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The synergistic therapeutic effect of imatinib and protein kinase CK2 Inhibition correlates with PI3K-AKT activation in gastrointestinal stromal tumors - 06/07/22

Doi : 10.1016/j.clinre.2022.101886 
Linsen Zhou a, b, Hao Wang b, Haofeng Liu c, Zhijun Huang b, Zhiqiang Wang b, Xiaojun Zhou a, , Xiangming Mu b
a Department of General Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, Jiangsu 215006, China 
b Department of General Surgery, Yancheng First Hospital, Affiliated Hospital of Nanjing University Medical School and The First people's Hospital of Yancheng, No. 166 Yulongxi Road, Yancheng, Jiangsu 224001, China 
c Department of General Surgery, Tumor Hospital Affiliated to Nantong University and Nantong Tumor Hospital, Nantong, Jiangsu 226361, China 

Corresponding author.

Highlights

CK2 was highly expressed in GIST biopsies.
The inhibition of CK2 Inhibited GIST cell viability and promoted apoptosis.
The dual treatment with CX-4945 (CX) and imatinib (IM) were more potent inhibiting GIST cell viability and decreased cell apoptosis compared with mono-treatment.
CK2 inhibition along with Imatinib treatment exhibited synergistic anti-cancer effects on GIST cells by inhibiting PI3K/AKT pathway.

Il testo completo di questo articolo è disponibile in PDF.

Abstract

Background

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. Casein kinase 2 (CK2) has been reported to be involved in several cellular processes in multiple cancers. However, the role of CK2 in GIST remains unclear.

Aim

We aimed to investigate the combinatorial treatment of imatinib (IM) and CK2 inhibition on the progression of GISTs.

Methods

GIST biopsies and adjacent normal tissues were collected from patients. GIST882 and GIST48 cell lines were subjected to investigate the effect of IM and CK2 inhibition in GIST cells. CCK-8 assay, Caspase-3 activity assay, western blotting, and flow cytometry analysis were employed in the present investigation.

Results

Our results showed that CK2 was highly expressed in GIST biopsies, and inhibition of CK2 resulted in decrease in cell viability and increase in apoptosis of GIST cells. Moreover, the combination treatment with CX-4945 (CX) and IM resulted in a more significant decrease in cell viability and increase in cell apoptosis compared with mono-treatment. Mechanistically, the combination treatment influenced the activation of the PI3K/AKT pathway. The activation of the PI3K/AKT pathway reversed the synergistic impacts of the combined treatment on cell viability and apoptosis.

Conclusion

Our results demonstrated that inhibition of CK2 combined with IM exhibited a synergistic anti-cancer effect on GIST cells through inactivation of the PI3K/AKT pathway.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Gastrointestinal stromal tumor, CK2, CX-4945, Imatinib, PI3K/AKT pathway


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Vol 46 - N° 6

Articolo 101886- Giugno 2022 Ritorno al numero
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