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The role of mTOR in the management of solid tumors: an overview
Alex S Strimpakos1, Eleni M Karapanagiotou, M Wasif Saif
1Department of Medicine, Royal Marsden Hospital, Downs Road, Surrey SM2 5PT, UK. alexstrimp@yahoo.co.uk
Abstract:
Mammalian target of rapamycin (mTOR) is a key protein kinase controlling signal transduction from various growth factors and upstream proteins to the level of mRNA and ribosome with a regulatory effect on cell cycle progression, cellular proliferation and growth. TOR genes were discovered rather serendipitously while investigating the cause of resistance to immunosuppressant rapamycin in yeast. In normal cells, mTOR controls brilliantly the load of signals from its effectors resulting in a normal cell function. On the contrary, in various diseases and mainly in cancer this balance is lost due to mutations or overactivation of upstream pathways leading to a persistent proliferation and tumor growth. What makes mTOR attractive to researchers seems to be its key position which is on the crossroad of various signal pathways (Ras, PI3K/Akt, TSC, NF-kappaB) towards mRNA, ribosome, protein synthesis and translation of significant molecules, the uncontrolled production of which may lead to tumor proliferation and growth. Inhibition of mTOR by rapamycin (a natural product) or its analogs aims to prevent the deleterious effects of the abnormal signaling, regardless at which point of the signal pathway has the abnormality launched. Here, we will review the physiological functions of mTOR, its association to carcinogenesis and the latest evidence regarding the use of mTOR inhibitors in cancer treatment as well as future trends and aims of research.
Insights
Mammalian target of rapamycin (mTOR) regulates cell growth and proliferation. Inhibiting mTOR shows promise in treating cancer by disrupting uncontrolled tumor growth and proliferation pathways.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Mammalian target of rapamycin (mTOR) is a crucial protein kinase regulating cell cycle, proliferation, and growth.
- Dysregulation of mTOR signaling is implicated in various diseases, particularly cancer, leading to uncontrolled cell proliferation and tumor growth.
- mTOR's central role in integrating signals from pathways like Ras, PI3K/Akt, TSC, and NF-kappaB makes it a significant target.
Purpose of the Study:
- To review the physiological functions of mTOR.
- To explore the association between mTOR and carcinogenesis.
- To present the latest evidence on mTOR inhibitors in cancer treatment and future research directions.
Main Methods:
- Literature review of physiological functions of mTOR.
- Analysis of mTOR's role in cancer development.
- Review of current research on mTOR inhibitors for cancer therapy.
Main Results:
- mTOR orchestrates signal transduction pathways essential for normal cellular functions.
- Aberrant mTOR signaling, due to mutations or pathway overactivation, drives cancer progression.
- mTOR inhibitors, including rapamycin and its analogs, offer a therapeutic strategy to counteract abnormal signaling in cancer.
Conclusions:
- mTOR is a key regulator of cell growth and proliferation, with its dysregulation linked to cancer.
- Targeting mTOR with inhibitors presents a promising therapeutic avenue for various cancers.
- Further research into mTOR inhibitors will refine cancer treatment strategies and explore future therapeutic trends.
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