You have accessJournal of UrologyKidney Cancer: Basic Research III1 Apr 2012448 CHARACTERIZATION OF THE AKT-MTOR PATHWAY IN TFE3-FUSION RENAL CELL CANCERS AND IMPLICATIONS FOR TARGETED THERAPY Eric Kauffman, Gopal Gupta, Fabiola Cecchi, Kristen Raffensperger, W. Marston Linehan, Donald P. Bottaro, and Ramaprasad Srinivasan Eric KauffmanEric Kauffman Bethesda, MD More articles by this author , Gopal GuptaGopal Gupta Bethesda, MD More articles by this author , Fabiola CecchiFabiola Cecchi Bethesda, MD More articles by this author , Kristen RaffenspergerKristen Raffensperger Bethesda, MD More articles by this author , W. Marston LinehanW. Marston Linehan Bethesda, MD More articles by this author , Donald P. BottaroDonald P. Bottaro Bethesda, MD More articles by this author , and Ramaprasad SrinivasanRamaprasad Srinivasan Bethesda, MD More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.515AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Xp11 chromosomal translocations causing gene fusions of the TFE3 transcription factor gene may be responsible for up to 5% of all renal cell carcinomas (RCC). TFE3-fusion cancers (TfRCC) represent a high risk RCC subtype, with common extrarenal involvement, yet key signaling pathways for targeted therapy in the metastatic or adjuvant/neoadjuvant setting are yet to be identified. The PI3K-Akt-mTOR pathway is frequently upregulated in clear cell RCC (CcRCC) by various mechanisms including upstream MET activation or PTEN inactivation. Here we investigate the role of MET and PI3K-Akt-MTOR targeting in TfRCC. METHODS Five TfRCC cell lines established at the National Cancer Institute were studied in comparison to a large cell line panel derived from CcRCC patients. Immunoblot and Mesoscale Discovery (MSD) electrochemiluminescence assays were performed to assess protein levels and activation within the PI3K-Akt-mTOR and MET pathways. TfRCC cell growth was measured in vitro by MTT assay in response to the PI3K inhibitor LY294002, mTOR inhibitor sirolimus and MET inhibitors PHA665752 and PF02341066. RESULTS Levels of phosphorylated Akt-Thr308 or -Ser473 and the phosphorylated Akt kinase target, Glycogen Synthase Kinase 3beta, were equal or higher in all 5 TfRCC cell lines compared to CcRCC cell lines, with the exception of PTEN-null CcRCC lines which had the highest levels. In 4 of 5 TfRCC lines, increased levels of phosphorylated mTOR-Ser2448 and/or -Ser2481 were seen compared to CcRCC lines. Activation of the mTORC1 complex, as measured by phospho-S6 levels, was comparable between TfRCC and CcRCC lines, as were levels of total MET. In contrast, phosphorylated MET and endogenous MET ligand (HGF) were undetectable in TfRCC lines, despite variable expression in CcRCC lines. LY294002 inhibition of Akt activation dramatically reduced proliferation of all TfRCC cell lines, with growth-IC50s of 10-20 μM, and mTOR inhibition with sirolimus yielded a >30% growth reduction in 4 of 5 TfRCC cell lines at concentrations of </= 100 nM. MET inhibition with either PHA665752 or PF02341066 failed to suppress growth at concentrations (up to 1000 nM) well beyond the IC50 for these drugs reported in sensitive cell lines. CONCLUSIONS The Akt-mTOR pathway is activated in TfRCC cell lines. This activation appears independent of MET signaling as TfRCC lines revealed no evidence of MET activation. Pharmacologic inhibition of Akt and mTOR but not MET effectively suppresses TfRCC growth in vitro, supporting a role for therapeutic targeting of the Akt-mTOR pathway in TfRCC patients. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e183-e184 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Eric Kauffman Bethesda, MD More articles by this author Gopal Gupta Bethesda, MD More articles by this author Fabiola Cecchi Bethesda, MD More articles by this author Kristen Raffensperger Bethesda, MD More articles by this author W. Marston Linehan Bethesda, MD More articles by this author Donald P. Bottaro Bethesda, MD More articles by this author Ramaprasad Srinivasan Bethesda, MD More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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