Sorafenib/MEK inhibitor combination inhibits tumor growth and the Wnt/p-catenin pathway in xenograft models of hepatocellular carcinoma

Mutations affecting the Wnt/[beta]-catenin pathway have been identified in 26-40% of hepatocellular carcinoma (HCC) cases. Aberrant activation of this pathway leads to uncontrolled cell proliferation and survival. Thus, identifying Wnt/p-catenin pathway inhibitors may benefit a subset of patients wi...

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Veröffentlicht in:International journal of oncology 2019-03, Vol.54 (3), p.1123
Hauptverfasser: Huynh, Hung, Ong, Richard, Goh, Kah Yong, Lee, Liek Yeow, Puehler, Florian, Scholz, Arne, Politz, Oliver, Mumberg, Dominik, Ziegelbauer, Karl
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container_issue 3
container_start_page 1123
container_title International journal of oncology
container_volume 54
creator Huynh, Hung
Ong, Richard
Goh, Kah Yong
Lee, Liek Yeow
Puehler, Florian
Scholz, Arne
Politz, Oliver
Mumberg, Dominik
Ziegelbauer, Karl
description Mutations affecting the Wnt/[beta]-catenin pathway have been identified in 26-40% of hepatocellular carcinoma (HCC) cases. Aberrant activation of this pathway leads to uncontrolled cell proliferation and survival. Thus, identifying Wnt/p-catenin pathway inhibitors may benefit a subset of patients with HCC. In the present study, the effects of sorafenib and a MEK inhibitor on tumor growth and Wnt/[beta]-catenin signaling in HCC models were evaluated. A [beta]-catenin mutant and [beta]-catenin wild-type HCC models were treated once daily with i) 10 mg/kg sorafenib, ii) 15 mg/kg refametinib (or 25 mg/kg selumetinib), or iii) sorafenib/refametinib. Western blotting was employed to determine changes in biomarkers relevant to Wnt/[beta]-catenin signaling. Apoptosis, cell proliferation and [beta]-catenin localization were analyzed by immunohistochemistry. Sorafenib/refametinib markedly inhibited tumor growth and cell proliferation, and caused cell death in naive and sorafenib-resistant HCC models. Despite similar total [beta]-catenin levels, significant reductions in phosphorylated (p)-RanBP3 Ser58, p-[beta]-catenin Tyr142, active [beta]-catenin and [beta]-catenin target genes were observed in sorafenib/refametinib-treated tumors. Greater levels of [beta]-catenin in sorafenib/refametinib-treated tumors were accumulated at the membrane, as compared with in the control. In vitro, sorafenib/refametinib inhibited the Wnt/[beta]-catenin pathway and suppressed Wnt-3A-induced p-low-density lipoprotein receptor-related protein 6 Ser1490, p-RanBP3 Ser58 and p-[beta]-catenin Tyr142 in HCC cells. Combination of sorafenib and refametinib inhibits the growth of naive and sorafenib resistant HCC tumors in association with active suppression of [beta]-catenin signaling regardless of [beta]-catenin mutational status. Thus, the sorafenib/MEK inhibitor combination may represent an alternative treatment for patients with HCC whose tumors develop resistance to sorafenib therapy. Key words: Wnt/p-catenin pathway, patient-derived xenograft, hepatocellular carcinoma, sorafenib, MEK inhibitor, refametinib, selumetinib
doi_str_mv 10.3892/ijo.2019.4693
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Aberrant activation of this pathway leads to uncontrolled cell proliferation and survival. Thus, identifying Wnt/p-catenin pathway inhibitors may benefit a subset of patients with HCC. In the present study, the effects of sorafenib and a MEK inhibitor on tumor growth and Wnt/[beta]-catenin signaling in HCC models were evaluated. A [beta]-catenin mutant and [beta]-catenin wild-type HCC models were treated once daily with i) 10 mg/kg sorafenib, ii) 15 mg/kg refametinib (or 25 mg/kg selumetinib), or iii) sorafenib/refametinib. Western blotting