J 2018

Improving the efficacy of proteasome inhibitors in the treatment of renal cell carcinoma by combination with the human immunodeficiency virus (HIV)-protease inhibitors lopinavir or nelfinavir

ABT, D., A. BESSE, L. SEDLARIKOVA, M. KRAUS, J. BADER et. al.

Basic information

Original name

Improving the efficacy of proteasome inhibitors in the treatment of renal cell carcinoma by combination with the human immunodeficiency virus (HIV)-protease inhibitors lopinavir or nelfinavir

Authors

ABT, D. (756 Switzerland), A. BESSE (756 Switzerland), L. SEDLARIKOVA (203 Czech Republic), M. KRAUS (756 Switzerland), J. BADER (756 Switzerland), T. SILZLE (756 Switzerland), Martina VODINSKÁ (203 Czech Republic, belonging to the institution), Ondřej SLABÝ (203 Czech Republic, guarantor, belonging to the institution), H.P. SCHMID (756 Switzerland), D.S. ENGELER (756 Switzerland), C. DRIESSEN (756 Switzerland) and L. BESSE (756 Switzerland)

Edition

BJU INTERNATIONAL, HOBOKEN, WILEY, 2018, 1464-4096

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 4.524

RIV identification code

RIV/00216224:14740/18:00106679

Organization unit

Central European Institute of Technology

UT WoS

000428845400017

Keywords in English

bortezomib; carfilzomib; renal cell cancer; HIV-protease inhibitors; lopinavir; proteasome inhibitors; #KCSM; #KidneyCancer

Tags

Tags

International impact, Reviewed
Změněno: 21/3/2019 08:43, Mgr. Pavla Foltynová, Ph.D.

Abstract

V originále

Objectives To assess the potential of second-generation proteasome inhibition by carfilzomib and its combination with the human immunodeficiency virus (HIV) protease inhibitors (HIV-PIs) lopinavir and nelfinavir in vitro for improved treatment of clear cell renal cell cancer (ccRCC). Materials and Methods Cytotoxicity, reactive oxygen species (ROS) production, and unfolded protein response (UPR) activation of proteasome inhibitors, HIV-PIs, and their combination were assessed in three cell lines and primary cells derived from three ccRCC tumours by MTS assay, flow cytometry, quantitative reverse transcriptase-polymerase chain reaction and western blot, respectively. Proteasome activity was determined by activity based probes. Flow cytometry was used to assess apoptosis by annexin V/propidium iodide assay and ATP-binding cassette sub-family B member 1 (ABCB1) activity by MitoTracker Green FM efflux assay (Thermo Fisher Scientific, MA, USA). Results Lopinavir and nelfinavir significantly increased the cytotoxic effect of carfilzomib in all cell lines and primary cells. ABCB1 efflux pump inhibition, induction of ROS production, and UPR pre-activation by lopinavir were identified as underlying mechanisms of this strong synergistic effect. Combined treatment led to unresolved protein stress, increased activation of pro-apoptotic UPR pathway, and a significant increase in apoptosis. Conclusion The combination of the proteasome inhibitor carfilzomib and the HIV-PIs lopinavir and nelfinavir has a strong synergistic cytotoxic activity against ccRCCin vitro at therapeutically relevant drug concentrations. This effect is most likely explained by synergistic UPR triggering and ABCB1-modulation caused by HIV-PIs. Our findings suggest that combined treatment of second-generation proteasome inhibitors and HIV-PIs should be investigated in patients with metastatic RCC within a clinical trial.

Links

LQ1601, research and development project
Name: CEITEC 2020 (Acronym: CEITEC2020)
Investor: Ministry of Education, Youth and Sports of the CR