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Updated: Aug 14, 2026

A Semi-Quantitative Drug Affinity Responsive Target Stability (DARTS) assay for studying Rapamycin/mTOR interaction
Published on: August 27, 2019
Inhibitors of the mammalian target of rapamycin
1Investigational Drug Branch/CTEP/DCTD, National Cancer Institute, 6130 Executive Boulevard, Room 7131 Rockville, MD 20852, USA. danceyj@ctep.nci.nih.gov
Abstract:
The mammalian target of rapamycin (mTOR) is a downstream protein kinase of the phosphatidylinositol 3'-kinase-Akt signalling pathway. As a result of its position within this pathway and its central role in controlling cellular growth, mTOR is viewed as an important target for anticancer therapeutics development. Currently, the mTOR inhibitor rapamycin (sirolimus, Wyeth) and its derivatives temsirolimus (CCI-779, Wyeth), everolimus (RAD-001, Novartis Pharma AG) and AP-23573 (Ariad Pharmaceuticals) are being evaluated in cancer clinical trials. Preclinical studies suggest that sensitivity to mTOR inhibition may correlate with aberrant activation of the phosphatidylinositol 3'-kinase pathway and/or with aberrant expression of cell-cycle regulatory or antiapoptotic proteins. Clinical trial results show that mTOR inhibitors are generally well tolerated and may induce prolonged stable disease and even tumour regressions in a subset of patients. Questions remain regarding optimal dose, schedule, patient selection and combination strategies for this novel class of agents.
Insights
Mammalian target of rapamycin (mTOR) inhibitors are promising anticancer therapeutics. Clinical trials show these agents are well-tolerated and can lead to tumor regression in some patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The mammalian target of rapamycin (mTOR) is a key regulator of cellular growth, downstream of the phosphatidylinositol 3'-kinase-Akt pathway.
- mTOR's central role makes it a significant target for developing novel anticancer therapeutics.
- Current research focuses on mTOR inhibitors like rapamycin and its derivatives.
Purpose of the Study:
- To evaluate the role of mTOR inhibitors in cancer treatment.
- To assess the safety and efficacy of mTOR inhibitors in clinical trials.
- To explore potential biomarkers for patient selection and combination strategies.
Main Methods:
- Clinical trials evaluating mTOR inhibitors (rapamycin, temsirolimus, everolimus, AP-23573).
- Preclinical studies investigating correlations between pathway activation and drug sensitivity.
- Analysis of clinical data on patient tolerance, stable disease, and tumor regression.
Main Results:
- mTOR inhibitors are generally well-tolerated in cancer patients.
- A subset of patients experienced prolonged stable disease or tumor regressions.
- Preclinical data suggest sensitivity may be linked to phosphatidylinositol 3'-kinase pathway activation.
Conclusions:
- mTOR inhibitors represent a promising class of anticancer agents.
- Further research is needed to optimize dosing, scheduling, patient selection, and combination therapies.
- mTOR pathway modulation holds potential for improving cancer treatment outcomes.
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