Dual Inhibition of PARP and Akt Induces Metabolic Collapse and Apoptosis in Breast Cancer Cells

Nasreldeen Mohamed Karshom Adam1, Eszter Vámos1, Hamid Ahmadi2

  • 1Department of Biochemistry and Medical Chemistry, Medical School, University of Pécs, 7624 Pécs, Hungary.

Cancers
|December 11, 2025
PubMed
Abstract

Insights

Combining Akt and PARP inhibitors reduces breast cancer cell energy production and induces cell death. This dual inhibition strategy impairs mitochondrial function, offering a promising therapeutic approach for breast cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Breast cancer is a leading global cancer in women, with therapeutic resistance posing a significant clinical hurdle.
  • Mitochondria play crucial roles in cancer cell metabolism, redox balance, and apoptosis, identifying them as key therapeutic targets.

Purpose of the Study:

  • To investigate the impact of combined Akt and PARP inhibition on mitochondrial metabolism, energy generation, and apoptosis in breast cancer cells.
  • To assess the synergistic effects of dual inhibition compared to monotherapy.

Main Methods:

  • Cell viability was assessed using the SRB assay.
  • Colony formation capacity, reactive oxygen species (ROS) production, and cell death were evaluated.
  • Mitochondrial function, including ATP production, was measured using the Seahorse Mito stress test.

Main Results:

  • Combined Akt and PARP inhibition disrupted oxidative phosphorylation without a compensatory increase in glycolysis.
  • This led to significantly reduced ATP production and elevated ROS generation in breast cancer cells.
  • The combination therapy induced apoptotic cell death more effectively than monotherapy.

Conclusions:

  • The combination of olaparib and capivasterib presents a promising therapeutic strategy for breast cancer by targeting mitochondrial function.
  • Further in vivo studies are necessary to confirm the antitumor effectiveness and safety of this combined therapeutic approach.

Related Concept Videos

The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
8.2K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
5.3K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
4.6K
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
5.1K
Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
5.5K
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
9.9K