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Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
mTOR, a new therapeutic target in acute myeloid leukemia
Christian Récher1, Cédric Dos Santos, Cécile Demur
1Département d'Oncogenèse et Signalisation dans les Cellules Hématopoïétiques, Institut National de la Santé et de la Recherche Médicale (Inserm) U563, CPTP, Toulouse, France. recher.c@chu-toulouse.fr
Abstract:
The mTOR (mammalian target of rapamycin) serine threonine kinase is involved in the regulation of the cell cycle, apoptosis and angiogenesis. mTOR inhibitors (rapamycin, or analogues such as CCI-779, RAD001, AP23573), which have been shown to have a potent anti-neoplastic effect in many solid tumor models, are now being used in clinical trials. Recent data have shown that the mTOR pathway is also aberrantly activated in hematological malignancies including acute myeloid leukemia (AML). This disease still has a bad prognosis and new therapeutic strategies are required. Rapamycin, used at low concentrations, induces the profound inhibition of AML cell clonogenic properties in 60% of cases while sparing their normal counterparts. Moreover, clinical responses have been achieved in poor-risk AML patients. In this review, we discuss the possible mechanisms of mTOR activation, the mechanisms involved in the inhibition of cell proliferation by rapamycin, the possible resistance mechanisms and ways of improving rapamycin efficacy in the context of AML.
Insights
Mammalian target of rapamycin (mTOR) inhibitors show promise for treating acute myeloid leukemia (AML). Low-concentration rapamycin effectively inhibits AML cell growth while sparing normal cells, offering new therapeutic strategies for this challenging disease.
Area of Science:
- Oncology
- Molecular Biology
- Hematology
Background:
- The mammalian target of rapamycin (mTOR) pathway regulates critical cellular processes like cell cycle progression, apoptosis, and angiogenesis.
- Aberrant mTOR pathway activation is implicated in various cancers, including hematological malignancies such as acute myeloid leukemia (AML).
- Current therapeutic strategies for AML have limitations, necessitating the exploration of novel treatment approaches.
Purpose of the Study:
- To review the role of the mTOR pathway in AML pathogenesis.
- To discuss the anti-leukemic effects of mTOR inhibitors, particularly rapamycin.
- To explore potential mechanisms of resistance and strategies to enhance rapamycin efficacy in AML.
Main Methods:
- Review of existing literature on mTOR signaling in cancer and AML.
- Analysis of preclinical data on the effects of rapamycin and its analogues on AML cells.
- Examination of clinical trial data involving mTOR inhibitors in AML patients.
Main Results:
- Rapamycin demonstrates potent anti-neoplastic effects in solid tumor models and is under clinical investigation.
- Low-concentration rapamycin significantly inhibits AML cell clonogenic properties in a majority of cases, while sparing normal hematopoietic cells.
- Clinical responses have been observed in patients with poor-risk AML treated with rapamycin.
Conclusions:
- The mTOR pathway is a potential therapeutic target in AML.
- Rapamycin exhibits significant anti-leukemic activity and warrants further investigation for AML treatment.
- Understanding resistance mechanisms and optimizing rapamycin delivery are crucial for improving clinical outcomes in AML.
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