关键词: Multiple myeloma PI3K/AKT/mTOR pathway cancer stem cell chemoresistance stemness

来  源:   DOI:10.21037/tcr-19-2116   PDF(Pubmed)

Abstract:
BACKGROUND: This study aims to explore the mechanism of drug resistance in multiple myeloma (MM).
METHODS: In this study, the possible mechanism of chemotherapeutic tolerance was preliminarily explored from two aspects: (I) the changes in cell morphology, cell cycle, cell apoptosis, stem cell markers and the signaling transduction pathway after the irradiation of RPMI-8226 cells; (II) the mechanism of enhancing chemotherapeutic sensitivity through the PI3K/AKT/mTOR signaling pathway.
RESULTS: The results showed that the cell morphology and cell cycle of RPMI-8226 had been significantly changed after receiving a radiation dose of 6 Gy in the logarithmic growth phase, the sensitivity of cells to bortezomib had been decreased, the level of stem cell markers had been upregulated, and the PI3K/AKT/mTOR signaling pathway had been activated. However, blocking the PI3K/AKT/mTOR signaling pathway caused the expression of the stem cell markers of RPMI-8226 cells. In addition, the sensitivity of cells to bortezomib had been increased.
CONCLUSIONS: Blocking the PI3K/AKT/mTOR might decrease the RPMI-8226 cells which survived the radiotherapy and increase the sensitivity of cells to bortezomib.
摘要:
背景:本研究旨在探讨多发性骨髓瘤(MM)的耐药机制。
方法:在本研究中,从两个方面初步探讨了化疗耐受的可能机制:(I)细胞形态的改变,细胞周期,细胞凋亡,干细胞标志物和RPMI-8226细胞照射后的信号转导通路;(II)通过PI3K/AKT/mTOR信号通路增强化疗敏感性的机制。
结果:结果表明,RPMI-8226在对数生长期接受6Gy的辐射剂量后,细胞形态和细胞周期发生了显着变化,细胞对硼替佐米的敏感性降低,干细胞标志物水平上调,PI3K/AKT/mTOR信号通路已被激活。然而,阻断PI3K/AKT/mTOR信号通路导致RPMI-8226细胞干细胞标志物的表达。此外,细胞对硼替佐米的敏感性增加。
结论:阻断PI3K/AKT/mTOR可能减少放疗后存活的RPMI-8226细胞,增加细胞对硼替佐米的敏感性。
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