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NIH Public AccessAuthor ManuscriptNat Med. Author manuscript; obtainable in PMC 2014 Could 01.Published in final edited type as: Nat Med. 2013 November ; 19(11): 1518523. doi:ten.1038/nm.3328.NIHPA Author Manuscript NIHPA Author Manuscript NIHPA Author ManuscriptCoordinate activation of Shh and PI3K signaling in PTENdeficient glioblastoma: new therapeutic opportunitiesMariella GruberFilbin1,two,3, Sukriti K. Dabral1,2, Maria F. PazyraMurphy1,two, Shakti Ramkissoon4,5, Andrew L. Kung1,six, Ekaterina Pak1,two, Jarom Chung1,two, Matthew A. Theisen4, Yanping Sun6, Yoko Franchetti7, Yu Sun1,2, David S. Shulman1, Navid Redjal8, Barbara Tabak4, Rameen Beroukhim4, Qi Wang1, Jean Zhao1, Marion Dorsch9, Silvia Buonamici10, Keith L. Ligon4,five, Joseph F. Kelleher10, and Rosalind A. Segal1,2 1Depts of Cancer Biology and Pediatric Oncology, DanaFarber Cancer Institute and Children’s Hospital Boston, Harvard Health-related School, Boston, MA 02115, USA2Dept 3Dept 4Deptof Neurobiology, Harvard Medical School, Boston, MA 02115, USA of Pediatrics and Adolescent Medicine, Healthcare University of Vienna, Vienna, Austriaof Healthcare Oncology, Center for Molecular Oncologic Pathology, DanaFarber Cancer Institute, Boston, MA 02215, USA5Deptsof Pathology, Children’s Hospital Boston and Brigham and Women’s Hospital, Harvard Health-related College, Boston, MA 02115, USA6Lurie 7DeptFamily Imaging Center, DanaFarber Cancer Institute, Boston, MA 02115, USAof Biostatistics and Computational Biology, DanaFarber Cancer Institute and Harvard School of Public Health, Boston, MA 02115, USA8Deptof Neurological Surgery, Massachusetts Common Hospital, Harvard Medical School, Boston, MA 02114, USA9SanofiAventis, 10NovartisCambridge, MA 02139, USAInstitutes for Biomedical Analysis, Cambridge, MA 02139, USAAbstractIn glioblastoma, PI3kinase (PI3K) signaling is often activated by loss on the tumor suppressor PTEN1.Buy2,6-Dibromopyridin-4-amine Even so, it’s not known whether or not inhibiting PI3K represents a selective and effective approach for treatment.(S)-H8-BINAP manufacturer Right here we interrogate substantial databases and come across that Shh signaling is activated in PTENdeficient glioblastoma.PMID:23543429 We demonstrate that Shh and PI3K pathways synergize to market tumor growth and viability in human PTENdeficient glioblastomas. A mixture of PI3K and Shh signaling inhibitors not simply suppresses activation of both pathways, but in addition abrogates S6kinase signaling. Accordingly, simultaneously targeting each pathways final results in mitotic catastrophe and tumor apoptosis, and dramatically reduces development of PTENdeficient glioblastomas in vitro and in vivo. The drugs tested right here seem secure in humans; hence this combination could offer new targeted treatment for glioblastoma.Contact: Correspondence and requests for supplies should be addressed to [email protected]. Author contributions Manuscript written by MGO, SKD, EP, RAS with input from all authors. MGO, SKD, EP, JC, MFPM, YS executed in vitro studies and analyzed in vitro and in vivo studies. ALK, YS, YF, JFK, SB and MD performed in vivo studies. MAT, KLL, SR generated GBM lines, analyzed tumor pathology. DSS, NR initiated these studies. BT, RB analyzed databases. JZ, QW provided shPTEN. Microarray information in Supplementary Figure 4 deposited in NCBI’s Gene Expression Omnibus;.