PMID- 21468343 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 1177-5483 (Electronic) IS - 1177-5467 (Print) IS - 1177-5467 (Linking) VI - 5 DP - 2011 TI - Advanced retinoblastoma treatment: targeting hypoxia by inhibition of the mammalian target of rapamycin (mTOR) in LH(BETA)T(AG) retinal tumors. PG - 337-43 LID - 10.2147/OPTH.S16172 [doi] AB - PURPOSE: The purpose of this study is to analyze the dose response of the mammalian target of rapamycin (mTOR) inhibitor, rapamycin, on tumor burden and hypoxia, and study the treatment effect on vasculature in LH(BETA)T(AG) retinal tumors. METHODS: This study was approved by the Institutional Animal Care and Use Committee and follows Association for Research in Vision and Ophthalmology guidelines. Eighteen-week-old LH(BETA)T(AG) retinal tumor eyes (n = 30) were evaluated. Mice were divided into five groups and received periocular injections once weekly for two consecutive weeks of: a) 80% DMSO (dimethyl sulfoxide, vehicle control), b) 0.00333 mg/kg, c) 0.167 mg/kg, d) 3.33 mg/kg, and e) 6.67 mg/kg of rapamycin. Tumor sections were analyzed for hypoxia, tumor burden, and vasculature with immunohistochemistry techniques. RESULTS: Reduction in tumor burden and hypoxia was significantly different between rapamycin doses and control (P < 0.002). Eyes treated with rapamycin at 0.167, 3.33, and 6.67 mg/kg showed a significant decrease in tumor burden in comparison with the vehicle control group (P = 0.019, P = 0.001, P = 0.009, respectively) and the 0.00333 mg/kg dose response (P = 0.023, P = 0.001, P = 0.010, respectively). Eyes treated with rapamycin at 3.33 mg/kg showed a significant reduction in the amount of hypoxia in comparison with the lower concentration groups (0.00333 and 0.167 mg/kg) of rapamycin (P = 0.024 and P = 0.052, respectively). The number of mature vessels was significantly lower in the 3.33 mg/kg treated versus vehicle control (P = 0.015; equal variances assumed, t-test for equality of means). The number of neovessels was not significantly different between both groups (P = 0.092). CONCLUSION: Inhibition of mTOR was shown to reduce tumor burden, hypoxia, and vasculature in the LH(BETA)T(AG) retinoblastoma tumor model. Rapamycin may have a role in combination with chemotherapy or other adjuvant therapies to enhance retinoblastoma tumor control. FAU - Pina, Y AU - Pina Y AD - Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; FAU - Decatur, C AU - Decatur C FAU - Murray, Tg AU - Murray T FAU - Houston, Sk AU - Houston S FAU - Gologorsky, D AU - Gologorsky D FAU - Cavalcante, M AU - Cavalcante M FAU - Cavalcante, L AU - Cavalcante L FAU - Hernandez, E AU - Hernandez E FAU - Celdran, M AU - Celdran M FAU - Feuer, W AU - Feuer W FAU - Lampidis, T AU - Lampidis T LA - eng GR - P30 EY014801/EY/NEI NIH HHS/United States GR - R01 CA037109/CA/NCI NIH HHS/United States GR - R01 EY012651/EY/NEI NIH HHS/United States GR - R01 EY013629/EY/NEI NIH HHS/United States PT - Journal Article DEP - 20110307 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC3065577 OTO - NOTNLM OT - anaerobic glycolysis OT - hypoxia OT - mTOR OT - rapamycin OT - retinoblastoma EDAT- 2011/04/07 06:00 MHDA- 2011/04/07 06:01 PMCR- 2011/03/07 CRDT- 2011/04/07 06:00 PHST- 2011/03/04 00:00 [received] PHST- 2011/04/07 06:00 [entrez] PHST- 2011/04/07 06:00 [pubmed] PHST- 2011/04/07 06:01 [medline] PHST- 2011/03/07 00:00 [pmc-release] AID - opth-5-337 [pii] AID - 10.2147/OPTH.S16172 [doi] PST - ppublish SO - Clin Ophthalmol. 2011;5:337-43. doi: 10.2147/OPTH.S16172. Epub 2011 Mar 7.