1. Intravital Imaging to Monitor Therapeutic Response in Moving Hypoxic Regions Resistant to PI3K Pathway Targeting in Pancreatic Cancer.
- Author
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Conway JRW, Warren SC, Herrmann D, Murphy KJ, Cazet AS, Vennin C, Shearer RF, Killen MJ, Magenau A, Mélénec P, Pinese M, Nobis M, Zaratzian A, Boulghourjian A, Da Silva AM, Del Monte-Nieto G, Adam ASA, Harvey RP, Haigh JJ, Wang Y, Croucher DR, Sansom OJ, Pajic M, Caldon CE, Morton JP, and Timpson P
- Subjects
- Animals, Benzamides, Cell Line, Tumor, Drug Therapy, Combination, Female, Fluorescence Resonance Energy Transfer, Humans, Hypoxia, Intravital Microscopy methods, Mice, Mice, Inbred BALB C, Morpholines pharmacology, Morpholines therapeutic use, Nanoparticles chemistry, Nitroimidazoles pharmacology, Nitroimidazoles therapeutic use, Pancreatic Neoplasms drug therapy, Pancreatic Neoplasms metabolism, Pancreatic Neoplasms pathology, Phosphoramide Mustards pharmacology, Phosphoramide Mustards therapeutic use, Proto-Oncogene Proteins c-akt metabolism, Pyrimidines, Transplantation, Heterologous, Tumor Microenvironment, Drug Resistance, Neoplasm drug effects, Phosphatidylinositol 3-Kinases metabolism, Signal Transduction drug effects
- Abstract
Application of advanced intravital imaging facilitates dynamic monitoring of pathway activity upon therapeutic inhibition. Here, we assess resistance to therapeutic inhibition of the PI3K pathway within the hypoxic microenvironment of pancreatic ductal adenocarcinoma (PDAC) and identify a phenomenon whereby pronounced hypoxia-induced resistance is observed for three clinically relevant inhibitors. To address this clinical problem, we have mapped tumor hypoxia by both immunofluorescence and phosphorescence lifetime imaging of oxygen-sensitive nanoparticles and demonstrate that these hypoxic regions move transiently around the tumor. To overlay this microenvironmental information with drug response, we applied a FRET biosensor for Akt activity, which is a key effector of the PI3K pathway. Performing dual intravital imaging of drug response in different tumor compartments, we demonstrate an improved drug response to a combination therapy using the dual mTORC1/2 inhibitor AZD2014 with the hypoxia-activated pro-drug TH-302., (Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
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