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Fig 1.

TH588 effectively decreases cellular survival in heterogeneous neuroendocrine tumor cells.

(A) Basal protein expression level of endogenous MTH1 in all four NET cell lines. The expression of MTH1 is evaluated by Western blot analysis. A representative blot out of three independently performed experiments is shown, together with densitometry quantification of 3 independent Western blots. (B) The effects of different concentrations of TH588 (100 nM to 10 μM) on cellular survival in neuroendocrine pancreatic BON1, pancreatic islet QGP1, bronchopulmonary H727 and ileal GOT1 cells are displayed after 144 h of incubation. The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either single substance treatment are shown considering p<0,05 = *; p<0,01 = **; p<0,001 = ***. (C) 20% inhibitory concentration (IC20) of TH588 (100 nM to 10 μM) in four different NET cell lines after 144 h of incubation.

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Fig 1 Expand

Fig 2.

TH588 treatment causes apoptotic cell death.

(A) FACS analysis of BON1 and QGP1 cells after 72 h of incubation with TH588. The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either sinlge substance treatment are shown considering p<0,05 = *; p<0,01 = **; p<0,001 = ***. (B) Western blot analysis of PARP and Caspase 3 cleavage in NETs. A representative blot out of three independently performed experiments is shown. (C) Caspase 3/7 activity in BON1 and QGP1 cells upon 72 h of incubation with TH588. The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either sinlge substance treatment are shown considering p<0,05 = *; p<0,01 = **; p<0,001 = ***.

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Fig 2 Expand

Fig 3.

TH588 causes PI3K-Akt-mTOR pathway and pathway related growth factor receptor downregulation.

Western blot analysis of components from the PI3K-Akt-mTOR pathway (Akt and 4EBP1) and 2 types of pathway related growth factor receptors (EGFR and IGFR) were analysed after 72 h of incubation with TH588 (5 μM and 10 μM). A representative blot out of three independently performed experiments is shown.

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Fig 3 Expand

Fig 4.

Dual-targeting approaches show agonistic effects in cell survival decrease due to either apoptotic cell death enhancement or cooperative PI3K-Akt-mTOR pathway downregulation.

(A) Effect of TH588 on cell survival. Human neuroendocrine pancreatic BON1 and pancreatic islet QGP1 cells were incubated with TH588 (5 μM and 10 μM) alone and in combination (TH588 (5 μM)) with 5-FU (5 μM) and everolimus (10 nM) for 96 h and 144 h. The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either sinlge substance treatment are shown, considering p<0,05 = *; p<0,01 = **; p<0,001 = ***. (B) Western blot analysis components from PI3K-Akt-mTOR pathway and the apoptotic cell apparatus were analyzed with TH588 alone (5 μM and 10 μM) alone and in combination with 5-FU (5 μM) and everolimus (10 nM) after 96 h. A representative blot out of three independently performed experiments is shown, together with the densitometry quantification.

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Fig 4 Expand

Fig 5.

TH588 causes oxidative stress and serves as radio-sensitizing adjuvant.

(A) Displayed is the relative oxidative stress after 96 h of incubation with TH588 alone (5 μM) and in combination with 5-FU (5 μM) and everolimus (10 nM). The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either single substance treatment are shown, considering p<0,05 = *; p<0,01 = **; p<0,001 = ***. (B) Western blot analysis of components from DNA damage response and MTH1 are displayed after 96 h of incubation with TH588 alone and in combination with 5-FU and everolimus. A representative blot out of three independently performed experiments is shown.

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Fig 5 Expand

Fig 6.

TH588 as a radio-sensitizing adjuvant in BON1 and QGP1 cells.

The arithmetic means and standard deviation of at least three independent experiments are shown. Statistical significant different results in comparison to either single x-ray treatment are shown, considering p<0,05 = *; p<0,01 = **; p<0,001 = ***.

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Fig 6 Expand