PMID- 21064094 OWN - NLM STAT- MEDLINE DCOM- 20110930 LR - 20211203 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 129 IP - 4 DP - 2011 Aug 15 TI - Inhibition of mammalian target of rapamycin signaling by everolimus induces senescence in adult T-cell leukemia/lymphoma and apoptosis in peripheral T-cell lymphomas. PG - 993-1004 LID - 10.1002/ijc.25742 [doi] AB - HTLV-I-associated adult T-cell leukemia/lymphoma (ATL) and human T-cell lymphotropic virus type I (HTLV-I)-negative peripheral T-cell lymphomas carry poor prognosis mainly because of acquired resistance to chemotherapy. We have shown that this disease is responsive to the combination of zidovudine and interferon-alpha. However, long-term maintenance therapy with this combination is associated with side effects affecting patient quality of life and hence more tolerated alternatives are needed. In this submission, we explored the effect of the mammalian target of rapamycin (mTOR) complex-1 (mTORC1) inhibitor everolimus (RAD001) on ATL and HTLV-negative malignant T-cell lines. We demonstrate that, at clinically achievable concentrations, long-term treatment with everolimus resulted in a dramatic inhibitory effect on the growth of HTLV-I-positive and -negative malignant T-cells, while normal resting or activated T-lymphocytes were resistant. Everolimus specifically induced oncoprotein Tax degradation and senescence in ATL cells and cell cycle arrest and apoptosis in HTLV-I-negative malignant T-cells. Everolimus-mediated apoptosis was also associated with an upregulation of p53 upregulated modulator of apoptosis (PUMA-alpha) proteins, an increase in Bax proteins and downregulation of Bcl-x(L) proteins in all tested HTLV-I-positive and -negative malignant cell lines. These results support a therapeutic role for everolimus, particularly as long-term maintenance therapy in patients with ATL and other HTLV-I-negative peripheral T-cell lymphomas. CI - Copyright (c) 2010 UICC. FAU - Darwiche, Nadine AU - Darwiche N AD - Department of Biology, American University of Beirut, Beirut, Lebanon. nd03@aub.edu.lb FAU - Sinjab, Ansam AU - Sinjab A FAU - Abou-Lteif, Ghada AU - Abou-Lteif G FAU - Chedid, Mirella Bou AU - Chedid MB FAU - Hermine, Olivier AU - Hermine O FAU - Dbaibo, Ghassan AU - Dbaibo G FAU - Bazarbachi, Ali AU - Bazarbachi A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101209 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (BAX protein, human) RN - 0 (BBC3 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (bcl-2-Associated X Protein) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - Apoptosis/*drug effects MH - Apoptosis Regulatory Proteins/metabolism MH - Cells, Cultured MH - *Cellular Senescence MH - Everolimus MH - G1 Phase/drug effects MH - Human T-lymphotropic virus 1/metabolism MH - Humans MH - Leukemia-Lymphoma, Adult T-Cell/*drug therapy/metabolism/pathology MH - Lymphoma, T-Cell, Peripheral/*drug therapy/metabolism/pathology MH - Proto-Oncogene Proteins/metabolism MH - Signal Transduction/drug effects MH - Sirolimus/*analogs & derivatives/pharmacology MH - T-Lymphocytes/drug effects/metabolism MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Tumor Suppressor Protein p53/metabolism MH - bcl-2-Associated X Protein/metabolism EDAT- 2010/11/11 06:00 MHDA- 2011/10/01 06:00 CRDT- 2010/11/11 06:00 PHST- 2010/05/12 00:00 [received] PHST- 2010/09/27 00:00 [accepted] PHST- 2010/11/11 06:00 [entrez] PHST- 2010/11/11 06:00 [pubmed] PHST- 2011/10/01 06:00 [medline] AID - 10.1002/ijc.25742 [doi] PST - ppublish SO - Int J Cancer. 2011 Aug 15;129(4):993-1004. doi: 10.1002/ijc.25742. Epub 2010 Dec 9.