Activation of Akt by the Mammalian Target of Rapamycin Complex 2
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Ras/Raf/MEK/ERK and PI3K/PTEN/Akt/Mtor Cascade Inhibitors: How Mutations Can Result in Therapy Resistance and How to Overcome Resistance
www.impactjournals.com/oncotarget/ Oncotarget, October, Vol.3, No 10 Ras/Raf/MEK/ERK and PI3K/PTEN/Akt/mTOR Cascade Inhibitors: How Mutations Can Result in Therapy Resistance and How to Overcome Resistance James A. McCubrey1, Linda S. Steelman1, William H. Chappell1, Stephen L. Abrams1, Richard A. Franklin1, Giuseppe Montalto2, Melchiorre Cervello3, Massimo Libra4, Saverio Candido4, Grazia Malaponte4, Maria C. Mazzarino4, Paolo Fagone4, Ferdinando Nicoletti4, Jörg Bäsecke5, Sanja Mijatovic6, Danijela Maksimovic- Ivanic6, Michele Milella7, Agostino Tafuri8, Francesca Chiarini9, Camilla Evangelisti9, Lucio Cocco10, Alberto M. Martelli9,10 1 Department of Microbiology and Immunology, Brody School of Medicine at East Carolina University, Greenville, NC, USA 2 Department of Internal Medicine and Specialties, University of Palermo, Palermo, Italy 3 Consiglio Nazionale delle Ricerche, Istituto di Biomedicina e Immunologia Molecolare “Alberto Monroy”, Palermo, Italy 4 Department of Bio-Medical Sciences, University of Catania, Catania, Italy 5 Department of Medicine, University of Göttingen, Göttingen, Germany 6 Department of Immunology, Instititue for Biological Research “Sinisa Stankovic”, University of Belgrade, Belgrade, Serbia 7 Regina Elena National Cancer Institute, Rome, Italy 8 Sapienza, University of Rome, Department of Cellular Biotechnology and Hematology, Rome, Italy 9 Institute of Molecular Genetics, National Research Council-Rizzoli Orthopedic Institute, Bologna, Italy. 10 Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy Correspondence to: James A. McCubrey, email: [email protected] Keywords: Targeted Therapy, Therapy Resistance, Cancer Stem Cells, Raf, Akt, PI3K, mTOR Received: September 12, 2012, Accepted: October 18, 2012, Published: October 20, 2012 Copyright: © McCubrey et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. -
Mechanism and Management of AKT Inhibitor- Induced Hyperglycemia Ming-Chih Crouthamel,1Jason A
Cancer Therapy: Preclinical Mechanism and Management of AKT Inhibitor- Induced Hyperglycemia Ming-Chih Crouthamel,1Jason A. Kahana,1Susan Korenchuk,1Shu-Yun Zhang,1 Gobalakrishnan Sundaresan,1DerekJ. Eberwein,1Kathleen K. Brown,2 andRakeshKumar1 Abstract Purpose: Insulin-like growth factor-I receptor and phosphoinositide 3-kinase/AKT/mammalian target of rapamycin pathways are among the most active areas of drug discovery in cancer research. However, due to their integral roles in insulin signaling, inhibitors targeting these pathways often lead to hyperglycemia and hyperinsulinemia. We investigated the mechanism of hyperglycemia induced by GSK690693, a pan-AKT kinase inhibitor in clinical development, as well as methods to ameliorate these side effects. Experimental Design:The effect of GSK690693 on blood glucose, insulin, and glucagon levels was characterized in mice. We then evaluated the effects of commonly prescribed antidiabetic agents on GSK690693-induced hyperglycemia. The mechanism of blood glucose increase was evaluated using fasting and tracer uptake studies and by measuring liver glycogen levels. Finally, approaches to manage AKT inhibitor-induced hyperglycemia were designed using fasting and low carbohydrate diet. Results: We report that treatment with antidiabetic agents does not significantly affect GSK690693-induced hyperglycemia in rodents. However, administration of GSK690693 in mice significantly reduces liver glycogen (f90%), suggesting that GSK690693 may inhibit glycogen synthesis and/or activate glycogenolysis. Consistent with this observation, fasting before drug administration reduces baseline liver glycogen levels and attenuates hyperglycemia. Further, GSK690693 also inhibits peripheral glucose uptake and introduction of a low-carbohydrate (7%) or 0% carbohydrate diet after GSK690693 administration effectively reduces diet-induced hyperglycemia in mice. Conclusions: The mechanism of GSK690693-induced hyperglycemia is related to peripheral insulin resistance, increased gluconeogenesis, and/or hepatic glycogenolysis. -
