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Activation of mTORC1 signaling pathway in AIDS-related lymphomas
Mouna El-Salem1, Puthiyaveettil N Raghunath, Michal Marzec
1University of Pennsylvania Medical Center, Department of Pathology and Laboratory Medicine, 3400 Spruce Street, 7.106 Founders Pavilion, Philadelphia, PA 19104, USA.
Abstract:
Using immunohistochemistry with antibodies against the phosphoserine residues in both S6rp and 4E binding protein 1, we identified the activation of the mammalian target of rapamycin (mTORC)1 pathway in 29 cases of AIDS-related lymphoma. These cases represented a diverse spectrum of histological types of non-Hodgkin lymphoma (24 cases) and classic Hodgkin lymphoma (five cases). mTORC1 was also activated in the hyperplastic but not involuted follicles of HIV-associated lymphadenopathy in eight cases, supporting the notion that mTORC1 activation is a common feature of transformed lymphocytes irrespective of either their reactive or malignant phenotype. We also found that in B-cell lines that represent diffuse large B-cell lymphoma, Burkitt lymphoma, Epstein-Barr virus-infected lymphocytes, and human herpesvirus 8-positive primary effusion lymphoma, inhibitors of Syk, MEK, and, seemingly, phosphoinositide 3 kinases suppressed mTORC1 activation, in particular when these inhibitors were used in combination. These findings indicate that AIDS-related lymphoma and other histologically similar types of lymphomas that are derived from transformed B lymphocytes may display clinical responses to inhibitors that directly target mTORC1 or, possibly, upstream activators of the mTORC1 pathway.
Insights
The mammalian target of rapamycin (mTORC)1 pathway is activated in AIDS-related lymphomas and HIV-associated lymphadenopathy. Inhibiting mTORC1 or its upstream activators may offer new treatments for these lymphomas.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- The mammalian target of rapamycin (mTORC)1 pathway plays a crucial role in cell growth and proliferation.
- Dysregulation of mTORC1 signaling is implicated in various cancers, including lymphomas.
- AIDS-related lymphomas are aggressive malignancies often associated with human immunodeficiency virus (HIV) infection.
Purpose of the Study:
- To investigate the activation status of the mTORC1 pathway in AIDS-related lymphomas.
- To explore the role of mTORC1 in HIV-associated lymphadenopathy.
- To identify potential therapeutic targets by examining upstream activators of mTORC1 in lymphoma cell lines.
Main Methods:
- Immunohistochemistry was used to detect activated phosphoserine residues of S6rp and 4E-binding protein 1.
- Analysis included cases of non-Hodgkin lymphoma, classic Hodgkin lymphoma, and HIV-associated lymphadenopathy.
- In vitro studies utilized B-cell lines representing various lymphoma subtypes to test the effects of pathway inhibitors.
Main Results:
- mTORC1 pathway activation was identified in 29 cases of AIDS-related lymphoma across diverse histological subtypes.
- Activated mTORC1 was also observed in hyperplastic follicles of HIV-associated lymphadenopathy, but not in involuted follicles.
- Inhibition of Syk, MEK, and phosphoinositide 3 kinases, particularly in combination, suppressed mTORC1 activation in lymphoma cell lines.
Conclusions:
- mTORC1 activation is a common feature in transformed lymphocytes, regardless of their reactive or malignant phenotype.
- These findings suggest that AIDS-related lymphomas and similar B-cell lymphomas may respond to therapies targeting mTORC1.
- Inhibitors of mTORC1 or its upstream activators represent a promising therapeutic strategy for AIDS-related lymphomas.
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