PMID- 22045983 OWN - NLM STAT- MEDLINE DCOM- 20120320 LR - 20211203 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 118 IP - 26 DP - 2011 Dec 22 TI - Defining the role of TORC1/2 in multiple myeloma. PG - 6860-70 LID - 10.1182/blood-2011-03-342394 [doi] AB - Mammalian target of rapamycin (mTOR) is a downstream serine/threonine kinase of the PI3K/Akt pathway that integrates signals from the tumor microenvironment to regulate multiple cellular processes. Rapamycin and its analogs have not shown significant activity in multiple myeloma (MM), likely because of the lack of inhibition of TORC2. In the present study, we investigated the baseline activity of the PI3K/Akt/mTOR pathway TORC1/2 in MM cell lines with different genetic abnormalities. TORC1/2 knock-down led to significant inhibition of the proliferation of MM cells, even in the presence of BM stromal cells. We also tested INK128, a dual TORC1/2 inhibitor, as a new therapeutic agent against these MM cell lines. We showed that dual TORC1/2 inhibition is much more active than TORC1 inhibition alone (rapamycin), even in the presence of cytokines or stromal cells. In vitro and in vivo studies showed that p-4EBP1 and p-Akt inhibition could be predictive markers of TORC2 inhibition in MM cell lines. Dual TORC1/2 inhibition showed better inhibition of adhesion to BM microenvironmental cells and inhibition of homing in vivo. These studies form the basis for further clinical testing of TORC1/2 inhibitors in MM. FAU - Maiso, Patricia AU - Maiso P AD - Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA. FAU - Liu, Yi AU - Liu Y FAU - Morgan, Brittany AU - Morgan B FAU - Azab, Abdel Kareem AU - Azab AK FAU - Ren, Pingda AU - Ren P FAU - Martin, Michel B AU - Martin MB FAU - Zhang, Yong AU - Zhang Y FAU - Liu, Yang AU - Liu Y FAU - Sacco, Antonio AU - Sacco A FAU - Ngo, Hai AU - Ngo H FAU - Azab, Feda AU - Azab F FAU - Quang, Phong AU - Quang P FAU - Rodig, Scott J AU - Rodig SJ FAU - Lin, Charles P AU - Lin CP FAU - Roccaro, Aldo M AU - Roccaro AM FAU - Rommel, Christian AU - Rommel C FAU - Ghobrial, Irene M AU - Ghobrial IM LA - eng GR - R01 CA125690/CA/NCI NIH HHS/United States GR - R01CA125690-01/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111101 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Carrier Proteins) RN - 0 (Cell Cycle Proteins) RN - 0 (EIF4EBP1 protein, human) RN - 0 (Multiprotein Complexes) RN - 0 (Phosphoproteins) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proteins) RN - 0 (RICTOR protein, human) RN - 0 (RPTOR protein, human) RN - 0 (Rapamycin-Insensitive Companion of mTOR Protein) RN - 0 (Regulatory-Associated Protein of mTOR) 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) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adaptor Proteins, Signal Transducing/antagonists & inhibitors/genetics/metabolism MH - Animals MH - Antibiotics, Antineoplastic/pharmacology MH - Apoptosis/drug effects MH - Blotting, Western MH - Carrier Proteins/antagonists & inhibitors/genetics/metabolism MH - Cell Cycle Proteins MH - Cell Line MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Humans MH - Mechanistic Target of Rapamycin Complex 1 MH - Mice MH - Mice, SCID MH - Multiple Myeloma/drug therapy/*metabolism/pathology MH - Multiprotein Complexes MH - Phosphatidylinositol 3-Kinases/metabolism MH - Phosphoproteins/metabolism MH - Protein Kinase Inhibitors/pharmacology MH - Proteins/antagonists & inhibitors/genetics/*metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - RNA Interference MH - Rapamycin-Insensitive Companion of mTOR Protein MH - Regulatory-Associated Protein of mTOR MH - Signal Transduction/drug effects MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/genetics/metabolism MH - Xenograft Model Antitumor Assays PMC - PMC3245208 EDAT- 2011/11/03 06:00 MHDA- 2012/03/21 06:00 PMCR- 2012/12/22 CRDT- 2011/11/03 06:00 PHST- 2011/11/03 06:00 [entrez] PHST- 2011/11/03 06:00 [pubmed] PHST- 2012/03/21 06:00 [medline] PHST- 2012/12/22 00:00 [pmc-release] AID - S0006-4971(20)40242-3 [pii] AID - 2011/342394 [pii] AID - 10.1182/blood-2011-03-342394 [doi] PST - ppublish SO - Blood. 2011 Dec 22;118(26):6860-70. doi: 10.1182/blood-2011-03-342394. Epub 2011 Nov 1.