Combined PI3Kα-mTOR Targeting of Glioma Stem Cells

Abstract Glioblastoma (GBM) is the most common and lethal primary intrinsic tumour of the adult brain and evidence indicates disease progression is driven by glioma stem cells (GSCs). Extensive advances in the molecular characterization of GBM allowed classification into proneural, mesenchymal and c...

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Autores principales: Frank D. Eckerdt, Jonathan B. Bell, Christopher Gonzalez, Michael S. Oh, Ricardo E. Perez, Candice Mazewski, Mariafausta Fischietti, Stewart Goldman, Ichiro Nakano, Leonidas C. Platanias
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/bb07ee97883b447baba480ea2552c1ef
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spelling oai:doaj.org-article:bb07ee97883b447baba480ea2552c1ef2021-12-02T13:58:13ZCombined PI3Kα-mTOR Targeting of Glioma Stem Cells10.1038/s41598-020-78788-z2045-2322https://doaj.org/article/bb07ee97883b447baba480ea2552c1ef2020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78788-zhttps://doaj.org/toc/2045-2322Abstract Glioblastoma (GBM) is the most common and lethal primary intrinsic tumour of the adult brain and evidence indicates disease progression is driven by glioma stem cells (GSCs). Extensive advances in the molecular characterization of GBM allowed classification into proneural, mesenchymal and classical subtypes, and have raised expectations these insights may predict response to targeted therapies. We utilized GBM neurospheres that display GSC characteristics and found activation of the PI3K/AKT pathway in sphere-forming cells. The PI3Kα selective inhibitor alpelisib blocked PI3K/AKT activation and inhibited spheroid growth, suggesting an essential role for the PI3Kα catalytic isoform. p110α expression was highest in the proneural subtype and this was associated with increased phosphorylation of AKT. Further, employing the GBM BioDP, we found co-expression of PIK3CA with the neuronal stem/progenitor marker NES was associated with poor prognosis in PN GBM patients, indicating a unique role for PI3Kα in PN GSCs. Alpelisib inhibited GSC neurosphere growth and these effects were more pronounced in GSCs of the PN subtype. The antineoplastic effects of alpelisib were substantially enhanced when combined with pharmacologic mTOR inhibition. These findings identify the alpha catalytic PI3K isoform as a unique therapeutic target in proneural GBM and suggest that pharmacological mTOR inhibition may sensitize GSCs to selective PI3Kα inhibition.Frank D. EckerdtJonathan B. BellChristopher GonzalezMichael S. OhRicardo E. PerezCandice MazewskiMariafausta FischiettiStewart GoldmanIchiro NakanoLeonidas C. PlataniasNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Frank D. Eckerdt
Jonathan B. Bell
Christopher Gonzalez
Michael S. Oh
Ricardo E. Perez
Candice Mazewski
Mariafausta Fischietti
Stewart Goldman
Ichiro Nakano
Leonidas C. Platanias
Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
description Abstract Glioblastoma (GBM) is the most common and lethal primary intrinsic tumour of the adult brain and evidence indicates disease progression is driven by glioma stem cells (GSCs). Extensive advances in the molecular characterization of GBM allowed classification into proneural, mesenchymal and classical subtypes, and have raised expectations these insights may predict response to targeted therapies. We utilized GBM neurospheres that display GSC characteristics and found activation of the PI3K/AKT pathway in sphere-forming cells. The PI3Kα selective inhibitor alpelisib blocked PI3K/AKT activation and inhibited spheroid growth, suggesting an essential role for the PI3Kα catalytic isoform. p110α expression was highest in the proneural subtype and this was associated with increased phosphorylation of AKT. Further, employing the GBM BioDP, we found co-expression of PIK3CA with the neuronal stem/progenitor marker NES was associated with poor prognosis in PN GBM patients, indicating a unique role for PI3Kα in PN GSCs. Alpelisib inhibited GSC neurosphere growth and these effects were more pronounced in GSCs of the PN subtype. The antineoplastic effects of alpelisib were substantially enhanced when combined with pharmacologic mTOR inhibition. These findings identify the alpha catalytic PI3K isoform as a unique therapeutic target in proneural GBM and suggest that pharmacological mTOR inhibition may sensitize GSCs to selective PI3Kα inhibition.
format article
author Frank D. Eckerdt
Jonathan B. Bell
Christopher Gonzalez
Michael S. Oh
Ricardo E. Perez
Candice Mazewski
Mariafausta Fischietti
Stewart Goldman
Ichiro Nakano
Leonidas C. Platanias
author_facet Frank D. Eckerdt
Jonathan B. Bell
Christopher Gonzalez
Michael S. Oh
Ricardo E. Perez
Candice Mazewski
Mariafausta Fischietti
Stewart Goldman
Ichiro Nakano
Leonidas C. Platanias
author_sort Frank D. Eckerdt
title Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
title_short Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
title_full Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
title_fullStr Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
title_full_unstemmed Combined PI3Kα-mTOR Targeting of Glioma Stem Cells
title_sort combined pi3kα-mtor targeting of glioma stem cells
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/bb07ee97883b447baba480ea2552c1ef
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