Drug (ID: DG01694) and It's Reported Resistant Information
Name
Pictilisib/Sorafenib
Synonyms
Pictilisib/Sorafenib
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Target . NOUNIPROTAC [1]
Type(s) of Resistant Mechanism of This Drug
  UAPP: Unusual Activation of Pro-survival Pathway
Drug Resistance Data Categorized by Their Corresponding Diseases
ICD-02: Benign/in-situ/malignant neoplasm
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Bladder cancer [ICD-11: 2C94]
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Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
       Unusual Activation of Pro-survival Pathway (UAPP) Click to Show/Hide
Key Molecule: PI3-kinase alpha (PIK3CA) [1]
Molecule Alteration Missense mutation
p.E545K (c.1633G>A)
Sensitive Disease Bladder cancer [ICD-11: 2C94.0]
Experimental Note Identified from the Human Clinical Data
Cell Pathway Regulation MEK/ERK signaling pathway Inhibition hsa04011
In Vitro Model 5637 cells Bladder Homo sapiens (Human) CVCL_0126
J82 cells Bladder Homo sapiens (Human) CVCL_0359
RT4 cells Bladder Homo sapiens (Human) CVCL_0036
T24 cells Bladder Homo sapiens (Human) CVCL_0554
TCCSuP cells Bladder Homo sapiens (Human) CVCL_1738
In Vivo Model NSG mouse PDX model Mus musculus
Experiment for
Drug Resistance
MTS assay; FACS assay
Mechanism Description Pictilisib activated the compensatory MEK/ERK pathways that likely contributed to pictilisib resistance, which was reversed by co-treatment with the RAF inhibitor sorafenib. RNA-sequencing of tumors resistant to treatment suggested that LSP1 down-regulation correlated with drug resistance.
References
Ref 1 The Phosphatidylinositol 3-Kinase Pathway as a Potential Therapeutic Target in Bladder CancerClin Cancer Res. 2017 Nov 1;23(21):6580-6591. doi: 10.1158/1078-0432.CCR-17-0033. Epub 2017 Aug 14.

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