PMID- 21738008 OWN - NLM STAT- MEDLINE DCOM- 20120119 LR - 20211203 IS - 1555-8576 (Electronic) IS - 1538-4047 (Print) IS - 1538-4047 (Linking) VI - 12 IP - 6 DP - 2011 Sep 15 TI - Augmentation of NVP-BEZ235's anticancer activity against human lung cancer cells by blockage of autophagy. PG - 549-55 LID - 10.4161/cbt.12.6.16397 [doi] AB - Autophagy is a cellular lysosomal degradation pathway essential for regulation of cell survival and death to maintain homeostasis. This process is negatively regulated by mammalian target of rapamycin (mTOR) signaling and often counteracts efficacy of certain cancer therapeutic agents. NVP-BEZ235 (BEZ235) is a novel, orally bioavailable dual PI3K/mTOR inhibitor that has exhibited promising activity against non-small cell lung cancer (NSCLC) in preclinical models. The current study focuses on evaluating the role of BEZ235 in regulating autophagy. BEZ235 was effective in inhibiting the growth of NSCLC cells including induction of apoptosis. It also potently induced the expression of type-II LC3, indicating induction of autophagy. When BEZ235 was used in combination with the lysosomal or autophagic inhibitor chloroquine (CQ), enhanced inhibitory effects on monolayer growth and colony formation of NSCLC cells was observed. In addition, enhanced induction of apoptosis was also detected in cells exposed to the combination of BEZ235 and CQ. Moreover, the combination of BEZ235 and CQ was more effective than each single agent alone in inhibiting the growth of NSCLC xenografts in nude mice. Thus, induction of autophagy by BEZ235 appears to be a survival mechanism that may counteract its anticancer effects. Based on these, we suggest a strategy to enhance BEZ235's anticancer efficacy by blockade of autophagy. FAU - Xu, Cheng-Xiong AU - Xu CX AD - Emory University School of Medicine and Winship Cancer Institute, Atlanta, GA, USA. FAU - Zhao, Liqun AU - Zhao L FAU - Yue, Ping AU - Yue P FAU - Fang, Guofu AU - Fang G FAU - Tao, Hui AU - Tao H FAU - Owonikoko, Taofeek K AU - Owonikoko TK FAU - Ramalingam, Suresh S AU - Ramalingam SS FAU - Khuri, Fadlo R AU - Khuri FR FAU - Sun, Shi-Yong AU - Sun SY LA - eng GR - K23 CA164015/CA/NCI NIH HHS/United States GR - P01 CA116676/CA/NCI NIH HHS/United States GR - R01 CA118450/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110915 PL - United States TA - Cancer Biol Ther JT - Cancer biology & therapy JID - 101137842 RN - 0 (Imidazoles) RN - 0 (Quinolines) RN - 886U3H6UFF (Chloroquine) 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 - RUJ6Z9Y0DT (dactolisib) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Autophagy/*drug effects MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Chloroquine/pharmacology/therapeutic use MH - Drug Synergism MH - Female MH - Humans MH - Imidazoles/*pharmacology/therapeutic use MH - Lung Neoplasms/*drug therapy/pathology MH - Mice MH - Mice, Nude MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/metabolism MH - Quinolines/*pharmacology/therapeutic use MH - Signal Transduction MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism MH - Tumor Burden/drug effects MH - Xenograft Model Antitumor Assays PMC - PMC3218593 EDAT- 2011/07/09 06:00 MHDA- 2012/01/20 06:00 PMCR- 2012/09/15 CRDT- 2011/07/09 06:00 PHST- 2011/07/09 06:00 [entrez] PHST- 2011/07/09 06:00 [pubmed] PHST- 2012/01/20 06:00 [medline] PHST- 2012/09/15 00:00 [pmc-release] AID - 16397 [pii] AID - 1538-4047-12-6-10 [pii] AID - 10.4161/cbt.12.6.16397 [doi] PST - ppublish SO - Cancer Biol Ther. 2011 Sep 15;12(6):549-55. doi: 10.4161/cbt.12.6.16397. Epub 2011 Sep 15.