PMID- 17409454 OWN - NLM STAT- MEDLINE DCOM- 20070509 LR - 20220316 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 67 IP - 7 DP - 2007 Apr 1 TI - Phosphoprotein pathway mapping: Akt/mammalian target of rapamycin activation is negatively associated with childhood rhabdomyosarcoma survival. PG - 3431-40 AB - Mapping of protein signaling networks within tumors can identify new targets for therapy and provide a means to stratify patients for individualized therapy. Despite advances in combination chemotherapy, the overall survival for childhood rhabdomyosarcoma remains approximately 60%. A critical goal is to identify functionally important protein signaling defects associated with treatment failure for the 40% nonresponder cohort. Here, we show, by phosphoproteomic network analysis of microdissected tumor cells, that interlinked components of the Akt/mammalian target of rapamycin (mTOR) pathway exhibited increased levels of phosphorylation for tumors of patients with short-term survival. Specimens (n = 59) were obtained from the Children's Oncology Group Intergroup Rhabdomyosarcoma Study (IRS) IV, D9502 and D9803, with 12-year follow-up. High phosphorylation levels were associated with poor overall and poor disease-free survival: Akt Ser(473) (overall survival P < 0.001, recurrence-free survival P < 0.0009), 4EBP1 Thr(37/46) (overall survival P < 0.0110, recurrence-free survival P < 0.0106), eIF4G Ser(1108) (overall survival P < 0.0017, recurrence-free survival P < 0.0072), and p70S6 Thr(389) (overall survival P < 0.0085, recurrence-free survival P < 0.0296). Moreover, the findings support an altered interrelationship between the insulin receptor substrate (IRS-1) and Akt/mTOR pathway proteins (P < 0.0027) for tumors from patients with poor survival. The functional significance of this pathway was tested using CCI-779 in a mouse xenograft model. CCI-779 suppressed phosphorylation of mTOR downstream proteins and greatly reduced the growth of two different rhabdomyosarcoma (RD embryonal P = 0.00008; Rh30 alveolar P = 0.0002) cell lines compared with controls. These results suggest that phosphoprotein mapping of the Akt/mTOR pathway should be studied further as a means to select patients to receive mTOR/IRS pathway inhibitors before administration of chemotherapy. FAU - Petricoin, Emanuel F 3rd AU - Petricoin EF 3rd AD - Food and Drug Administration, Center for Biologics Evaluation and Research, Office of Cellular and Gene Therapy, National Cancer Institute, NIH, Bethesda, Maryland, USA. FAU - Espina, Virginia AU - Espina V FAU - Araujo, Robyn P AU - Araujo RP FAU - Midura, Brieanne AU - Midura B FAU - Yeung, Choh AU - Yeung C FAU - Wan, Xiaolin AU - Wan X FAU - Eichler, Gabriel S AU - Eichler GS FAU - Johann, Donald J Jr AU - Johann DJ Jr FAU - Qualman, Stephen AU - Qualman S FAU - Tsokos, Maria AU - Tsokos M FAU - Krishnan, Kartik AU - Krishnan K FAU - Helman, Lee J AU - Helman LJ FAU - Liotta, Lance A AU - Liotta LA LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (IRS1 protein, human) RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Irs1 protein, mouse) RN - 0 (Phosphoproteins) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Child MH - Child, Preschool MH - Disease-Free Survival MH - Female MH - Humans MH - Infant MH - Insulin Receptor Substrate Proteins MH - Male MH - Mice MH - Mice, SCID MH - Phosphoproteins/metabolism MH - Phosphorylation MH - Protein Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Rhabdomyosarcoma/drug therapy/*metabolism MH - Signal Transduction MH - Survival Rate MH - TOR Serine-Threonine Kinases MH - Xenograft Model Antitumor Assays EDAT- 2007/04/06 09:00 MHDA- 2007/05/10 09:00 CRDT- 2007/04/06 09:00 PHST- 2007/04/06 09:00 [pubmed] PHST- 2007/05/10 09:00 [medline] PHST- 2007/04/06 09:00 [entrez] AID - 67/7/3431 [pii] AID - 10.1158/0008-5472.CAN-06-1344 [doi] PST - ppublish SO - Cancer Res. 2007 Apr 1;67(7):3431-40. doi: 10.1158/0008-5472.CAN-06-1344.