Inhibitor GSK2334470 Synergistically Inhibit Renal Cell
Wei Zhou1, Ji Huang1, Chuansheng Huang2
1Department of Urology, Jiangxi Cancer Hospital, The Second Affiliated Hospital of Nanchang Medical College, Jiangxi Clinical Research Center for Cancer, Nanchang, Jiangxi 330000, China.
Abstract:
Background: Renal cell carcinoma (RCC) frequently exhibits activating PI3K-Akt-mTOR pathway mutations. 3-Phosphoinositide-dependent kinase 1 (PDPK1 or PDK1) has been established to play a pivotal role in modulating PI3K pathway signaling. mTOR is the main autophagy-initiating factor. However, limited advances have been made in understanding the relationship between PDPK1 and autophagy in RCC. Methods: GSK2334470 (GSK470), a novel and highly specific inhibitor of PDPK1, was selected to investigate the anticancer effects in two RCC cell lines. Cell growth was assessed by CCK-8 test and colony formation. Changes in the protein levels of key Akt/mTOR pathway components and apoptosis markers were assessed by Western blotting. Autophagy was assessed by using LC3B expression, transmission electron microscopy, and a tandem mRFP-EGFP-LC3 construct. The effect of PDPK1 and autophagy inhibitor chloroquine in RCC in vivo was examined in a mouse tumor-bearing model. Results: GSK470 significantly inhibited cell proliferation and induces apoptosis in A498 and 786-O RCC cells. GSK470 downregulates the phosphorylation of PDPK1, thereby inhibiting downstream phosphorylation of Akt1 at Thr308 and Ser473 and mTOR complex 1 (mTORC1) activity. Treatment with insulin-like growth factor-1 (IGF-1) partially restored GSK470-induced behaviors/activities. Interestingly, treatment of A498 and 786-O cells with GSK470 or siPDPK1 induced significant increases in the hallmarks of autophagy, including autophagosome accumulation, autophagic flux, and LC3B expression. Importantly, GSK470 and chloroquine synergistically inhibited the growth of RCC cells in vitro and in xenograft models, supporting the protective role of autophagy activation upon blockade of the PDPK1-Akt-mTOR signaling pathway. Conclusion: Our study provides new insight into PDPK1 inhibition combined with autophagy inhibition as a useful treatment strategy for RCC.
Insights
Targeting 3-Phosphoinositide-dependent kinase 1 (PDPK1) with GSK470 inhibits renal cell carcinoma (RCC) growth by blocking the PI3K-Akt-mTOR pathway. Combining PDPK1 inhibition with autophagy inhibition offers a promising new strategy for RCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Renal cell carcinoma (RCC) often features activating mutations in the PI3K-Akt-mTOR pathway.
- 3-Phosphoinositide-dependent kinase 1 (PDPK1) is crucial for PI3K pathway signaling, and mTOR regulates autophagy.
- The interplay between PDPK1 and autophagy in RCC remains underexplored.
Purpose of the Study:
- To investigate the anticancer effects of a novel PDPK1 inhibitor, GSK2334470 (GSK470), in RCC.
- To elucidate the impact of PDPK1 inhibition on the Akt/mTOR pathway and autophagy in RCC.
- To evaluate the therapeutic potential of combining PDPK1 and autophagy inhibition for RCC.
Main Methods:
- Utilized GSK470, a specific PDPK1 inhibitor, on two RCC cell lines (A498 and 786-O).
- Assessed cell proliferation, apoptosis, Western blotting for pathway markers, and autophagy hallmarks (LC3B, electron microscopy, mRFP-EGFP-LC3).
- Examined *in vivo* efficacy using a mouse xenograft model with GSK470 and chloroquine (autophagy inhibitor).
Main Results:
- GSK470 significantly inhibited RCC cell proliferation and induced apoptosis.
- GSK470 downregulated PDPK1 phosphorylation, subsequently inhibiting Akt1 and mTORC1 activity.
- GSK470 treatment led to increased autophagy markers, and synergistic inhibition of RCC growth was observed when combined with chloroquine *in vitro* and *in vivo*.
Conclusions:
- PDPK1 inhibition disrupts the PI3K-Akt-mTOR pathway in RCC.
- Blocking PDPK1 activates a compensatory autophagy response in RCC cells.
- Combination therapy targeting both PDPK1 and autophagy presents a viable treatment strategy for renal cell carcinoma.
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