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 language | English |
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Pages (from-to) | 1203-1207 |
Number of pages | 5 |
Journal | British Journal of Cancer |
Volume | 116 |
Issue number | 9 |
DOIs | |
State | Published - 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