PMID- 24405594 OWN - NLM STAT- MEDLINE DCOM- 20140711 LR - 20211203 IS - 1007-8738 (Print) IS - 1007-8738 (Linking) VI - 30 IP - 1 DP - 2014 Jan TI - [Mechanism underlying pancreatic cancer cell resistance to mTOR inhibitor RAD001 via c-Raf/ERK1/2 activation]. PG - 23-7 AB - OBJECTIVE: To investigate the molecular mechanism of pancreatic cancer cell resistance to mammalian target of rapamycin (mTOR) inhibitor RAD001, and explore a feasible therapeutic strategy to overcome the resistance in patients with pancreatic cancer. METHODS: Western blotting was conducted to find out whether RAD001 induced c-Raf-ERK feedback activation and to identify whether RAD001 in combination with c-Raf inhibitor sorafenib could effectively block the feedback activation of c-Raf and downstream proteins. Sulphorhodamine B (SRB) colorimetric assay and colony formation were used to detect the effect of the combination treatment on cell growth and proliferation; finally, the effect on mouse subcutaneous xenografts was examined to confirm the efficacy of the combination treatment in vivo. RESULTS: RAD001 effectively inhibited the expressions of mTORC1 and its downstream proteins, and induced the feedback activation of c-Raf. Whereas, RAD001 combined with c-Raf inhibitor sorafenib eliminated RAD001-induced activation of c-Raf-ERK pathway and reversed pancreatic cancer cell resistance to RAD001; compared with the RAD001 alone, sorafenib had a synergistical inhibitory effect with RAD001. And the tumor growth inhibitory effect of the combination was also proved in mouse subcutaneous xenografts in vivo. CONCLUSION: RAD001-induced c-Raf-ERK feedback activation contributes to pancreatic cancer cell resistance to RAD001. Targeting of c-Raf may improve the therapeutic efficacy of RAD001 in patients with pancreatic cancer. FAU - Wei, Feng AU - Wei F AD - Department of Hepatobiliary & Pancreas Surgery, First Hospital, Jilin University, Changchun 130021, China. FAU - Zhang, Ping AU - Zhang P FAU - Qi, Jun AU - Qi J FAU - Wang, Meng AU - Wang M FAU - Wang, Guangyi AU - Wang G LA - chi PT - Journal Article PL - China TA - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi JT - Xi bao yu fen zi mian yi xue za zhi = Chinese journal of cellular and molecular immunology JID - 101139110 RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-raf) 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 - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm/*drug effects MH - Enzyme Activation/drug effects MH - Everolimus MH - Humans MH - Mice MH - Mitogen-Activated Protein Kinase 1/*metabolism MH - Mitogen-Activated Protein Kinase 3/*metabolism MH - Neoplasm Metastasis MH - Pancreatic Neoplasms/*pathology MH - Proto-Oncogene Proteins c-raf/*metabolism MH - Signal Transduction/drug effects MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors EDAT- 2014/01/11 06:00 MHDA- 2014/07/12 06:00 CRDT- 2014/01/11 06:00 PHST- 2014/01/11 06:00 [entrez] PHST- 2014/01/11 06:00 [pubmed] PHST- 2014/07/12 06:00 [medline] PST - ppublish SO - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2014 Jan;30(1):23-7.