PMID- 23155392 OWN - NLM STAT- MEDLINE DCOM- 20130509 LR - 20211203 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 11 DP - 2012 TI - RAD001 enhances the potency of BEZ235 to inhibit mTOR signaling and tumor growth. PG - e48548 LID - 10.1371/journal.pone.0048548 [doi] LID - e48548 AB - The mammalian target of rapamycin (mTOR) is regulated by oncogenic growth factor signals and plays a pivotal role in controlling cellular metabolism, growth and survival. Everolimus (RAD001) is an allosteric mTOR inhibitor that has shown marked efficacy in certain cancers but is unable to completely inhibit mTOR activity. ATP-competitive mTOR inhibitors such as NVP-BEZ235 can block rapamycin-insensitive mTOR readouts and have entered clinical development as anti-cancer agents. Here, we show the degree to which RAD001 and BEZ235 can be synergistically combined to inhibit mTOR pathway activation, cell proliferation and tumor growth, both in vitro and in vivo. RAD001 and BEZ235 synergized in cancer lines representing different lineages and genetic backgrounds. Strong synergy is seen in neuronal, renal, breast, lung, and haematopoietic cancer cells harboring abnormalities in PTEN, VHL, LKB1, Her2, or KRAS. Critically, in the presence of RAD001, the mTOR-4EBP1 pathway and tumorigenesis can be fully inhibited using lower doses of BEZ235. This is relevant since RAD001 is relatively well tolerated in patients while the toxicity profiles of ATP-competitive mTOR inhibitors are currently unknown. FAU - Nyfeler, Beat AU - Nyfeler B AD - Developmental and Molecular Pathways, Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, United States of America. FAU - Chen, Yan AU - Chen Y FAU - Li, Xiaoyan AU - Li X FAU - Pinzon-Ortiz, Maria AU - Pinzon-Ortiz M FAU - Wang, Zuncai AU - Wang Z FAU - Reddy, Anupama AU - Reddy A FAU - Pradhan, Elina AU - Pradhan E FAU - Das, Rita AU - Das R FAU - Lehar, Joseph AU - Lehar J FAU - Schlegel, Robert AU - Schlegel R FAU - Finan, Peter M AU - Finan PM FAU - Cao, Z Alexander AU - Cao ZA FAU - Murphy, Leon O AU - Murphy LO FAU - Huang, Alan AU - Huang A LA - eng PT - Journal Article DEP - 20121114 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents) RN - 0 (Imidazoles) RN - 0 (Quinolines) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - RUJ6Z9Y0DT (dactolisib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/*drug effects MH - Cell Transformation, Neoplastic/*drug effects MH - Drug Synergism MH - Everolimus MH - Humans MH - Imidazoles/*pharmacology MH - Quinolines/*pharmacology MH - Signal Transduction/*drug effects MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*metabolism PMC - PMC3498278 COIS- Competing Interests: The authors have read the journal's policy and have the following conflicts. Beat Nyfeler, Yan Chen, Xiaoyan Li, Maria Pinzon-Ortiz, Anupama Reddy, Joseph Lehar, Robert Schlegel, Peter M. Finan, Z. Alex Cao, Leon O. Murphy and Alan Huang are employees and/or share holders of Novartis Pharma AG. BEZ235 and RAD001 are either development or marketed products of Novartis Pharma AG. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials, as detailed online in the guide for authors. EDAT- 2012/11/17 06:00 MHDA- 2013/05/10 06:00 PMCR- 2012/11/14 CRDT- 2012/11/17 06:00 PHST- 2012/03/27 00:00 [received] PHST- 2012/09/26 00:00 [accepted] PHST- 2012/11/17 06:00 [entrez] PHST- 2012/11/17 06:00 [pubmed] PHST- 2013/05/10 06:00 [medline] PHST- 2012/11/14 00:00 [pmc-release] AID - PONE-D-12-08817 [pii] AID - 10.1371/journal.pone.0048548 [doi] PST - ppublish SO - PLoS One. 2012;7(11):e48548. doi: 10.1371/journal.pone.0048548. Epub 2012 Nov 14.