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Published on: October 23, 2018
Inhibition of mTOR suppresses experimental liver tumours
1Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden. magnus.rizell@surgery.gu.se
Abstract:
Sirolimus, and its antiproliferative capacity, was studied in vivo in three different syngenic rat tumours in the liver. Sirolimus is an inhibitor of the cytosolic mTOR-kinase, associated with the phosphoinositide-3-kinase/Akt pathway. After one week of daily sirolimus treatment, initiated on the day of tumour-cell inoculation, a dose-response relationship was shown at doses between 0.01 mg/kg/day and 1 mg/kg/day, decreasing tumour weight from 0.5+/-0.1 g in control rats (n=9) to 0.09+/-0.04 g for sirolimus 1 mg/kg (n=9). Treating established liver adenocarcinoma (n=15), sirolimus halved the tumour weight (1.4+/-0.2 g vs 0.7+/-0.1 g, p=0.005). Trough concentration in blood was 6.4+/-0.2 ng/ml after five days of daily treatment with 1 mg/kg sirolimus intraperitoneally. At this dose, there was no decrease in food consumption or rat weight, but decrease in weight of spleen, and increase in weight of liver (p<0.01). The three tumours studied, an nitrosoguanidin-induced adenocarcinoma, a Leydig cell sarcoma and a hepatoma, all responded, establishing sirolimus as a promising anticancer drug.
Insights
Sirolimus effectively reduced liver tumor weight in rats, showing a dose-response relationship. This mTOR inhibitor holds promise as an anticancer drug, with no adverse effects on food intake or body weight.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Sirolimus (rapamycin) is a known inhibitor of the mechanistic target of rapamycin (mTOR) kinase.
- The mTOR pathway is closely linked to the phosphoinositide-3-kinase/Akt signaling cascade, which plays a critical role in cell growth and proliferation.
- Dysregulation of the mTOR pathway is implicated in various cancers, making it a target for therapeutic intervention.
Purpose of the Study:
- To investigate the in vivo antiproliferative capacity of sirolimus against syngenic rat liver tumors.
- To establish a dose-response relationship for sirolimus treatment in reducing tumor weight.
- To evaluate the efficacy of sirolimus in established liver adenocarcinoma models.
Main Methods:
- Daily intraperitoneal administration of sirolimus to rats bearing three different syngenic liver tumors.
- Dose-ranging studies were conducted from 0.01 mg/kg/day to 1 mg/kg/day.
- Tumor weight, food consumption, body weight, spleen weight, and liver weight were measured. Blood trough concentrations of sirolimus were determined.
Main Results:
- Sirolimus demonstrated a significant dose-dependent reduction in tumor weight, from 0.5+/-0.1 g in controls to 0.09+/-0.04 g at 1 mg/kg/day.
- In established liver adenocarcinoma, sirolimus treatment halved tumor weight (1.4+/-0.2 g vs 0.7+/-0.1 g, p=0.005).
- A dose of 1 mg/kg/day resulted in a blood trough concentration of 6.4+/-0.2 ng/ml without affecting food intake or body weight, but decreased spleen weight and increased liver weight.
Conclusions:
- Sirolimus exhibits potent in vivo antiproliferative activity against multiple syngenic rat liver tumors, including adenocarcinoma, Leydig cell sarcoma, and hepatoma.
- The drug establishes a clear dose-response relationship and is effective in both early-stage and established tumors.
- Sirolimus is a promising anticancer drug candidate, warranting further investigation for clinical application.
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