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Mol Cancer Ther. 2003;2:1093-1103
© 2003 American Association for Cancer Research

Perifosine, a novel alkylphospholipid, inhibits protein kinase B activation

Sudhir B. Kondapaka, Sheo S. Singh, Girija P. Dasmahapatra, Edward A. Sausville and Krishnendu K. Roy

Clinical Trials Unit, Developmental Therapeutics Program, National Cancer Institute, Bethesda, MD

Requests for Reprints:Krishnendu K. Roy, National Institutes of Health, 10 Center Drive, Building 10, Room 6N 113, Bethesda, MD 20892-5680. Phone: (301) 496-4119; Fax: (301) 480-7456. E-mail: kr91w{at}nih.gov

Perifosine is a novel p.o. bioavailable alkylphospholipid. Perifosine has displayed significant antiproliferative activity in vitro and in vivo in several human tumor model systems and has recently entered phase I clinical trials. Recent studies have identified that perifosine could cause cell cycle arrest with induction of p21WAF1/CIP1 in a p53-independent fashion; however, the basis for that effect is not known. Structurally, perifosine resembles naturally occurring phospholipids. Therefore, we hypothesized that perifosine might perturb pathways related to phospholipids modulated by growth factor action. We demonstrate here that perifosine causes dose-dependent inhibition of protein kinase B/Akt phosphorylation and thus activation at concentrations causing growth inhibition of PC-3 prostate carcinoma cells. Only the myristoylated form of Akt (MYR-Akt), which bypasses the requirement for pleckstrin homology (PH) domain-mediated membrane recruitment, abrogated perifosine-mediated decrease of Akt phosphorylation and cell growth inhibition by perifosine. We demonstrate further that perifosine decreases the plasma membrane localization of Akt, and this is substantially relieved by MYR-Akt along with relief of downstream drug effect on induction of p21WAF1/CIP1. Perifosine does not directly affect phosphoinositide 3-kinase (PI3K), phosphoinositide-dependent kinase 1, or Akt activity at concentrations inhibiting Akt phosphorylation and membrane localization. Our results demonstrate that Akt is an important cellular target of perifosine action. In addition, these studies show that the membrane translocation of certain PH domain-containing molecules can be greatly perturbed by the alkylphospholipid class of drugs and imply further that the PI3K/Akt pathway contributes to regulation of p21WAF1/CIP1 expression.


The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Note:S. B. K. and S. S. S. equally contributed to this work.

Portions of this work were presented in abstract form in the Proc. Am. Assoc. Cancer Res., 43: Abs. 2977, 2002.

Received 5/27/03; revised 7/29/03; accepted 8/ 5/03.




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Copyright © 2003 by the American Association for Cancer Research.