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Rictor-dependent AKT activation and inhibition of urothelial carcinoma by rapamycin

Ming-Ju Wu, M.D., Ph.D.abcdCorresponding Author Informationemail address, Chi-Hao Chang, M.Sc.cd, Yung-Tsung Chiu, Ph.D.e, Mei-Chin Wen, M.D.f, Kuo-Hsiung Shu, M.D.ab, Jian-Ri Li, M.D.g, Kun-Yuan Chiu, M.D.g, Yen-Ta Chen, M.C.h

Received 11 September 2009; received in revised form 8 November 2009; accepted 10 November 2009. published online 08 March 2010.
Corrected Proof

Abstract 

Objective

We previously reported a very high cumulative incidence of urothelial carcinoma in Taiwanese kidney transplant recipients. Rapamycin, the inhibitor of mTOR Complex 1, provides alternative immunosuppressive therapy after kidney transplantation with less neoplastic potential. We examined the in vivo and in vitro effects of rapamycin on urothelial carcinoma.

Materials and methods

The rat model of urothelial carcinoma was induced by 0.05% N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN) in Fischer F344 rats. The anti-tumor effect of rapamycin was assessed grossly, microscopically, and by Western blot analysis. The mechanism of rapamycin's attenuation of urothelial carcinoma was also evaluated by T24 cells.

Results

Rapamycin significantly reduced urinary bladder tumor growth in the rat model of 0.05% BBN-induced urothelial carcinoma (P < 0.001). The blood trough levels of rapamycin were correlated with the occurrence of urothelial carcinoma. In vitro, rapamycin also inhibited the cell proliferation, migration, and invasion, as well as the protein expression of vascular endothelial growth factor-A of T24 urothelial carcinoma cells, whereas rapamycin did not induce significant apoptosis in T24 cells. Rapamycin decreased the expression of phospho-mTOR, phospho-S6K, cyclin D1, and VEGF-A. Rapamycin also activated AKT in T24 cells in the rat model of urothelial carcinoma. The rapamycin-associated activation of AKT was inhibited by rictor siRNA, but not raptor siRNA.

Conclusions

This study provides in vitro and in vivo evidence that rapamycin may inhibit the development of urothelial carcinoma. The present findings also suggest rictor-dependent AKT activation as a consequence of mTORC1 inhibition.

a Division of Nephrology, Taichung Veterans General Hospital, Taichung, Taiwan

b Chung-Shan Medical University, Taichung, Taiwan

c Institute of Biomedical Sciences, National Chung Hsing University, Taichung, Taiwan

d Institute of Clinical Medicine, National Yang Ming University, Taipei, Taiwan

e Department of Research, Taichung Veterans General Hospital, Taichung, Taiwan

f Department of Pathology, Taichung Veterans General Hospital, Taichung, Taiwan

g Division of Urology, Taichung Veterans General Hospital, Taichung, Taiwan

h Division of Urology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan

Corresponding Author InformationCorresponding author. Tel.: +886-4-23592525, ext 3057; fax: +886-4-23594980

PII: S1078-1439(09)00362-7

doi:10.1016/j.urolonc.2009.11.009