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Synergistic interactions between sorafenib and bortezomib in hepatocellular carcinoma involve PP2A-dependent Akt inactivation.
- Source :
-
Journal of hepatology [J Hepatol] 2010 Jan; Vol. 52 (1), pp. 88-95. Date of Electronic Publication: 2009 Oct 23. - Publication Year :
- 2010
-
Abstract
- Background & Aims: Previously we reported that Akt inactivation determines the sensitivity of hepatocellular carcinoma (HCC) cells to bortezomib. Here we report that combined treatment with sorafenib and bortezomib shows synergistic effects in HCC.<br />Methods: HCC cell lines (PLC/PRF/5, Huh-7, and Hep3B) were treated with sorafenib and/or bortezomib and analyzed in terms of apoptosis signal transduction. In vivo efficacy was determined in nude mice with PLC/PRF/5 xenografts.<br />Results: Pretreatment with sorafenib enhanced bortezomib-induced apoptotic cell death by restoring bortezomib's ability to inactivate Akt in PLC/PRF/5 cells. Knocking down Akt1 by RNA-interference overcame apoptotic resistance to bortezomib in PLC/PRF/5 cells and ectopic expression of active Akt in HCC cells abolished the bortezomib sensitizing effect of sorafenib, indicating Akt inactivation plays a key role in mediating the combinational effects. Moreover, okadaic acid, a protein phosphatase 2A (PP2A) inhibitor, reversed down-regulation of phospho-Akt (P-Akt) expression induced by co-treatment with sorafenib and bortezomib, and 1, 9 di-deoxy-forskolin, a PP2A agonist, restored bortezomib's effect on P-Akt and apoptosis. Importantly, silencing of PP2A by RNA-interference reduced the apoptotic effect induced by sorafenib-bortezomib co-treatment, indicating that PP2A is indispensable for mediating the effects of these drugs. Notably, sorafenib with bortezomib increased PP2A activity in PLC/PRF/5 cells without altering protein levels of PP2A complex or the interaction between PP2A and Akt proteins. Finally, sorafenib plus bortezomib significantly suppressed PLC/PRF/5 xenograft tumor growth, down-regulated P-Akt expression, and up-regulated PP2A activity.<br />Conclusions: The combination of sorafenib and bortezomib shows synergy in HCC through PP2A-dependent Akt inactivation.
- Subjects :
- Animals
Antineoplastic Agents pharmacology
Apoptosis drug effects
Benzenesulfonates pharmacology
Boronic Acids pharmacology
Bortezomib
Carcinoma, Hepatocellular metabolism
Carcinoma, Hepatocellular pathology
Cell Line, Tumor
Disease Models, Animal
Drug Synergism
Humans
Liver Neoplasms metabolism
Liver Neoplasms pathology
Male
Mice
Mice, Nude
Niacinamide analogs & derivatives
Okadaic Acid pharmacology
Phenylurea Compounds
Protein Phosphatase 2 antagonists & inhibitors
Pyrazines pharmacology
Pyridines pharmacology
Sorafenib
Treatment Outcome
Xenograft Model Antitumor Assays
Antineoplastic Agents therapeutic use
Benzenesulfonates therapeutic use
Boronic Acids therapeutic use
Carcinoma, Hepatocellular drug therapy
Liver Neoplasms drug therapy
Protein Phosphatase 2 metabolism
Proto-Oncogene Proteins c-akt metabolism
Pyrazines therapeutic use
Pyridines therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1600-0641
- Volume :
- 52
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of hepatology
- Publication Type :
- Academic Journal
- Accession number :
- 19913321
- Full Text :
- https://doi.org/10.1016/j.jhep.2009.10.011