PMID- 34593436 OWN - NLM STAT- MEDLINE DCOM- 20211012 LR - 20211204 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 41 IP - 10 DP - 2021 Oct TI - Rapalink-1 and Hydroxychloroquine Exhibit an Additive Effect in Undifferentiated Pleomorphic Sarcoma by Inducing Apoptosis. PG - 4885-4894 LID - 10.21873/anticanres.15302 [doi] AB - BACKGROUND/AIM: Advanced undifferentiated pleomorphic sarcoma (UPS) has a poor prognosis and there are few treatments that can improve overall survival. Recently, Rapalink-1, a third-generation mammalian target of rapamycin (mTOR) kinase inhibitor, has been developed and shown to be effective against other tumours. However, mTOR inhibitors have been shown to induce autophagy and resistance to anti-cancer drugs. This study aimed to investigate the antitumor effects of Rapalink-1 with an autophagy inhibitor. MATERIALS AND METHODS: The antitumor effect of Rapalink-1 and/or hydroxychloroquine in three UPS cell lines was examined via cell viability analysis, western blotting, flow cytometry and immunofluorescence. RESULTS: Rapalink-1 decreased cell proliferation and inhibited the PI3K/mTOR pathway. Combined treatment with Rapalink-1 and hydroxychloroquine enhanced the antitumor effect compared to treatment with Rapalink-1 alone by blocking the autophagy-inducing effect of mTOR inhibitors. CONCLUSION: Combined treatment with Rapalink-1 and hydroxychloroquine may be used as a potential therapeutic agent against UPS. CI - Copyright (c) 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Negayama, Takahiro AU - Negayama T AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan. FAU - Ishibashi, Yoichi AU - Ishibashi Y AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan ishibashi.yoichi@kagawa-u.ac.jp. FAU - Nakamura, Osamu AU - Nakamura O AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan. FAU - Nomura, Yumi AU - Nomura Y AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan. FAU - Kaji, Yoshio AU - Kaji Y AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan. FAU - Yamamoto, Tetsuji AU - Yamamoto T AD - Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Enzyme Inhibitors) RN - 0 (RapaLink-1) RN - 4QWG6N8QKH (Hydroxychloroquine) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - *Apoptosis MH - *Autophagy MH - Cell Proliferation MH - Enzyme Inhibitors/pharmacology MH - Humans MH - Hydroxychloroquine/*pharmacology MH - Sarcoma/drug therapy/metabolism/*pathology MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Tumor Cells, Cultured OTO - NOTNLM OT - Rapalink-1 OT - apoptosis OT - autophagy OT - hydroxychloroquine OT - undifferentiated pleomorphic sarcoma EDAT- 2021/10/02 06:00 MHDA- 2021/10/13 06:00 CRDT- 2021/10/01 06:10 PHST- 2021/08/03 00:00 [received] PHST- 2021/08/26 00:00 [revised] PHST- 2021/09/01 00:00 [accepted] PHST- 2021/10/01 06:10 [entrez] PHST- 2021/10/02 06:00 [pubmed] PHST- 2021/10/13 06:00 [medline] AID - 41/10/4885 [pii] AID - 10.21873/anticanres.15302 [doi] PST - ppublish SO - Anticancer Res. 2021 Oct;41(10):4885-4894. doi: 10.21873/anticanres.15302.