PMID- 21876152 OWN - NLM STAT- MEDLINE DCOM- 20111109 LR - 20220118 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 108 IP - 37 DP - 2011 Sep 13 TI - PI3K-targeted therapy can be evaded by gene amplification along the MYC-eukaryotic translation initiation factor 4E (eIF4E) axis. PG - E699-708 LID - 10.1073/pnas.1108237108 [doi] AB - The PI3K pathway is frequently activated in cancer; therefore, considerable effort is focused on identifying compounds that can inhibit specific pathway components, particularly the hallmark oncogene PIK3CA. Although targeted inhibition of a cancer survival gene holds significant promise, there are concerns that drug resistance may emerge within the cancerous cells, thus limiting clinical efficacy. Using genetically defined human mammary epithelial cells, we evolved resistance to the PI3K/mammalian target of rapamycin (mTOR) inhibitor BEZ235, and by genome-wide copy number analyses, we identified MYC and eIF4E amplification within the resistant cells. Importantly, either MYC or eukaryotic translation initiation factor 4E (eIF4E) was required to bypass pharmacological PI3K/mTOR inhibition in resistant cells. Furthermore, these cells displayed elevated 5' cap-dependent protein translation. Collectively, these findings suggest that analysis of drivers of protein translation could facilitate the identification of cancer lesions that confer resistance to PI3K pathway-targeted drugs. FAU - Ilic, Nina AU - Ilic N AD - Department of Cancer Biology, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Utermark, Tamara AU - Utermark T FAU - Widlund, Hans R AU - Widlund HR FAU - Roberts, Thomas M AU - Roberts TM LA - eng SI - GEO/GSE25173 GR - CA089393/CA/NCI NIH HHS/United States GR - CA89021/CA/NCI NIH HHS/United States GR - P30 CA006516/CA/NCI NIH HHS/United States GR - CA030002/CA/NCI NIH HHS/United States GR - R37 CA030002/CA/NCI NIH HHS/United States GR - P50 CA089393/CA/NCI NIH HHS/United States GR - R01 CA030002/CA/NCI NIH HHS/United States GR - P01 CA089021/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20110829 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (CRTC1 protein, human) RN - 0 (CRTC2 protein, human) RN - 0 (Eukaryotic Initiation Factor-4E) RN - 0 (Imidazoles) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 0 (Quinolines) RN - 0 (RNA Caps) RN - 0 (Transcription Factors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - RUJ6Z9Y0DT (dactolisib) SB - IM MH - Breast Neoplasms/pathology MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm/drug effects MH - Eukaryotic Initiation Factor-4E/*genetics/metabolism MH - Female MH - *Gene Amplification/drug effects MH - Gene Dosage/genetics MH - Genome, Human/genetics MH - Humans MH - Imidazoles/pharmacology MH - *Molecular Targeted Therapy MH - Phosphatidylinositol 3-Kinases/metabolism MH - *Phosphoinositide-3 Kinase Inhibitors MH - Point Mutation/genetics MH - Protein Biosynthesis/drug effects MH - Proto-Oncogene Proteins c-myc/*genetics/metabolism MH - Quinolines/pharmacology MH - RNA Caps/metabolism MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism MH - Transcription Factors/antagonists & inhibitors/metabolism MH - Up-Regulation/drug effects PMC - PMC3174675 COIS- Conflict of interest statement: In compliance with Harvard Medical School guidelines, we disclose the consulting relationships: Novartis Pharmaceuticals, Inc. (T.M.R.). EDAT- 2011/08/31 06:00 MHDA- 2011/11/10 06:00 PMCR- 2012/03/13 CRDT- 2011/08/31 06:00 PHST- 2011/08/31 06:00 [entrez] PHST- 2011/08/31 06:00 [pubmed] PHST- 2011/11/10 06:00 [medline] PHST- 2012/03/13 00:00 [pmc-release] AID - 1108237108 [pii] AID - 201108237 [pii] AID - 10.1073/pnas.1108237108 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2011 Sep 13;108(37):E699-708. doi: 10.1073/pnas.1108237108. Epub 2011 Aug 29.