Despite the development of promising cancer therapeutic drugs, multiple myeloma ( MM) remains an incurable disease. Bufalin is a bufanolide steroid compound of the traditional Chinese medicine Chan Su that was previously shown to exert growth suppression effects on myeloma cell lines. Previous studies conducted by our group demonstrated that bufalin activated the AKT/mTOR pathway in myeloma cells, which is considered an essential pathway to disease progression and is related to drug resistance in MM. In view of the significant role of AKT in MM, the allosteric AKT inhibitor MK2206 was selected in order to enhance the antitumor effects of bufalin in different MM cell lines (NCI-H929, U266, LP-1 and RPMI8226). The data indicated that MK2206 enhanced the cytotoxicity of bufalin in MM cells, via the suppression of cellular proliferation and the induction of apoptosis, as demonstrated by cleavage of apoptosis-related proteins. This effect was further noted in the presence of exogenous interleukin-6 and/or following the co-culture of MM cells with bone marrow stromal cells (BMSC). This process was associated with the inhibition of the AKT/mTOR pathway. The combination of bufalin with MK2206 reduced the secretion of IL-6 in U266 cells. The combined treatment exhibited similar anti-MM effects in bortezomib-resistant cell lines (NCI-H929R, U266R). In addition to the in vitro cell line models, the synergistic effect was noted in primary MM cells and in MM xenografts of BALB-c and NOD-SCID mice. In conclusion, the data suggested that MK2206 significantly enhanced the cytocidal effects of bufalin in MM cells, regardless of the sensitivity to bortezomib, via the inhibition of the AKT/mTOR pathway. The study provided the basis of a promising treatment approach for MM.
基金:
National Basic Research Program of China (973 Program) (NO. 2015CB910403); National
Natural Science Foundation of China (81570118 and 8167010683). Science and
Technology Committee of Shanghai (15401901800 and 16ZR1421400).
第一作者机构:[1]Shanghai Jiao Tong Univ, Rui Jin Hosp, Dept Hematol, Sch Med, Shanghai 200025, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Shanghai Jiao Tong Univ, Rui Jin Hosp, Dept Hematol, Sch Med, Shanghai 200025, Peoples R China[3]Shanghai Univ E Inst, Hongqiao Int Inst Med, Shanghai Tongren Hosp, Fac Basic Med,Chem Biol Div,Key Lab Cell Differen, Shanghai 200025, Peoples R China[4]Shanghai Jiao Tong Univ, Chinese Minist Educ, Sch Med, Shanghai 200025, Peoples R China[*1]Department of Hematology, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai 200025, China[*2]Hongqiao International Institute of Medicine, Shanghai Tongren Hospital/Faculty of Basic Medicine, Chemical Biology Division of Shanghai Universities E-Institutes, Key Laboratory of Cell Differentiation and Apoptosis of National Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
推荐引用方式(GB/T 7714):
Xiang Ru-Fang,Wang Yan,Zhang Nan,et al.MK2206 enhances the cytocidal effects of bufalin in multiple myeloma by inhibiting the AKT/mTOR pathway[J].CELL DEATH & DISEASE.2017,8:doi:10.1038/cddis.2017.188.
APA:
Xiang, Ru-Fang,Wang, Yan,Zhang, Nan,Xu, Wen-Bin,Cao, Yang...&Yan, Hua.(2017).MK2206 enhances the cytocidal effects of bufalin in multiple myeloma by inhibiting the AKT/mTOR pathway.CELL DEATH & DISEASE,8,
MLA:
Xiang, Ru-Fang,et al."MK2206 enhances the cytocidal effects of bufalin in multiple myeloma by inhibiting the AKT/mTOR pathway".CELL DEATH & DISEASE 8.(2017)