PMID- 27863431 OWN - NLM STAT- MEDLINE DCOM- 20180221 LR - 20211204 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 51 DP - 2016 Dec 20 TI - Synergistic antitumor activity of the combination of salubrinal and rapamycin against human cholangiocarcinoma cells. PG - 85492-85501 LID - 10.18632/oncotarget.13408 [doi] AB - Less is known about the roles of eukaryotic initiation factor alpha (eIF2alpha) in cholangiocarcinoma (CCA). Here, we report that eIF2alpha inhibitor salubrinal inhibits the proliferation of human CCA cells. Clinical application of mammalian target of rapamycin (mTOR) inhibitors only has moderate antitumor efficacy. Therefore, combination approaches may be required for effective clinical use of mTOR inhibitors. Here, we investigated the efficacy of the combination of salubrinal and rapamycin in the treatment of CCA. Our data demonstrate a synergistic antitumor effect of the combination of salubrinal and rapamycin against CCA cells. Rapamycin significantly inhibits the proliferation of CCA cells. However, rapamycin initiates a negative feedback activation of Akt. Inhibition of Akt by salubrinal potentiates the efficacy of rapamycin both in vitro and in vivo. Additionally, rapamycin treatment results in the up-regulation of Bcl-xL in a xenograft mouse model. It is notable that salubrinal inhibits rapamycin-induced Bcl-xL up-regulation in vivo. Taken together, our data suggest that salubrinal and rapamycin combination might be a new and effective strategy for the treatment of CCA. FAU - Zhao, Xiaofang AU - Zhao X AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Zhang, Chunyan AU - Zhang C AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Zhou, Hong AU - Zhou H AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Xiao, Bin AU - Xiao B AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Cheng, Ying AU - Cheng Y AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Wang, Jinju AU - Wang J AD - Department of Hepatobiliary Surgery of the Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, China. FAU - Yao, Fuli AU - Yao F AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Duan, Chunyan AU - Duan C AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Chen, Run AU - Chen R AD - Department of Public Health, Southwest Medical University, Luzhou, Sichuan, China. FAU - Liu, Youping AU - Liu Y AD - Department of Hepatobiliary Surgery of the Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, China. FAU - Feng, Chunhong AU - Feng C AD - Department of Hepatobiliary Surgery of the Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, China. FAU - Li, Hong AU - Li H AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. FAU - Li, Jing AU - Li J AD - Department of Hepatobiliary Surgery of the Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, China. FAU - Dai, Rongyang AU - Dai R AD - Department of Biochemistry and Molecular Biology, Southwest Medical University, Luzhou, Sichuan, China. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (BCL2L1 protein, human) RN - 0 (Cinnamates) RN - 0 (Eukaryotic Initiation Factor-2) RN - 0 (bcl-X Protein) RN - 0 (salubrinal) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - GYV9AM2QAG (Thiourea) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Bile Duct Neoplasms/*drug therapy/metabolism/pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cholangiocarcinoma/*drug therapy/metabolism/pathology MH - Cinnamates/*pharmacology MH - Drug Synergism MH - Eukaryotic Initiation Factor-2/antagonists & inhibitors/metabolism MH - Humans MH - Male MH - Mice, Nude MH - Phosphorylation MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/metabolism MH - Signal Transduction/drug effects MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism MH - Thiourea/*analogs & derivatives/pharmacology MH - Time Factors MH - Tumor Burden/drug effects MH - Xenograft Model Antitumor Assays MH - bcl-X Protein/metabolism PMC - PMC5356752 OTO - NOTNLM OT - Akt OT - Bcl-xL OT - cholangiocarcinoma OT - rapamycin OT - salubrinal COIS- CONFLICTS OF INTEREST No potential conflicts of interest were disclosed. EDAT- 2016/11/20 06:00 MHDA- 2018/02/22 06:00 PMCR- 2016/12/20 CRDT- 2016/11/19 06:00 PHST- 2016/08/20 00:00 [received] PHST- 2016/10/27 00:00 [accepted] PHST- 2016/11/20 06:00 [pubmed] PHST- 2018/02/22 06:00 [medline] PHST- 2016/11/19 06:00 [entrez] PHST- 2016/12/20 00:00 [pmc-release] AID - 13408 [pii] AID - 10.18632/oncotarget.13408 [doi] PST - ppublish SO - Oncotarget. 2016 Dec 20;7(51):85492-85501. doi: 10.18632/oncotarget.13408.