1. Targeting carbonic anhydrase IX improves the anti-cancer efficacy of mTOR inhibitors
- Author
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Seraina Faes, Tania Santoro, Dipak Datta, Nicolo Riggi, Jean-Christophe Stehle, Catherine Pythoud, Janine Horlbeck, Emilie Uldry, Anne Planche, Nicolas Demartines, Igor Letovanec, and Olivier Dormond
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0301 basic medicine ,Mice, Nude ,mTORC1 ,Small hairpin RNA ,03 medical and health sciences ,0302 clinical medicine ,Cell Line, Tumor ,Animals ,Humans ,Medicine ,Pimonidazole ,Carbonic Anhydrase IX ,Carbonic Anhydrase Inhibitors ,Hypoxia ,PI3K/AKT/mTOR pathway ,Sirolimus ,Antibiotics, Antineoplastic ,Tumor hypoxia ,rapamycin ,business.industry ,TOR Serine-Threonine Kinases ,CAIX ,Drug Synergism ,Neoplasms, Experimental ,Xenograft Model Antitumor Assays ,Acetazolamide ,Mice, Inbred C57BL ,Treatment Outcome ,030104 developmental biology ,Oncology ,030220 oncology & carcinogenesis ,Immunology ,Cancer cell ,mTOR ,Cancer research ,Female ,RNA Interference ,Colorectal Neoplasms ,business ,HT29 Cells ,Research Paper ,Acetazolamide/pharmacology ,Antibiotics, Antineoplastic/pharmacology ,Carbonic Anhydrase IX/antagonists & inhibitors ,Carbonic Anhydrase IX/genetics ,Carbonic Anhydrase IX/metabolism ,Carbonic Anhydrase Inhibitors/pharmacology ,Colorectal Neoplasms/drug therapy ,Colorectal Neoplasms/genetics ,Colorectal Neoplasms/metabolism ,Neoplasms, Experimental/drug therapy ,Neoplasms, Experimental/genetics ,Neoplasms, Experimental/metabolism ,Sirolimus/pharmacology ,TOR Serine-Threonine Kinases/antagonists & inhibitors ,TOR Serine-Threonine Kinases/metabolism ,acetazolamide ,hypoxia ,medicine.drug - Abstract
The inhibition of the mechanistic target of rapamycin complex 1 (mTORC1) by chemical inhibitors, such as rapamycin, has demonstrated anti-cancer activity in preclinical and clinical trials. Their efficacy is, however, limited and tumors eventually relapse through resistance formation. In this study, using two different cancer mouse models, we identify tumor hypoxia as a novel mechanism of resistance of cancer cells against mTORC1 inhibitors. Indeed, we show that the activity of mTORC1 is mainly restricted to the non-hypoxic tumor compartment, as evidenced by a mutually exclusive staining pattern of the mTORC1 activity marker pS6 and the hypoxia marker pimonidazole. Consequently, whereas rapamycin reduces cancer cell proliferation in non-hypoxic regions, it has no effect in hypoxic areas, suggesting that cancer cells proliferate independently of mTORC1 under hypoxia. Targeting the hypoxic tumor compartment by knockdown of carbonic anhydrase IX (CAIX) using short hairpin RNA or by chemical inhibition of CAIX with acetazolamide potentiates the anti-cancer activity of rapamycin. Taken together, these data emphasize that hypoxia impairs the anti-cancer efficacy of rapalogs. Therapeutic strategies targeting the hypoxic tumor compartment, such as the inhibition of CAIX, potentiate the efficacy of rapamycin and warrant further clinical evaluation.
- Published
- 2016
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