PMID- 22566604 OWN - NLM STAT- MEDLINE DCOM- 20120913 LR - 20211203 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 119 IP - 25 DP - 2012 Jun 21 TI - Inhibition of the mTORC2 and chaperone pathways to treat leukemia. PG - 6080-8 LID - 10.1182/blood-2011-12-399519 [doi] AB - Constitutive activation of the kinases Akt or protein kinase C (PKC) in blood cancers promotes tumor-cell proliferation and survival and is associated with poor patient survival. The mammalian target of rapamycin (mTOR) complex 2 (mTORC2) regulates the stability of Akt and conventional PKC (cPKC; PKCalpha and PKCbeta) proteins by phosphorylating the highly conserved turn motif of these proteins. In cells that lack mTORC2 function, the turn motif phosphorylation of Akt and cPKC is abolished and therefore Akt and cPKC protein stability is impaired. However, the chaperone protein HSP90 can stabilize Akt and cPKC, partially rescuing the expression of these proteins. In the present study, we investigated the antitumor effects of inhibiting mTORC2 plus HSP90 in mouse and human leukemia cell models and show that the HSP90 inhibitor 17-allylaminogeldanamycin (17-AAG) preferentially inhibits Akt and cPKC expression and promotes cell death in mTORC2 deficient pre-B leukemia cells. Furthermore, we show that 17-AAG selectively inhibits mTORC2 deficient leukemia cell growth in vivo. Finally, we show that the mTOR inhibitors rapamycin and pp242 work together with 17-AAG to inhibit leukemia cell growth to a greater extent than either drug alone. These studies provide a mechanistic and clinical rationale to combine mTOR inhibitors with chaperone protein inhibitors to treat human blood cancers. FAU - Zhang, Fan AU - Zhang F AD - Department of Immunobiology and Vascular Biology and Therapeutic Program, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Lazorchak, Adam S AU - Lazorchak AS FAU - Liu, Dou AU - Liu D FAU - Chen, Fangping AU - Chen F FAU - Su, Bing AU - Su B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20120507 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Benzoquinones) RN - 0 (Crtc2 protein, mouse) RN - 0 (HSP90 Heat-Shock Proteins) RN - 0 (Indoles) RN - 0 (Lactams, Macrocyclic) RN - 0 (Molecular Chaperones) RN - 0 (Purines) RN - 0 (Trans-Activators) RN - 0 (Transcription Factors) RN - 4GY0AVT3L4 (tanespimycin) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - H5669VNZ7V (PP242) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Benzoquinones/administration & dosage MH - Cells, Cultured MH - Drug Evaluation, Preclinical MH - HEK293 Cells MH - HSP90 Heat-Shock Proteins/antagonists & inhibitors MH - Humans MH - Indoles/administration & dosage MH - Jurkat Cells MH - Lactams, Macrocyclic/administration & dosage MH - Leukemia/*drug therapy MH - Mice MH - Mice, Transgenic MH - Molecular Chaperones/*antagonists & inhibitors/metabolism MH - Purines/administration & dosage MH - Signal Transduction/drug effects/physiology MH - Sirolimus/administration & dosage MH - TOR Serine-Threonine Kinases/antagonists & inhibitors MH - Trans-Activators/*antagonists & inhibitors/metabolism MH - Transcription Factors EDAT- 2012/05/09 06:00 MHDA- 2012/09/14 06:00 CRDT- 2012/05/09 06:00 PHST- 2012/05/09 06:00 [entrez] PHST- 2012/05/09 06:00 [pubmed] PHST- 2012/09/14 06:00 [medline] AID - S0006-4971(20)47652-9 [pii] AID - 10.1182/blood-2011-12-399519 [doi] PST - ppublish SO - Blood. 2012 Jun 21;119(25):6080-8. doi: 10.1182/blood-2011-12-399519. Epub 2012 May 7.