Abstract 670: Targeting PI3K/mTOR leads to MEK/ERK over-activation in pancreatic cancer through suppression of mTORC2

Abstract

Abstract Significant attention has been given to molecular target therapies in pancreatic cancer due to the limited survival benefits provided by standard chemotherapy. The phosphatidylinositol 3-kinase (PI3K)/Akt/mTORC1/S6K pathway which is aberrantly stimulated in pancreatic ductal adenocarcinoma (PDAC) has emerged as a target for therapy. Inhibitors of PI3K and/or mTOR (PI3K/TOR-KIs) are been developed to target this pathway. However, mTORC1/S6K also mediates negative feedback loops that attenuate upstream signaling. Suppression of these feedback loops opposes the growth-suppressive effects of mTOR inhibitors and leads to drug resistance. Here, we demonstrate that treatment of a panel of pancreatic ductal adenocarcinoma (PDAC) cells including PANC-1, MiaPaCa-2, AsPC-1 and BxPC-3 with the dual PI3K/mTOR kinase inhibitor (PI3K/TOR-KI) NPV-BEZ23 induces a novel negative feedback loop leading to increased activity of MEK/ERK pathway in PDAC cells. Exposure of the above mentioned PDAC cells to NPV-BEZ235 potently blocked mTORC1 activation mTORC1/S6K activation (scored by S6 phosphorylation at Ser240/244), mTORC1/4E-BP1 (assayed by 4E-BP1 phosphorylation at Thr37/46) and mTORC2-mediated Akt phosphorylation at Ser473, in a concentration-dependent manner. Strikingly, NPV-BEZ235 markedly enhanced the MEK/ERK pathway in a dose-dependent manner. Maximal ERK over-activation coincided with complete inhibition of phosphorylation of Akt and 4E-BP1. Other PI3K/TOR-KIs, including PKI-587 and GDC-0980 also induced ERK over-activation. The MEK inhibitors PD0325901 or Trametinib prevented ERK over-activation induced by PI3K/TOR-KIs at least acutely. The combination of NPV-BEZ235 and PD0325901 caused a more pronounced inhibition of cell growth than that produced by each inhibitor individually. Mechanistic studies assessing PI3K activity in single PDAC cells using a PIP3 fluorescent reporter indicated that NPV-BEZ235, PKI-587 and GDC-0980 act through a PI3K-independent pathway. Doses of PI3K/TOR-KIs that enhanced MEK/ERK activation coincided with those that inhibited mTORC2-mediated Akt phosphorylation on Ser473, suggesting a role of mTORC2. Knockdown of Rictor markedly increased baseline levels of ERK phosphorylation and treatment with NVP-BEZ235 did not produce further enhancement of ERK activation. These results imply that Rictor or mTORC2 exerts feedback inhibition of the MEK/ERK pathway in pancreatic cancer cells. We propose that dual PI3K/mTOR inhibitors suppress a novel negative feedback loop mediated by mTORC2 thereby leading to enhanced MEK/ERK pathway activity in pancreatic cancer cells. The therapeutic effectiveness of PI3K/TOR-KIs inhibitors in PDAC and possibly other malignancies can be diminished by activation of MEK/ERK that opposes their anti-proliferative effects and leads to drug resistance. Note: This abstract was not presented at the meeting. Citation Format: Heloisa P. Soares, Ming Ming, Michelle Mellon, Steven H. Young, Liang Han, James Sinnet-Smith, Enrique Rozengurt. Targeting PI3K/mTOR leads to MEK/ERK over-activation in pancreatic cancer through suppression of mTORC2. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 670. doi:10.1158/1538-7445.AM2015-670