Anti-Myeloma Activity of Akt Inhibition Is Linked to the Activation Status of PI3KAkt and MEKERK Pathway 英文参考文献.docVIP
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Anti-Myeloma Activity of Akt Inhibition Is Linked to the Activation Status of PI3KAkt and MEKERK Pathway 英文参考文献
Anti-MyelomaActivityofAktInhibitionIsLinkedtothe
ActivationStatusofPI3K/AktandMEK/ERKPathway
VijayRamakrishnan,TeresaKimlinger,JessicaHaug,UtkarshPainuly,LindaWellik,TimothyHalling,
S.VincentRajkumar,ShajiKumar*
TheDivisionsofHematology,MayoClinic,Rochester,Minnesota,UnitedStatesofAmerica
Abstract
ThePI3K/Akt/mTOR signaltransductionpathwayplaysacentralrolein multiplemyeloma(MM)diseaseprogression and
developmentoftherapeuticresistance.mTORC1inhibitorshaveshownlimitedefficacyintheclinic,largelyattributedtothe
reactivationofAktduetorapamycininducedmTORC2activity.Here,wepresentpromisinganti-myelomaactivityofMK-
2206,anovelallostericpan-Aktinhibitor,inMMcelllinesandpatientcells.MK-2206wasabletoinducecytotoxicityand
inhibitproliferationinallMMcelllinestested,albeitwithsignificantheterogeneitythatwashighlydependentonbasalpAkt
levels. MK-2206 was able to inhibit proliferation of MM cells even when cultured with marrow stromal cells or tumor
promotingcytokines.Theinductionofcytotoxicitywasduetoapoptosis,whichatleastpartiallywasmediatedbycaspases.
MK-2206inhibitedpAktanditsdown-streamtargetsandup-regulatedpErkinMMcells.UsingMK-2206incombinationwith
rapamycin (mTORC1 inhibitor), LY294002 (PI3K inhibitor), or U0126 (MEK1/2 inhibitor), we show that Erk- mediated
downstream activation of PI3K/Akt pathway results in resistance to Akt inhibition. These provide the basis for clinical
evaluationofMK-2206aloneorincombinationinMMandpotentialuseofbaselinepAktandpErkasbiomarkersforpatient
selection.
Citation:RamakrishnanV,KimlingerT,HaugJ,PainulyU,WellikL,etal.(2012)Anti-MyelomaActivityofAktInhibitionIsLinkedtotheActivationStatusofPI3K/
AktandMEK/ERKPathway.PLoSONE7(11):e50005.doi:10.1371/journal.pone.0050005
Editor:RakeshK.Srivastava,TheUniversityofKansasMedicalCenter,UnitedStatesofAmerica
ReceivedJuly10,2012;AcceptedOctober15,2012;PublishedNovember21,2012
Copyright:?2012Ramakrishnanetal.Thisisanopen-accessarticledistributedunderthetermsoftheCreativeCommonsAttributionLicense,which
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