PMID- 15634654 OWN - NLM STAT- MEDLINE DCOM- 20050517 LR - 20211203 IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 3 IP - 12 DP - 2004 Dec TI - Akt up-regulation increases resistance to microtubule-directed chemotherapeutic agents through mammalian target of rapamycin. PG - 1605-13 AB - Chemotherapeutic agents induce apoptosis in cancer cells through effects on multiple intracellular targets. Recent observations suggest that a consistent cellular response to chemotherapeutic agents of disparate classes is down-regulation of glycolytic metabolism. Inhibition of glycolytic activity has been linked to apoptotic induction in several models. The serine/threonine kinase Akt (protein kinase B) promotes both glycolytic metabolism and survival, and these functions have been shown to be linked. Because of its key role in both glycolysis and survival, we examined the function of Akt in the cellular response to cytotoxic agents. Following exposure to any of several chemotherapeutic agents, an initial up-regulation in endogenous Akt activity is rapidly suppressed. Using cells containing constitutively active myristoylated Akt, dominant-negative kinase-dead Akt, or an empty vector control, we show here that Akt activation markedly increases resistance to microtubule-directed agents, including vincristine, colchicine, and paclitaxel. Akt also maintains increased glycolytic rate in response to antimicrotubule treatment. Rapamycin inhibits Akt-mediated maintenance of glycolysis and therapeutic resistance, indicating that these effects are dependent on mammalian target of rapamycin (mTOR). Furthermore, an activated mTOR mutant confers resistance to antimicrotubule agents. Taken together, these observations suggest that activation of the Akt-mTOR signaling pathway can augment glucose utilization and promote resistance to chemotherapeutic agents that do not directly target metabolic regulation. These data provide insight into potentially synergistic combinations of anticancer therapies. FAU - VanderWeele, David J AU - VanderWeele DJ AD - Committee on Cancer Biology, University of Chicago, Illinois, USA. FAU - Zhou, Rixin AU - Zhou R FAU - Rudin, Charles M AU - Rudin CM LA - eng GR - K08 CA81134/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Bcl2l1 protein, mouse) RN - 0 (Oligopeptides) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (bcl-X Protein) RN - 0I3V7S25AW (Myristic Acid) RN - 5J49Q6B70F (Vincristine) RN - 78VO7F77PN (arginyl-glycyl-aspartic acid) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - P88XT4IS4D (Paclitaxel) RN - SML2Y3J35T (Colchicine) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents, Phytogenic/*pharmacology MH - Apoptosis/drug effects MH - Cell Cycle/drug effects MH - Cells, Cultured MH - Colchicine/pharmacology MH - *Drug Resistance, Neoplasm MH - Drug Synergism MH - *Gene Expression Regulation MH - Genes, Dominant MH - Genetic Vectors MH - Glycolysis/drug effects MH - Hematopoietic Stem Cells/drug effects/metabolism MH - Membrane Potentials/drug effects MH - Mice MH - Microtubules/*drug effects/metabolism MH - Mitochondria/drug effects/metabolism MH - Mutation/genetics MH - Myristic Acid/metabolism MH - Oligopeptides/chemistry/metabolism MH - Paclitaxel/pharmacology MH - Protein Kinases/chemistry/genetics/*metabolism MH - Protein Serine-Threonine Kinases/*metabolism MH - Proto-Oncogene Proteins/*metabolism MH - Proto-Oncogene Proteins c-akt MH - Proto-Oncogene Proteins c-bcl-2/genetics/metabolism MH - Signal Transduction/drug effects MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases MH - Vincristine/pharmacology MH - bcl-X Protein EDAT- 2005/01/07 09:00 MHDA- 2005/05/18 09:00 CRDT- 2005/01/07 09:00 PHST- 2005/01/07 09:00 [pubmed] PHST- 2005/05/18 09:00 [medline] PHST- 2005/01/07 09:00 [entrez] AID - 3/12/1605 [pii] PST - ppublish SO - Mol Cancer Ther. 2004 Dec;3(12):1605-13.