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Updated: Jul 8, 2026

An Orthotopic Sciatic Nerve Xenograft for Neurofibromatosis Type 1 Neurofibromas
Published on: October 10, 2025
TORC1 is essential for NF1-associated malignancies
Cory M Johannessen1, Bryan W Johnson, Sybil M Genther Williams
1Genetics Division, Department of Medicine, Brigham and Women's Hospital, Ludwig Center at Dana-Farber/Harvard Cancer Center, Harvard Medical School, Boston, Massachusetts 02115, USA.
Abstract:
Inactivating mutations in NF1 underlie the prevalent familial cancer syndrome neurofibromatosis type 1 [1]. The NF1-encoded protein is a Ras GTPase-activating protein (RasGAP) [2]. Accordingly, Ras is aberrantly activated in NF1-deficient tumors; however, it is unknown which effector pathways critically function in tumor development. Here we provide in vivo evidence that TORC1/mTOR activity is essential for tumorigenesis. Specifically, we show that the mTOR inhibitor rapamycin potently suppresses the growth of aggressive NF1-associated malignancies in a genetically engineered murine model. However, in these tumors rapamycin does not function via mechanisms generally assumed to mediate tumor suppression, including inhibition of HIF-1alpha and indirect suppression of AKT, but does suppress the mTOR target Cyclin D1 [3]. These results demonstrate that mTOR inhibitors may be an effective targeted therapy for this commonly untreatable malignancy. Moreover, they indicate that mTOR inhibitors do not suppress all tumor types via the same mechanism, suggesting that current biomarkers that rely on HIF-1alpha suppression may not be informative for all cancers. Finally, our results reveal important differences between the effects of mTOR inhibition on the microvasculature in genetically engineered versus xenograft models and indicate that the former may be required for effective preclinical screening with this class of inhibitors.
Insights
Rapamycin, an mTOR inhibitor, effectively suppresses aggressive neurofibromatosis type 1 (NF1) tumors in mice. This targeted therapy shows promise for treating NF1-associated malignancies, highlighting a novel therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Neurofibromatosis type 1 (NF1) is a common familial cancer syndrome caused by inactivating mutations in the NF1 gene.
- The NF1 protein acts as a Ras GTPase-activating protein (RasGAP), and its deficiency leads to aberrant Ras activation in tumors.
- The specific effector pathways driving NF1-deficient tumorigenesis remain largely unknown.
Purpose of the Study:
- To investigate the role of mammalian target of rapamycin (mTOR) signaling in NF1-associated tumor development.
- To evaluate the efficacy of mTOR inhibitors as a targeted therapy for aggressive NF1 malignancies.
- To elucidate the mechanisms of action for mTOR inhibitors in NF1-deficient tumors.
Main Methods:
- Utilized a genetically engineered murine model of aggressive NF1-associated malignancies.
- Administered the mTOR inhibitor rapamycin to assess its effect on tumor growth.
- Analyzed downstream signaling pathways, including HIF-1alpha, AKT, and Cyclin D1, to understand rapamycin's mechanism of action.
Main Results:
- Rapamycin significantly suppressed the growth of aggressive NF1-associated malignancies in the murine model.
- Rapamycin's tumor suppressive effects were not mediated by the inhibition of HIF-1alpha or indirect suppression of AKT.
- Rapamycin effectively suppressed the mTOR target Cyclin D1 in these tumors.
Conclusions:
- mTOR pathway activity is essential for tumorigenesis in NF1-deficient cancers.
- mTOR inhibitors represent a potential targeted therapy for NF1-associated malignancies.
- The mechanism of action for mTOR inhibitors can vary across different cancer types, suggesting limitations for current biomarkers like HIF-1alpha suppression.
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