PMID- 28319810 OWN - NLM STAT- MEDLINE DCOM- 20170807 LR - 20230131 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 19 IP - 4 DP - 2017 Apr TI - Inhibitors of GLUT/SLC2A Enhance the Action of BCNU and Temozolomide against High-Grade Gliomas. PG - 364-373 LID - S1476-5586(16)30347-5 [pii] LID - 10.1016/j.neo.2017.02.009 [doi] AB - Glucose transport across glioblastoma membranes plays a crucial role in maintaining the enhanced glycolysis typical of high-grade gliomas and glioblastoma. We tested the ability of two inhibitors of the glucose transporters GLUT/SLC2A superfamily, indinavir (IDV) and ritonavir (RTV), and of one inhibitor of the Na/glucose antiporter type 2 (SGLT2/SLC5A2) superfamily, phlorizin (PHZ), in decreasing glucose consumption and cell proliferation of human and murine glioblastoma cells. We found in vitro that RTV, active on at least three different GLUT/SLC2A transporters, was more effective than IDV, a specific inhibitor of GLUT4/SLC2A4, both in decreasing glucose consumption and lactate production and in inhibiting growth of U87MG and Hu197 human glioblastoma cell lines and primary cultures of human glioblastoma. PHZ was inactive on the same cells. Similar results were obtained when cells were grown in adherence or as 3D multicellular tumor spheroids. RTV treatment but not IDV treatment induced AMP-activated protein kinase (AMPKalpha) phosphorylation that paralleled the decrease in glycolytic activity and cell growth. IDV, but not RTV, induced an increase in GLUT1/SLC2A1 whose activity could compensate for the inhibition of GLUT4/SLC2A4 by IDV. RTV and IDV pass poorly the blood brain barrier and are unlikely to reach sufficient liquoral concentrations in vivo to inhibit glioblastoma growth as single agents. Isobologram analysis of the association of RTV or IDV and 1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU) or 4-methyl-5-oxo-2,3,4,6,8-pentazabicyclo[4.3.0]nona-2,7,9-triene-9-carboxamide (TMZ) indicated synergy only with RTV on inhibition of glioblastoma cells. Finally, we tested in vivo the combination of RTV and BCNU on established GL261 tumors. This drug combination increased the overall survival and allowed a five-fold reduction in the dose of BCNU. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Azzalin, Alberto AU - Azzalin A AD - Neurochirurgia, Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, University of Pavia - Fondazione IRCCS Policlinico S. Matteo, v.le Golgi 19, 27100 Pavia, Italy; Istituto di Genetica Molecolare IGM-CNR, via Abbiategrasso 207, 27100 Pavia, Italy. FAU - Nato, Giulia AU - Nato G AD - Department of Neuroscience Rita Levi-Montalcini, University of Turin, Neuroscience Institute Cavalieri Ottolenghi (NICO), 10043 Orbassano, (Torino), Italy. FAU - Parmigiani, Elena AU - Parmigiani E AD - Department of Neuroscience Rita Levi-Montalcini, University of Turin, Neuroscience Institute Cavalieri Ottolenghi (NICO), 10043 Orbassano, (Torino), Italy. FAU - Garello, Francesca AU - Garello F AD - Molecular & Preclinical Imaging Centers, Department of Molecular Biotechnology and Health Sciences, University of Torino, Via Nizza 52, 10126 Torino, Italy. FAU - Buffo, Annalisa AU - Buffo A AD - Department of Neuroscience Rita Levi-Montalcini, University of Turin, Neuroscience Institute Cavalieri Ottolenghi (NICO), 10043 Orbassano, (Torino), Italy. FAU - Magrassi, Lorenzo AU - Magrassi L AD - Neurochirurgia, Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, University of Pavia - Fondazione IRCCS Policlinico S. Matteo, v.le Golgi 19, 27100 Pavia, Italy; Istituto di Genetica Molecolare IGM-CNR, via Abbiategrasso 207, 27100 Pavia, Italy. Electronic address: lorenzo.magrassi@unipv.it. LA - eng PT - Journal Article DEP - 20170319 PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Glucose Transport Proteins, Facilitative) RN - 7GR28W0FJI (Dacarbazine) RN - IY9XDZ35W2 (Glucose) RN - U68WG3173Y (Carmustine) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Biological Transport/drug effects MH - Carmustine/*pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Dacarbazine/*analogs & derivatives/pharmacology MH - Disease Models, Animal MH - Drug Synergism MH - Female MH - Glioma/diagnosis/drug therapy/metabolism/mortality MH - Glucose/metabolism MH - Glucose Transport Proteins, Facilitative/*antagonists & inhibitors/metabolism MH - Humans MH - Mice MH - Temozolomide MH - Xenograft Model Antitumor Assays PMC - PMC5358953 EDAT- 2017/03/21 06:00 MHDA- 2017/08/08 06:00 PMCR- 2017/03/19 CRDT- 2017/03/21 06:00 PHST- 2016/12/21 00:00 [received] PHST- 2017/02/16 00:00 [revised] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/03/21 06:00 [pubmed] PHST- 2017/08/08 06:00 [medline] PHST- 2017/03/21 06:00 [entrez] PHST- 2017/03/19 00:00 [pmc-release] AID - S1476-5586(16)30347-5 [pii] AID - 10.1016/j.neo.2017.02.009 [doi] PST - ppublish SO - Neoplasia. 2017 Apr;19(4):364-373. doi: 10.1016/j.neo.2017.02.009. Epub 2017 Mar 19.