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10.18632/oncotarget.2726

http://scihub22266oqcxt.onion/10.18632/oncotarget.2726
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C4496179!4496179 !25749378
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suck abstract from ncbi


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pmid25749378
      Oncotarget 2015 ; 6 (11 ): 8722-35
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  • Identification of a novel synthetic lethality of combined inhibition of hedgehog and PI3K signaling in rhabdomyosarcoma #MMPMID25749378
  • Graab U ; Hahn H ; Fulda S
  • Oncotarget 2015[Apr]; 6 (11 ): 8722-35 PMID25749378 show ga
  • We previously reported that aberrant HH pathway activation confers a poor prognosis in rhabdomyosarcoma (RMS). Searching for new treatment strategies we therefore targeted HH signaling. Here, we identify a novel synthetic lethality of concomitant inhibition of HH and PI3K/AKT/mTOR pathways in RMS by GLI1/2 inhibitor GANT61 and PI3K/mTOR inhibitor PI103. Synergistic drug interaction is confirmed by calculation of combination index (CI < 0.2). Similarly, genetic silencing of GLI1/2 significantly increases PI103-induced apoptosis. GANT61 and PI103 also synergize to induce apoptosis in cultured primary RMS cells emphasizing the clinical relevance of this combination. Importantly, GANT61/PI103 cotreatment suppresses clonogenic survival, three-dimensional sphere formation and tumor growth in an in vivo model of RMS. Mechanistic studies reveal that GANT61 and PI103 cooperate to trigger caspase-dependent apoptosis via the mitochondrial pathway, as demonstrated by several lines of evidence. First, GANT61/PI103 cotreatment increases mRNA and protein expression of NOXA and BMF, which is required for apoptosis, since knockdown of NOXA or BMF significantly reduces GANT61/PI103-induced apoptosis. Second, GANT61/PI103 cotreatment triggers BAK/BAX activation, which contributes to GANT61/PI103-mediated apoptosis, since knockdown of BAK provides protection. Third, ectopic expression of BCL-2 or non-degradable phospho-mutant MCL-1 significantly rescue GANT61/PI103-triggered apoptosis. Fourth, GANT61/PI103 cotreatment initiate activation of the caspase cascade via apoptosome-mediated cleavage of the initiator caspase-9, as indicated by changes in the cleavage pattern of caspases (e.g. accumulation of the caspase-9 p35 cleavage fragment) upon addition of the caspase inhibitor zVAD.fmk. Thus, combined GLI1/2 and PI3K/mTOR inhibition represents a promising novel approach for synergistic apoptosis induction and tumor growth reduction with implications for new treatment strategies in RMS.
  • |*Molecular Targeted Therapy [MESH]
  • |Amino Acid Chloromethyl Ketones/pharmacology [MESH]
  • |Animals [MESH]
  • |Apoptosis Regulatory Proteins/biosynthesis/genetics [MESH]
  • |Apoptosis/drug effects [MESH]
  • |Caspases/metabolism [MESH]
  • |Cell Line, Tumor [MESH]
  • |Chick Embryo [MESH]
  • |Drug Screening Assays, Antitumor [MESH]
  • |Drug Synergism [MESH]
  • |Furans/*pharmacology [MESH]
  • |Gene Expression Regulation, Neoplastic/drug effects [MESH]
  • |Hedgehog Proteins/*antagonists & inhibitors [MESH]
  • |Humans [MESH]
  • |Kruppel-Like Transcription Factors/antagonists & inhibitors/biosynthesis [MESH]
  • |Neoplasm Proteins/*antagonists & inhibitors/biosynthesis/genetics [MESH]
  • |Nuclear Proteins/antagonists & inhibitors/biosynthesis [MESH]
  • |Phosphoinositide-3 Kinase Inhibitors [MESH]
  • |Protein Kinase Inhibitors/*pharmacology [MESH]
  • |Proto-Oncogene Proteins c-akt/antagonists & inhibitors/physiology [MESH]
  • |Pyridines/*pharmacology [MESH]
  • |Pyrimidines/*pharmacology [MESH]
  • |Rhabdomyosarcoma, Alveolar/*pathology [MESH]
  • |Rhabdomyosarcoma, Embryonal/*pathology [MESH]
  • |Signal Transduction/drug effects [MESH]
  • |TOR Serine-Threonine Kinases/antagonists & inhibitors/physiology [MESH]
  • |Transcription Factors/antagonists & inhibitors/biosynthesis [MESH]
  • |Zinc Finger Protein GLI1 [MESH]


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