Glioblastoma (GB), the most aggressive brain tumour, and
mantle cell lymphoma (MCL), a rare but very aggressive type of
lymphoma, are highly resistant to
chemotherapy. GB and MCL
chemotherapy gives very modest results, the vast majority of patients experience recurrent disease. To find out the new treatment modality for
drug-resistant GB and MCL cells, combining of
bradykinin (BK) antagonists with conventional
temozolomide (TMZ) treatment, and screening of thiazolidinones derivatives were the main objectives of this work. As it was revealed here,
BKM-570 was the lead compound among BK antagonists under investigation (IC50 was 3.3 μM) in human GB cells. It strongly suppressed
extracellular signal-regulated kinases 1/2 (ERK1/2) and
protein kinase B (AKT) phosphorylation. BK antagonists did not decrease the viability of MCL cells, thus showing the cell-specific mode, while thiazolidinone derivatives, a novel group of promising anti-tumour compounds inhibited proliferation of MCL cells: IC₅₀ of ID 4526 and ID 4527 compounds were 0.27 μM and 0.16 μM, correspondingly. However, single agents are often not effective in clinic due to activation of collateral pathways in tumour cells. We demonstrated a strong synergistic effect after combinatorial treatment by
BKM-570 together with TMZ that drastically increased cytotoxic action of this
drug in rat and human
glioma cells. Small proportion of cells was still viable after such treatment that could be explained by presence of TMZ-resistant cells in the population. It is possible to expect that the combined
therapy aimed simultaneously at different elements of tumourigenesis will be more effective with lower
drug concentrations than the first-line
drug temozolomide used alone in clinics.