Abstract

The aim of the present study was to investigate the antiproliferative effects of interferon (IFN)-α and rapamycin (RPM) on renal cell carcinoma (RCC) cells and examine the synergistic growth suppression conferred by IFN-α and RPM. The effects of IFN-α and/or RPM on RCC cells were determined using a WST-1 assay and the synergy of IFN-α and RPM against three RCC cell lines was analyzed with isobolographic analysis. The expression of mammalian target of rapamycin (mTOR) was downregulated by RNAi, and the expression and phosphorylation of proteins in the mTOR pathway following treatment with IFN-α and/or RPM was examined by western blot analysis. The observations indicated that IFN-α significantly increased the susceptibility of RCC cells to RPM and the synergistic effect of IFN-α and RPM against RCC cells was confirmed in all three RCC cell lines. The mTOR pathway was shown to be associated with the synergistic effect of IFN-α and RPM against RCC. IFN-α and RPM alone decreased the phosphorylation of mTOR, p70 S6 kinase, S6 and 4E binding protein 1, and IFN-α significantly enhanced the RPM-induced suppression of the mTOR pathway. However, in RCC cells with low mTOR activity, the synergy of IFN-α and RPM was eliminated. Therefore, the results of the present study indicate that the mTOR pathway plays an important role in the synergistic effect of IFN-α and RPM against RCC cells. Thus, mTOR may serve as an effective therapeutic target in the treatment of advanced RCC.

Highlights

  • Renal cell carcinoma (RCC) is the most common type of kidney cancer in adults

  • These results indicate that the mammalian target of rapamycin (mTOR) pathway plays a key role in the synergistic effect of IFN‐α and RPM against RCC cells

  • A number of clinical trials with various combination chemotherapies have been performed in an attempt to overcome the current limitations of advanced RCC treatment, few have achieved favorable results or prognosis for patients with the disease [25]

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Summary

Introduction

Renal cell carcinoma (RCC) is the most common type of kidney cancer in adults. Following the occurrence of metastasis, survival rates are very poor and the 5‐year survival rate is ~20% [1]. At. IFN‐α exerts these effects by binding to cell surface receptors and activating the Janus kinase (Jak) protein family. RCC treatment has developed significantly, as vascular endothelial growth factor (VEGF) receptor tyrosine kinase inhibitors and drugs that inhibit mammalian target of rapamycin (mTOR) signaling have become the mainstay for the management of advanced RCC. These treatments have improved progression‐free survival and/or overall survival outcomes [6]. MTOR inhibitors have shown promising efficacy in early‐stage trials in patients with advanced RCC [13].

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