RRC ID 61830
著者 Saleeb RM, Farag M, Lichner Z, Brimo F, Bartlett J, Bjarnason G, Finelli A, Rontondo F, Downes MR, Yousef GM.
タイトル Modulating ATP binding cassette transporters in papillary renal cell carcinoma type 2 enhances its response to targeted molecular therapy.
ジャーナル Mol Oncol
Abstract Papillary renal cell carcinoma (PRCC) is the most common nonclear cell RCCs and is known to comprise two histological subtypes. PRCC2 is more aggressive and is molecularly distinct from the other subtypes. Despite this, PRCCs are treated together as one entity, and they show poor response to the current therapies that do not target pathways implicated in their pathogenesis. We have previously detected ABCC2 (an ABC transporter), VEGF, and mTOR pathways to be enriched in PRCC2. In this study, we assess the therapeutic potential of targeting these pathways in PRCC2. Twenty RCC cell lines from the Cancer Cell Encyclopedia were compared to the Cancer Genome Atlas PRCC cohort (290), to identify representative PRCC2 cell lines. Cell lines were further validated in xenograft models. Selected cell lines were treated in vitro and in vivo (mice models) under five different conditions, untreated, anti-VEGF (sunitinib), ABCC2 blocker (MK571), mTOR inhibitor (everolimus) and sunitinib + MK571. Sunitinib +ABCC2 blocker group showed a significant response to therapy compared to the other treatment groups both in vitro (P ≤ 0.0001) and in vivo (P = 0.0132). ABCC2 blockage resulted in higher sunitinib uptake, both in vitro (P = 0.0016) and in vivo (P = 0.0031). Everolimus group demonstrated the second best response in vivo. The double-treatment group showed the highest apoptotic rate and lowest proliferation rate. There is an urgent need for individualized therapies of RCC subtypes that take into account their specific biology. Our results demonstrate that combined targeted therapy with sunitinib and ABCC2 blocker in PRCC2 has therapeutic potential. The results are likewise potentially significant for other ABCC2 high tumors. However, the results are preliminary and clinical trials are needed to confirm these effects in PRCC2 patients.
巻・号 12(10)
ページ 1673-1688
公開日 2018-10-1
DOI 10.1002/1878-0261.12346
PMID 29896907
PMC PMC6165997
MeSH ATP-Binding Cassette Transporters / antagonists & inhibitors ATP-Binding Cassette Transporters / metabolism* Animals Biological Transport, Active Carcinoma, Renal Cell / drug therapy* Carcinoma, Renal Cell / metabolism* Carcinoma, Renal Cell / pathology Cell Line, Tumor Cell Nucleus / metabolism Disease Models, Animal Humans Immunophenotyping Kidney Neoplasms / drug therapy* Kidney Neoplasms / metabolism* Kidney Neoplasms / pathology Mice, SCID Molecular Targeted Therapy* Multidrug Resistance-Associated Protein 2 Reproducibility of Results Sunitinib / pharmacology Sunitinib / therapeutic use
IF 6.574
リソース情報
ヒト・動物細胞 TUHR4TKB(RCB1198) TUHR10TKB(RCB1275) TUHR14TKB(RCB1383)