PMID- 27737796 OWN - NLM STAT- MEDLINE DCOM- 20170329 LR - 20211203 IS - 1879-3177 (Electronic) IS - 0887-2333 (Linking) VI - 38 DP - 2017 Feb TI - Strong synergism between small molecule inhibitors of HER2, PI3K, mTOR and Bcl-2 in human breast cancer cells. PG - 117-123 LID - S0887-2333(16)30209-0 [pii] LID - 10.1016/j.tiv.2016.10.002 [doi] AB - Targeting pro-survival cell signaling components has been promising in cancer therapy, but the benefit of targeting with single agents is limited. For malignancies such as triple-negative breast cancer, there is a paucity of targets that are amenable to existing interventions as they are devoid of the human epidermal growth factor receptor 2 (HER2), progesterone receptor (PR), and estrogen receptor (ER). Concurrent targeting of cell signaling entities other than HER2, PR and ER with multiple agents may be more effective. Evaluating modes of interaction between agents can inform efficient selection of agents when used in cocktails. Using clonogenic cell survival, interaction between inhibitors of HER2 (TAK-165), phosphoinositide 3-kinase (PI3K) and mammalian target of rapamycin (mTOR) (NVP-BEZ235), and the pro-survival gene (Bcl-2) (ABT-263) in three human breast cell lines (MDA-MB-231, MCF-7 and MCF-12A) ranged from strong to very strong synergism. The strongest synergy was demonstrated in PR and ER negative cells. Inhibition of PI3K, mTOR and Bcl-2 could potentially be effective in the treatment of triple-negative cancers. The very strong synergy observed even at lowest concentrations of inhibitors indicates that these cocktails might be able to be used at a minimised risk of systemic toxicity. Concurrent use of multiple inhibitors can potentiate conventional interventions like radiotherapy and chemotherapy. CI - Copyright A(c) 2016 Elsevier B.V. All rights reserved. FAU - Hamunyela, Roswita H AU - Hamunyela RH AD - Division of Radiobiology, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Dr B May Cancer Care Centre, Ministry of Health and Social Services, Windhoek, Namibia. Electronic address: hamunyela.rh@gmail.com. FAU - Serafin, Antonio M AU - Serafin AM AD - Division of Radiobiology, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Electronic address: ts@sun.ac.za. FAU - Akudugu, John M AU - Akudugu JM AD - Division of Radiobiology, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Electronic address: jakudugu@sun.ac.za. LA - eng PT - Journal Article DEP - 20161011 PL - England TA - Toxicol In Vitro JT - Toxicology in vitro : an international journal published in association with BIBRA JID - 8712158 RN - 0 (Aniline Compounds) RN - 0 (Antineoplastic Agents) RN - 0 (Imidazoles) RN - 0 (Oxazoles) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Quinolines) RN - 0 (Sulfonamides) RN - 0 (TAK-165) RN - 0 (Triazoles) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - RUJ6Z9Y0DT (dactolisib) RN - XKJ5VVK2WD (navitoclax) SB - IM MH - Aniline Compounds/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols MH - Breast Neoplasms MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Drug Synergism MH - Humans MH - Imidazoles/pharmacology MH - Oxazoles/pharmacology MH - *Phosphoinositide-3 Kinase Inhibitors MH - Protein Kinase Inhibitors/*pharmacology MH - Proto-Oncogene Proteins c-bcl-2/*antagonists & inhibitors MH - Quinolines/pharmacology MH - Receptor, ErbB-2/*antagonists & inhibitors MH - Sulfonamides/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Triazoles/pharmacology OTO - NOTNLM OT - Small molecule inhibitor OT - Synergism OT - Triple-negative cancer EDAT- 2016/10/21 06:00 MHDA- 2017/03/31 06:00 CRDT- 2016/10/15 06:00 PHST- 2016/03/30 00:00 [received] PHST- 2016/08/15 00:00 [revised] PHST- 2016/10/09 00:00 [accepted] PHST- 2016/10/21 06:00 [pubmed] PHST- 2017/03/31 06:00 [medline] PHST- 2016/10/15 06:00 [entrez] AID - S0887-2333(16)30209-0 [pii] AID - 10.1016/j.tiv.2016.10.002 [doi] PST - ppublish SO - Toxicol In Vitro. 2017 Feb;38:117-123. doi: 10.1016/j.tiv.2016.10.002. Epub 2016 Oct 11.