LDL cholesterol counteracts the antitumour effect of tyrosine kinase inhibitors against renal cell carcinoma

Sei Naito, Peter Makhov, Igor Astsaturov, Konstantin Golovine, Alexei Tulin, Alexander Kutikov, Robert G. Uzzo, Vladimir M. Kolenko

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Background:Treatment with tyrosine kinase inhibitors (TKIs) significantly improves survival of patients with renal cell carcinoma (RCC). However, about one-quarter of the RCC patients are primarily refractory to treatment with TKIs.Methods:We examined viability of RCC and endothelial cells treated with low-density lipoprotein (LDL) and/or TKIs. Next, we validated the potential role of PI3K/AKT signalling in LDL-mediated TKI resistance. Finally, we examined the effect of a high-fat/high-cholesterol diet on the response of RCC xenograft tumours to sunitinib.Results:The addition of LDL cholesterol increases activation of PI3K/AKT signalling and compromises the antitumour efficacy of TKIs against RCC and endothelial cells. Furthermore, RCC xenograft tumours resist TKIs in mice fed a high-fat/high-cholesterol diet.Conclusions:The ability of renal tumours to maintain their cholesterol homoeostasis may be a critical component of TKI resistance in RCC patients.

Original languageEnglish
Pages (from-to)1203-1207
Number of pages5
JournalBritish Journal of Cancer
Volume116
Issue number9
DOIs
StatePublished - Mar 25 2017

Keywords

  • Animals
  • Carcinoma, Renal Cell/drug therapy
  • Cell Line, Tumor
  • Cholesterol, LDL/administration & dosage
  • Cholesterol/metabolism
  • Drug Interactions/ethnology
  • Elafin/genetics
  • Endothelial Cells/drug effects
  • Female
  • Humans
  • Indoles/administration & dosage
  • Mice
  • Protein Kinase Inhibitors/administration & dosage
  • Proto-Oncogene Proteins c-akt/genetics
  • Pyrroles/administration & dosage
  • Signal Transduction/drug effects
  • Sunitinib
  • Xenograft Model Antitumor Assays

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