PMID- 37772579 OWN - NLM STAT- MEDLINE DCOM- 20231002 LR - 20231002 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 43 IP - 10 DP - 2023 Oct TI - Molecular Characteristics of Everolimus-resistant Renal Cell Carcinoma Cells Generated by Continuous Exposure to Everolimus. PG - 4349-4357 LID - 10.21873/anticanres.16630 [doi] AB - BACKGROUND/AIM: Mammalian target of rapamycin (mTOR) inhibitors represent the standard of care for metastatic renal cell carcinoma (RCC). However, treatment outcomes are relatively poor, suggesting a potential problem with tolerating mTOR inhibitors. The aim of this study was to establish everolimus-resistant sublines and to compare their molecular characteristics with those of their counterparts. MATERIALS AND METHODS: Human-derived RCC, Caki-2, and 786-O cells were continuously exposed to everolimus at 1 muM, and the established resistant sublines were designated as Caki/EV and 786/EV, respectively. Cellular characteristics were compared between both cells. RESULTS: Caki/EV and 786/EV cells showed a decrease in sensitivity to everolimus as well as other mTOR inhibitors. Expression of mTOR and its effectors exhibited no alteration in resistant sublines and their counterparts. However, phosphorylation of S6K, an index of mTOR activity, decreased in resistant sublines. PCR array analysis of mTOR signaling pathway-related factors indicated that the expression of INSR, TP53, and IGFBP3 increased in Caki/EV cells, whereas that of TELO2, HRAS, and SGK1 was up-regulated in 786/EV cells. The levels of DDIT4, DEPTOR, HIF1A, and PLD1 mRNAs decreased in both cell lines. CONCLUSION: The novel everolimus-resistant Caki/EV and 786/EV cells exhibited cross-resistance to other mTOR inhibitors and decreased mTOR activity. Furthermore, down-regulation of DDIT4, DEPTOR, HIF1A, and PLD1 may contribute to everolimus resistance. CI - Copyright (c) 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Nakayama, Yuko AU - Nakayama Y AD - Department of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Enomoto, Daichi AU - Enomoto D AD - Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmaceutical Sciences, Hyogo Medical University, Kobe, Japan. FAU - Yamamoto, Kazuhiro AU - Yamamoto K AD - Department of Pharmacy, Kobe University Hospital, Kobe, Japan. FAU - Takara, Kohji AU - Takara K AD - Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmaceutical Sciences, Hyogo Medical University, Kobe, Japan; ko-takara@hyo-med.ac.jp. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 9HW64Q8G6G (Everolimus) RN - 0 (MTOR Inhibitors) RN - W36ZG6FT64 (Sirolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.1.1 (DEPTOR protein, human) RN - 0 (Intracellular Signaling Peptides and Proteins) SB - IM MH - Humans MH - Everolimus/pharmacology/therapeutic use MH - *Carcinoma, Renal Cell/drug therapy/genetics/metabolism MH - *Kidney Neoplasms/drug therapy/genetics/metabolism MH - MTOR Inhibitors MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/metabolism MH - Cell Line, Tumor MH - Intracellular Signaling Peptides and Proteins OTO - NOTNLM OT - Everolimus OT - mTOR OT - multidrug resistance OT - renal cell carcinoma EDAT- 2023/09/29 12:44 MHDA- 2023/10/02 06:42 CRDT- 2023/09/29 07:31 PHST- 2023/07/11 00:00 [received] PHST- 2023/08/03 00:00 [revised] PHST- 2023/08/04 00:00 [accepted] PHST- 2023/10/02 06:42 [medline] PHST- 2023/09/29 12:44 [pubmed] PHST- 2023/09/29 07:31 [entrez] AID - 43/10/4349 [pii] AID - 10.21873/anticanres.16630 [doi] PST - ppublish SO - Anticancer Res. 2023 Oct;43(10):4349-4357. doi: 10.21873/anticanres.16630.