PMID- 27821815 OWN - NLM STAT- MEDLINE DCOM- 20180223 LR - 20220317 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 49 DP - 2016 Dec 6 TI - Everolimus (RAD001) sensitizes prostate cancer cells to docetaxel by down-regulation of HIF-1alpha and sphingosine kinase 1. PG - 80943-80956 LID - 10.18632/oncotarget.13115 [doi] AB - Resistance to docetaxel is a key problem in current prostate cancer management. Sphingosine kinase 1 (SK1) and phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathways have been implicated in prostate cancer chemoresistance. Here we investigated whether their combined targeting may re-sensitize prostate cancer cells to docetaxel.In hormone-insensitive PC-3 and DU145 prostate cancer cells the mTOR inhibitor everolimus (RAD001) alone did not lead to significant cell death, however, it strongly sensitized cells to low levels (5 nM) of docetaxel. We show that mTOR inhibition has led to a decrease in hypoxia-inducible factor-1alpha (HIF-1alpha) protein levels and SK1 mRNA. HIF-1alpha accumulation induced by CoCl2 has led to a partial chemoresistance to RAD001/docetaxel combination. SK1 overexpression has completely protected prostate cancer cells from RAD001/docetaxel effects. Using gene knockdown and CoCl2 treatment we showed that SK1 mRNA expression is downstream of HIF-1alpha. In a human xenograft model in nude mice single RAD001 and docetaxel therapies induced 23% and 15% reduction in prostate tumor volume, respectively, while their combination led to a 58% reduction. RAD001 alone or in combination with docetaxel has suppressed intratumoral mTOR and SK1 signaling, however as evidenced by tumor size, it required docetaxel for clinical efficacy. Combination therapy was well tolerated and had similar levels of toxicity to docetaxel alone.Overall, our data demonstrate a new mechanism of docetaxel sensitization in prostate cancer. This provides a mechanistic basis for further clinical application of RAD001/docetaxel combination in prostate cancer therapy. FAU - Alshaker, Heba AU - Alshaker H AD - School of Medicine, University of East Anglia, Norwich, UK. AD - Department of Pharmacology and Biomedical Sciences, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan. FAU - Wang, Qi AU - Wang Q AD - School of Medicine, University of East Anglia, Norwich, UK. FAU - Kawano, Yoshiaki AU - Kawano Y AD - Department of Urology, University of Kumamoto, Kumamoto, Japan. FAU - Arafat, Tawfiq AU - Arafat T AD - Department of Pharmaceutical Medicinal Chemistry and Pharmacognosy, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan. FAU - Bohler, Torsten AU - Bohler T AD - Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Winkler, Mathias AU - Winkler M AD - Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Cooper, Colin AU - Cooper C AD - School of Medicine, University of East Anglia, Norwich, UK. FAU - Pchejetski, Dmitri AU - Pchejetski D AD - School of Medicine, University of East Anglia, Norwich, UK. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - 3G0H8C9362 (Cobalt) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.- (Phosphotransferases (Alcohol Group Acceptor)) RN - EC 2.7.1.- (sphingosine kinase) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EVS87XF13W (cobaltous chloride) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Cobalt/pharmacology MH - Docetaxel MH - Dose-Response Relationship, Drug MH - Down-Regulation MH - Drug Resistance, Neoplasm/drug effects MH - Drug Synergism MH - Everolimus/*pharmacology MH - Gene Expression Regulation, Enzymologic MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/*metabolism MH - Male MH - Mice, Inbred BALB C MH - Mice, Nude MH - Phosphotransferases (Alcohol Group Acceptor)/genetics/*metabolism MH - Prostatic Neoplasms/*drug therapy/enzymology/genetics/pathology MH - RNA Interference MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism MH - Taxoids/*pharmacology MH - Time Factors MH - Transfection MH - Tumor Burden/drug effects MH - Xenograft Model Antitumor Assays PMC - PMC5348367 OTO - NOTNLM OT - chemosensitization OT - docetaxel OT - everolimus (RAD001) OT - mTOR OT - prostate cancer COIS- CONFLICTS OF INTEREST The authors declare that they have no conflicts of interest. EDAT- 2016/11/09 06:00 MHDA- 2018/02/24 06:00 PMCR- 2016/12/06 CRDT- 2016/11/09 06:00 PHST- 2016/10/07 00:00 [received] PHST- 2016/10/27 00:00 [accepted] PHST- 2016/11/09 06:00 [pubmed] PHST- 2018/02/24 06:00 [medline] PHST- 2016/11/09 06:00 [entrez] PHST- 2016/12/06 00:00 [pmc-release] AID - 13115 [pii] AID - 10.18632/oncotarget.13115 [doi] PST - ppublish SO - Oncotarget. 2016 Dec 6;7(49):80943-80956. doi: 10.18632/oncotarget.13115.