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  2. Potent and selective inhibitors of Akt kinases slow the progress of tumors in vivo

Potent and selective inhibitors of Akt kinases slow the progress of tumors in vivo

  • Mol Cancer Ther. 2005 Jun;4(6):977-86. doi: 10.1158/1535-7163.MCT-05-0005.
Yan Luo 1 Alexander R Shoemaker Xuesong Liu Keith W Woods Sheela A Thomas Ron de Jong Edward K Han Tongmei Li Vincent S Stoll Jessica A Powlas Anatol Oleksijew Michael J Mitten Yan Shi Ran Guan Thomas P McGonigal Vered Klinghofer Eric F Johnson Joel D Leverson Jennifer J Bouska Mulugeta Mamo Richard A Smith Emily E Gramling-Evans Bradley A Zinker Amanda K Mika Phong T Nguyen Tilman Oltersdorf Saul H Rosenberg Qun Li Vincent L Giranda
Affiliations

Affiliation

  • 1 Cancer Research, Abbott Laboratories, IL 60064-6117, USA.
Abstract

The Akt kinases are central nodes in signal transduction pathways that are important for cellular transformation and tumor progression. We report the development of a series of potent and selective indazole-pyridine based Akt inhibitors. These compounds, exemplified by A-443654 (K(i) = 160 pmol/L versus Akt1), inhibit Akt-dependent signal transduction in cells and in vivo in a dose-responsive manner. In vivo, the Akt inhibitors slow the progression of tumors when used as monotherapy or in combination with paclitaxel or rapamycin. Tumor growth inhibition was observed during the dosing interval, and the tumors regrew when compound administration was ceased. The therapeutic window for these compounds is narrow. Efficacy is achieved at doses approximately 2-fold lower than the maximally tolerated doses. Consistent with data from knockout Animals, the Akt inhibitors induce an increase in Insulin secretion. They also induce a reactive increase in Akt phosphorylation. Other toxicities observed, including malaise and weight loss, are consistent with abnormalities in glucose metabolism. These data show that direct Akt inhibition may be useful in Cancer therapy, but significant metabolic toxicities are likely dose limiting.

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