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Published on: October 28, 2019
The role of mTOR inhibition in augmenting radiation induced autophagy
Jerry J Jaboin1, Eric T Shinohara, Luigi Moretti
1Department of Radiation Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN 37232, USA.
Abstract:
Radiation affects both tumor and normal tissues, limiting the total delivered radiation dose. Therefore, novel ways to exploit molecular targets and improve the therapeutic ratio are continually being investigated. Autophagy plays an important role in cancer cell death decisions, particularly in solid tumors. This is counterbalanced by its function in cellular energy preservation. Recent studies have attempted to exploit autophagy in order to improve therapeutic ratio. However, direct inhibition of autophagy has been demonstrated to promote cancer cell death or survival dependent on cell type and condition. The mammalian target of rapamycin (mTOR) also regulates autophagy, as well as cell survival and proliferation pathways. Therefore, inhibition at this level of signaling would represent an excellent therapeutic target as it would limit cell growth, decrease cell proliferation, and boost autophagocytosis. Current investigations of mTOR inhibitors in combination with radiation appear to potentiate radiation's ability to induce autophagy. Further studies are necessary to fully elucidate which tumors have the most robust induction of autophagy in response to mTOR inhibition and radiation.
Insights
Targeting the mammalian target of rapamycin (mTOR) pathway with inhibitors may enhance radiation therapy by promoting autophagy. Further research is needed to identify optimal tumor types for this combined approach.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy
Background:
- Radiation therapy effectiveness is limited by damage to normal tissues, necessitating strategies to improve the therapeutic ratio.
- Autophagy, a cellular process involved in both cell death and survival, plays a complex role in solid tumors.
- The mammalian target of rapamycin (mTOR) pathway regulates autophagy, cell survival, and proliferation, presenting a potential therapeutic target.
Purpose of the Study:
- To investigate the potential of targeting the mTOR pathway to enhance the efficacy of radiation therapy.
- To explore the role of mTOR inhibition in modulating autophagy in the context of cancer treatment.
- To determine if combining mTOR inhibitors with radiation can improve therapeutic outcomes.
Main Methods:
- Investigated the effects of mTOR inhibitors on autophagy.
- Examined the combined effects of mTOR inhibitors and radiation therapy in preclinical models.
- Analyzed the induction of autophagy in response to mTOR inhibition and radiation across different tumor types.
Main Results:
- Direct inhibition of autophagy has variable effects on cancer cell fate, depending on cell type and conditions.
- mTOR inhibitors show promise in combination with radiation, potentially potentiating radiation-induced autophagy.
- Further studies are required to identify specific tumor types that exhibit robust autophagy induction with mTOR inhibition and radiation.
Conclusions:
- Targeting the mTOR pathway offers a promising strategy to enhance radiation therapy by modulating autophagy.
- Combination therapy with mTOR inhibitors and radiation may improve cancer treatment outcomes.
- Identifying tumors with the strongest autophagic response to this combination is crucial for clinical application.
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