A Dual Phosphoinositide-3-Kinase α/mTOR Inhibitor Cooperates with Blockade of Epidermal Growth Factor Receptor in PTEN-Mutant Glioma

QW Fan, CK Cheng, TP Nicolaides, CS Hackett… - Cancer research, 2007 - AACR
QW Fan, CK Cheng, TP Nicolaides, CS Hackett, ZA Knight, KM Shokat, WA Weiss
Cancer research, 2007AACR
We have shown previously that blockade of epidermal growth factor receptor (EGFR)
cooperates with a pan-selective inhibitor of phosphoinositide-3-kinase (PI3K) in EGFR-
driven glioma. In this communication, we tested EGFR-driven glioma differing in PTEN
status, treating with the EGFR inhibitor erlotinib and a novel dual inhibitor of PI3Kα and
mTOR (PI-103). Erlotinib blocked proliferation only in PTEN wt cells expressing EGFR.
Although erlotinib monotherapy showed little effect in PTEN mt glioma, PI-103 greatly …
Abstract
We have shown previously that blockade of epidermal growth factor receptor (EGFR) cooperates with a pan-selective inhibitor of phosphoinositide-3-kinase (PI3K) in EGFR-driven glioma. In this communication, we tested EGFR-driven glioma differing in PTEN status, treating with the EGFR inhibitor erlotinib and a novel dual inhibitor of PI3Kα and mTOR (PI-103). Erlotinib blocked proliferation only in PTENwt cells expressing EGFR. Although erlotinib monotherapy showed little effect in PTENmt glioma, PI-103 greatly augmented the antiproliferative efficacy of erlotinib in this setting. To address the importance of PI3K blockade, we showed in PTENmt glioma that combining PI-103 and erlotinib was superior to either monotherapy or to therapy combining erlotinib with either rapamycin (an inhibitor of mTOR) or PIK-90 (an inhibitor of PI3Kα). These experiments show that a dual inhibitor of PI3Kα and mTOR augments the activity of EGFR blockade, offering a mechanistic rationale for targeting EGFR, PI3Kα, and mTOR in the treatment of EGFR-driven, PTEN-mutant glioma. [Cancer Res 2007;67(17):7960–5]
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