Mammalian target of rapamycin (mTOR) is activated in cutaneous vascular malformations in vivo

Farheen Shirazi1, Cynthia Cohen, Levi Fried

  • 1Department of Dermatology, Emory University School of Medicine, Atlanta, GA 30322, USA.

Abstract

Insights

Vascular malformations, often linked to Akt signaling, show elevated phosphorylated S6. This suggests potential treatment with rapamycin for conditions like Sturge-Weber syndrome.

Area of Science:

  • Dermatology
  • Molecular Biology
  • Oncology

Background:

  • Vascular malformation signaling pathways remain poorly understood.
  • Akt overexpression in endothelial cells is implicated in vascular malformations.
  • No Akt inhibitors are currently approved for clinical use.

Purpose of the Study:

  • To investigate phosphorylated S6 ribosomal protein as a downstream marker of Akt activity in vascular malformations.
  • To assess the potential of rapamycin as a therapeutic agent for vascular malformations.

Main Methods:

  • Immunohistochemistry was performed on vascular malformation specimens from Sturge-Weber patients.
  • Expression of phosphorylated S6 ribosomal protein (phospho-S6k) was analyzed.

Main Results:

  • 70.8% of vascular malformation specimens showed immunopositivity for phospho-S6k.
  • Elevated phospho-S6 expression indicates potential sensitivity to rapamycin.

Conclusions:

  • Endothelial Akt signaling influences tumor response to rapamycin.
  • Elevated phosphorylated S6 expression in vascular malformations supports rapamycin therapy.
  • Findings provide a rationale for rapamycin clinical trials in Sturge-Weber and Klippel-Trenaunay-Weber patients.

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