PMID- 21835141 OWN - NLM STAT- MEDLINE DCOM- 20120521 LR - 20211203 IS - 1600-0641 (Electronic) IS - 0168-8278 (Linking) VI - 56 IP - 1 DP - 2012 Jan TI - Dual targeting of mTORC1/C2 complexes enhances histone deacetylase inhibitor-mediated anti-tumor efficacy in primary HCC cancer in vitro and in vivo. PG - 176-83 LID - 10.1016/j.jhep.2011.07.013 [doi] AB - BACKGROUND & AIMS: The mammalian target of rapamycin (mTOR) plays a pivotal role in hepatocellular carcinoma (HCC). Previous studies indicated that inhibition of mTORC1 enhanced histone deacetylase inhibitors (HDACis)-mediated anti-tumor activity, accompanied with feedback activation of AKT. Therefore, dual targeting of mTORC1/C2 should be more efficient in suppressing AKT activity and in enhancing the anti-tumor activity of HDACi in HCC. METHODS: The interactions between mTOR kinase inhibitors (mTORKis) (i.e., Pp242, AZD8055, OSI027) and HDACis (i.e., SAHA, LBH589) were examined in vitro using HCC cell lines and in vivo using patient-derived primary HCC xenografts on SCID mice. RESULTS: mTORKis significantly enhanced HDACi-induced apoptosis in HCC cells. The inhibition of both mTORC1/2 not only efficiently blocked mTORC1 signaling, but also abrogated AKT-feedback activation caused by selective mTORC1 inhibition. The co-treatment of mTORKi and HDACi further inhibited AKT signaling and upregulated Bim. Dysfunction of mTORC2 by shRNA significantly lowered the threshold of HDACi-induced cytotoxicity by abrogating AKT activation. Knockdown of AKT1 sensitized Pp242/HDACi-induced apoptosis and ectopic expression of constitutively active AKT1 abrogated the combination-induced cytotoxicity, indicating AKT plays a vital role in the combination-induced effects. Knockdown of Bim prevented Pp242/HDACis-induced cytotoxicity in HCC. Lastly, in vivo studies indicated that the combination of AZD8055 and SAHA almost completely inhibited tumor-growth, without obvious adverse effects, by abrogating AKT and upregulating Bim; while either agent alone shows only 30% inhibition in primary HCC xenografts. CONCLUSIONS: Our findings suggest that a combining-regimen of mTORKi and HDACi may be an effective therapeutic strategy for HCC. CI - Copyright (c) 2011 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved. FAU - Shao, Huanjie AU - Shao H AD - Department of Medicine, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. FAU - Gao, Chun AU - Gao C FAU - Tang, Haikuo AU - Tang H FAU - Zhang, Hao AU - Zhang H FAU - Roberts, Lewis R AU - Roberts LR FAU - Hylander, Bonnie L AU - Hylander BL FAU - Repasky, Elizabeth A AU - Repasky EA FAU - Ma, Wen W AU - Ma WW FAU - Qiu, Jingxin AU - Qiu J FAU - Adjei, Alex A AU - Adjei AA FAU - Dy, Grace K AU - Dy GK FAU - Yu, Chunrong AU - Yu C LA - eng PT - Journal Article DEP - 20110809 PL - Netherlands TA - J Hepatol JT - Journal of hepatology JID - 8503886 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (BCL2L11 protein, human) RN - 0 (Bcl-2-Like Protein 11) RN - 0 (Bcl2l11 protein, mouse) RN - 0 (CRTC2 protein, human) RN - 0 (Histone Deacetylase Inhibitors) RN - 0 (Membrane Proteins) RN - 0 (Multiprotein Complexes) RN - 0 (Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RNA, Small Interfering) RN - 0 (Transcription Factors) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis Regulatory Proteins/antagonists & inhibitors/genetics/metabolism MH - Base Sequence MH - Bcl-2-Like Protein 11 MH - Carcinoma, Hepatocellular/*drug therapy/genetics/metabolism/pathology MH - Cell Death/drug effects MH - Cell Line, Tumor MH - Drug Synergism MH - Female MH - Gene Knockdown Techniques MH - Histone Deacetylase Inhibitors/*administration & dosage MH - Humans MH - Liver Neoplasms/*drug therapy/genetics/metabolism/pathology MH - Mechanistic Target of Rapamycin Complex 1 MH - Membrane Proteins/antagonists & inhibitors/genetics/metabolism MH - Mice MH - Mice, SCID MH - Multiprotein Complexes MH - Proteins/*antagonists & inhibitors MH - Proto-Oncogene Proteins/antagonists & inhibitors/genetics/metabolism MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/genetics/metabolism MH - RNA, Small Interfering/genetics MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases MH - Transcription Factors/*antagonists & inhibitors MH - Xenograft Model Antitumor Assays EDAT- 2011/08/13 06:00 MHDA- 2012/05/23 06:00 CRDT- 2011/08/13 06:00 PHST- 2011/02/06 00:00 [received] PHST- 2011/07/05 00:00 [revised] PHST- 2011/07/07 00:00 [accepted] PHST- 2011/08/13 06:00 [entrez] PHST- 2011/08/13 06:00 [pubmed] PHST- 2012/05/23 06:00 [medline] AID - S0168-8278(11)00575-7 [pii] AID - 10.1016/j.jhep.2011.07.013 [doi] PST - ppublish SO - J Hepatol. 2012 Jan;56(1):176-83. doi: 10.1016/j.jhep.2011.07.013. Epub 2011 Aug 9.