PMID- 19625495 OWN - NLM STAT- MEDLINE DCOM- 20100119 LR - 20211203 IS - 1538-8514 (Electronic) IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 8 IP - 8 DP - 2009 Aug TI - Comparison of radiosensitizing effects of the mammalian target of rapamycin inhibitor CCI-779 to cisplatin in experimental models of head and neck squamous cell carcinoma. PG - 2255-65 LID - 10.1158/1535-7163.MCT-08-1184 [doi] AB - To determine if the mammalian target of rapamycin (mTOR) inhibitor CCI-779 can sensitize head and neck squamous cell carcinoma (HNSCC) to radiotherapy (XRT) and compare the radiosensitizing effects to cisplatin with its known considerable toxicity. Radiosensitizing effects of CCI-779 were assayed on HNSCC cell lines in vitro. CCI-779 (5 mg/kg), cisplatin (1 mg/kg), and XRT (2 Gy) alone and in combination were evaluated for antitumor activity in mice bearing FaDu and SCC40 xenografts. Effects of CCI-779 on radiation-induced activation of the Akt/mTOR pathway were analyzed. Although CCI-779 did not sensitize HNSCC cells to ionizing radiation in vitro, combination of CCI-779 and XRT significantly augmented the in vivo tumor growth-inhibitory effects of XRT and CCI-779 (P < 0.05). In addition, CCI-779 + XRT suppressed tumor growth more effectively than cisplatin + XRT (P < 0.05). CCI-779 + XRT significantly improved survival compared with XRT alone in both cisplatin-sensitive FaDu (P < 0.01) and cisplatin-resistant SCC40 (P < 0.05) xenograft mice. There were no additional benefits of adding cisplatin to CCI-779 + XRT. CCI-779 significantly attenuated irradiation-induced up-regulation of the mTOR pathway, increased apoptosis and displayed potent antiangiogenic activity in FaDu xenografts that was further enhanced by its combination with XRT (P < 0.05), which may explain the mechanism of its selective radiosensitizing effects in vivo and not in vitro. Antitumor activity of XRT was enhanced when combined with CCI-779 in HNSCC xenograft model. CCI-779 + XRT showed antitumor activity superior to conventional chemoradiotherapy with cisplatin. These results pave the way for clinical trials using molecular targeted therapy with CCI-779 in combination with XRT for HNSCC treatment. FAU - Ekshyyan, Oleksandr AU - Ekshyyan O AD - Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130-3932, USA. FAU - Rong, Youhua AU - Rong Y FAU - Rong, Xiaohua AU - Rong X FAU - Pattani, Kavita M AU - Pattani KM FAU - Abreo, Fleurette AU - Abreo F FAU - Caldito, Gloria AU - Caldito G FAU - Chang, John Kai Siung AU - Chang JK FAU - Ampil, Federico AU - Ampil F FAU - Glass, Jonathan AU - Glass J FAU - Nathan, Cherie-Ann O AU - Nathan CO LA - eng GR - R01 CA102363/CA/NCI NIH HHS/United States GR - R01 CA102363-05/CA/NCI NIH HHS/United States GR - R01 CA 102363/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090722 PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Antineoplastic Agents) RN - 0 (Radiation-Sensitizing Agents) RN - 624KN6GM2T (temsirolimus) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - Q20Q21Q62J (Cisplatin) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/therapeutic use MH - Apoptosis MH - Carcinoma, Squamous Cell/drug therapy/pathology/*radiotherapy MH - Cell Line, Tumor MH - Cisplatin/therapeutic use MH - Combined Modality Therapy MH - Head and Neck Neoplasms/drug therapy/pathology/*radiotherapy MH - Mice MH - Mice, Inbred Strains MH - Protein Kinases/*metabolism MH - *Radiation-Sensitizing Agents MH - Sirolimus/*analogs & derivatives/therapeutic use MH - TOR Serine-Threonine Kinases MH - Xenograft Model Antitumor Assays PMC - PMC2758817 MID - NIHMS130029 EDAT- 2009/07/25 09:00 MHDA- 2010/01/20 06:00 PMCR- 2010/08/01 CRDT- 2009/07/24 09:00 PHST- 2009/07/24 09:00 [entrez] PHST- 2009/07/25 09:00 [pubmed] PHST- 2010/01/20 06:00 [medline] PHST- 2010/08/01 00:00 [pmc-release] AID - 1535-7163.MCT-08-1184 [pii] AID - 10.1158/1535-7163.MCT-08-1184 [doi] PST - ppublish SO - Mol Cancer Ther. 2009 Aug;8(8):2255-65. doi: 10.1158/1535-7163.MCT-08-1184. Epub 2009 Jul 22.