Vactosertib, TGF-β receptor I inhibitor, augments the sensitization of the anti-cancer activity of gemcitabine in pancreatic cancer - 29/04/23
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Abstract |
Pancreatic ductal adenocarcinoma (PDAC) exhibits a pronounced extracellular matrix (ECM)-rich response, which is produced by an excessive amount of transforming growth factor β (TGF-β), resulting in tumor progression and metastasis. In addition, TGF-β signaling contributes to rapidly acquired resistance and incomplete response to gemcitabine. Recently, selective inhibitors of the TGF-β signaling pathway have shown promise in PDAC treatment, particularly as an option for augmenting responses to chemotherapy. Here, we investigated the synergistic anticancer effects of a small-molecule TGF-β receptor I kinase inhibitor (vactosertib/EW-7197) in the presence of gemcitabine, and its mechanism of action in pancreatic cancer. Vactosertib sensitized pancreatic cancer cells to gemcitabine by synergistically inhibiting their viability. Importantly, the combination of vactosertib and gemcitabine significantly attenuated the expression of major ECM components, including collagens, fibronectin, and α-SMA, in pancreatic cancer compared with gemcitabine alone. This resulted in potent induction of mitochondrial-mediated apoptosis, gemcitabine-mediated cytotoxicity, and inhibition of tumor ECM by vactosertib. Additionally, the combination decreased metastasis through inhibition of migration and invasion, and exhibited synergistic anti-cancer activity by inhibiting the TGF-β/Smad2 pathway in pancreatic cancer cells. Furthermore, co-treatment significantly suppressed tumor growth in orthotopic models. Therefore, our findings demonstrate that vactosertib synergistically increased the antitumor activity of gemcitabine via inhibition of ECM component production by inhibiting the TGF-β/Smad2 signaling pathway. This suggests that the combination of vactosertib and gemcitabine may be a potential treatment option for patients with pancreatic cancer.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Transforming growth factor β (TGF-β) increased ECM response, resulting in tumor progression and metastasis. |
• | TGF-β signaling contributes to rapidly acquired resistance and incomplete response to gemcitabine. |
• | A small-molecule TGF-β receptor I kinase inhibitor (vactosertib) effectively decreased ECM components of pancreatic tumor. |
• | Vactosertib improved the sensitivity of gemcitabine in pancreatic cancer. |
• | The combination of vactosertib and gemcitabine could be considered potential therapeutic strategies for pancreatic cancer. |
Keywords : TGF-β receptor I kinase inhibitor, Pancreatic ductal adenocarcinoma, Gemcitabine, Chemotherapy
Plan
Vol 162
Article 114716- juin 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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