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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Cancer+Res
2016 ; 6
(4
): 714-46
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Anti-tumor efficacy of BEZ235 is complemented by its anti-angiogenic effects via
downregulation of PI3K-mTOR-HIF1alpha signaling in HER2-defined breast cancers
#MMPMID27186427
Dey N
; Sun Y
; Carlson JH
; Wu H
; Lin X
; Leyland-Jones B
; De P
Am J Cancer Res
2016[]; 6
(4
): 714-46
PMID27186427
show ga
Activation of the PI3K-mTOR pathway via HER2: HER3-mediated signaling in HER2+
breast cancers pose one of the major threats towards the success of trastuzumab.
First, trastuzumab cannot perturb survival/proliferative signals following HER2:
HER3 heterodimerization in HER2+ tumor cells. Second, trastuzumab treatment has
been reported to cause drug-mediated resistance in over 50% of HER2+ breast
cancers. We have reported that treatment with an anti-angiogenic drug imparted a
significant anti-tumor advantage when combined with trastuzumab plus pertuzumab
in the trastuzumab-resistant model of HER2+ breast cancers (PMID: 23959459). The
very fact as revealed by our study that an inclusion of anti-angiogenic drug
conferred a significant anti-tumor advantage when combined with dual anti-HER2
therapy clearly indicated a critical and indispensable role of angiogenesis in
these tumors. Hence, we hypothesized that BEZ235 a dual PI3K/mTOR inhibitor will
have an effect on the tumor as well as the angiogenic stromal compartments. In
vitro and in vivo efficacy of BEZ235 was determined in HER2+
trastuzumab-sensitive, trastuzumab-resistant and HER2 amplified/PIK3CA mutated
cell lines. BEZ235 alone and in combination with trastuzumab was tested on the
tumor as well as stromal compartments. AKT-mTOR signal was suppressed following
BEZ235 treatment in a concentration and time-dependent manner. AnnexinV,
cl-CASPASE3, SURVIVIN and p-FOXO1 indicated that BEZ235-induced cell death
occurred predominantly via an apoptotic pathway. Heregulin-induced HIF1?
synthesis was also significantly decreased. Oncoprint data (cBioPortal)
representing PAM50 Her2 enriched tumors (TCGA, Nature 2012) and Her2-positive
breast tumors (TCGA, cell 2015) showed 91.4% genetic alterations and 79.2%
genetic alterations in a set of four genes comprised of PIK3CA, ERBB2, VEGFA and
HIF1alpha. The co-occurrence of HIF1alpha with VEGFA in PAM50 Her2 enriched
tumors (TCGA, Nature 2012) and the co-occurrence of HIF1alpha with VEGFA pair as
well as HIF1alpha with PIK3CA pair in Her2-positive breast tumors (TCGA, cell
2015) were found statistically significant. In xenograft models, BEZ235 blocked
tumor growth and decreased Ki67, CD31, p-AKT, p-S6RP, p-4EBP1 IHC-expressions.
These decreases were more pronounced when BEZ235 was combined with trastuzumab in
HER2+/trastuzumab-sensitive, trastuzumab-resistant and HER2+/PIK3CA mutated
models. We demonstrated that combined targeting of HER2 and the PI3K-AKT-mTOR
pathway is superior to HER2-directed therapy alone. Mechanistically the
inhibition of tumor-induced angiogenesis by BEZ235 caused by the down-regulation
of PI3K-mTOR-HIF1alpha signaling irrespective of the trastuzumab-sensitivity
status of HER2+ breast cancers proving evidence for the first time that the
inhibition of angiogenesis is an important component of the anti-tumor efficacy
of BEZ235 in HER2 defined breast cancers.