PMID- 26774265 OWN - NLM STAT- MEDLINE DCOM- 20161005 LR - 20231111 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 16 DP - 2016 Jan 16 TI - FRAX597, a PAK1 inhibitor, synergistically reduces pancreatic cancer growth when combined with gemcitabine. PG - 24 LID - 10.1186/s12885-016-2057-z [doi] LID - 24 AB - BACKGROUND: Pancreatic ductal adenocarcinoma remains one of the most lethal of all solid tumours. Treatment options are limited and gemcitabine-based chemotherapy remains the standard of care. Although growing evidence shows that p21-activated kinase 1 (PAK1) plays a crucial role in pancreatic cancer, its role has not been fully elucidated. This study aimed to characterise the expression and functional relevance of PAK1 in pancreatic cancer. METHODS: PAK1 expression was measured in pancreatic cancer specimens by immunohistochemistry and in pancreatic cancer cell lines by western blotting. The effect of inhibition of PAK1 by either shRNA knock-down (KD), or by a selective inhibitor, FRAX597, alone or in combination with gemcitabine, on cell proliferation and migration/invasion was measured by thymidine uptake and Boyden chamber assays, respectively. The effect on tumour growth and survival was assessed in orthotopic murine models. RESULTS: PAK1 was expressed in all human pancreatic cancer samples tested, an7d was upregulated in all pancreatic cancer cell lines tested. PAK1 KD inhibited pancreatic cancer cell growth and survival, and increased sensitivity to gemcitabine treatment. AKT activity and HIF1alpha expression were also inhibited. FRAX597 inhibited pancreatic cancer cell proliferation, survival, and migration/invasion. When combined with gemcitabine, FRAX597 synergistically inhibited pancreatic cancer proliferation in vitro and inhibited tumour growth in vivo. CONCLUSIONS: These results implicate PAK1 as a regulator of pancreatic cancer cell growth and survival. Combination of a PAK1 inhibitor such as FRAX597 with cytotoxic chemotherapy deserves further study as a novel therapeutic approach to pancreatic cancer treatment. FAU - Yeo, Dannel AU - Yeo D AD - Department of Surgery, Austin Health, University of Melbourne, Heidelberg, VIC, Australia. yeod@student.unimelb.edu.au. FAU - He, Hong AU - He H AD - Department of Surgery, Austin Health, University of Melbourne, Heidelberg, VIC, Australia. hong.he@unimelb.edu.au. FAU - Patel, Oneel AU - Patel O AD - Department of Surgery, Austin Health, University of Melbourne, Heidelberg, VIC, Australia. patelo@unimelb.edu.au. FAU - Lowy, Andrew M AU - Lowy AM AD - Department of Surgery, Division of Surgical Oncology, University of California at San Diego, Moores Cancer, La Jolla, CA, USA. alowy@ucsd.edu.au. FAU - Baldwin, Graham S AU - Baldwin GS AD - Department of Surgery, Austin Health, University of Melbourne, Heidelberg, VIC, Australia. grahamsb@unimelb.edu.au. FAU - Nikfarjam, Mehrdad AU - Nikfarjam M AD - Department of Surgery, Austin Health, University of Melbourne, Heidelberg, VIC, Australia. mehrdad.nikfarjam@gmail.com. LA - eng GR - R01 CA155620/CA/NCI NIH HHS/United States GR - CA155620-01/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20160116 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (FRAX597) RN - 0 (Pyridones) RN - 0 (Pyrimidines) RN - 0W860991D6 (Deoxycytidine) RN - EC 2.7.11.1 (PAK1 protein, human) RN - EC 2.7.11.1 (p21-Activated Kinases) RN - 0 (Gemcitabine) SB - IM MH - Adenocarcinoma/*drug therapy/genetics/pathology MH - Animals MH - Cell Line, Tumor MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Deoxycytidine/administration & dosage/analogs & derivatives MH - *Drug Synergism MH - Humans MH - Mice MH - Neoplasm Invasiveness/genetics/pathology MH - Pancreatic Ducts/drug effects/pathology MH - Pancreatic Neoplasms/*drug therapy/genetics/pathology MH - Pyridones/*administration & dosage MH - Pyrimidines/*administration & dosage MH - Xenograft Model Antitumor Assays MH - p21-Activated Kinases/antagonists & inhibitors/*genetics MH - Gemcitabine PMC - PMC4715347 EDAT- 2016/01/18 06:00 MHDA- 2016/10/07 06:00 PMCR- 2016/01/16 CRDT- 2016/01/18 06:00 PHST- 2015/08/12 00:00 [received] PHST- 2016/01/08 00:00 [accepted] PHST- 2016/01/18 06:00 [entrez] PHST- 2016/01/18 06:00 [pubmed] PHST- 2016/10/07 06:00 [medline] PHST- 2016/01/16 00:00 [pmc-release] AID - 10.1186/s12885-016-2057-z [pii] AID - 2057 [pii] AID - 10.1186/s12885-016-2057-z [doi] PST - epublish SO - BMC Cancer. 2016 Jan 16;16:24. doi: 10.1186/s12885-016-2057-z.