PMID- 20960030 OWN - NLM STAT- MEDLINE DCOM- 20120508 LR - 20220317 IS - 1573-0646 (Electronic) IS - 0167-6997 (Linking) VI - 30 IP - 1 DP - 2012 Feb TI - Schedule-dependent inhibition of T-cell lymphoma cells by cotreatment with the mTOR inhibitor everolimus and anticancer drugs. PG - 223-35 LID - 10.1007/s10637-010-9558-4 [doi] AB - OBJECTIVE: Everolimus (RAD001) is a novel mammalian target of rapamycin (mTOR) inhibitor, and anti-proliferative activity in various malignancies has been reported. This study evaluated the anti-tumor effects and schedule-dependent synergism of everolimus in combination with other chemotherapeutic agents in T-cell lymphoma cell lines. MATERIALS AND METHODS: Human T-cell lymphoma cell lines Hut-78 and Jurkat were treated with increasing doses of everolimus, alone or in combination with doxorubicin, etoposide, vincristine, or bortezomib, using different dosing schedules. Anti-tumor effects were measured by assays for cell proliferation, apoptosis, and cell cycle distribution. Drug interactions were determined by median effect analysis. RESULTS: Exposure to everolimus alone induced G1 phase cell cycle arrest without significant apoptosis. With certain dosing schedules, everolimus showed synergism with doxorubicin, etoposide, and bortezomib, but antagonism with vincristine. Cytotoxic synergism was observed following cotreatment with doxorubicin and everolimus, bortezomib and everolimus, doxorubicin followed by everolimus, and bortezomib followed by everolimus. By contrast, cell exposure to everolimus followed by doxorubicin or followed by bortezomib resulted in antagonistic effects. Sequential exposure to doxorubicin or bortezomib followed by everolimus effectively prevented potential negative interactions, and resulted in drug synergism. Drug combination synergisms or antagonisms were associated with variable effects on the cell cycle distribution. CONCLUSIONS: Everolimus effectively inhibited the growth of T-cell lymphoma cells in vitro. Specific schedule-dependent combinations of everolimus with other anti-tumor agents which avoid potential drug antagonism and produce effective synergism may lead to clinically effective treatments for T-cell lymphoma. FAU - Huang, Jia-Jia AU - Huang JJ AD - Department of Medical Oncology, Cancer Center, Sun Yat-sen University, 651, Dongfeng Road East, Guangzhou, Guangdong 510060, People's Republic of China. FAU - Li, Zhi-Ming AU - Li ZM FAU - Huang, Ying AU - Huang Y FAU - Huang, Yan AU - Huang Y FAU - Tian, Ying AU - Tian Y FAU - He, Xue-Xin AU - He XX FAU - Xiao, Jian AU - Xiao J FAU - Lin, Tong-Yu AU - Lin TY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101020 PL - United States TA - Invest New Drugs JT - Investigational new drugs JID - 8309330 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Boronic Acids) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrazines) RN - 5J49Q6B70F (Vincristine) RN - 69G8BD63PP (Bortezomib) RN - 6PLQ3CP4P3 (Etoposide) RN - 80168379AG (Doxorubicin) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antibiotics, Antineoplastic/pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Apoptosis/drug effects MH - Boronic Acids/pharmacology MH - Bortezomib MH - Cell Cycle/drug effects MH - Cell Proliferation/drug effects MH - Dose-Response Relationship, Drug MH - Doxorubicin/pharmacology MH - Drug Synergism MH - Etoposide/pharmacology MH - Everolimus MH - Humans MH - Jurkat Cells MH - Lymphoma, T-Cell/*enzymology/pathology MH - PTEN Phosphohydrolase/metabolism MH - Phosphorylation MH - Protein Kinase Inhibitors/pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Pyrazines/pharmacology MH - Sirolimus/analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Time Factors MH - Vincristine/pharmacology EDAT- 2010/10/21 06:00 MHDA- 2012/05/09 06:00 CRDT- 2010/10/21 06:00 PHST- 2010/08/09 00:00 [received] PHST- 2010/09/29 00:00 [accepted] PHST- 2010/10/21 06:00 [entrez] PHST- 2010/10/21 06:00 [pubmed] PHST- 2012/05/09 06:00 [medline] AID - 10.1007/s10637-010-9558-4 [doi] PST - ppublish SO - Invest New Drugs. 2012 Feb;30(1):223-35. doi: 10.1007/s10637-010-9558-4. Epub 2010 Oct 20.