A Novel Oncolytic Herpes Simplex Virus That Synergizes with Phosphoinositide 3-Kinase/Akt Pathway Inhibitors to Target Glioblastoma Stem Cells
Published OnlineFirst April 19, 2011; DOI: 10.1158/1078-0432.CCR-10-3142 Clinical Cancer Cancer Therapy: Preclinical Research A Novel Oncolytic Herpes Simplex Virus that Synergizes with Phosphoinositide 3-kinase/Akt Pathway Inhibitors to Target Glioblastoma Stem Cells Ryuichi Kanai, Hiroaki Wakimoto, Robert L. Martuza, and Samuel D. Rabkin Abstract Purpose: To develop a new oncolytic herpes simplex virus (oHSV) for glioblastoma (GBM) therapy that will be effective in glioblastoma stem cells (GSC), an important and untargeted component of GBM. One approach to enhance oHSV efficacy is by combination with other therapeutic modalities. Experimental Design: MG18L, containing a US3 deletion and an inactivating LacZ insertion in UL39, was constructed for the treatment of brain tumors. Safety was evaluated after intracerebral injection in HSV- susceptible mice. The efficacy of MG18L in human GSCs and glioma cell lines in vitro was compared with other oHSVs, alone or in combination with phosphoinositide-3-kinase (PI3K)/Akt inhibitors (LY294002, triciribine, GDC-0941, and BEZ235). Cytotoxic interactions between MG18L and PI3K/Akt inhibitors were determined using Chou–Talalay analysis. In vivo efficacy studies were conducted using a clinically relevant mouse model of GSC-derived GBM. Results: MG18L was severely neuroattenuated in mice, replicated well in GSCs, and had anti-GBM activity in vivo. PI3K/Akt inhibitors displayed significant but variable antiproliferative activities in GSCs, whereas their combination with MG18L synergized in killing GSCs and glioma cell lines, but not human astrocytes, through enhanced induction of apoptosis. Importantly, synergy was independent of inhibitor sensitivity. In vivo, the combination of MG18L and LY294002 significantly prolonged survival of mice, as compared with either agent alone, achieving 50% long-term survival in GBM-bearing mice. -
The Survival Kinases Akt and Pim As Potential Pharmacological Targets
The survival kinases Akt and Pim as potential pharmacological targets Ravi Amaravadi, Craig B. Thompson J Clin Invest. 2005;115(10):2618-2624. https://doi.org/10.1172/JCI26273. Review Series The Akt and Pim kinases are cytoplasmic serine/threonine kinases that control programmed cell death by phosphorylating substrates that regulate both apoptosis and cellular metabolism. The PI3K-dependent activation of the Akt kinases and the JAK/STAT–dependent induction of the Pim kinases are examples of partially overlapping survival kinase pathways. Pharmacological manipulation of such kinases could have a major impact on the treatment of a wide variety of human diseases including cancer, inflammatory disorders, and ischemic diseases. Find the latest version: https://jci.me/26273/pdf Review series The survival kinases Akt and Pim as potential pharmacological targets Ravi Amaravadi and Craig B. Thompson Abramson Family Cancer Research Institute, Department of Cancer Biology and Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. The Akt and Pim kinases are cytoplasmic serine/threonine kinases that control programmed cell death by phos- phorylating substrates that regulate both apoptosis and cellular metabolism. The PI3K-dependent activation of the Akt kinases and the JAK/STAT–dependent induction of the Pim kinases are examples of partially overlapping sur- vival kinase pathways. Pharmacological manipulation of such kinases could have a major impact on the treatment of a wide variety of human diseases including cancer, inflammatory disorders, and ischemic diseases. Introduction allow myc to act as an oncogene, leading to a malignant phe- There is increasing evidence that serine/threonine kinases exist notype. While deficiency in the tumor suppressor gene p53 and that directly regulate cell survival. -
