You have accessJournal of UrologyProstate Cancer: Basic Research II1 Apr 2012321 HDAC BLOCKADE COUNTERACTS RESISTANCE DEVELOPMENT CAUSED BY CHRONIC MTOR INHIBITION Jasmina Makarevic, Igor Tsaur, Eva Weich, Axel Haferkamp, and Roman Blaheta Jasmina MakarevicJasmina Makarevic Frankfurt, Germany More articles by this author , Igor TsaurIgor Tsaur Frankfurt, Germany More articles by this author , Eva WeichEva Weich Frankfurt, Germany More articles by this author , Axel HaferkampAxel Haferkamp Frankfurt, Germany More articles by this author , and Roman BlahetaRoman Blaheta Frankfurt, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.381AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES mTOR-targeting is an attractive approach to prostate cancer therapy. However, the benefit of long-term application has not been evaluated in detail. Growth and invasive behavior of prostate cancer cells under chronic exposure to the mTOR-inhibitor temsirolimus was, therefore, investigated. Further investigation was designed to determine whether additionally targeting histone deacetylase (HDAC) by an HDAC-inhibitor (valproic acid, VPA) might counteract undesired modification of the tumor caused by chronic use of temsirolimus. METHODS Prostate cancer cells were either treated with temsirolimus over 12 months, starting at 1 nM and increasing stepwise to 5 μM (PC3TEM), or only treated with medium (PC3). 3 days before experiment begin, temsirolimus containing culture medium was replaced by a temsirolimus free medium and tumor cells analyzed thereafter, or PC3TEM (versus PC3) then re-incubated with low-dosed (10 nM) temsirolimus to evaluate drug responsiveness. Growth, proliferation, adhesion to matrix proteins or endothelial cells and invasion of PC3 versus PC3TEM were investigated. Expression of cell cycle regulating proteins (cdk1, cdk2, cdk4, cyclin A,B,D3,E, p21, p27), mTOR related intracellular signaling (Akt, mTOR, rictor, raptor, p70S6k) and the expression profile of alpha and beta integrin subtypes were also evaluated. Additionally, HDAC was blocked in PC3TEM cells and the consequences on invasive growth investigated. RESULTS PC3 TEM accumulated in the G2/M-phase, accompanied by cdk1, cdk2, cyclin B elevation and reduction of p21 and p27. Application of 10 nM temsirolimus to PC3TEM did not diminish cell growth and proliferation, whereas proliferative activity in PC3 was significantly diminished by 10 nM temsirolimus. PC3TEM cell adhesion and invasion was enhanced by 10 nM temsirolimus, compared to temsirolimus treated PC3 control cells. The target proteins Akt, mTOR, rictor (but not raptor) and p70S6k were all elevated (total and activated) in PC3TEM compared to PC3 cells. Distinct modifications were also seen with respect to alpha and beta integrin expression. Additional application of VPA blocked growth and adhesion of PC3TEM cells, reverted integrin modulation and also deactivated proteins of the mTOR signaling pathway. CONCLUSIONS Chronic use of the mTOR inhibitor temsirolimus causes prostate cancer cell resistance. HDAC-inhibition counteracts this process, possibly by cross-communicating with the mTOR signaling axis. Specific targeting of HDAC may, therefore, enhance the benefit of an mTOR-inhibitor based regimen. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e130 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jasmina Makarevic Frankfurt, Germany More articles by this author Igor Tsaur Frankfurt, Germany More articles by this author Eva Weich Frankfurt, Germany More articles by this author Axel Haferkamp Frankfurt, Germany More articles by this author Roman Blaheta Frankfurt, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...