Inhibition of Chondrosarcoma Growth by mTOR Inhibitor in an In Vivo Syngeneic Rat Model

Autor: Anthony Besse, Jennifer Perez, Jean Philippe Michot, Anne Valérie Decouvelaere, Thomas Pointecouteau, Aurélie Dutour, Jean Yves Blay, Daniel Pissaloux
Rok vydání: 2012
Předmět:
Male
Pathology
Proliferation index
Cancer Treatment
lcsh:Medicine
Apoptosis
0302 clinical medicine
Antineoplastic Combined Chemotherapy Protocols
Bone and Soft Tissue Sarcomas
lcsh:Science
0303 health sciences
Multidisciplinary
Reverse Transcriptase Polymerase Chain Reaction
TOR Serine-Threonine Kinases
Animal Models
3. Good health
Oncology
030220 oncology & carcinogenesis
Medicine
Oncology Agents
Research Article
medicine.drug
medicine.medical_specialty
Blotting
Western

Chondrosarcoma
Bone Neoplasms
Real-Time Polymerase Chain Reaction
03 medical and health sciences
Model Organisms
In vivo
medicine
Adjuvant therapy
Animals
Humans
Doxorubicin
Everolimus
RNA
Messenger

Biology
Cell Proliferation
030304 developmental biology
Sirolimus
business.industry
lcsh:R
Cancers and Neoplasms
Chemotherapy and Drug Treatment
medicine.disease
Rats
Disease Models
Animal

Tumor progression
Cancer research
Rat
lcsh:Q
Neoplasm Recurrence
Local

business
Zdroj: PLoS ONE, Vol 7, Iss 6, p e32458 (2012)
PLoS ONE
BASE-Bielefeld Academic Search Engine
PLoS ONE; Vol 7
ISSN: 1932-6203
Popis: Background Chondrosarcomas are the second most frequent primary malignant type of bone tumor. No effective systemic treatment has been identified in advanced or adjuvant phases for chondrosarcoma. The aim of the present study was to determine the antitumor effects of doxorubicin and everolimus, an mTOR inhibitor on chondrosarcoma progression. Methods and Findings Doxorubin and/or everolimus were tested in vivo as single agent or in combination in the rat orthotopic Schwarm chondrosarcoma model, in macroscopic phase, as well as with microscopic residual disease. Response to everolimus and/or doxorubicin was evaluated using chondrosarcoma volume evolution (MRI). Histological response was evaluated with % of tumor necrosis, tumor proliferation index, metabolism quantification analysis between the treated and control groups. Statistical analyses were performed using chi square, Fishers exact test. Doxorubicin single agent has no effect of tumor growth as compared to no treatment; conversely, everolimus single agent significantly inhibited tumor progression in macroscopic tumors with no synergistic additive effect with doxorubicin. Everolimus inhibited chondrosarcoma proliferation as evaluated by Ki67 expression did not induce the apoptosis of tumor cells; everolimus reduced Glut1 and 4EBP1 expression. Importantly when given in rats with microscopic residual diseases, in a pseudo neoadjuvant setting, following R1 resection of the implanted tumor, everolimus significantly delayed or prevented tumor recurrence. Conclusions MTOR inhibitor everolimus blocks cell proliferation, Glut1 expression and HIF1a expression, and prevents in vivo chondrosarcoma tumor progression in both macroscopic and in adjuvant phase post R1 resection. Taken together, our preclinical data indicate that mTOR inhibitor may be effective as a single agent in treating chondrosarcoma patients. A clinical trial evaluating mTOr inhibitor as neo-adjuvant and adjuvant therapy in chondrosarcoma patients is being constructed.
Databáze: OpenAIRE