was employed to determine changes in biomarkers relevant to Wnt/[beta]-catenin signaling. Apoptosis, cell proliferation and [beta]-catenin localization were analyzed by immunohistochemistry. Sorafenib/refametinib markedly inhibited tumor growth and cell proliferation, and caused cell death in naive and sorafenib-resistant HCC models. Despite similar total [beta]-catenin levels, significant reductions in phosphorylated (p)-RanBP3 Ser58, p-[beta]-catenin Tyr142, active [beta]-catenin and [beta]-catenin target genes were observed in sorafenib/refametinib-treated tumors. Greater levels of [beta]-catenin in sorafenib/refametinib-treated tumors were accumulated at the membrane, as compared with in the control. In vitro, sorafenib/refametinib inhibited the Wnt/[beta]-catenin pathway and suppressed Wnt-3A-induced p-low-density lipoprotein receptor-related protein 6 Ser1490, p-RanBP3 Ser58 and p-[beta]-catenin Tyr142 in HCC cells. Combination of sorafenib and refametinib inhibits the growth of naive and sorafenib resistant HCC tumors in association with active suppression of [beta]-catenin signaling regardless of [beta]-catenin mutational status. Thus, the sorafenib/MEK inhibitor combination may represent an alternative treatment for patients with HCC whose tumors develop resistance to sorafenib therapy. 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Aberrant activation of this pathway leads to uncontrolled cell proliferation and survival. Thus, identifying Wnt/p-catenin pathway inhibitors may benefit a subset of patients with HCC. In the present study, the effects of sorafenib and a MEK inhibitor on tumor growth and Wnt/[beta]-catenin signaling in HCC models were evaluated. A [beta]-catenin mutant and [beta]-catenin wild-type HCC models were treated once daily with i) 10 mg/kg sorafenib, ii) 15 mg/kg refametinib (or 25 mg/kg selumetinib), or iii) sorafenib/refametinib. Western blotting was employed to determine changes in biomarkers relevant to Wnt/[beta]-catenin signaling. Apoptosis, cell proliferation and [beta]-catenin localization were analyzed by immunohistochemistry. Sorafenib/refametinib markedly inhibited tumor growth and cell proliferation, and caused cell death in naive and sorafenib-resistant HCC models. Despite similar total [beta]-catenin levels, significant reductions in phosphorylated (p)-RanBP3 Ser58, p-[beta]-catenin Tyr142, active [beta]-catenin and [beta]-catenin target genes were observed in sorafenib/refametinib-treated tumors. Greater levels of [beta]-catenin in sorafenib/refametinib-treated tumors were accumulated at the membrane, as compared with in the control. In vitro, sorafenib/refametinib inhibited the Wnt/[beta]-catenin pathway and suppressed Wnt-3A-induced p-low-density lipoprotein receptor-related protein 6 Ser1490, p-RanBP3 Ser58 and p-[beta]-catenin Tyr142 in HCC cells. Combination of sorafenib and refametinib inhibits the growth of naive and sorafenib resistant HCC tumors in association with active suppression of [beta]-catenin signaling regardless of [beta]-catenin mutational status. Thus, the sorafenib/MEK inhibitor combination may represent an alternative treatment for patients with HCC whose tumors develop resistance to sorafenib therapy. 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subjects Analysis
Biological markers
Cancer
Carcinoma
Cell death
Combination chemotherapy
Development and progression
Drug therapy
EDTA
Enzyme inhibitors
Gene mutation
Genes
Genetic aspects
Health aspects
Hepatocellular carcinoma
Immunohistochemistry
Low density lipoproteins
Methods
Patient outcomes
Regorafenib
Sorafenib
Tumors
title Sorafenib/MEK inhibitor combination inhibits tumor growth and the Wnt/p-catenin pathway in xenograft models of hepatocellular carcinoma
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