PMID- 25535978 OWN - NLM STAT- MEDLINE DCOM- 20151103 LR - 20211203 IS - 1473-5741 (Electronic) IS - 0959-4973 (Linking) VI - 26 IP - 4 DP - 2015 Apr TI - The antileukemia roles of PP242 alone or in combination with daunorubicin in acute leukemia. PG - 410-21 LID - 10.1097/CAD.0000000000000200 [doi] AB - PP242 is a novel dual mammalian target of rapamycin (mTOR) inhibitor that simultaneously inhibits mTORC1 and mTORC2, and its antileukemia effect has been sufficiently investigated here. The human acute leukemia cell lines and primary blasts were treated with PP242 alone or in combination with daunorubicin (DNR). Cell proliferation was examined using an MTT assay. The phosphorylation expression of the Akt/mTORC1/eIF4E signaling pathway was assessed by western blot analysis. The assembly of the eIF4F translation initiation complex was examined using a 7-methyl-guanosine cap affinity assay. PP242 significantly induced cytotoxicity in human acute leukemia cells, especially in combination with DNR. The phosphorylation levels of eIF4E (p-eIF4E) at Ser209 influence the antileukemia roles of PP242. As expected, the antiproliferative effects of PP242 on leukemia cells with low p-eIF4E expression, such as the acute promyelocytic leukemia NB4 cell line and AML-M3 primary blasts, were poor. Surprisingly, the effects of PP242 in leukemia cells with high p-eIF4E expression, such as the acute myelomonocytic leukemia THP-1 cell line and M4-M5 primary blasts, were also weak. In contrast, PP242 exerted a significant antiproliferative effect in the Ph+ acute lymphoblastic leukemia SUP-B15 cell line and the mantle cell lymphoma JEKO-1 cell line, which had intermediate p-eIF4E levels. PP242 inhibited the translation of the antiapoptotic protein Mcl-1 by downregulating the Akt/mTORC1/eIF4E signaling pathway. More importantly, DNR activated the Akt/mTORC1/eIF4E signaling pathway, whereas PP242 effectively eliminated this deleterious side effect of DNR and synergistically enhanced the anticancer ability of DNR treatment. PP242, especially in combination with DNR, exerts significant antileukemia effects. FAU - Shi, Fangfang AU - Shi F AD - Department of Hematology, West China Hospital, Sichuan University, Chengdu, China. FAU - Yang, Xiaojing AU - Yang X FAU - Gong, Yuping AU - Gong Y FAU - Shi, Rui AU - Shi R FAU - Yang, Xi AU - Yang X FAU - Naren, Duolan AU - Naren D FAU - Wu, Jiahui AU - Wu J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Anticancer Drugs JT - Anti-cancer drugs JID - 9100823 RN - 0 (Antineoplastic Agents) RN - 0 (Eukaryotic Initiation Factor-4E) RN - 0 (Indoles) RN - 0 (MCL1 protein, human) RN - 0 (Multiprotein Complexes) RN - 0 (Myeloid Cell Leukemia Sequence 1 Protein) RN - 0 (Purines) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - H5669VNZ7V (PP242) RN - ZS7284E0ZP (Daunorubicin) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Daunorubicin/*pharmacology MH - Drug Synergism MH - Eukaryotic Initiation Factor-4E/metabolism MH - Humans MH - Indoles/*pharmacology MH - Leukemia/*pathology MH - Leukemia, Myelomonocytic, Acute/pathology MH - Leukemia, Promyelocytic, Acute/pathology MH - Lymphoma, Mantle-Cell/pathology MH - Mechanistic Target of Rapamycin Complex 1 MH - Multiprotein Complexes/metabolism MH - Myeloid Cell Leukemia Sequence 1 Protein/metabolism MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Purines/*pharmacology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/metabolism EDAT- 2014/12/24 06:00 MHDA- 2015/11/04 06:00 CRDT- 2014/12/24 06:00 PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2015/11/04 06:00 [medline] AID - 10.1097/CAD.0000000000000200 [doi] PST - ppublish SO - Anticancer Drugs. 2015 Apr;26(4):410-21. doi: 10.1097/CAD.0000000000000200.