PMID- 24862756 OWN - NLM STAT- MEDLINE DCOM- 20150123 LR - 20211203 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 16 IP - 4 DP - 2014 Apr TI - Resistance to the mTOR inhibitor temsirolimus alters adhesion and migration behavior of renal cell carcinoma cells through an integrin alpha5- and integrin beta3-dependent mechanism. PG - 291-300 LID - S1476-5586(14)00030-X [pii] LID - 10.1016/j.neo.2014.03.011 [doi] AB - Inhibitors of the mammalian target of rapamycin (mTOR) have improved the treatment of renal cell carcinoma (RCC). However, chronic drug exposure may trigger resistance, limiting the utility of these agents. The metastatic behavior of RCC cells, susceptible (RCC(par)) or resistant (RCC(res)) to the mTOR inhibitor temsirolimus, was investigated. Adhesion to vascular endothelium or immobilized collagen and fibronectin was quantified. Chemotactic motility was evaluated with a modified Boyden chamber assay. Integrin alpha and beta subtype receptors were analyzed by flow cytometry and Western blot analysis. The physiological relevance of the integrins was then determined by blocking studies and small interfering RNA knockdown. Adhesion to endothelial cells and to fibronectin (not to collagen) and chemotaxis were enhanced in RCC(res) compared to RCC(par). RCC(res) detached from fibronectin and motile activity further increased under retreatment with low-dosed temsirolimus. alpha5 integrin was diminished inside the cell and at the cell surface, whereas the beta3 subtype was reduced intracellularly but elevated at the plasma membrane. In RCC(par), blocking alpha5 surface receptors enhanced RCC-collagen but reduced RCC-fibronectin interaction, whereas the opposite was true for RCC(res). Chemotaxis of RCC(par) but not of RCC(res) was strongly diminished by the alpha5 antibody. Blocking beta3 significantly lowered chemotaxis with stronger effects on RCC(res), compared to RCC(par). Importantly, beta3 knockdown reduced chemotaxis of RCC(par) but upregulated the motile behavior of RCC(res). Temsirolimus resistance is characterized by quantitative alterations of integrin alpha5 and beta3 expression, coupled to functional changes of the integrin molecules, and forces a switch from RCC adhesion to RCC migration. CI - Copyright (c) 2014 Neoplasia Press, Inc. Published by Elsevier Inc. All rights reserved. FAU - Juengel, Eva AU - Juengel E AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Makarevic, Jasmina AU - Makarevic J AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Reiter, Michael AU - Reiter M AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Mani, Jens AU - Mani J AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Tsaur, Igor AU - Tsaur I AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Bartsch, Georg AU - Bartsch G AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Haferkamp, Axel AU - Haferkamp A AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. FAU - Blaheta, Roman A AU - Blaheta RA AD - Department of Urology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. Electronic address: Blaheta@em.uni-frankfurt.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Antineoplastic Agents) RN - 0 (Integrin alpha5) RN - 0 (Integrin beta3) RN - 0 (Protein Kinase Inhibitors) RN - 624KN6GM2T (temsirolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Carcinoma, Renal Cell/*metabolism/pathology MH - Cell Adhesion/drug effects/genetics MH - Cell Line, Tumor MH - Cell Movement/drug effects/genetics MH - Drug Resistance, Neoplasm MH - Gene Knockdown Techniques MH - Humans MH - Integrin alpha5/genetics/*metabolism MH - Integrin beta3/genetics/*metabolism MH - Kidney Neoplasms/*metabolism/pathology MH - Protein Kinase Inhibitors/*pharmacology MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors PMC - PMC4094828 EDAT- 2014/05/28 06:00 MHDA- 2015/01/24 06:00 PMCR- 2014/05/24 CRDT- 2014/05/28 06:00 PHST- 2014/02/10 00:00 [received] PHST- 2014/03/18 00:00 [revised] PHST- 2014/03/19 00:00 [accepted] PHST- 2014/05/28 06:00 [entrez] PHST- 2014/05/28 06:00 [pubmed] PHST- 2015/01/24 06:00 [medline] PHST- 2014/05/24 00:00 [pmc-release] AID - S1476-5586(14)00030-X [pii] AID - 10.1016/j.neo.2014.03.011 [doi] PST - ppublish SO - Neoplasia. 2014 Apr;16(4):291-300. doi: 10.1016/j.neo.2014.03.011.