Effective Combinations and Clinical Considerations Jaclyn Lopiccolo, Gideon M
Available online at www.sciencedirect.com Drug Resistance Updates 11 (2008) 32–50 Targeting the PI3K/Akt/mTOR pathway: Effective combinations and clinical considerations Jaclyn LoPiccolo, Gideon M. Blumenthal, Wendy B. Bernstein, Phillip A. Dennis ∗ Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20889, United States Received 2 November 2007; received in revised form 19 November 2007; accepted 19 November 2007 Abstract The PI3K/Akt/mTOR pathway is a prototypic survival pathway that is constitutively activated in many types of cancer. Mechanisms for pathway activation include loss of tumor suppressor PTEN function, amplification or mutation of PI3K, amplification or mutation of Akt, activation of growth factor receptors, and exposure to carcinogens. Once activated, signaling through Akt can be propagated to a diverse array of substrates, including mTOR, a key regulator of protein translation. This pathway is an attractive therapeutic target in cancer because it serves as a convergence point for many growth stimuli, and through its downstream substrates, controls cellular processes that contribute to the initiation and maintenance of cancer. Moreover, activation of the Akt/mTOR pathway confers resistance to many types of cancer therapy, and is a poor prognostic factor for many types of cancers. This review will provide an update on the clinical progress of various agents that target the pathway, such as the Akt inhibitors perifosine and PX-866 and mTOR inhibitors (rapamycin, CCI-779, RAD-001) and discuss strategies to combine these pathway inhibitors with conventional chemotherapy, radiotherapy, as well as newer targeted agents. We will also discuss how the complex regulation of the PI3K/Akt/mTOR pathway poses practical issues concerning the design of clinical trials, potential toxicities and criteria for patient selection. -
The Akt Activation Inhibitor TCN-P Inhibits Akt Phosphorylation by Binding to the PH Domain of Akt and Blocking Its Recruitment to the Plasma Membrane
Cell Death and Differentiation (2010) 17, 1795–1804 & 2010 Macmillan Publishers Limited All rights reserved 1350-9047/10 $32.00 www.nature.com/cdd The Akt activation inhibitor TCN-P inhibits Akt phosphorylation by binding to the PH domain of Akt and blocking its recruitment to the plasma membrane N Berndt1,4, H Yang1,4, B Trinczek1, S Betzi1, Z Zhang2,BWu2, NJ Lawrence1, M Pellecchia2, E Scho¨nbrunn1, JQ Cheng3 and SM Sebti*,1 Persistently hyperphosphorylated Akt contributes to human oncogenesis and resistance to therapy. Triciribine (TCN) phosphate (TCN-P), the active metabolite of the Akt phosphorylation inhibitor TCN, is in clinical trials, but the mechanism by which TCN-P inhibits Akt phosphorylation is unknown. Here we show that in vitro, TCN-P inhibits neither Akt activity nor the phosphorylation of Akt S473 and T308 by mammalian target of rapamycin or phosphoinositide-dependent kinase 1. However, in intact cells, TCN inhibits EGF-stimulated Akt recruitment to the plasma membrane and phosphorylation of Akt. Surface plasmon resonance shows that TCN, but not TCN, binds Akt-derived pleckstrin homology (PH) domain (KD: 690 nM). Furthermore, nuclear magnetic resonance spectroscopy shows that TCN-P, but not TCN, binds to the PH domain in the vicinity of the PIP3-binding pocket. Finally, constitutively active Akt mutants, Akt1-T308D/S473D and myr-Akt1, but not the transforming mutant Akt1-E17K, are resistant to TCN and rescue from its inhibition of proliferation and induction of apoptosis. Thus, the results of our studies indicate that TCN-P binds to the PH domain of Akt and blocks its recruitment to the membrane, and that the subsequent inhibition of Akt phosphorylation contributes to TCN-P antiproliferative and proapoptotic activities, suggesting that this drug may be beneficial to patients whose tumors express persistently phosphorylated Akt. -
