PMID- 27785067 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1178-6930 (Print) IS - 1178-6930 (Electronic) IS - 1178-6930 (Linking) VI - 9 DP - 2016 TI - Everolimus enhances cellular cytotoxicity of lapatinib via the eukaryotic elongation factor-2 kinase pathway in nasopharyngeal carcinoma cells. PG - 6195-6201 AB - BACKGROUND: Nasopharyngeal carcinoma (NPC) has a high relapse and metastatic rates; hence, development of new therapeutics is an immediate requirement. Lapatinib and everolimus have been demonstrated to be effective in the treatment of several carcinomas. This preclinical study aimed to investigate the effect and mechanism of lapatinib combined with everolimus on NPC cells. METHODS: The Cell Counting Kit 8 and colony formation assay were used to detect the effect of lapatinib alone or lapatinib combined with everolimus on the growth and proliferation of cells. Apoptosis was tested by flow cytometry and was further confirmed by western blot. The targets of lapatinib and the effects of lapatinib or everolimus on the eukaryotic elongation factor-2 (eEF-2) kinase pathway were analyzed by western blot, which also evaluated autophagy activity. RESULTS: Lapatinib inhibited the cellular viability and colony formation in NPC cells. At 24-72 h, the average half maximal inhibitory concentration (IC(50)) values of lapatinib were ranging from 3 to 5 muM. This study further found that lapatinib induced both apoptosis and autophagy in NPC cells, and this autophagic activity was described as type II programmed cell death via an eEF-2 kinase-dependent pathway. In addition, augmentation of lapatinib-induced autophagy by mammalian target of rapamycin (mTOR) inhibitor everolimus enhanced the cytocidal effect of lapatinib in NPC cells via the mTOR/S6 kinase/eEF-2 kinase pathway. CONCLUSION: This study reveals that everolimus can sensitize NPC cells to lapatinib by the activation of eEF-2 kinase and provides a potential model of combination therapy. FAU - Liu, Lin AU - Liu L AD - Department of Medical Oncology. FAU - Wang, Zhi-Hui AU - Wang ZH AD - Department of Medical Oncology. FAU - Han, Jun AU - Han J AD - Department of Medical Oncology. FAU - Tang, Con AU - Tang C AD - Department of Surgical Oncology, The Fifth Affiliated Hospital of Sun-Yat-Sen University, Zhu Hai, Guangdong Province, People's Republic of China. FAU - Chen, Nan AU - Chen N AD - Department of Medical Oncology. FAU - Lin, Zhong AU - Lin Z AD - Department of Medical Oncology. FAU - Peng, Pei-Jian AU - Peng PJ AD - Department of Medical Oncology. LA - eng PT - Journal Article DEP - 20161011 PL - New Zealand TA - Onco Targets Ther JT - OncoTargets and therapy JID - 101514322 PMC - PMC5067011 OTO - NOTNLM OT - eEF-2K OT - everolimus OT - lapatinib OT - nasopharyngeal carcinoma COIS- The authors report no conflicts of interest in this work. EDAT- 2016/10/28 06:00 MHDA- 2016/10/28 06:01 PMCR- 2016/10/11 CRDT- 2016/10/28 06:00 PHST- 2016/10/28 06:00 [pubmed] PHST- 2016/10/28 06:01 [medline] PHST- 2016/10/28 06:00 [entrez] PHST- 2016/10/11 00:00 [pmc-release] AID - ott-9-6195 [pii] AID - 10.2147/OTT.S115309 [doi] PST - epublish SO - Onco Targets Ther. 2016 Oct 11;9:6195-6201. doi: 10.2147/OTT.S115309. eCollection 2016.