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Cell Death Dis. 2018 Sep 11;9(9):929. doi: 10.1038/s41419-018-0931-0.

HDAC6 inhibitor TST strengthens the antiproliferative effects of PI3K/mTOR inhibitor BEZ235 in breast cancer cells via suppressing RTK activation.

Cell death & disease

Shixiu Sun, Yujie Zhang, Jianchao Zheng, Biao Duan, Jie Cui, Yan Chen, Wenjie Deng, Bixing Ye, Lei Liu, Yongchang Chen, Jun Du, Luo Gu

Affiliations

  1. Department of Physiology, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.
  2. Key Laboratory of Cardiovascular & Cerebrovascular Medicine, School of Pharmacy, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.
  3. Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center For Cancer Personalized Medicine, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.
  4. BGI Education Center, University of Chinese Academy of Sciences, Shenzhen, Guangdong, 518083, China.
  5. Department of Physiology, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China.
  6. Department of Biochemistry and Molecular Biology, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.
  7. Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
  8. Department of Physiology, School of Medicine, Jiangsu University, Zhenjiang, Jiangsu, 212013, China.
  9. Department of Physiology, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. [email protected].
  10. Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center For Cancer Personalized Medicine, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. [email protected].
  11. Department of Physiology, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. [email protected].
  12. Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center For Cancer Personalized Medicine, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. [email protected].
  13. Department of Biochemistry and Molecular Biology, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. [email protected].

PMID: 30206202 PMCID: PMC6134008 DOI: 10.1038/s41419-018-0931-0

Abstract

NVP-BEZ235 (BEZ235), an available dual PI3K/mTOR inhibitor, showed antitumor effect and provided a therapy strategy in carcinomas. However, the acquired upregulation of multiple receptor tyrosine kinases (RTKs) by NVP-BEZ235 in tumors limits its clinical efficacy. HDAC6, a class II histone deacetylase, is associated with expressions of multiple RTKs. The aim of this study was to detect whether co-treatment with HDAC6 inhibitor Tubastatin A (TST) would enhance the anticancer effects of BEZ235 in breast cancer cells. In this study, we described that treatment of breast cancer cell lines (T47D, BT474, and MDA-MB-468) with BEZ235 significantly triggered PI3K/mTOR signaling inactivation and increased multiple RTK expression, including EGFR, HER2, HER3, IGF-1 receptor, insulin receptor, and their phosphorylation levels. The adding of TST destabilized these RTKs in those breast cancer cells. Co-treatment with BEZ235 and TST reduced cell proliferative rate by strengthening Akt inactivation. In addition, the combination of these two drugs also cooperatively arrested cell cycle and DNA synthesis. In conclusion, the co-treatment with PI3K/mTOR inhibitor BEZ235 and HDAC6 inhibitor TST displayed additive antiproliferative effects on breast cancer cells through inactivating RTKs and established a rationable combination therapy to treat breast cancer.

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