PMID- 19690197 OWN - NLM STAT- MEDLINE DCOM- 20091211 LR - 20211203 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 15 IP - 17 DP - 2009 Sep 1 TI - mTOR is a promising therapeutic target both in cisplatin-sensitive and cisplatin-resistant clear cell carcinoma of the ovary. PG - 5404-13 LID - 10.1158/1078-0432.CCR-09-0365 [doi] AB - PURPOSE: Mammalian target of rapamycin (mTOR) plays a central role in cell proliferation and is regarded as a promising target in cancer therapy, including for ovarian cancer. This study aimed to examine the role of mTOR as a therapeutic target in clear cell carcinoma of the ovary, which is regarded as an aggressive, chemoresistant histologic subtype. EXPERIMENTAL DESIGN: Using tissue microarrays of 98 primary ovarian cancers (52 clear cell carcinomas and 46 serous adenocarcinomas), the expression of phospho-mTOR was assessed by immunohistochemistry. Then, the growth-inhibitory effect of mTOR inhibition by RAD001 (everolimus) was examined using two pairs of cisplatin-sensitive parental (RMG1 and KOC7C) and cisplatin-resistant human clear cell carcinoma cell lines (RMG1-CR and KOC7C-CR) both in vitro and in vivo. RESULTS: Immunohistochemical analysis showed that mTOR was more frequently activated in clear cell carcinomas than in serous adenocarcinomas (86.6% versus 50%). Treatment with RAD001 markedly inhibited the growth of both RMG1 and KOC7C cells both in vitro and in vivo. Increased expression of phospho-mTOR was observed in cisplatin-resistant RMG1-CR and KOC7C-CR cells, compared with the respective parental cells. This increased expression of phospho-mTOR in cisplatin-resistant cells was associated with increased activation of AKT. RMG1-CR and KOC7C-CR cells showed greater sensitivity to RAD001 than did parental RMG1 and KOC7C cells, respectively, in vitro and in vivo. CONCLUSION: mTOR is frequently activated in clear cell carcinoma and can be a promising therapeutic target in the management of clear cell carcinoma. Moreover, mTOR inhibition by RAD001 may be efficacious as a second-line treatment of recurrent disease in patients previously treated with cisplatin. FAU - Mabuchi, Seiji AU - Mabuchi S AD - Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. smabuchi@gyne.med.osaka-u.ac.jp FAU - Kawase, Chiaki AU - Kawase C FAU - Altomare, Deborah A AU - Altomare DA FAU - Morishige, Kenichirou AU - Morishige K FAU - Sawada, Kenjiro AU - Sawada K FAU - Hayashi, Masami AU - Hayashi M FAU - Tsujimoto, Masahiko AU - Tsujimoto M FAU - Yamoto, Mareo AU - Yamoto M FAU - Klein-Szanto, Andres J AU - Klein-Szanto AJ FAU - Schilder, Russell J AU - Schilder RJ FAU - Ohmichi, Masahide AU - Ohmichi M FAU - Testa, Joseph R AU - Testa JR FAU - Kimura, Tadashi AU - Kimura T LA - eng GR - CA06927/CA/NCI NIH HHS/United States GR - P30 CA006927-45/CA/NCI NIH HHS/United States GR - R01 CA077429-02/CA/NCI NIH HHS/United States GR - P50 CA083638-10/CA/NCI NIH HHS/United States GR - P30 CA006927/CA/NCI NIH HHS/United States GR - CA83638/CA/NCI NIH HHS/United States GR - R01 CA077429/CA/NCI NIH HHS/United States GR - P50 CA083638/CA/NCI NIH HHS/United States GR - CA77429/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090818 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antineoplastic Agents) RN - 0 (Immunosuppressive Agents) RN - 9HW64Q8G6G (Everolimus) 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) RN - Q20Q21Q62J (Cisplatin) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenocarcinoma, Clear Cell/*drug therapy/pathology MH - Animals MH - Antineoplastic Agents/therapeutic use MH - Cell Line, Tumor MH - Cisplatin/therapeutic use MH - Drug Resistance, Neoplasm/drug effects/physiology MH - Everolimus MH - Female MH - Humans MH - Immunosuppressive Agents/pharmacology/therapeutic use MH - Mice MH - Mice, Nude MH - Ovarian Neoplasms/*drug therapy/pathology MH - Protein Kinases/drug effects/*metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Sirolimus/analogs & derivatives/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases MH - Tissue Array Analysis MH - Xenograft Model Antitumor Assays PMC - PMC2743856 MID - NIHMS125079 EDAT- 2009/08/20 09:00 MHDA- 2009/12/16 06:00 PMCR- 2010/09/01 CRDT- 2009/08/20 09:00 PHST- 2009/08/20 09:00 [entrez] PHST- 2009/08/20 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] PHST- 2010/09/01 00:00 [pmc-release] AID - 1078-0432.CCR-09-0365 [pii] AID - 10.1158/1078-0432.CCR-09-0365 [doi] PST - ppublish SO - Clin Cancer Res. 2009 Sep 1;15(17):5404-13. doi: 10.1158/1078-0432.CCR-09-0365. Epub 2009 Aug 18.