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Published on: July 21, 2018
mTOR inhibitors in the treatment of cancer
Angelica Fasolo1, Cristiana Sessa
1Istituto Nazionale dei Tumori, via Venezian 1, Milano, Italy. angelica.fasolo@istitutotumori.mi.it
Background:
The mammalian target of rapamycin (mTOR) is a protein kinase of the phosphatidylinositol 3-kinase (PI3K)/Akt signalling pathway with a central role in the control of cell proliferation, survival, mobility and angiogenesis. Dysregulation of mTOR pathway has been found in many human tumours; therefore, the mTOR pathway is considered an important target for the development of new anticancer drugs.
Objective:
To review the mTOR pathway, the role of the mTOR inhibitors in cancer treatment, the preclinical features and clinical results of the three mTOR inhibitors currently in development, temsirolimus, everolimus and deforolimus.
Methods:
Review of the published literature (abstracts, full papers) since 1995 on mTOR pathway and related pathway signalling, rapamycin and analogues.
Results/Conclusion:
With each of the three mTOR inhibitors temsirolimus (CCI-779), everolimus (RAD001) and deforolimus (AP23573), a safe schedule of treatment has been defined and promising results of antitumour activity have been achieved in a variety of solid tumours, thus confirming the preclinical expectations.
Insights
mTOR inhibitors like temsirolimus show promising anticancer activity in solid tumors. These drugs, targeting the mTOR pathway, offer a safe treatment schedule and confirm preclinical findings.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The mammalian target of rapamycin (mTOR) pathway is crucial for cell growth and survival.
- mTOR pathway dysregulation is implicated in numerous human cancers.
- Targeting the mTOR pathway presents a significant strategy for novel anticancer drug development.
Purpose of the Study:
- To review the mTOR pathway.
- To examine the role of mTOR inhibitors in cancer therapy.
- To analyze preclinical and clinical data for temsirolimus, everolimus, and deforolimus.
Main Methods:
- Literature review of published studies.
- Focus on mTOR pathway signaling and rapamycin analogues.
- Inclusion of data from 1995 onwards.
Main Results:
- Temsirolimus, everolimus, and deforolimus demonstrate antitumour activity.
- Promising results observed across various solid tumours.
- Safe treatment schedules have been established for these mTOR inhibitors.
Conclusions:
- mTOR inhibitors have confirmed preclinical expectations in clinical settings.
- These agents represent a viable therapeutic option for solid tumours.
- Further development of mTOR inhibitors is warranted for cancer treatment.
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