PMID- 27494886 OWN - NLM STAT- MEDLINE DCOM- 20180205 LR - 20211204 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 34 DP - 2016 Aug 23 TI - Healthy CD4+ T lymphocytes are not affected by targeted therapies against the PI3K/Akt/mTOR pathway in T-cell acute lymphoblastic leukemia. PG - 55690-55703 LID - 10.18632/oncotarget.10984 [doi] AB - An attractive molecular target for novel anti-cancer therapies is the phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway which is commonly deregulated in many types of cancer. Nevertheless, the effects of PI3K/Akt/mTOR inhibitors on T lymphocytes, a key component of immune responses, have been seldom explored. In this study we investigated the effects on human CD4+ T-cells of a panel of PI3K/Akt/mTOR inhibitors: BGT226, Torin-2, MK-2206, and ZSTK474. We also assessed their efficacy against two acute leukemia T cell lines. T lymphocytes were stimulated with phytohemagglutinin. Inhibitor effects on cell cycle and apoptosis were analyzed by flow cytometry, while cytotoxicity was assessed by MTT assays. In addition, the activation status of the pathway as well as induction of autophagy were analyzed by Western blotting. Quiescent healthy T lymphocytes were unaffected by the drugs whereas mitogen-stimulated lymphocytes as well as leukemic cell lines displayed a cell cycle block, caspase-dependent apoptosis, and dephosphorylation of key components of the signaling pathway. Autophagy was also induced in proliferating lymphocytes and in JURKAT and MOLT-4 cell lines. When autophagy was inhibited by 3-methyladenine or Bafilomycin A1, drug cytotoxicity was increased, indicating that autophagy is a protective mechanism. Therefore, our findings suggest that PI3K/Akt/mTOR inhibitors preserve lymphocyte viability. This is a valuable result to be taken into account when selecting drugs for targeted cancer therapy in order to minimize detrimental effects on immune function. FAU - Alameen, Ayman A M AU - Alameen AA AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. AD - Department of Chemical Pathology, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan. FAU - Simioni, Carolina AU - Simioni C AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. FAU - Martelli, Alberto M AU - Martelli AM AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. FAU - Zauli, Giorgio AU - Zauli G AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. FAU - Ultimo, Simona AU - Ultimo S AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. FAU - McCubrey, James A AU - McCubrey JA AD - Department of Microbiology & Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, USA. FAU - Gonelli, Arianna AU - Gonelli A AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. FAU - Marisi, Giorgia AU - Marisi G AD - Biosciences Laboratory, Istituto Scientifico Romagnolo per lo Studio e Cura dei Tumori (IRST) IRCCS, Meldola, Italy. FAU - Ulivi, Paola AU - Ulivi P AD - Biosciences Laboratory, Istituto Scientifico Romagnolo per lo Studio e Cura dei Tumori (IRST) IRCCS, Meldola, Italy. FAU - Capitani, Silvano AU - Capitani S AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. AD - LTTA Center, University of Ferrara, Ferrara, Italy. FAU - Neri, Luca M AU - Neri LM AD - Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (8-(6-methoxypyridin-3-yl)-3-methyl-1-(4-piperazin-1-yl-3-trifluoromethylphenyl)-1,3-dihydroimidazo(4,5-c)quinolin-2-one) RN - 0 (9-(6-aminopyridin-3-yl)-1-(3-(trifluoromethyl)phenyl)benzo(h)(1,6)naphthyridin-2(1H)-one) RN - 0 (Imidazoles) RN - 0 (Naphthyridines) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Quinolines) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Autophagy/drug effects MH - CD4-Positive T-Lymphocytes/*drug effects/immunology MH - Cell Line, Tumor MH - Humans MH - Imidazoles/pharmacology MH - Lymphocyte Activation MH - Molecular Targeted Therapy MH - Naphthyridines/pharmacology MH - *Phosphoinositide-3 Kinase Inhibitors MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy/immunology/pathology MH - Proto-Oncogene Proteins c-akt/*antagonists & inhibitors MH - Quinolines/pharmacology MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors PMC - PMC5342446 OTO - NOTNLM OT - PI3K/Akt/mTOR signaling OT - T lymphocytes OT - T-acute lymphoblastic leukemia OT - autophagy OT - targeted therapies COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2016/08/06 06:00 MHDA- 2018/02/06 06:00 PMCR- 2016/08/23 CRDT- 2016/08/06 06:00 PHST- 2016/05/05 00:00 [received] PHST- 2016/07/11 00:00 [accepted] PHST- 2016/08/06 06:00 [pubmed] PHST- 2018/02/06 06:00 [medline] PHST- 2016/08/06 06:00 [entrez] PHST- 2016/08/23 00:00 [pmc-release] AID - 10984 [pii] AID - 10.18632/oncotarget.10984 [doi] PST - ppublish SO - Oncotarget. 2016 Aug 23;7(34):55690-55703. doi: 10.18632/oncotarget.10984.