The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway

BackgroundLung cancer remains the leading cause of cancer-related death worldwide. Targeted therapies with tyrosine kinase inhibitors (TKIs) result in improvement in survival for non-small cell lung cancer (NSCLC) with activating mutations of the epidermal growth factor receptor (EGFR). Unfortunatel...

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Main Authors: Giuliana Papoff, Dario Presutti, Valentina Fustaino, Andrea Parente, Clelia Calandriello, Stefano Alemà, Ferdinando Scavizzi, Marcello Raspa, Giuseppe Merlino, Massimiliano Salerno, Mario Bigioni, Monica Binaschi, Giovina Ruberti
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1283951/full
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author Giuliana Papoff
Dario Presutti
Valentina Fustaino
Andrea Parente
Clelia Calandriello
Stefano Alemà
Ferdinando Scavizzi
Ferdinando Scavizzi
Marcello Raspa
Marcello Raspa
Giuseppe Merlino
Massimiliano Salerno
Mario Bigioni
Monica Binaschi
Giovina Ruberti
author_facet Giuliana Papoff
Dario Presutti
Valentina Fustaino
Andrea Parente
Clelia Calandriello
Stefano Alemà
Ferdinando Scavizzi
Ferdinando Scavizzi
Marcello Raspa
Marcello Raspa
Giuseppe Merlino
Massimiliano Salerno
Mario Bigioni
Monica Binaschi
Giovina Ruberti
author_sort Giuliana Papoff
collection DOAJ
description BackgroundLung cancer remains the leading cause of cancer-related death worldwide. Targeted therapies with tyrosine kinase inhibitors (TKIs) result in improvement in survival for non-small cell lung cancer (NSCLC) with activating mutations of the epidermal growth factor receptor (EGFR). Unfortunately, most patients who initially respond to EGFR-TKI ultimately develop resistance to therapy, resulting in cancer progression and relapse. Combination therapy is today a common strategy for the treatment of tumors to increase the success rate, improve the outcome and survival of patients, and avoid the selection of resistant cancer cells through the activation of compensatory pathways. In NSCLC, the phosphoinositide-3-kinase/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway has been heavily implicated in both tumorigenesis and the progression of disease.ObjectivesIn this study, we investigated the efficacy of a PI3K δ-sparing inhibitor, MEN1611, in models of NSCLC sensitive and resistant to EGFR inhibitors (erlotinib and gefitinib) with a wild-type PIK3CA gene.MethodsWe performed functional, biochemical, and immunohistochemistry studies.ResultsWe demonstrated good efficacy of MEN1611 in NSCLC devoid of PIK3CA gene mutations but with constitutive activation of the PI3K/AKT pathway and its synergistic effect with gefitinib both in vitro and in vivo.ConclusionsOverall, this preclinical study indicates that the inhibitor could be a candidate for the treatment of NSCLC with an erlotinib/gefitinib-resistant phenotype and constitutive activation of the PI3K/AKT pathway, a phenotype mimicked by our model system.
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spelling doaj.art-280dc1bb29754467928f7742e2628ec32023-11-14T13:50:04ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-11-011310.3389/fonc.2023.12839511283951The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathwayGiuliana Papoff0Dario Presutti1Valentina Fustaino2Andrea Parente3Clelia Calandriello4Stefano Alemà5Ferdinando Scavizzi6Ferdinando Scavizzi7Marcello Raspa8Marcello Raspa9Giuseppe Merlino10Massimiliano Salerno11Mario Bigioni12Monica Binaschi13Giovina Ruberti14Institute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyEuropean Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, IBBC-CNR, Monterotondo, Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyEuropean Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, IBBC-CNR, Monterotondo, Rome, ItalyMenarini Ricerche S.p.A., Rome, ItalyMenarini Ricerche S.p.A., Rome, ItalyMenarini Ricerche S.p.A., Rome, ItalyMenarini Ricerche S.p.A., Rome, ItalyInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Monterotondo, Rome, ItalyBackgroundLung cancer remains the leading cause of cancer-related death worldwide. Targeted therapies with tyrosine kinase inhibitors (TKIs) result in improvement in survival for non-small cell lung cancer (NSCLC) with activating mutations of the epidermal growth factor receptor (EGFR). Unfortunately, most patients who initially respond to EGFR-TKI ultimately develop resistance to therapy, resulting in cancer progression and relapse. Combination therapy is today a common strategy for the treatment of tumors to increase the success rate, improve the outcome and survival of patients, and avoid the selection of resistant cancer cells through the activation of compensatory pathways. In NSCLC, the phosphoinositide-3-kinase/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway has been heavily implicated in both tumorigenesis and the progression of disease.ObjectivesIn this study, we investigated the efficacy of a PI3K δ-sparing inhibitor, MEN1611, in models of NSCLC sensitive and resistant to EGFR inhibitors (erlotinib and gefitinib) with a wild-type PIK3CA gene.MethodsWe performed functional, biochemical, and immunohistochemistry studies.ResultsWe demonstrated good efficacy of MEN1611 in NSCLC devoid of PIK3CA gene mutations but with constitutive activation of the PI3K/AKT pathway and its synergistic effect with gefitinib both in vitro and in vivo.ConclusionsOverall, this preclinical study indicates that the inhibitor could be a candidate for the treatment of NSCLC with an erlotinib/gefitinib-resistant phenotype and constitutive activation of the PI3K/AKT pathway, a phenotype mimicked by our model system.https://www.frontiersin.org/articles/10.3389/fonc.2023.1283951/fullNSCLCPI3K inhibitorEGFR-TKIsdrug-resistancecombination therapy
spellingShingle Giuliana Papoff
Dario Presutti
Valentina Fustaino
Andrea Parente
Clelia Calandriello
Stefano Alemà
Ferdinando Scavizzi
Ferdinando Scavizzi
Marcello Raspa
Marcello Raspa
Giuseppe Merlino
Massimiliano Salerno
Mario Bigioni
Monica Binaschi
Giovina Ruberti
The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
Frontiers in Oncology
NSCLC
PI3K inhibitor
EGFR-TKIs
drug-resistance
combination therapy
title The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
title_full The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
title_fullStr The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
title_full_unstemmed The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
title_short The activity of a PI3K δ-sparing inhibitor, MEN1611, in non-small cell lung cancer cells with constitutive activation of the PI3K/AKT/mTOR pathway
title_sort activity of a pi3k δ sparing inhibitor men1611 in non small cell lung cancer cells with constitutive activation of the pi3k akt mtor pathway
topic NSCLC
PI3K inhibitor
EGFR-TKIs
drug-resistance
combination therapy
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1283951/full
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