PMID- 24416349 OWN - NLM STAT- MEDLINE DCOM- 20140902 LR - 20211203 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 1 DP - 2014 TI - The combination of RAD001 and MK-2206 exerts synergistic cytotoxic effects against PTEN mutant gastric cancer cells: involvement of MAPK-dependent autophagic, but not apoptotic cell death pathway. PG - e85116 LID - 10.1371/journal.pone.0085116 [doi] LID - e85116 AB - In the current study, we showed that the combination of mammalian target of rapamycin (mTOR) inhibitor RAD001 (everolimus) and Akt inhibitor MK-2206 exerted synergistic cytotoxic effects against low-phosphatase and tensin homolog (PTEN) gastric cancer cells (HGC-27 and SNU-601 lines). In HGC-27 cells, RAD001 and MK-2206 synergistically induced G1/S cell cycle arrest, growth inhibition, cell death but not apoptosis. RAD001 and MK-2206 synergistically induced light chain 3B (LC3B) and beclin-1 expression, two important autophagy indicators. Meanwhile, the autophagy inhibitor 3-methyladenine (3-MA) and chloroquine inhibited the cytotoxic effects by RAD001 and MK-2206, suggesting that autophagic, but not apoptotic cell death was important for the cytotoxic effects by the co-administration. We observed that the combination of RAD001 and MK-2206 exerted enhanced effects on Akt/mTOR inhibition, cyclin D1 down-regulation and ERK/MAPK(extracellular signal-regulated kinase/mitogen-activated protein kinases) activation. Intriguingly, MEK/ERK inhibitors PD98059 and U0126 suppressed RAD001 plus MK-2206-induced beclin-1 expression, autophagy induction and cytotoxicity in HGC-27 cells. In conclusion, these results suggested that the synergistic anti-gastric cancer cells ability by RAD001 and MK-2206 involves ERK-dependent autophagic cell death pathway. FAU - Ji, Dongmei AU - Ji D AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Zhe AU - Zhang Z AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Cheng, Lei AU - Cheng L AD - Department of Interventional Radiology, Suzhou Hospital Affiliated to Nanjing Medical University, Suzhou, Jiangsu, China. FAU - Chang, Jinjia AU - Chang J AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Wang, Shanshan AU - Wang S AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zheng, Biqiang AU - Zheng B AD - Department of Gastric Cancer and Soft Tissue Sarcomas, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zheng, Rongliang AU - Zheng R AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Sun, Zuojun AU - Sun Z AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Wang, Chenchen AU - Wang C AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Zhiqing AU - Zhang Z AD - Institute of Neuroscience, Soochow University, Suzhou, Jiangsu, China. FAU - Liu, Rujiao AU - Liu R AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Xiaowei AU - Zhang X AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Liu, Xin AU - Liu X AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Wang, Xiaofeng AU - Wang X AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Li, Jin AU - Li J AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140109 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (BECN1 protein, human) RN - 0 (Beclin-1) RN - 0 (Butadienes) RN - 0 (CCND1 protein, human) RN - 0 (Flavonoids) RN - 0 (Heterocyclic Compounds, 3-Ring) RN - 0 (MAP1LC3B protein, human) RN - 0 (MK 2206) RN - 0 (Membrane Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Nitriles) RN - 0 (U 0126) RN - 136601-57-5 (Cyclin D1) RN - 5142-23-4 (3-methyladenine) RN - 886U3H6UFF (Chloroquine) 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 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) RN - JAC85A2161 (Adenine) RN - SJE1IO5E3I (2-(2-amino-3-methoxyphenyl)-4H-1-benzopyran-4-one) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenine/analogs & derivatives/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Apoptosis MH - Apoptosis Regulatory Proteins/antagonists & inhibitors/genetics/metabolism MH - Autophagy/*drug effects MH - Beclin-1 MH - Butadienes/pharmacology MH - Cell Line, Tumor MH - Chloroquine/pharmacology MH - Cyclin D1/antagonists & inhibitors/genetics/metabolism MH - Drug Synergism MH - Everolimus MH - Flavonoids/pharmacology MH - Gastric Mucosa/drug effects/metabolism/pathology MH - *Gene Expression Regulation, Neoplastic MH - Heterocyclic Compounds, 3-Ring/*pharmacology MH - Humans MH - Membrane Proteins/antagonists & inhibitors/genetics/metabolism MH - Microtubule-Associated Proteins/antagonists & inhibitors/genetics/metabolism MH - Mitogen-Activated Protein Kinases/antagonists & inhibitors/*genetics/metabolism MH - Nitriles/pharmacology MH - PTEN Phosphohydrolase/antagonists & inhibitors/*genetics/metabolism MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/genetics/metabolism MH - Signal Transduction MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/genetics/metabolism PMC - PMC3887024 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/01/15 06:00 MHDA- 2014/09/03 06:00 PMCR- 2014/01/09 CRDT- 2014/01/14 06:00 PHST- 2013/01/15 00:00 [received] PHST- 2013/11/30 00:00 [accepted] PHST- 2014/01/14 06:00 [entrez] PHST- 2014/01/15 06:00 [pubmed] PHST- 2014/09/03 06:00 [medline] PHST- 2014/01/09 00:00 [pmc-release] AID - PONE-D-13-02403 [pii] AID - 10.1371/journal.pone.0085116 [doi] PST - epublish SO - PLoS One. 2014 Jan 9;9(1):e85116. doi: 10.1371/journal.pone.0085116. eCollection 2014.