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Antitumor activity of the combination of an HSP90 inhibitor and a PI3K/mTOR dual inhibitor against cholangiocarcinoma

  • Ming Huang Chen
  • , Kun Chun Chiang
  • , Chi Tung Cheng
  • , Shih Chiang Huang
  • , Yeng Yang Chen
  • , Tsung Wen Chen
  • , Ta Sen Yeh
  • , Yi Yin Jan
  • , Hsi Ming Wang
  • , Jiang Jie Weng
  • , Peter Mu Hsin Chang
  • , Chun Yu Liu
  • , Chung Pin Li
  • , Yee Chao
  • , Ming Han Chen
  • , Chi Ying F. Huang*
  • , Chun Nan Yeh
  • *Corresponding author for this work
  • National Yang Ming Chiao Tung University
  • Veterans General Hospital-Taipei
  • Chang Gung Memorial Hospital

Research output: Contribution to journalJournal Article peer-review

64 Scopus citations

Abstract

The PI3K/Akt/mTOR pathway is overactivated and heat shock protein (HSP) 90 is overexpressed in common cancers. We hypothesized that targeting both pathways can kill intrahepatic cholangiocarcinoma (CCA) cells. HSP90 and PTEN protein expression was evaluated by immunohistochemical staining of samples from 78 patients with intrahepatic CCA. CCA cell lines and a thioacetamide (TAA)-induced CCA animal model were treated with NVP-AUY922 (an HSP90 inhibitor) and NVP-BEZ235 (a PI3K/mTOR inhibitor) alone or in combination. Both HSP90 overexpression and loss of PTEN were poor prognostic factors in patients with intrahepatic CCA. The combination of the HSP90 inhibitor NVP-AUY922 and the PI3K/mTOR inhibitor NVP-BEZ235 was synergistic in inducing cell death in CCA cells. A combination of NVP-AUY922 and NVP-BEZ235 caused tumor regression in CCA rat animal model. This combination not only inhibited the PI3K/Akt/mTOR pathway but also induced ROS, which may exacerbate the vicious cycle of ER stress. Our data suggest simultaneous targeting of the PI3K/mTOR and HSP pathways for CCA treatment.

Original languageEnglish
Pages (from-to)2372-2389
Number of pages18
JournalOncotarget
Volume5
Issue number9
DOIs
StatePublished - 2014
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Heat-shock protein 90
  • NVP-AUY922
  • NVP-BEZ235
  • Phosphatase and tensin homolog

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