PMID- 26137260 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 3 IP - 3 DP - 2015 May TI - Significant cytostatic effect of everolimus on a gefitinib-resistant anaplastic thyroid cancer cell line harboring PI3KCA gene mutation. PG - 522-526 AB - We previously demonstrated the efficacy of gefitinib, a tyrosine kinase inhibitor of the epidermal growth factor receptor (EGFR), on an anaplastic thyroid cancer (ATC) cell line. We also observed that gefitinib was not effective in regulating cell growth in a different ATC cell line that exhibited an altered EGFR-initiated signal transduction pathway. In the present study, we attempted to regulate the downstream effector of EGFR-Akt-mammalian target of rapamycin (mTOR) pathway by an mTOR inhibitor, everolimus. A total of 8 ATC cell lines were employed, 7 of which were established in our institute. OCUT-2 was known to carry a mutation in the phosphoinositide-3-kinase, catalytic, alpha polypeptide gene (PI3KCA) and to be gefitinib-resistant, whereas ACT-1 exhibited a remarkable growth arrest by gefitinib. All the cell lines were tested for the cytotoxic effect of everolimus. The mechanisms of cellular toxicity were investigated by EGFR stimulation, cell cycle and concurrent exposure to paclitaxel. In OCUT-2, but not in any of the other cell lines, everolimus achieved a significant growth inhibition (inhibition of 30 and 50% was achieved by concentrations of 0.8 and 5 nM, respectively). The growth in OCUT-2 was inhibited by everolimus, even with concordant EGFR stimulation. This effect was demonstrated by a G2M cell cycle arrest. An additive effect of everolimus onto the cytotoxic effect of paclitaxel was demonstrated at a dose of 1-2 nM. A significant growth inhibitory effect of everolimus on the gefitinib-resistant ATC cell line was demonstrated, suggesting a possible correlation between the efficacy of everolimus and PI3KCA gene mutation and the significance of molecular-targeted therapy in the management of ATC. FAU - Onoda, Naoyoshi AU - Onoda N AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Nakamura, Masanori AU - Nakamura M AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Aomatsu, Naoki AU - Aomatsu N AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Noda, Satoru AU - Noda S AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Kashiwagi, Shinichiro AU - Kashiwagi S AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Kurata, Kento AU - Kurata K AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. FAU - Uchino, Shinya AU - Uchino S AD - Noguchi Thyroid Clinic, Beppu, Oita 874-0932, Japan. FAU - Hirakawa, Kosei AU - Hirakawa K AD - Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Osaka 545-8585, Japan. LA - eng PT - Journal Article DEP - 20150123 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC4471583 OTO - NOTNLM OT - anaplastic thyroid cancer OT - cell lines OT - everolimus OT - mammalian target of rapamycin inhibitor OT - resistance EDAT- 2015/07/03 06:00 MHDA- 2015/07/03 06:01 PMCR- 2015/01/23 CRDT- 2015/07/03 06:00 PHST- 2014/10/06 00:00 [received] PHST- 2015/01/14 00:00 [accepted] PHST- 2015/07/03 06:00 [entrez] PHST- 2015/07/03 06:00 [pubmed] PHST- 2015/07/03 06:01 [medline] PHST- 2015/01/23 00:00 [pmc-release] AID - MCO-0-0-496 [pii] AID - 10.3892/mco.2015.496 [doi] PST - ppublish SO - Mol Clin Oncol. 2015 May;3(3):522-526. doi: 10.3892/mco.2015.496. Epub 2015 Jan 23.