PMID- 25436981 OWN - NLM STAT- MEDLINE DCOM- 20151109 LR - 20231104 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 5 IP - 24 DP - 2014 Dec 30 TI - Pre-clinical study of drug combinations that reduce breast cancer burden due to aberrant mTOR and metabolism promoted by LKB1 loss. PG - 12738-52 AB - Cancer therapies that simultaneously target activated mammalian target of rapamycin (mTOR) and cell metabolism are urgently needed. The goal of our study was to identify therapies that effectively inhibited both mTOR activity and cancer cell metabolism in primary tumors in vivo. Using our mouse model of spontaneous breast cancer promoted by loss of LKB1 expression in an ErbB2 activated model; referred to as LKB1-/-NIC mice, we evaluated the effect of novel therapies in vivo on primary tumors. Treatment of LKB1-/-NIC mice with AZD8055 and 2-DG mono-therapies significantly reduced mammary gland tumorigenesis by inhibiting mTOR pathways and glycolytic metabolism; however simultaneous inhibition of these pathways with AZD8055/2-DG combination was significantly more effective at reducing tumor volume and burden. At the molecular level, combination treatment inhibited mTORC1/mTORC2 activity, selectively inhibited mitochondria function and blocked MAPK pro-survival signaling responsible for the ERK-p90RSK feedback loop. Our findings suggest that loss of LKB1 expression be considered a marker for metabolic dysfunction given its role in regulating AMPK and mTOR function. Finally, the outcome of our pre-clinical study confirms therapies that simultaneously target mTORC1/mTORC2 and glycolytic metabolism in cancer produce the best therapeutic outcome for the treatment of patients harboring metabolically active HER2 positive breast cancers. FAU - Andrade-Vieira, Rafaela AU - Andrade-Vieira R AD - Department of Biochemistry and Molecular Biology, Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia Canada. FAU - Goguen, Donna AU - Goguen D AD - Department of Biochemistry and Molecular Biology, Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia Canada. FAU - Bentley, Heidi A AU - Bentley HA AD - Department of Biochemistry and Molecular Biology, Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia Canada. FAU - Bowen, Chris V AU - Bowen CV AD - Department of Radiology, Halifax, Nova Scotia Canada. FAU - Marignani, Paola A AU - Marignani PA AD - Department of Biochemistry and Molecular Biology, Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia Canada. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Imidazoles) RN - 0 (Morpholines) RN - 0 (Quinolines) RN - 970JJ37FPW ((5-(2,4-bis((3S)-3-methylmorpholin-4-yl)pyrido(2,3-d)pyrimidin-7-yl)-2-methoxyphenyl)methanol) RN - 9G2MP84A8W (Deoxyglucose) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Stk11 protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - RUJ6Z9Y0DT (dactolisib) SB - IM MH - AMP-Activated Protein Kinases MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Deoxyglucose/administration & dosage/pharmacology MH - Disease Models, Animal MH - Female MH - Glycolysis/drug effects MH - Imidazoles/administration & dosage/pharmacology MH - Mammary Neoplasms, Experimental/*drug therapy/genetics/*metabolism/pathology MH - Mice MH - Mice, Transgenic MH - Molecular Targeted Therapy MH - Morpholines/administration & dosage/pharmacology MH - Protein Serine-Threonine Kinases/*deficiency/genetics/metabolism MH - Quinolines/administration & dosage/pharmacology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/genetics/*metabolism PMC - PMC4350354 EDAT- 2014/12/02 06:00 MHDA- 2015/11/10 06:00 PMCR- 2014/12/01 CRDT- 2014/12/02 06:00 PHST- 2014/10/20 00:00 [received] PHST- 2014/11/24 00:00 [accepted] PHST- 2014/12/02 06:00 [entrez] PHST- 2014/12/02 06:00 [pubmed] PHST- 2015/11/10 06:00 [medline] PHST- 2014/12/01 00:00 [pmc-release] AID - 2818 [pii] AID - 10.18632/oncotarget.2818 [doi] PST - ppublish SO - Oncotarget. 2014 Dec 30;5(24):12738-52. doi: 10.18632/oncotarget.2818.