Effects of PI3K inhibitor NVP-BKM120 on acquired resistance to gefitinib of human lung adenocarcinoma H1975 cells.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.1007/s11596-013-1209-5
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yi-chen LIANG
			        		
			        		
			        		
			        			1
			        			,
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Hong-ge WU
			        		
			        		;
		        		
		        		
		        		
			        		Hong-jian XUE
			        		
			        		;
		        		
		        		
		        		
			        		Qing LIU
			        		
			        		;
		        		
		        		
		        		
			        		Liang-liang SHI
			        		
			        		;
		        		
		        		
		        		
			        		Tao LIU
			        		
			        		;
		        		
		        		
		        		
			        		Gang WU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China, francesyichen1@
			        		
			        			2. com.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Adenocarcinoma;
				        		
			        		
				        		
					        		metabolism;
				        		
			        		
				        		
					        		Aminopyridines;
				        		
			        		
				        		
					        		pharmacology;
				        		
			        		
				        		
					        		Antineoplastic Agents;
				        		
			        		
				        		
					        		pharmacology;
				        		
			        		
				        		
					        		Apoptosis;
				        		
			        		
				        		
					        		drug effects;
				        		
			        		
				        		
					        		Cell Line, Tumor;
				        		
			        		
				        		
					        		Cell Proliferation;
				        		
			        		
				        		
					        		drug effects;
				        		
			        		
				        		
					        		Drug Resistance, Neoplasm;
				        		
			        		
				        		
					        		drug effects;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Hypoxia-Inducible Factor 1, alpha Subunit;
				        		
			        		
				        		
					        		genetics;
				        		
			        		
				        		
					        		metabolism;
				        		
			        		
				        		
					        		Lung Neoplasms;
				        		
			        		
				        		
					        		metabolism;
				        		
			        		
				        		
					        		Matrix Metalloproteinase 9;
				        		
			        		
				        		
					        		genetics;
				        		
			        		
				        		
					        		metabolism;
				        		
			        		
				        		
					        		Morpholines;
				        		
			        		
				        		
					        		pharmacology;
				        		
			        		
				        		
					        		Phosphatidylinositol 3-Kinases;
				        		
			        		
				        		
					        		antagonists & inhibitors;
				        		
			        		
				        		
					        		Quinazolines;
				        		
			        		
				        		
					        		pharmacology;
				        		
			        		
				        		
					        		RNA, Messenger;
				        		
			        		
				        		
					        		genetics;
				        		
			        		
				        		
					        		metabolism;
				        		
			        		
				        		
					        		Vascular Endothelial Growth Factor A;
				        		
			        		
				        		
					        		genetics;
				        		
			        		
				        		
					        		metabolism
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:
	            		
	            			Journal of Huazhong University of Science and Technology (Medical Sciences)
	            		
	            		 2013;33(6):845-851
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	The effects of class I PI3K inhibitor NVP-BKM120 on cell proliferation, cell cycle distribution, cellular apoptosis, phosphorylation of several proteins of the PI3K/AKT signaling pathway and the mRNA expression levels of HIF1-α, VEGF and MMP9 in the acquired gefitinib resistant cell line H1975 were investigated, and whether NVP-BKM120 can overcome the acquired resistance caused by the EGFR T790M mutation and the underlying mechanism were explored. MTT assay was performed to detect the effect of gefitinib, NVP-BKM120, NVP-BKM120 plus 1 μmol/L gefitinib on growth of H1975 cells. The distribution of cell cycle and apoptosis rate of H1975 cells were examined by using flow cytometry. The mRNA expression levels of tumor-related genes such as HIF1-α, VEGF and MMP9 were detected by using real-time quantitative PCR. Western blotting was used to detect the expression level of phosphorylated proteins in the PI3K/AKT signaling pathway, such as Ser473-p-AKT, Ser235/236-p-S6 and Thr70-p-4E-BP1, as well as total AKT, S6 and 4E-BP1. The results showed that the NVP-BKM120 could inhibit the growth of H1975 cells in a concentration-dependent manner, and H1975 cells were more sensitive to NVP-BKM120 than gefitinib (IC50:1.385 vs. 15.09 μmol/L respectively), whereas combination of NVP-BKM120 and gefitinib (1 μmol/L) did not show more obvious effect than NVP-BKM120 used alone on inhibition of cell growth (P>0.05). NVP-BKM120 (1 μmol/L) increased the proportion of H1975 cells in G0-G1 phase and the effect was concentration-dependent, and 2 μmol/L NVP-BKM120 promoted apoptosis of H1975 cells. There was no significant difference in the proportion of H1975 cells in G0-G1 phase and apoptosis rate between NVP-BKM120-treated alone group and NVP-BKM120 plus genfitinib (1 μmol/L)-treated group or between DMSO-treated control group and gefitinib (1 μmol/L)-treated alone group (P>0.05 for all). It was also found that the mRNA expression levels of these genes were down-regulated by NVP-BKM120 (1 μmol/L), and NVP-BKM120 (1 μmol/L) or NVP-BKM120 (1 μmol/L) plus gefitinib (1 μmol/L) obviously inhibited the activation of Akt, S6 and 4E-BP1 as compared with control group, but single use of gefitinib (1 μmol/L) exerted no significant effect. These data suggested that NVP-BKM120 can overcome gefitinib resistance in H1975 cells, and the combination of NVP-BKM120 and gefitinib did not have additive or synergistic effects. It was also concluded that NVP-BKM120 could overcome the acquired resistance to gefitinib by down-regulating the phosphorylated protein in PI3K/AKT signal pathways in H1975 cells, but it could not enhance the sensitivity of H1975 cells to gefitinib.