Small Molecule Inhibition of Phosphatidylinositol- 3,4,5-Triphosphate (PIP3) Binding to Pleckstrin Homology Domains
Small molecule inhibition of phosphatidylinositol- 3,4,5-triphosphate (PIP3) binding to pleckstrin homology domains Benchun Miaoa,1, Igor Skidanb,1, Jinsheng Yangc, Alexey Lugovskoyd,2, Mikhail Reibarkhd, Kai Longe, Tres Brazella, Kulbhushan A. Durugkarf, Jenny Makia, C. V. Ramanaf, Brian Schaffhausena, Gerhard Wagnerd, Vladimir Torchilinb, Junying Yuane, and Alexei Degtereva,3 aDepartment of Biochemistry, Tufts University School of Medicine, Boston, MA 02111; bDepartment of Pharmaceutical Sciences, Center for Pharmaceutical Biotechnology and Nanomedicine, Northeastern University, Boston, MA 02115; cNeuroscience Center, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129; Departments of dBiological Chemistry and Molecular Pharmacology and eCell Biology, Harvard Medical School, Boston, MA 02115; and fNational Chemical Laboratory, Pune 411008, India Edited by Philip N. Tsichlis, Tufts Medical Center, Boston, MA, and accepted by the Editorial Board October 13, 2010 (received for review April 11, 2010) The PI3-kinase (PI3K) pathway regulates many cellular processes, downstream from growth factor and oncogene signals. A particu- especially cell metabolism, cell survival, and apoptosis. Phospha- larly important example of PIP3-dependent activation is that of tidylinositol-3,4,5-trisphosphate (PIP3), the product of PI3K activity serine-threonine kinase Akt. It is achieved both through the and a key signaling molecule, acts by recruiting pleckstrin-homology binding of Akt PH domain to PIP3 and membrane translocation of (PH) domain-containing proteins to cell membranes. Here, we de- another target of PIP3, PDK1, which phosphorylates and activates scribe a new structural class of nonphosphoinositide small molecule Akt. The Akt family plays a fundamental role in cell survival, antagonists (PITenins, PITs) of PIP3–PH domain interactions (IC50 growth, and energy metabolism (1, 7). -
Phosphoinositide-3-Kinase/Akt
Graves et al. Journal of Biomedical Science 2012, 19:59 http://www.jbiomedsci.com/content/19/1/59 RESEARCH Open Access Phosphoinositide-3-kinase/akt - dependent 2+ signaling is required for maintenance of [Ca ]i, 2+ ICa, and Ca transients in HL-1 cardiomyocytes Bridget M Graves1, Thomas Simerly2, Chuanfu Li1, David L Williams1 and Robert Wondergem2,3* Abstract The phosphoinositide 3-kinases (PI3K/Akt) dependent signaling pathway plays an important role in cardiac function, specifically cardiac contractility. We have reported that sepsis decreases myocardial Akt activation, which correlates with cardiac dysfunction in sepsis. We also reported that preventing sepsis induced changes in myocardial Akt activation ameliorates cardiovascular dysfunction. In this study we investigated the role of PI3K/Akt on 2+ 2+ cardiomyocyte function by examining the role of PI3K/Akt-dependent signaling on [Ca ]i,Ca transients and 2+ membrane Ca current, ICa, in cultured murine HL-1 cardiomyocytes. LY294002 (1–20 μM), a specific PI3K inhibitor, 2+ 2+ dramatically decreased HL-1 [Ca ]i,Ca transients and ICa. We also examined the effect of PI3K isoform specific inhibitors, i.e. α (PI3-kinase α inhibitor 2; 2–8 nM); β (TGX-221; 100 nM) and γ (AS-252424; 100 nM), to determine the 2+ contribution of specific isoforms to HL-1 [Ca ]i regulation. Pharmacologic inhibition of each of the individual PI3K 2+ 2+ isoforms significantly decreased [Ca ]i, and inhibited Ca transients. Triciribine (1–20 μM), which inhibits AKT 2+ 2+ downstream of the PI3K pathway, also inhibited [Ca ]i, and Ca transients and ICa. We conclude that the PI3K/Akt 2+ pathway is required for normal maintenance of [Ca ]i in HL-1 cardiomyocytes. -
