Rapamycin-enhanced mitomycin C-induced apoptotic death is mediated through the S6K1–Bad–Bak pathway in peritoneal carcinomatosis
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Peritoneal carcinomatosis (PC) is the most common secondary cancerous disease, and more effective novel regimens are needed. In this study, we identified a novel combination treatment for PC, chemotherapeutic agent mitomycin C in combination with mTOR (mammalian target of rapamycin) inhibitor rapamycin. We observed that the combination of mitomycin C and rapamycin induced synergistic cytotoxicity and apoptosis, which was mediated through an increase in caspase activation. The combination of mitomycin C and rapamycin inactivated p70 S6 ribosomal kinase (S6K1) and dephosphorylated Bad, leading to dissociation of Bcl-xL from Bak, which resulted in Bak oligomerization, mitochondria dysfunction and cytochrome c release. PF-4708671, a S6K1-specific inhibitor, enhanced the combination treatment-induced apoptosis, whereas S6K1 E389 DeltaCT-HA (S6K1 active form) dramatically decreased the induction of apoptosis. In addition, the combination treatment significantly inhibited LS174T intraperitoneal tumor growth in vivo. This study provides a preclinical rationale for apoptosis induction linked with the mTOR pathway through a combination of chemotherapeutic agents and mTOR inhibitor, and will support this combinatorial strategy to PC patients.
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A combined MMC-mTOR inhibitor approach produces synergistic effects on apoptosis through the decreased function of the S6K1-BAD-BAK pathway.
“For that reason, a combined MMC-mTOR inhibitor approach produces synergistic effects on apoptosis through the decreased function of the S6K1–BAD–BAK pathway [27].”
From Combining Mitomycin C with inhibition of BAD phosphorylation enhances apoptotic cell death in advanced cervical cancer (2024) · cites this paper as [27]
The Abstract reports synergistic apoptosis from mitomycin C plus the mTOR inhibitor rapamycin through the S6K1–Bad–Bak pathway. But it reports decreased S6K1 activity followed by Bad dephosphorylation and Bak oligomerization, not decreased function of the pathway as a whole. (LLM, conf=0.88)
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- Authors
- Song, X., Dilly, A.-K., Kim, S.-Y., Choudry, H. A., & Lee, Y. J.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Lee, Y J
- Venue
- Cell Death & Disease
- Published
- 2014-06-05
- Volume
- 5
- Issue
- 6
- Pages
- e1281-e1281
- ISSN
- 2041-4889 (ISSN-L)
- PMC
- PMC4607229
- OpenAlex
- W2034691444
- Cited by
- 24
- References
- 49
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 7 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 1
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Death and Disease (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Funders
- Cancer Institute, University of Pittsburgh (P30CA047904)
- National Cancer Institute (R01CA140554, CA140554, P30CA047904)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Surgery › Intraperitoneal and Appendiceal Malignancies
- Keywords
- peritoneal carcinomatosis, rapamycin, mitomycin C, mTOR inhibition, S6K1, Bad, Bak, apoptosis, Bcl-xL, caspase activation, mitochondrial dysfunction, cytochrome c release, combination chemotherapy, LS174T cells, synergistic cytotoxicity
- MeSH terms
- Adenocarcinoma, Animals, Antibiotics, Antineoplastic, Humans, Mice, Nude, Peritoneal Neoplasms, Mitomycin, Apoptosis, Sirolimus, Ribosomal Protein S6 Kinases, 70-kDa, Cell Line, Tumor, bcl-2 Homologous Antagonist-Killer Protein, bcl-Associated Death Protein, Mice
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