PMID- 23580240 OWN - NLM STAT- MEDLINE DCOM- 20131107 LR - 20211203 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 133 IP - 8 DP - 2013 Oct 15 TI - Concurrent inhibition of PI3K and mTORC1/mTORC2 overcomes resistance to rapamycin induced apoptosis by down-regulation of Mcl-1 in mantle cell lymphoma. PG - 1813-24 LID - 10.1002/ijc.28206 [doi] AB - Mantle cell lymphoma (MCL) is an aggressive form of Non-Hodgkin-lymphoma (NHL) with an ongoing need for novel treatments. Apart from the translocation t(11:14), which facilitates constitutive transcription of cyclin D1, additional aberrations are frequently observed in MCL, including a recurrent dysregulation of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling pathway. mTOR, a key component of this pathway, is pivotal for the assembly of mTOR complex (mTORC) 1 and 2. Temsirolimus, an analog of the mTOR inhibitor rapamycin, is approved for the treatment of relapsed MCL. Response rates, however, are low and response durations are short. We demonstrate that inhibition of mTORC1 by rapamycin or blocking of mTORC1 and mTORC2 in conjunction with PI3K by NVP-BEZ235 reduces proliferation of MCL cell lines to a similar extent. However, only NVP-BEZ235 is able to sufficiently inhibit the downstream pathway of mTOR and to mediate cell death through activation of the intrinsic apoptosis pathway. Further analysis demonstrated that the anti-apoptotic Bcl-2 family member Mcl-1 plays a central role in regulation of MCL survival. While Mcl-1 protein levels remained unchanged after coculture with rapamycin, they were down-regulated in NVP-BEZ235 treated cells. Furthermore, inhibition of Mcl-1 by the BH3-only mimetic obatoclax or down-regulation of constitutive Mcl-1, but not of Bcl-2 or Bcl-xL, by siRNA facilitated cell death of MCL cells and enhanced NVP-BEZ235's capacity to induce cell death. Our findings may help to lay the foundation for further improvements in the treatment of MCL. CI - Copyright (c) 2013 UICC. FAU - Muller, Anja AU - Muller A AD - Department of Hematology, Oncology and Tumor Immunology, University Medical Center Charite, Campus Berlin-Buch, Humboldt University, Berlin, Germany. FAU - Zang, Chuanbing AU - Zang C FAU - Chumduri, Cindrilla AU - Chumduri C FAU - Dorken, Bernd AU - Dorken B FAU - Daniel, Peter T AU - Daniel PT FAU - Scholz, Christian W AU - Scholz CW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130615 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Amino Acid Chloromethyl Ketones) RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Caspase Inhibitors) RN - 0 (Imidazoles) RN - 0 (Indoles) RN - 0 (Multiprotein Complexes) RN - 0 (Myeloid Cell Leukemia Sequence 1 Protein) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Pyrroles) RN - 0 (Quinolines) RN - 0 (RNA, Small Interfering) RN - 0 (bcl-X Protein) RN - 0 (quinoline-val-asp(OMe)-CH2-OPH) RN - 136601-57-5 (Cyclin D1) 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 (TOR Serine-Threonine Kinases) RN - EC 3.4.22.- (Caspases) RN - QN4128B52A (obatoclax) RN - RUJ6Z9Y0DT (dactolisib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Amino Acid Chloromethyl Ketones/pharmacology MH - Antibiotics, Antineoplastic/pharmacology MH - Apoptosis/drug effects MH - Caspase Inhibitors/pharmacology MH - Caspases/metabolism MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Cyclin D1/genetics/metabolism MH - Down-Regulation MH - Drug Resistance, Neoplasm MH - Humans MH - Imidazoles/pharmacology MH - Indoles MH - Lymphoma, Mantle-Cell/*drug therapy/metabolism MH - Mechanistic Target of Rapamycin Complex 1 MH - Mechanistic Target of Rapamycin Complex 2 MH - Multiprotein Complexes/*antagonists & inhibitors MH - Myeloid Cell Leukemia Sequence 1 Protein MH - *Phosphoinositide-3 Kinase Inhibitors MH - Proto-Oncogene Proteins c-bcl-2/*biosynthesis/genetics MH - Pyrroles/pharmacology MH - Quinolines/pharmacology MH - RNA Interference MH - RNA, Small Interfering MH - Signal Transduction MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - bcl-X Protein/genetics OTO - NOTNLM OT - AKT OT - Mcl-1 OT - PI3K OT - mTOR OT - mantle cell lymphoma OT - signaling EDAT- 2013/04/13 06:00 MHDA- 2013/11/08 06:00 CRDT- 2013/04/13 06:00 PHST- 2012/10/22 00:00 [received] PHST- 2013/03/21 00:00 [accepted] PHST- 2013/04/13 06:00 [entrez] PHST- 2013/04/13 06:00 [pubmed] PHST- 2013/11/08 06:00 [medline] AID - 10.1002/ijc.28206 [doi] PST - ppublish SO - Int J Cancer. 2013 Oct 15;133(8):1813-24. doi: 10.1002/ijc.28206. Epub 2013 Jun 15.