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[CANCER RESEARCH 64, 4394–4399, July 1, 2004] Advances in Brief Akt/Protein Kinase B Signaling Inhibitor-2, a Selective Small Molecule Inhibitor of Akt Signaling with Antitumor Activity in Cancer Cells Overexpressing Akt Lin Yang,1 Han C. Dan,1 Mei Sun,1 Qiyuan Liu,1 Xia-meng Sun,1 Richard I. Feldman,2 Andrew D. Hamilton,3 Mark Polokoff,2 Santo V. Nicosia,1 Meenhard Herlyn,4 Said M. Sebti,1 and Jin Q. Cheng1 1Department of Pathology and Interdisciplinary Oncology, University of South Florida College of Medicine, H. Lee Moffitt Cancer Center, Tampa, Florida; 2Berlex Biosciences, Richmond, California; 3Department of Chemistry, Yale University, New Haven, Connecticut; and 4The Wistar Institute, Philadelphia, Pennsylvania Abstract Akt, leading to inhibition of cell growth and induction of apoptosis. In a xenograft nude mice model, API-2 significantly inhibits tumor Accumulated studies have shown that activation of the Akt pathway growth in Akt-overexpressing cells but not in the tumors with low plays a pivotal role in malignant transformation and chemoresistance by levels of Akt. inducing cell survival, growth, migration, and angiogenesis. Therefore, Akt is believed to be a critical target for cancer intervention. Here, we Materials and Methods report the discovery of a small molecule Akt pathway inhibitor, Akt/ protein kinase B signaling inhibitor-2 (API-2), by screening the National Cell Lines and NCI Diversity Set. All cell lines used in this study were Cancer Institute Diversity Set. API-2 suppressed the kinase activity and either purchased from American Type Culture Collection or described previ- phosphorylation level of Akt. The inhibition of Akt kinase resulted in ously (4, 6). -
Targeting the Phosphoinositide 3-Kinase Pathway in Cancer
REVIEWS Targeting the phosphoinositide 3-kinase pathway in cancer Pixu Liu, Hailing Cheng, Thomas M. Roberts and Jean J. Zhao Abstract | The phosphoinositide 3‑kinase (PI3K) pathway is a key signal transduction system that links oncogenes and multiple receptor classes to many essential cellular functions, and is perhaps the most commonly activated signalling pathway in human cancer. This pathway therefore presents both an opportunity and a challenge for cancer therapy. Even as inhibitors that target PI3K isoforms and other major nodes in the pathway, including AKT and mammalian target of rapamycin (mTOR), reach clinical trials, major issues remain. Here, we highlight recent progress that has been made in our understanding of the PI3K pathway and discuss the potential of and challenges for the development of therapeutic agents that target this pathway in cancer. Germline mutation Since its discovery in the 1980s, the family of lipid Class IA PI3Ks. These are heterodimers consisting of A heritable change in the DNA kinases termed phosphoinositide 3‑kinases (PI3Ks) has a p110 catalytic subunit and a p85 regulatory subunit that occurred in a germ cell or been found to have key regulatory roles in many cell‑ (FIG. 2a). The regulatory subunit mediates receptor the zygote at the single-cell ular processes, including cell survival, proliferation and binding, activation, and localization of the enzyme. stage. When transmitted to the differentiation1–3. As major effectors downstream of In mammals, the genes PI3K regulatory subunit 1 next generation, a germline mutation is incorporated in receptor tyrosine kinases (RTKs) and G protein‑coupled (PIK3R1), PIK3R2 and PIK3R3 encode p85α (and its every cell of the body.