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2017 ; 18
(10
): 816-826
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Co-targeting PI3K, mTOR, and IGF1R with small molecule inhibitors for treating
undifferentiated pleomorphic sarcoma
#MMPMID29099264
May CD
; Landers SM
; Bolshakov S
; Ma X
; Ingram DR
; Kivlin CM
; Watson KL
; Sannaa GAA
; Bhalla AD
; Wang WL
; Lazar AJ
; Torres KE
Cancer Biol Ther
2017[Oct]; 18
(10
): 816-826
PMID29099264
show ga
Undifferentiated pleomorphic sarcomas (UPSs) are aggressive mesenchymal
malignancies with no definitive cell of origin or specific recurrent genetic
hallmarks. These tumors are largely chemoresistant; thus, identification of
potential therapeutic targets is necessary to improve patient outcome. Previous
studies demonstrated that high expression of activated protein kinase B (AKT) in
patients with UPS corresponds to poor disease-specific survival. Here, we
demonstrate that inhibiting phosphatidylinositol-3-kinase/mammalian target of
rapamycin (PI3K/mTOR) signaling using a small molecule inhibitor reduced UPS cell
proliferation and motility and xenograft growth; however, increased
phosphorylation of insulin-like growth factor 1 receptor (IGF1R) indicated the
potential for adaptive resistance following treatment through compensatory
receptor activation. Co-treatment with a dual PI3K/mTOR inhibitor and an
anti-IGF1R kinase inhibitor reduced in vivo tumor growth rates despite a lack of
antiproliferative effects in vitro. Moreover, this combination treatment
significantly decreased UPS cell migration and invasion, which is linked to
changes in p27 subcellular localization. Our results demonstrate that targeted
inhibition of multiple components of the IGF1R/PI3K/mTOR pathway was more
efficacious than single-agent therapy and suggest that co-targeting this pathway
could be a beneficial therapeutic strategy for patients with UPS.