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Updated: Jul 1, 2026

Tumor Transplantation for Assessing the Dynamics of Tumor-Infiltrating CD8+ T Cells in Mice
Published on: June 12, 2021
mTOR, cancer and transplantation
Edward K Geissler1, Hans J Schlitt, George Thomas
1Department for Surgery, University of Regensburg, Regensburg, Germany. edward.geissler@klinik.uni-regensburg.de
Abstract:
One of the most clinically important molecular signalling networks to emerge over the past decade is the mammalian target of rapamycin (mTOR) pathway. mTOR, the protein kinase at the core of this intricate and continually evolving pathway, controls cellular growth and behavior, impacting vital processes from immune reactivity to cancer progression. As researchers, surgeons and physicians in the field of organ transplantation, we have acquired a keen interest in regulating mTOR activity, because this molecule is not only able to block IL-2 signalling in T cells, and thus alloimmune reactivity, it is a critical part of the cellular circuitry which is often constitutively activated in neoplastic cells, leading to the all-too-often occurrence of cancer. Since allograft rejection and the development of cancer lead most lists for causing excess morbidity and mortality in our organ transplant population, a thorough and current understanding of the mTOR pathway becomes essential. In this review, we endeavor to unravel the latest molecular developments in mTOR signalling and use this basic knowledge to generate perspectives on how pharmacologic mTOR intervention may form a balance to impact long-term antidonor immune responses and the development of malignancy in transplant recipients.
Insights
The mammalian target of rapamycin (mTOR) pathway regulates cell growth and is crucial in organ transplantation. Understanding mTOR signaling can help manage immune responses and prevent cancer in transplant recipients.
Area of Science:
- Molecular Biology
- Immunology
- Oncology
- Transplantation Medicine
Background:
- The mammalian target of rapamycin (mTOR) pathway is a key regulator of cellular processes, including growth, proliferation, and survival.
- Dysregulation of the mTOR pathway is implicated in both cancer progression and immune responses, making it a critical target in organ transplantation.
Purpose of the Study:
- To review the latest molecular developments in mTOR signaling.
- To explore the potential of pharmacologic mTOR intervention in managing transplant recipients.
- To balance long-term antidonor immune responses and the risk of malignancy.
Main Methods:
- Literature review of current research on mTOR signaling pathways.
- Analysis of the role of mTOR in T cell IL-2 signaling and alloimmune reactivity.
- Examination of mTOR's involvement in neoplastic cell activation and cancer development.
Main Results:
- The mTOR pathway controls vital cellular functions, influencing immune reactivity and cancer progression.
- mTOR activity blockade can inhibit T cell signaling, impacting alloimmune responses.
- Constitutive activation of mTOR is frequently observed in cancer cells.
Conclusions:
- A comprehensive understanding of mTOR signaling is essential for organ transplant recipients.
- Pharmacologic modulation of mTOR may offer a strategy to mitigate risks of allograft rejection and cancer development.
- Targeting mTOR presents a potential therapeutic approach to improve long-term outcomes in transplantation.
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