Targeting carbonic anhydrase IX improves the anti-cancer efficacy of mTOR inhibitors

Autor: Seraina Faes, Tania Santoro, Dipak Datta, Nicolo Riggi, Jean-Christophe Stehle, Catherine Pythoud, Janine Horlbeck, Emilie Uldry, Anne Planche, Nicolas Demartines, Igor Letovanec, Olivier Dormond
Rok vydání: 2016
Předmět:
0301 basic medicine
Mice
Nude

mTORC1
Small hairpin RNA
03 medical and health sciences
0302 clinical medicine
Cell Line
Tumor

Animals
Humans
Medicine
Pimonidazole
Carbonic Anhydrase IX
Carbonic Anhydrase Inhibitors
Hypoxia
PI3K/AKT/mTOR pathway
Sirolimus
Antibiotics
Antineoplastic

Tumor hypoxia
rapamycin
business.industry
TOR Serine-Threonine Kinases
CAIX
Drug Synergism
Neoplasms
Experimental

Xenograft Model Antitumor Assays
Acetazolamide
Mice
Inbred C57BL

Treatment Outcome
030104 developmental biology
Oncology
030220 oncology & carcinogenesis
Immunology
Cancer cell
mTOR
Cancer research
Female
RNA Interference
Colorectal Neoplasms
business
HT29 Cells
Research Paper
Acetazolamide/pharmacology
Antibiotics
Antineoplastic/pharmacology

Carbonic Anhydrase IX/antagonists & inhibitors
Carbonic Anhydrase IX/genetics
Carbonic Anhydrase IX/metabolism
Carbonic Anhydrase Inhibitors/pharmacology
Colorectal Neoplasms/drug therapy
Colorectal Neoplasms/genetics
Colorectal Neoplasms/metabolism
Neoplasms
Experimental/drug therapy

Neoplasms
Experimental/genetics

Neoplasms
Experimental/metabolism

Sirolimus/pharmacology
TOR Serine-Threonine Kinases/antagonists & inhibitors
TOR Serine-Threonine Kinases/metabolism
acetazolamide
hypoxia
medicine.drug
Zdroj: Oncotarget, vol. 7, no. 24, pp. 36666-36680
Oncotarget
ISSN: 1949-2553
DOI: 10.18632/oncotarget.9134
Popis: The inhibition of the mechanistic target of rapamycin complex 1 (mTORC1) by chemical inhibitors, such as rapamycin, has demonstrated anti-cancer activity in preclinical and clinical trials. Their efficacy is, however, limited and tumors eventually relapse through resistance formation. In this study, using two different cancer mouse models, we identify tumor hypoxia as a novel mechanism of resistance of cancer cells against mTORC1 inhibitors. Indeed, we show that the activity of mTORC1 is mainly restricted to the non-hypoxic tumor compartment, as evidenced by a mutually exclusive staining pattern of the mTORC1 activity marker pS6 and the hypoxia marker pimonidazole. Consequently, whereas rapamycin reduces cancer cell proliferation in non-hypoxic regions, it has no effect in hypoxic areas, suggesting that cancer cells proliferate independently of mTORC1 under hypoxia. Targeting the hypoxic tumor compartment by knockdown of carbonic anhydrase IX (CAIX) using short hairpin RNA or by chemical inhibition of CAIX with acetazolamide potentiates the anti-cancer activity of rapamycin. Taken together, these data emphasize that hypoxia impairs the anti-cancer efficacy of rapalogs. Therapeutic strategies targeting the hypoxic tumor compartment, such as the inhibition of CAIX, potentiate the efficacy of rapamycin and warrant further clinical evaluation.
Databáze: OpenAIRE