Abstract Background and aims Akt plays a central role in regulating cell growth and cell cycle progression and is regarded as a promising therapeutic target. We examined whether Akt inhibition by SC66 is therapeutically efficacious in the treatment of ovarian cancer as a single agent and in combination with chemotherapy drugs. Methods Using eight human ovarian cancer cell lines, we determined the effect of SC66 by 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, western blot, and apoptosis assays. We evaluated the association between phospho-Akt/mTOR, COL11A1 and SC66 sensitivity. We also determined the effect of SC66 on tumor growth using mice inoculated with human ovarian cancer cells. Results Cell sensitivity to SC66 was inversely correlated with the expressions of phosphorylation of Akt and COL11A1, and cisplatin resistance. SC66 inhibited the phosphorylation of downstream 4E-BP1 and p70S6 kinase. SC66 also attenuated the expression of TWIST1 and Mcl-1, important factors in invasiveness and anti-apoptosis. SC66 sensitizes chemo-resistant cells to cisplatin and paclitaxel treatment, and enhanced apoptosis in the chemo-resistant cells. In addition, SC66 inhibited COL11A1 expression via decreasing the binding activity of c/EBPβ and NF-YA to the COL11A1 promoter, which was associated with chemoresistance and cell invasiveness respectively. In vivo, treatment with SC66 enhanced the therapeutic efficacy of cisplatin and paclitaxel in mouse xenograft. Conclusions These results indicate the SC66 could have therapeutic efficacy in human ovarian cancers. Citation Format: Yi-Hui Wu, Cheng-Yang Chou. Synergistic effect of combining Akt inhibitor SC66 with anticancer drugs cisplatin and paclitaxel in chemoresistant ovarian cancer cells [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 2948.
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