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2016 ; 7
(49
): 80943-80956
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Everolimus (RAD001) sensitizes prostate cancer cells to docetaxel by
down-regulation of HIF-1? and sphingosine kinase 1
#MMPMID27821815
Alshaker H
; Wang Q
; Kawano Y
; Arafat T
; Böhler T
; Winkler M
; Cooper C
; Pchejetski D
Oncotarget
2016[Dec]; 7
(49
): 80943-80956
PMID27821815
show ga
Resistance to docetaxel is a key problem in current prostate cancer management.
Sphingosine kinase 1 (SK1) and phosphoinositide 3-kinase (PI3K)/Akt/mammalian
target of rapamycin (mTOR) pathways have been implicated in prostate cancer
chemoresistance. Here we investigated whether their combined targeting may
re-sensitize prostate cancer cells to docetaxel.In hormone-insensitive PC-3 and
DU145 prostate cancer cells the mTOR inhibitor everolimus (RAD001) alone did not
lead to significant cell death, however, it strongly sensitized cells to low
levels (5 nM) of docetaxel. We show that mTOR inhibition has led to a decrease in
hypoxia-inducible factor-1? (HIF-1?) protein levels and SK1 mRNA. HIF-1?
accumulation induced by CoCl2 has led to a partial chemoresistance to
RAD001/docetaxel combination. SK1 overexpression has completely protected
prostate cancer cells from RAD001/docetaxel effects. Using gene knockdown and
CoCl2 treatment we showed that SK1 mRNA expression is downstream of HIF-1?. In a
human xenograft model in nude mice single RAD001 and docetaxel therapies induced
23% and 15% reduction in prostate tumor volume, respectively, while their
combination led to a 58% reduction. RAD001 alone or in combination with docetaxel
has suppressed intratumoral mTOR and SK1 signaling, however as evidenced by tumor
size, it required docetaxel for clinical efficacy. Combination therapy was well
tolerated and had similar levels of toxicity to docetaxel alone.Overall, our data
demonstrate a new mechanism of docetaxel sensitization in prostate cancer. This
provides a mechanistic basis for further clinical application of RAD001/docetaxel
combination in prostate cancer therapy.