Phosphorylated (pi-)
protein kinase B (AKT) is commonly expressed in
nasopharyngeal carcinoma (NPC) cell lines and tissues, suggesting the involvement of AKT-
mammalian target of rapamycin (mTOR) signaling in NPC
carcinogenesis. This study evaluated the activity of an mTOR inhibitor,
RAD001 (
Everolimus, Novartis Pharma AG, Switzerland), in 5 NPC cell lines (HK1, HONE-1, CNE-1, CNE-2, C666-1), 2
cisplatin-resistant NPC cell lines and their respective parental cell lines (HK1-LMP1, HONE-1-EBV).
RAD001 inhibited cell growth in a dose-dependent manner at nanomolar concentrations in all cell lines. HONE-1 was most sensitive to
RAD001 (IC(50) = 0.63 nM, 60% maximal inhibition), while Het-1A (a normal esophageal epithelial cell line) was relatively resistant. No consistent relationship between sensitivity to
RAD001 and basal expression of pi-mTOR and pi-p70S6 Kinase-1 (
p70S6K) was found. Exposure to
RAD001 at picomolar concentrations for 48 h resulted in reduction of pi-mTOR and pi-p70S6K1 expression, but increase in pi-AKT (Ser473) expression in HONE-1 and CNE-1 cell lines.
RAD001 significantly induced apoptosis in HONE-1 cells, but has no effect on cell cycle progression.
RAD001 exerted an additive to synergistic effect on
cisplatin-induced growth inhibition in CNE-1 and HONE-1 cells, and could inhibit the growth of both
cisplatin-resistant and
cisplatin-sensitive NPC cell lines. In summary, combination of
RAD001 and
cisplatin maybe a useful therapeutic strategy in NPC. AKT upregulation following
RAD001 treatment suggests the presence of a feedback loop on AKT signaling in NPC which warrants further investigation.