Original Article

Combination Effect of Notch1 and PI3K / AKT / mTOR Signaling Pathways Inhibitors on T-ALL Cell Lines

Abstract

Background: Acute T lymphoblastic Leukemia (T-ALL) is a highly aggressive hematologic malignancy. Chemotherapy resistance is one of the most important challenges in T-ALL treatment. Alterations in cellular signaling pathways such as Notch1 and PI3K / AKT / mTOR play a role in cell proliferation, survival, and resistance to chemotherapy. Combination of Notch1 and PI3K / AKT / mTOR inhibitors is an interesting and rational strategy in treatment of T-ALL. Interaction of AZD5363 as an inhibitor of PI3k / AKT / mTOR and Compound E as an inhibitor of Notch1 signaling pathway was investigated in a T-ALL pre-clinical model.
Materials and Methods: T-ALL cell lines included Jurkat, Molt-4, and HPB- ALL cells were treated with AZD5363 and Compound E alone and in combination. Cell viability was determined by MTT assay. Flow cytometry was used to measure apoptosis. Interaction between AZD5363 and Compound E was assessed by Chou-Talalay method.
Results: Combination treatment with AZD5363 and Compound E decreased cell viability with synergistic effect in all cell lines at 72 hours. Drug combination increased apoptosis even in Jurkat and HPB-ALL cells resistant to Compound E and AZD5363, respectively.
Conclusion: Combination of AZD5363 with Compound E in T-ALL cell lines exhibited a synergistic effect. Cytotoxicity of drug combination increased in all T-ALL cell lines compared to each as a single drug. Simultaneous inhibition of Notch1 and PI3K / AKT signaling pathways as a possible treatment of T-ALL, provides a basis for future investigations.

