PMID- 19383916 OWN - NLM STAT- MEDLINE DCOM- 20090714 LR - 20211203 IS - 1538-7445 (Electronic) IS - 0008-5472 (Linking) VI - 69 IP - 9 DP - 2009 May 1 TI - Relationship of deregulated signaling converging onto mTOR with prognosis and classification of lung adenocarcinoma shown by two independent in silico analyses. PG - 4027-35 LID - 10.1158/0008-5472.CAN-08-3403 [doi] AB - There is marked disparity with a slight overlap among prognosis-predictive signatures reported thus far for lung cancers. In this study, we aimed at linking poor prognosis with particular pathways and/or functions of the gene sets involved to better understand the underlying molecular characteristics associated with the prognosis of lung adenocarcinomas. Gene set enrichment analysis identified a gene set down-regulated by rapamycin as the most significant, whereas several others responsive to withdrawal of glucose or amino acids, which are related to signaling converging onto mammalian target of rapamycin (mTOR), were also shown to be significantly associated, in addition to those related to DNA damage response and cell cycle progression. We also used connectivity map (C-MAP) analysis, an independent bioinformatics approach, to search for Food and Drug Administration-approved drugs that potentially transform an unfavorable signature to a favorable one. Those results identified inhibitors of phosphatidylinositol 3-kinase (PI3K) and mTOR, as well as unexpected drugs such as phenothiazine antipsychotics and resveratrol as potential candidates. Experimental validation revealed that the latter unexpected agents also inhibited signaling converging onto mTOR and exhibited antitumor activities. In addition, deregulation of multiple signaling converging onto mTOR was shown to be significantly associated with sensitivity to PI-103, a dual specificity PI3K/mTOR inhibitor that is not contained in the C-MAP database, lending further support for the connection. Our results clearly show the existence of gene set-definable, intrinsic heterogeneities in lung adenocarcinomas, which seem to be related to both clinical behavior and sensitivity to agents affecting the identified pathways. FAU - Ebi, Hiromichi AU - Ebi H AD - Division of Molecular Carcinogenesis, Center for Neurological Diseases and Cancer, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Tomida, Shuta AU - Tomida S FAU - Takeuchi, Toshiyuki AU - Takeuchi T FAU - Arima, Chinatsu AU - Arima C FAU - Sato, Takahiko AU - Sato T FAU - Mitsudomi, Tetsuya AU - Mitsudomi T FAU - Yatabe, Yasushi AU - Yatabe Y FAU - Osada, Hirotaka AU - Osada H FAU - Takahashi, Takashi AU - Takahashi T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090421 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (CRTC2 protein, human) RN - 0 (Furans) RN - 0 (Multiprotein Complexes) RN - 0 (PI103) RN - 0 (Proteins) RN - 0 (Pyridines) RN - 0 (Pyrimidines) RN - 0 (Transcription Factors) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenocarcinoma/*genetics/*metabolism/pathology MH - Cell Line, Tumor MH - Computational Biology/methods MH - Furans/pharmacology MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Lung Neoplasms/*genetics/*metabolism/pathology MH - Mechanistic Target of Rapamycin Complex 1 MH - Multiprotein Complexes MH - Oligonucleotide Array Sequence Analysis/methods MH - Phosphorylation MH - Proteins MH - Proto-Oncogene Proteins c-akt/metabolism MH - Pyridines/pharmacology MH - Pyrimidines/pharmacology MH - Signal Transduction MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases MH - Transcription Factors/antagonists & inhibitors/*metabolism EDAT- 2009/04/23 09:00 MHDA- 2009/07/15 09:00 CRDT- 2009/04/23 09:00 PHST- 2009/04/23 09:00 [entrez] PHST- 2009/04/23 09:00 [pubmed] PHST- 2009/07/15 09:00 [medline] AID - 0008-5472.CAN-08-3403 [pii] AID - 10.1158/0008-5472.CAN-08-3403 [doi] PST - ppublish SO - Cancer Res. 2009 May 1;69(9):4027-35. doi: 10.1158/0008-5472.CAN-08-3403. Epub 2009 Apr 21.