Combined treatment of pancreatic cancer xenograft with (90)Y-ITGA6B4-mediated radioimmunotherapy and PI3K/mTOR inhibitor.

Combined treatment of pancreatic cancer xenograft with (90)Y-ITGA6B4-mediated radioimmunotherapy and PI3K/mTOR inhibitor.
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DOI:
10.3748/wjg.v23.i42.7551
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发表时间:
2017-11-14
影响因子:
4.3
通讯作者:
Higashi T
Higashi T
中科院分区:
医学2区
文献类型:
--
作者:
Aung W;Tsuji AB;Sudo H;Sugyo A;Ukai Y;Kouda K;Kurosawa Y;Furukawa T;Saga T;Higashi T

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研究整合素α6β4靶向放射免疫治疗(RIT)和PI 3 K/mTOR抑制剂BEZ 235联合治疗胰腺癌模型的疗效。用免疫印迹法检测90钇(90 Y)标记的抗整合素α6β4抗体(ITGA 6 B4)和BEZ 235处理的BxPC-3人胰腺癌细胞中Akt、mTOR、下游效应子真核起始因子4 E结合蛋白1(4 EBP 1)和S6核糖体蛋白(S6)的磷酸化。使用集落形成测定研究BEZ 235的细胞毒性作用。使用携带BxPC-3异种移植肿瘤的小鼠评估口服BEZ 235施用的治疗功效增强。对肿瘤进行肿瘤体积测量和免疫组织化学分析(细胞增殖标志物Ki-67、DNA损伤标志物p-H2 AX和p-4 EBP 1染色),以评价90 Y-ITGA 6 B4加BEZ 235的联合治疗或每组单独治疗。我们发现BEZ 235抑制Akt(p-Akt)、4 EBP 1(p-4 EBP 1)和S6(p-S6)的磷酸化。BxPC-3细胞中的集落形成被90 Y-ITGA 6 B4和BEZ 235的组合相加抑制。在90 Y-ITGA 6 B4暴露前用BEZ 235预处理导致细胞接种效率(PE)显著降低185 kBq/mL 90 Y-ITGA 6 B4照射组为0.54 ± 0.11,对照组为2.81 ± 0.14,P < 0.01; 0.39 ± 0.08 vs 1.88 ± 0.09(370 kBq/mL 90 Y-ITGA 6 B4暴露),P < 0.01)。在体内,与90 Y-ITGA 6 B4单次注射治疗相比,90 Y-ITGA 6 B4 + BEZ 235联合治疗增强了对肿瘤生长的抑制,并且在治疗开始日期后27天观察到相对肿瘤体积的统计学显著差异(第27天为1.03 ± 0.38 vs 1.5 ± 0.15,P < 0.05),与BEZ 235单独治疗相比(第41天为1.8 ± 0.7 vs 3.14 ± 1.19,P < 0.05)持续41天。治疗组的肿瘤体积缩小,Ki-67阳性细胞减少,p-H2 AX阳性细胞增加,p-4 EBP 1表达减少。在胰腺癌模型中,90 Y-ITGA 6 B4-RIT可以通过与双重PI 3 K和mTOR抑制剂BEZ 235组合来改善治疗功效,这表明潜在的临床应用。
To investigate the therapeutic effect of combined integrin α6β4-targeted radioimmunotherapy (RIT) and PI3K/mTOR inhibitor BEZ235 in a pancreatic cancer model. Phosphorylation of Akt, mTOR, the downstream effectors eukaryotic initiation factor 4E binding protein 1 (4EBP1) and S6 ribosomal protein (S6) were evaluated in BxPC-3 human pancreatic cancer cells treated with Yttrium-90 (90Y) labeled anti-integrin α6β4 antibody (ITGA6B4) and BEZ235 by western blotting. The cytotoxic effect of BEZ235 was investigated using a colony formation assay. Therapeutic efficacy enhancement by oral BEZ235 administration was assessed using mice bearing BxPC-3 xenograft tumors. Tumor volume measurements and immunohistochemical analyses (cell proliferation marker Ki-67, DNA damage marker p-H2AX and p-4EBP1 staining) of tumors were performed for evaluation of combined treatment with 90Y-ITGA6B4 plus BEZ235, or each arm alone. We found that phosphorylation of Akt (p-Akt), 4EBP1 (p-4EBP1) and S6 (p-S6) was inhibited by BEZ235. Colony formation in BxPC-3 cells was additively suppressed by the combination of 90Y-ITGA6B4 and BEZ235. Pretreatment with BEZ235 before 90Y-ITGA6B4 exposure resulted in significant reduction of cells plating efficiency (PE) (0.54 ± 0.11 vs 2.81 ± 0.14 with 185 kBq/mL 90Y-ITGA6B4 exposure, P < 0.01; 0.39 ± 0.08 vs 1.88 ± 0.09 with 370 kBq/mL 90Y-ITGA6B4 exposure, P < 0.01) when 5 × 103 cells per dish were plated. In vivo, the combined treatment with 90Y-ITGA6B4 plus BEZ235 enhanced the inhibition of tumor growth and statistically significant differences of relative tumor volume were observed for 27 d after the treatment start date when compared with the 90Y-ITGA6B4 single injection treatment (1.03 ± 0.38 vs 1.5 ± 0.15 at Day 27, P < 0.05), and for 41 d when compared with the BEZ235 treatment alone (1.8 ± 0.7 vs 3.14 ± 1.19 at Day 41, P < 0.05). Tumors from treatment groups showed reduction in volumes, decreased Ki-67-positive cells, increased p-H2AX-positive cells and decreased p-4EBP1 expression. The therapeutic efficacy of 90Y-ITGA6B4-RIT can be improved by combining with dual PI3K and mTOR inhibitor, BEZ235, in a pancreatic cancer model suggesting potential clinical application.
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