PMID- 23653462 OWN - NLM STAT- MEDLINE DCOM- 20140124 LR - 20220318 IS - 1479-6821 (Electronic) IS - 1351-0088 (Linking) VI - 20 IP - 4 DP - 2013 Aug TI - mTOR, p70S6K, AKT, and ERK1/2 levels predict sensitivity to mTOR and PI3K/mTOR inhibitors in human bronchial carcinoids. PG - 463-75 LID - 10.1530/ERC-13-0042 [doi] AB - Bronchial carcinoids (BCs) are rare neuroendocrine tumors that are still orphans of medical treatment. Human BC primary cultures may display resistance to everolimus, an inhibitor of the mammalian target of rapamycin (mTOR), in terms of cell viability reduction. Our aim was to assess whether the novel dual phosphatidylinositol 3-kinase (PI3K)/mTOR inhibitor NVP-BEZ235 is effective in everolimus-resistant human BC tissues and cell lines. In addition, we searched for possible markers of the efficacy of mTOR inhibitors that may help in identifying the patients who may benefit from treatment with mTOR inhibitors, sparing them from ineffective therapy. We found that NVP-BEZ235 is twice as potent as everolimus in reducing cell viability and activating apoptosis in human BC tissues that display sensitivity to mTOR inhibitors, but is not effective in everolimus-resistant BC tissues and cell lines that bypass cyclin D1 downregulation and escape G0/G1 blockade. Rebound AKT activation was not observed in response to treatment with either mTOR inhibitor in the 'resistant' BC cells. In addition to total mTOR levels, putative markers of the sensitivity of BCs to mTOR inhibitors are represented by AKT, p70S6K (RPS6KB2), and ERK1/2 (MAPK3/1) protein levels. Finally, we validated these markers in an independent BC group. These data indicate that the dual PI3K/mTOR inhibitor NVP-BEZ235 is more potent than everolimus in reducing the proliferation of human BC cells. 'Resistant' cells display lower levels of mTOR, p70S6K, AKT, and ERK1/2, indicating that these proteins may be useful as predictive markers of resistance to mTOR and PI3K/mTOR inhibitors in human BCs. FAU - Gagliano, Teresa AU - Gagliano T AD - Section of Endocrinology, Department of Medical Sciences, University of Ferrara, Via Savonarola 9, Ferrara, Italy. FAU - Bellio, Mariaenrica AU - Bellio M FAU - Gentilin, Erica AU - Gentilin E FAU - Mole, Daniela AU - Mole D FAU - Tagliati, Federico AU - Tagliati F FAU - Schiavon, Marco AU - Schiavon M FAU - Cavallesco, Narciso Giorgio AU - Cavallesco NG FAU - Andriolo, Luigi Gaetano AU - Andriolo LG FAU - Ambrosio, Maria Rosaria AU - Ambrosio MR FAU - Rea, Federico AU - Rea F FAU - Degli Uberti, Ettore AU - Degli Uberti E FAU - Zatelli, Maria Chiara AU - Zatelli MC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130624 PL - England TA - Endocr Relat Cancer JT - Endocrine-related cancer JID - 9436481 RN - 0 (Antineoplastic Agents) RN - 0 (Imidazoles) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Quinolines) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 70-kDa) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 1) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 3) RN - RUJ6Z9Y0DT (dactolisib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/*pharmacology MH - Carcinoid Tumor/drug therapy/*metabolism MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Drug Resistance, Neoplasm MH - Everolimus MH - Female MH - Humans MH - Imidazoles/*pharmacology MH - Lung Neoplasms/drug therapy/*metabolism MH - Male MH - Middle Aged MH - Mitogen-Activated Protein Kinase 1/metabolism MH - Mitogen-Activated Protein Kinase 3/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - *Phosphoinositide-3 Kinase Inhibitors MH - Proto-Oncogene Proteins c-akt/metabolism MH - Quinolines/*pharmacology MH - Ribosomal Protein S6 Kinases, 70-kDa/metabolism MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/genetics/metabolism MH - Young Adult OTO - NOTNLM OT - bronchial carcinoids OT - mTOR inhibitors OT - mTOR resistance OT - predictive markers EDAT- 2013/05/09 06:00 MHDA- 2014/01/25 06:00 CRDT- 2013/05/09 06:00 PHST- 2013/05/09 06:00 [entrez] PHST- 2013/05/09 06:00 [pubmed] PHST- 2014/01/25 06:00 [medline] AID - ERC-13-0042 [pii] AID - 10.1530/ERC-13-0042 [doi] PST - epublish SO - Endocr Relat Cancer. 2013 Jun 24;20(4):463-75. doi: 10.1530/ERC-13-0042. Print 2013 Aug.