REFERENCES
1. Fielding AK, Banerjee L, Marks DI, et al. Recent developments in the management of T-cell precursor acute lymphoblastic leukemia/lymphoma. Curr Hematol Malig Rep.2012; 7( 2): 160–9.
2. Bongiovanni D, Saccomani V, Piovan E, et al. Aberrant Signaling Pathways in T-Cell Acute Lymphoblastic Leukemia. Int J Mol Sci. 2017; 18( 9). pii: E1904.
3. Marks DI, Rowntree C. Management of adults with T-cell lymphoblastic leukemia. Blood. 2017; 129( 9): 1134–1142.
4. Paganin M, Ferrando A. Molecular pathogenesis and targeted therapies for NOTCH1-induced T-cell acute lymphoblastic leukemia. Blood Rev. 2011; 25( 2): 83–90.
5. Mokhtari RB, Homayouni TS, Baluch N, et al. Combination therapy in combating cancer. Oncotarget. 2017; 8(23): 38022–38043.
6. Hales EC, Taub JW, Matherly LH, et al. New insights into Notch1 regulation of the PI3K–AKT–mTOR1 signaling axis: Targeted therapy of γ-secretase inhibitor resistant T-cell acute lymphoblastic leukemia. Cell Signal. 2014; 26( 1): 149–61.
7. Girardi T, Vicente C, Cools J, et al. The genetics and molecular biology of T-ALL. Blood. 2017; 129( 9):1113–1123.
8. Tzoneva G, Ferrando AA. Recent advances on NOTCH signaling in T-ALL. Curr Top Microbiol Immunol. 2012;360:163-82.
9. Cani A, Simioni C, Martelli AM, et al. Triple Akt inhibition as a new therapeutic strategy in T-cell acute lymphoblastic leukemia. Oncotarget. 2015; 6(9): 6597–6610.
10. Fransecky L, Mochmann LH, Baldus CD, et al. Outlook on PI3K/AKT/mTOR inhibition in acute leukemia. Mol Cell Ther. 2015; 3: 2.
11. Palomero T, Sulis ML, Cortina M, et al. Mutational loss of PTEN induces resistance to NOTCH1 inhibition in T-cell leukemia. Nat Med.2007; 13 (10): 1203–10.
12. Mendes RD, Canté-Barrett K, Pieters R, et al. The relevance of PTEN-AKT in relation to NOTCH1-directed treatment strategies in T-cell acute lymphoblastic leukemia.Haematologica. 2016; 101 (9): 1010–1017.
13. Roti G, Stegmaier K.New Approaches to Target T-ALL. Front Oncol. 2014; 4:170.
14. Yoon SO, Zapata MC, Singh A, et al. Gamma secretase inhibitors enhance vincristine-induced apoptosis in T-ALL in a NOTCH-independent manner. Apoptosis. 2014; 19( 11): 1616–26.
15. Zhang Y, Zheng Y, Faheem A, et al. A novel AKT inhibitor , AZD5363 , inhibits phosphorylation of AKT downstream molecules , and activates phosphorylation of mTOR and SMG ‑1 dependent on the liver cancer cell type. Oncol Lett. 2016; 11(3): 1685–1692.
16. Chou TC.Theoretical Basis, Experimental Design, and Computerized Simulation of Synergism and Antagonism in Drug Combination Studies. Pharmacol Rev. 2006; 58(3):621-81.
17. García-Fuente A,Vázquez F, Viéitez JM, et al. CISNE: An accurate description of dose-effect and synergism in combination therapies. Sci Rep. 2018;8(1):4964
18. Goto S, Goto H, Yokosuka T.The combination effects of bendamustine with antimetabolites against childhood acute lymphoblastic leukemia cells. Int J Hematol. 2016; 103( 5): 572–83.
19. Cosenza M, Civallero M, Fiorcari S, et al.The histone deacetylase inhibitor romidepsin synergizes with lenalidomide and enhances tumor cell death in T-cell lymphoma cell lines. Cancer Biol Ther. 2016; 17(10): 1094–1106.
20. Raetz EA, Teachey DT.T-cell acute lymphoblastic leukemia. Hematology Am Soc Hematol Educ Program. 2016; 2016(1):580-588.
21. Bertacchini J, Heidari N, Mediani L, et al.Targeting PI3K/AKT/mTOR network for treatment of leukemia. Cell Mol Life Sci. 2015;72(12):2337-47.
22. Yoon S, Zapata MC, Singh A, et al. Gamma secretase inhibitors enhance vincristine-induced apoptosis in T-ALL in a NOTCH-independent manner. Apoptosis. 2014; 19(11):1616-26.
23. Lewis HD, Leveridge M, Strack PR, et al. Apoptosis in T Cell Acute Lymphoblastic Leukemia Cells after Cell Cycle Arrest Induced by Pharmacological Inhibition of Notch Signaling. Chem Biol. 2007;14(2):209-19.
24. Keersmaecker KD, Lahortiga I, Mentens N, et al. In vitro validation of γ-secretase inhibitors alone or in combination with other anti-cancer drugs for the treatment of T-cell acute lymphoblastic leukemia. Haematologica. 2008; 93(4): 533–42.
25. Knoechel B, Roderick JE, Williamson KE, et al. An epigenetic mechanism of resistance to targeted therapy in T cell acute lymphoblastic leukemia. Nat Genet. 2014;46(4):364-70.
26. Zuurbier L, Petricoin EF, Vuerhard MJ, et al.The significance of PTEN and AKT aberrations in pediatric T-cell acute lymphoblastic leukemia. Haematologica. 2012; 97 (9): 1405–13.
27. Choi AR, Kim JH, Woo YH, et al. Co-treatment of LY294002 or MK-2206 with AZD5363 attenuates AZD5363-induced increase in the level of phosphorylated AKT. Anticancer Res. 2016;36(11):5849-5858.
28. Lynch JT, McEwen R, Crafter C, et al. Identification of differential PI3K pathway target dependencies in T-cell acute lymphoblastic leukemia through a large cancer cell panel screen. Oncotarget. 2016; 7 (16): 22128–39.
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IssueVol 14, No 2 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijhoscr.v14i2.2673
Keywords
Synergistic interaction; AZD5363; Compound E; Acute T-lymphoblastic leukemia

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How to Cite
1.
Khoshamooz H, Kaviani S, Atashi A, Mirpour Hassankiadeh SH. Combination Effect of Notch1 and PI3K / AKT / mTOR Signaling Pathways Inhibitors on T-ALL Cell Lines. Int J Hematol Oncol Stem Cell Res. 2020;14(2):99-109.