RT Journal Article SR Electronic T1 Effects of Targeting Endometrial Stromal Sarcoma Cells via Histone Deacetylase and PI3K/AKT/mTOR Signaling JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 2883 OP 2897 VO 34 IS 6 A1 PING QUAN A1 FARID MOINFAR A1 IRIS KUFFERATH A1 MARKUS ABSENGER A1 TATJANA KUEZNIK A1 HELMUT DENK A1 KURT ZATLOUKAL A1 JOHANNES HAYBAECK YR 2014 UL http://ar.iiarjournals.org/content/34/6/2883.abstract AB Aim: Endometrial stromal sarcoma (ESS) is a rare gynecological mesenchymal malignancy with only few therapeutic options. This study aimed to investigate the efficacy of the histone deacetylase (HDAC) inhibitor suberanilohydroxamic acid (SAHA) combined with inhibitors of the phosphoinositid-3-Kinase (PI3K) pathway in ESS therapy. Materials and Methods: The effects of SAHA combined with inhibitor of PI3K (LY294002, LY), mammalian target of rapamycin mTOR (rapamycin), and their combination on cell growth and the PI3K pathway in two ESS cell lines (ESS-1 and MES-SA) and one non-neoplastic cell line HESC, were investigated. Results: SAHA reduced growth of the three cell lines by inhibiting protein kinase B AKT and mTOR/p70S6K cascade activation. SAHA combined with LY or rapamycin, or both, synergistically reduced p-p70S6K and p-4E-BP1 levels. SAHA combined with LY and rapamycin led to the strongest growth inhibition and slowest growth recovery among the combination treatments. Conclusion: SAHA combined with inhibition of PI3K and mTOR could represent an efficient therapy option for patients with ESS.