PMID- 29344641 OWN - NLM STAT- MEDLINE DCOM- 20180831 LR - 20211204 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 52 IP - 3 DP - 2018 Mar TI - Inhibition of RPTOR overcomes resistance to EGFR inhibition in triple-negative breast cancer cells. PG - 828-840 LID - 10.3892/ijo.2018.4244 [doi] AB - Triple-negative breast cancer (TNBC) cells frequently exhibit activated growth factor signaling and resistance to inhibitors for epidermal growth factor receptor (EGFR), despite the overexpression of EGFR protein, and this is associated with a malignant behavior and a poor prognosis. In this study, to elucidate the underlying mechanisms of resistance to EGFR inhibitor and identify inhibitors that exert a synergistic effect with EGFR inhibition, we examined the inhibitory effects of selected protein kinase inhibitors (PKIs) in combination with gefitinib on the viability of a mesenchymal stem-like (MSL) subtype TNBC cell line. MK‑2206, an AKT inhibitor, and a group of mammalian target of rapamycin (mTOR) inhibitors were found to exert synergistic lethal effects in combination with gefitinib in MDA‑MB‑231 cells. The combination of gefitinib/MK‑2206 exerted a prominent synergistic lethal effect in an MTT cell viability assay and a growth inhibitory effect in a long-term colony-forming assay in 2 MSL subtype TNBC cell lines (MDA‑MB‑231 and HS578T) and one basal-like (BL) subtype TNBC cell line (MDA‑MB-468). Gefitinib/MK‑2206 treatment synergistically decreased the mTOR signaling target substrates along with the downregulation of ribosomal protein S6 (RPS6), a marker of cell proliferation and target substrate of the AKT-mTOR signaling pathway. In addition, gefitinib markedly reduced the viability of MDA‑MD‑231 and HS578T cells when regulatory-associated protein of mTOR (RPTOR) was suppressed by siRNA-based knockdown (KD). These results thus suggest that RPTOR mediates, at least partially, the resistance to EGFR inhibition in TNBC cells. Therefore, targeting the mTOR complex 1 (mTORC1) pathway may be a potential strategy for the treatment of EGFR-resistant TNBC. FAU - You, Kyu Sic AU - You KS AD - Graduate School of Convergence Medical Science, Dankook University, Cheonan 31116, Republic of Korea. FAU - Yi, Yong Weon AU - Yi YW AD - ExoCoBio Inc, Seoul 08594, Republic of Korea. FAU - Kwak, Sahng-June AU - Kwak SJ AD - Department of Biochemistry, College of Medicine, Dankook University, Cheonan 31116, Republic of Korea. FAU - Seong, Yeon-Sun AU - Seong YS AD - Graduate School of Convergence Medical Science, Dankook University, Cheonan 31116, Republic of Korea. LA - eng PT - Journal Article DEP - 20180115 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Heterocyclic Compounds, 3-Ring) RN - 0 (MK 2206) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Quinazolines) RN - 0 (RNA, Small Interfering) RN - 0 (RPTOR protein, human) RN - 0 (Regulatory-Associated Protein of mTOR) RN - 0 (Ribosomal Protein S6) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - S65743JHBS (Gefitinib) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology/therapeutic use MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Down-Regulation MH - Drug Resistance, Neoplasm/*drug effects MH - Drug Screening Assays, Antitumor MH - Drug Synergism MH - ErbB Receptors/antagonists & inhibitors/metabolism MH - Female MH - Gefitinib MH - Gene Knockdown Techniques MH - Heterocyclic Compounds, 3-Ring/pharmacology MH - Humans MH - Protein Kinase Inhibitors/*pharmacology/therapeutic use MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors MH - Quinazolines/pharmacology/therapeutic use MH - RNA, Small Interfering/metabolism MH - Regulatory-Associated Protein of mTOR/genetics/*metabolism MH - Ribosomal Protein S6/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/antagonists & inhibitors MH - Triple Negative Breast Neoplasms/*drug therapy/pathology EDAT- 2018/01/19 06:00 MHDA- 2018/09/01 06:00 CRDT- 2018/01/19 06:00 PHST- 2017/09/14 00:00 [received] PHST- 2018/01/08 00:00 [accepted] PHST- 2018/01/19 06:00 [pubmed] PHST- 2018/09/01 06:00 [medline] PHST- 2018/01/19 06:00 [entrez] AID - 10.3892/ijo.2018.4244 [doi] PST - ppublish SO - Int J Oncol. 2018 Mar;52(3):828-840. doi: 10.3892/ijo.2018.4244. Epub 2018 Jan 15.