CC-223 blocks mTORC1/C2 activation and inhibits human hepatocellular carcinoma cells in vitro and in vivo

PLoS One. 2017 Mar 23;12(3):e0173252. doi: 10.1371/journal.pone.0173252. eCollection 2017.

Abstract

Hepatocellular carcinoma (HCC) is a leading cause of cancer-related human mortalities. Over-activation of mammalian target of rapamycin (mTOR) is important for HCC tumorigenesis and progression. The current study assessed the potential anti-HCC activity by a novel mTOR kinase inhibitor, CC-223. We demonstrate that CC-223, at nM concentrations, induced profound cytotoxic and anti-proliferative activities against established HCC cell lines (HepG2, KYN-2 and Huh-7) and primary human HCC cells. Meanwhile, CC-223 activated caspase-3/-9 and apoptosis in the above HCC cells. CC-223 concurrently blocked mTORC1 and mTORC2 activation, and its cytotoxicity against HCC cells was much more potent than the traditional mTORC1 inhibitors (RAD001 and rapamycin). Further studies demonstrated that CC-223 disrupted mitochondrial function, and induced mitochondrial permeability transition pore (mPTP) opening and reactive oxygen species (ROS) production. On the other hand, ROS scavengers and mPTP blockers (cyclosporin A or sanglifehrin A) largely attenuated CC-223-induced HepG2 cell apoptosis. In vivo studies showed that oral administration of CC-223 dramatically inhibited growth of HepG2 xenografts in severe combined immuno-deficient (SCID) mice. mTORC1/2 activation was also blocked in xenografts with CC-223 administration. Together, CC-223 simultaneously blocks mTORC1/2 and efficiently inhibits human HCC cells.

MeSH terms

  • Aged
  • Animals
  • Apoptosis / drug effects
  • Carcinoma, Hepatocellular / drug therapy*
  • Carcinoma, Hepatocellular / metabolism
  • Caspase 3 / metabolism
  • Caspase 9 / metabolism
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Hep G2 Cells
  • Humans
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / metabolism
  • Mechanistic Target of Rapamycin Complex 1
  • Mechanistic Target of Rapamycin Complex 2
  • Mice
  • Mice, SCID
  • Middle Aged
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Multiprotein Complexes / metabolism*
  • Protein Kinase Inhibitors / pharmacology
  • Pyrazines / pharmacology*
  • Reactive Oxygen Species / metabolism
  • TOR Serine-Threonine Kinases / metabolism*
  • Xenograft Model Antitumor Assays / methods

Substances

  • CC-223
  • Multiprotein Complexes
  • Protein Kinase Inhibitors
  • Pyrazines
  • Reactive Oxygen Species
  • Mechanistic Target of Rapamycin Complex 1
  • Mechanistic Target of Rapamycin Complex 2
  • TOR Serine-Threonine Kinases
  • Caspase 3
  • Caspase 9

Grants and funding

This study is supported by Shanghai medical key subject construction project (ZK2015B15 to KS), and Shanghai Minhang District science and technology research plan (2015MHZ039 to KS). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.