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ABSTRACTS OF THE 21st ANNUAL MEETING OF THE ITALIAN ...

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Furthermore, compared to either agent alone, FK228/docetaxel<br />

and FK228/cisplatin combinations resulted in increased<br />

caspase cleavage and histone hyperacetylation. In vivo, this<br />

agent caused tumor growth delay without complete regression<br />

in xenograft systems. FK228 sensitized PC3 and 22rv1<br />

xenografts to docetaxel and cisplatin treatments. These<br />

combinations were also tolerable in mice and superior to the<br />

use of either agent alone. Conclusion: As docetaxel and<br />

platinum derivatives are the standard first- and second-line<br />

chemotherapy for hormone-refractory prostate cancer, the<br />

development of chemotherapy-based combination therapies is<br />

of great interest for this disease stage. Our results provide a<br />

rationale for clinical trials on combination treatments with<br />

FK228 in patients with hormone-refractory and chemoresistant<br />

prostate tumors.<br />

21<br />

<strong>THE</strong> TORC1/TORC2 INHIBITOR, PALOMID 529<br />

(P529), REDUCES TUMOR GROWTH AND<br />

SENSITIZES AGGRESSIVE HORMONE-<br />

REFRACTORY PROSTATE CANCER CELLS<br />

TO CHEMO<strong>THE</strong>RAPY AND RADIO<strong>THE</strong>RAPY<br />

BOTH IN VITRO AND IN VIVO<br />

Claudio Festuccia1 , Giovanni Luca Gravina2 , Francesco<br />

Marampon3 , Leda Biordi4 , David Sherris5 and Vincenzo<br />

Tombolini3 1Ricerca Di Base, 2Urologia, 3Radioterapia, and<br />

4Department of Experimental Medicine, Università<br />

dell’Aquila, L’Aquila, Italy;<br />

5Paloma Pharmaceuticals, Inc. , Jamaica Plain, MA, U.S.A.<br />

Background: The AKT-mediated survival-signaling pathway<br />

is an attractive target for cancer therapy. This pathway is<br />

relatively inactive in resting cells and amplification of the AKT<br />

gene occurs in some tumors. The loss of the tumor suppressor<br />

gene PTEN (phosphatase and tensin homolog deleted on<br />

chromosome 10), present in about 30% of prostate primary<br />

tumors and in more than 50% of aggressive castrate-resistant<br />

prostate tumors, constitutively activates AKT, stimulating local<br />

invasion and neo-angiogenesis and reducing sensitivity to<br />

chemotherapeutics and radiotherapy. A novel PI3K/AKT<br />

/mTOR inhibitor, Palomid 529 (P529), shows inhibition of<br />

both AKT and mTOR signaling, as well as inhibiting tumor<br />

cell proliferation. Materials and Methods: We analyzed the in<br />

vitro effects of P529 on a panel of prostatic cancer cell lines<br />

with or without basal activation of AKT, as well as its in vivo<br />

effects on aggressive castrate-resistant PC3 and 22rv1 cell<br />

lines xenografted in nude mice. Results: P529 inhibited cell<br />

proliferation, with IC 50 values ranging between 5 and 30 μM<br />

for 48 hours of treatment. These values seem to be scarcely<br />

related to basal AKT activity, since cells expressing low levels<br />

1822<br />

ANTICANCER RESEARCH 31: 1807-1956 (2011)<br />

of AKT are also sensitive to P529. However, the re-expression<br />

of PTEN in the PTEN-negative PC3 cell line significantly<br />

reduced the effects of P529, and siRNA for PTEN sensitized<br />

DU145 and 22rv1 PTEN-positive cells to P529. However, we<br />

observed that the effects of P529 treatment were more marked<br />

when this drug was added to culture in clonogenic assays,<br />

suggesting that over longer periods of time, prostate cancer<br />

cells are able to increase AKT activity in an autocrine manner.<br />

For example, secretion of EGFR/Her2 ligands and exogenous<br />

addition of EGF (50 ng/ml) was indeed able to increase P529<br />

efficacy. In this study, we showed that the inhibition of AKT<br />

pathway by P529 (Palomid) enhanced the sensitivity of both<br />

PTEN-positive and -negative prostate cancer cells to docetaxel<br />

and cisplatin in vitro and in vivo. We also demonstrated that<br />

P529 was able to reduce cell proliferation and to induce cell<br />

death, increasing the activity of death receptors TRAILR-5<br />

and FAS and down-modulating the expression of cellular-<br />

FLICE-inhibitory protein (c-FLIP), BCL 2 and survivin.<br />

Conclusion: These combinatorial treatments may open a<br />

promising therapeutic approach for the elimination of<br />

hormone-refractory prostate cancer, which is largely resistant<br />

to conventional therapies.<br />

22<br />

HISTONE DEACETYLASE INHIBITOR,<br />

MS275, INCREASES RADIATION RESPONSES<br />

<strong>OF</strong> PROSTATE CANCER CELLS<br />

IN VITRO AND IN VIVO<br />

Claudio Festuccia 1 , Giovanni Luca Gravina 2 ,<br />

Francesco Marampon 1 , Mariolina Angelini 3 ,<br />

Vincenzo Tombolini 1 , Corrado Ficorella 4<br />

and Enrico Ricevuto 4<br />

1Radioterapia Oncologica, 2 Urologia, 3 Biologia and<br />

4 Oncologia Medica, Department of Experimental Medicine,<br />

Università dell’Aquila, L’Aquila, Italy<br />

Background: Histone deacetylase (HDAC) inhibitors, which<br />

modulate chromatin structure and gene expression, represent a<br />

class of anticancer agents that hold particular potential as<br />

radiation sensitizers. This study examined the capacity of the<br />

HDAC inhibitor MS275 to modulate radiation response in<br />

human prostate tumor cell lines and explored potential<br />

mechanisms underlying these interactions. Materials and<br />

Methods: We analyzed cell proliferation and apoptosis in the<br />

presence of different doses of MS275 and for different culture<br />

times. In addition, we analyzed the effects of MS275 (0.2 M),<br />

radiation (2-6 Gy), or their combination, in order to define<br />

radiation survival by counting the number of colonies stained<br />

with crystal violet at different incubation intervals of 14±21<br />

days. Results: MS275 induced a dose-dependent inhibition of<br />

proliferation in human prostate cancer cell lines. Exposure to

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