To investigate whether antitumor activity of
sorafenib, a potential molecular-targeted agent against RCC is enhanced by silencing Akt1 in a human RCC ACHN model. We established ACHN in which the expression vector containing
short hairpin RNA targeting Akt1 was introduced (ACHN/sh-Akt1). Changes in several phenotypes of ACHN/sh-Akt1 following treatment with
sorafenib were compared with those of ACHN transfected with control vector alone (ACHN/C) both in vitro and in vivo. When cultured in the standard medium, there was no significant difference in the in vitro growth pattern between ACHN/sh-Akt1 and ACHN/C; however, compared with ACHN/C, ACHN/sh-Akt1 showed a significantly higher sensitivity to
sorafenib. Furthermore, treatment with Akt1 inhibitor,
A-674563 also resulted in the significantly enhanced sensitivity of parental ACHN to
sorafenib. Treatment of ACHN/sh-Akt1 with
sorafenib, but not that of ACHN/C, induced marked downregulation of antiapoptotic
proteins, including Bcl-2, Bcl-xL, and c-Myc. In vivo administration of
sorafenib resulted in the significant growth inhibition of ACHN/sh-Akt1
tumor compared with that of ACHN/C
tumor, and despite the lack of Ki-67 labeling index between ACHN/sh-Akt1 and ACHN/C
tumors, apoptotic index in ACHN/sh-Akt1
tumor in mice treated with
sorafenib was significantly greater than that in ACHN/C
tumor. These findings suggest that combined treatment with Akt1 inhibitor and
sorafenib could be a promising therapeutic approach for patients with advanced RCC.