IGF-1R inhibition potentiates cytotoxic effects of chemotherapeutic agents in early stages of chemoresistant ovarian cancer cells

Cancer Lett. 2014 Nov 28;354(2):254-62. doi: 10.1016/j.canlet.2014.08.023. Epub 2014 Aug 23.

Abstract

The kinetics and effect of hyper activated IGF-1R signaling is not well investigated during acquirement of platinum and taxol resistance in ovarian cancer cells. Herein we reported an upregulated IGF-1R expression in early stages of cisplatin paclitaxel and cisplatin-taxol resistance. Picropodophyllin, an IGF-1R inhibitor, alone and in combination with cisplatin, paclitaxel or both at lowest possible doses could reverse the resistance at early stages. Upregulated IGF-1R was also found in primary tumors of ovarian cancer patients after three to four cycles of platinum-taxol treatment. These findings indicate that a combination of cytotoxic agents and IGF-1R inhibitor is more effective at early stages of chemoresistant ovarian cancer.

Keywords: Chemoresistance; IGF-1R signaling; Ovarian cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Carcinoma, Ovarian Epithelial
  • Cell Line, Tumor
  • Cisplatin / administration & dosage
  • Cisplatin / pharmacology*
  • Down-Regulation
  • Drug Resistance, Neoplasm
  • Drug Synergism
  • Female
  • Humans
  • Molecular Targeted Therapy
  • Neoplasm Staging
  • Neoplasms, Glandular and Epithelial / drug therapy*
  • Neoplasms, Glandular and Epithelial / metabolism
  • Neoplasms, Glandular and Epithelial / pathology
  • Ovarian Neoplasms / drug therapy*
  • Ovarian Neoplasms / metabolism
  • Ovarian Neoplasms / pathology
  • Paclitaxel / administration & dosage
  • Paclitaxel / pharmacology*
  • Podophyllotoxin / administration & dosage
  • Podophyllotoxin / analogs & derivatives*
  • Podophyllotoxin / pharmacology
  • Proteasome Endopeptidase Complex / metabolism
  • Receptor, IGF Type 1 / antagonists & inhibitors*
  • Receptor, IGF Type 1 / biosynthesis

Substances

  • picropodophyllin
  • Receptor, IGF Type 1
  • Proteasome Endopeptidase Complex
  • Podophyllotoxin
  • Paclitaxel
  • Cisplatin