Combination
therapy is considered a promising therapeutic modality in enhancing treatment efficacy. The
phosphatidylinositol 3-kinase (PI3K)/AKT signaling pathway is almost universally dysregulated in
breast cancer, with specific occurrence of PTEN mutations; thus, it has become an attractive target for
cancer treatment. However, the use of single targeted
therapeutics against the PI3K/AKT pathway has demonstrated only modest clinical benefits. In this study, recombinant adenovirus-mediated gene transfer of PTEN (AD-PTEN) combined with treatment with
LY294002 was utilized to evaluate the effects of suppression of
breast cancer cell proliferation. Herein, we show that AD-PTEN significantly enhanced the sensitization of
breast cancer cells to
LY294002. The 50% inhibitory concentration (IC50) values of
LY294002 were significantly decreased to a greater extent in cells transfected with combination
therapy. In addition, treatment of AD-PTEN-transfected cells with
LY294002 resulted in significantly reduced cell viability and invasion ability compared to single
LY294002 treatment. Using western blotting, we found that combination treatment resulted in lower levels of phosphorylated AKTSer473 and GSK-3βSer9 than single treatment with
LY294002. Furthermore, we showed a significant decrease in nuclear β-
catenin, Fra-1, Tcf-4 and c-Myc by combination treatment. Our results indicate that AD-PTEN sensitization of
breast cancer to
LY294002 is achieved by increased GSK-3β activity, thus resulting in inhibition of the β-
catenin signaling pathway.