The anti-
tumor activity of
rapamycin is compromised by the feedback-loop-relevant hyperactive PI3K and ERK-MAPK pathway signaling. In
breast cancer cells treated with
rapamycin, we observed a moderate increase of AKT phosphorylation (P-AKT) in a
rapamycin resistant cell line, MDA-MB-231, as well as a slight increase of P-AKT in a
rapamycin sensitive cell line, MCF-7. We found that
resveratrol, a natural phytoalexin, suppressed the phosphorylation and activation of the PI3K/AKT pathway in all the three
breast cancer cell lines that we tested. It also had a weak inhibitory effect on the activation of the mTOR/
p70S6K pathway in two cell lines expressing wildtype PTEN, MCF-7 and MDA-MB-231. The combined use of
resveratrol and
rapamycin resulted in modest additive inhibitory effects on the growth of
breast cancer cells, mainly through suppressing
rapamycin-induced AKT activation. We, therefore, reveal a novel combination whereby
resveratrol potentiates the growth inhibitory effect of
rapamycin, with the added benefit of preventing eventual resistance to
rapamycin, likely by suppressing AKT signaling. We also present data herein that PTEN is an important contributor to
resveratrol's growth suppressive effects and its potentiation of
rapamycin in this therapeutic scenario, as
resveratrol's suppression of
rapamycin-mediated induction of P-AKT is both PTEN-dependent and -independent. Thus, the
resveratrol-
rapamycin combination may have therapeutic value in treating
breast cancer and perhaps other processes where mTOR is activated.