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Published on: June 9, 2023
mTOR signalling in human cancer
J Albanell1, A Dalmases, A Rovira
1Medical Oncology Service, Hospital del Mar-IMAS, Barcelona, Spain. jalbanell@imas.imim.es
Abstract:
Inhibitors of mTOR, the mammalian target of rapamycin, have been extensively studied in clinical trials for cancer treatment. Results have been promising, mostly in certain lymphomas, but in solid tumours the results have been generally less encouraging. However, recent results, particularly in renal cell carcinoma, have provided renewed interest in the role of mTOR inhibitors in solid tumours. A rational, and potentially more successful, development of these agents (i.e., RAD001, temsirolimus and AP23573) likely relies in a deeper knowledge of mTOR signalling in cancer, both at the preclinical and clinical levels. These would allow a better selection of patients more likely to respond to the use of biologically active doses of the agents and the development of mechanistically based combinations with other agents. The goal of this review is to provide an update on the complex signalling of mTOR in cancer and on the biological effects of mTOR inhibitors in cancer cells.
Insights
Mammalian target of rapamycin (mTOR) inhibitors show promise in lymphomas but less so in solid tumors. Deeper understanding of mTOR signaling is key for effective use in cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Mammalian target of rapamycin (mTOR) inhibitors have been investigated for cancer therapy.
- While effective in some lymphomas, their efficacy in solid tumors has been limited.
- Recent findings in renal cell carcinoma have reignited interest in mTOR inhibitors for solid tumors.
Purpose of the Study:
- To review the complex signaling pathways of mTOR in cancer.
- To update on the biological effects of mTOR inhibitors on cancer cells.
- To guide rational development and combination strategies for mTOR inhibitors.
Main Methods:
- Literature review of preclinical and clinical studies on mTOR inhibitors.
- Analysis of mTOR signaling pathways in various cancer types.
- Evaluation of biological effects of mTOR inhibitors in cancer cells.
Main Results:
- mTOR inhibitors have shown significant promise in specific lymphoma subtypes.
- Efficacy in solid tumors has been generally less encouraging, with exceptions like renal cell carcinoma.
- Understanding mTOR signaling is crucial for patient selection and combination therapies.
Conclusions:
- Further research into mTOR signaling is essential for optimizing mTOR inhibitor therapy in solid tumors.
- Biologically active doses and rational combinations are key for improving treatment outcomes.
- Targeting mTOR remains a significant area of investigation for cancer treatment.
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