PMID- 23415012 OWN - NLM STAT- MEDLINE DCOM- 20130725 LR - 20211203 IS - 1756-8722 (Electronic) IS - 1756-8722 (Linking) VI - 6 DP - 2013 Feb 18 TI - SNS-032 inhibits mTORC1/mTORC2 activity in acute myeloid leukemia cells and has synergistic activity with perifosine against Akt. PG - 18 LID - 10.1186/1756-8722-6-18 [doi] AB - BACKGROUND: Acute myeloid leukemia (AML) is a heterogeneous disorder with aberrant regulation of a variety of signal pathways. Therefore, simultaneous targeting of two or even more deregulated signal transduction pathways is needed to overcome drug resistance. Previously, it was reported that SNS-032, a selective cyclin-dependent kinase inhibitor, is an effective agent for treatment of AML; however, the molecular mechanisms of SNS-032-induced cell death of AML cells are not yet fully understood. The aim of the study was to characterize the effects in vitro of SNS-032, used alone and in combination with an Akt inhibitor perifosine, against AML cells and to identify the mechanism involved. RESULTS: SNS-032 significantly induced cytotoxicity in human AML cell lines and blasts from patients with newly diagnosed or relapsed AML. However, Kasumi-1 cells and some of leukemic samples (14.9%) from AML patients were resistant to SNS-032-mediated cell death. Western blot analysis showed that SNS-032 strongly inhibited the phosphorylation of mammalian target of rapamycin (mTOR) on Ser 2448 and Ser2481, and that removal of SNS-032 resulted in partial recovery of cell death and reactivation of phosphorylation of mTOR. Moreover, exogenous insulin-like growth factor-1 (IGF-1) did not reverse SNS-032-induced cell growth inhibition and downregualtion of phosphor-mTOR at Ser2448 and Ser2481 although slight suppression of IGF-1R expression was triggered by the agent. Furthermore, SNS-032 at a lower concentration (60-80 nM) enhanced AML cell cytotoxicity induced by perifosine, an Akt inhibitor. Importantly, SNS-032 treatment reduced colony formation ability of AML cells, which was significantly increased when two agents were combined. This combination therapy led to almost complete inhibition of Akt activity. CONCLUSION: We conclude that SNS-032 might directly target mammalian target of rapamycin complex 1 (mTORC1)/mTORC2. Our results further provide a rationale for combining SNS-032 with perifosine for the treatment of AML. FAU - Meng, Haitao AU - Meng H AD - Institute of Hematology, The First Affiliated Hospital, College of Medicine, Zhejiang University, 79# Qingchun Road, Hangzhou, 310003, PR China. FAU - Jin, Yingming AU - Jin Y FAU - Liu, Hui AU - Liu H FAU - You, Liangshun AU - You L FAU - Yang, Chunmei AU - Yang C FAU - Yang, Xue AU - Yang X FAU - Qian, Wenbin AU - Qian W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130218 PL - England TA - J Hematol Oncol JT - Journal of hematology & oncology JID - 101468937 RN - 0 (Multiprotein Complexes) RN - 0 (N-(5-(((5-(1,1-dimethylethyl)-2-oxazolyl)methyl)thio)-2-thiazolyl)-4-piperidinecarboxamide) RN - 0 (Oxazoles) RN - 0 (RNA, Messenger) RN - 0 (Thiazoles) RN - 107-73-3 (Phosphorylcholine) RN - 2GWV496552 (perifosine) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols MH - Apoptosis/drug effects MH - Blotting, Western MH - Cell Proliferation/drug effects MH - Drug Synergism MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - Humans MH - Leukemia, Myeloid, Acute/*drug therapy/metabolism/pathology MH - Male MH - Mechanistic Target of Rapamycin Complex 1 MH - Mechanistic Target of Rapamycin Complex 2 MH - Multiprotein Complexes/*antagonists & inhibitors/genetics/metabolism MH - Oxazoles/*pharmacology MH - Phosphorylation/drug effects MH - Phosphorylcholine/*analogs & derivatives/pharmacology MH - Proto-Oncogene Proteins c-akt/*antagonists & inhibitors/genetics/metabolism MH - RNA, Messenger/genetics MH - Real-Time Polymerase Chain Reaction MH - Reverse Transcriptase Polymerase Chain Reaction MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/genetics/metabolism MH - Thiazoles/*pharmacology MH - Tumor Cells, Cultured PMC - PMC3599109 EDAT- 2013/02/19 06:00 MHDA- 2013/07/26 06:00 PMCR- 2013/02/18 CRDT- 2013/02/19 06:00 PHST- 2012/11/18 00:00 [received] PHST- 2013/02/08 00:00 [accepted] PHST- 2013/02/19 06:00 [entrez] PHST- 2013/02/19 06:00 [pubmed] PHST- 2013/07/26 06:00 [medline] PHST- 2013/02/18 00:00 [pmc-release] AID - 1756-8722-6-18 [pii] AID - 10.1186/1756-8722-6-18 [doi] PST - epublish SO - J Hematol Oncol. 2013 Feb 18;6:18. doi: 10.1186/1756-8722-6-18.