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Published on: May 20, 2015
[Antitumoral effect of proliferation signal inhibitors]
1Unité de transplantation hépatique, Hôpital Edouard Herriot, pavillon H bis, Lyon, France. jerome.dumortier@chu-lyon.fr
Abstract:
The mammalian target of rapamycin (mTOR) is implicated in cell growth especially during cancer development and progression. Its action is dependent on well known oncogenic pathways that regulate tumor cell growth and cell cycle progression, in response to different stimuli. Sirolimus, temsirolimus and everolimus are specific inhibitors of mTOR that have originally been characterized by their antifungal and immunosuppressive properties, but also significantly inhibit cancer cells'proliferation, invasion, and metastasis, and promote apoptosis. In addition, mTOR inhibitors display potent antiangiogenic properties by the suppression of vascular endothelial growth factor signal transduction. The antitumoral effects of mTOR inhibitors, as a monotherapy or in combination with tyrosine kinase inhibitors or usual cytotoxic agents, have been extensively suggested in preclinical studies, including animal models. In a clinical setting, preliminary reports have demonstrated that mTOR inhibitors use is associated with an acceptable safety profile. Currently, mTOR inhibitors are tested in multiple trials and various cancer types, usually in intermittent schedules to avoid significant immunosuppression. Of particular interest is the use of mTOR inhibitors in the field of organ transplantation, including liver transplantation, in preventive or curative strategies, for the treatment of recurrent hepatocellular carcinoma and de novo post-transplantation malignancies.
Insights
Mammalian target of rapamycin (mTOR) inhibitors show promise in cancer treatment by halting tumor growth and spread. These drugs also exhibit antiangiogenic effects and are being investigated for various cancers and in organ transplant patients.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- The mammalian target of rapamycin (mTOR) pathway is crucial for cell growth and is frequently dysregulated in cancer.
- mTOR regulates tumor cell proliferation, cell cycle progression, and oncogenic signaling pathways.
Purpose of the Study:
- To review the role of mTOR inhibitors in cancer therapy.
- To explore the therapeutic potential of mTOR inhibitors in various cancer types and in the context of organ transplantation.
Main Methods:
- Review of preclinical studies and clinical trial data on mTOR inhibitors (sirolimus, temsirolimus, everolimus).
- Analysis of mTOR inhibitors' effects on cancer cell proliferation, invasion, metastasis, apoptosis, and angiogenesis.
- Evaluation of safety profiles and efficacy in monotherapy and combination treatments.
Main Results:
- mTOR inhibitors significantly inhibit cancer cell proliferation, invasion, metastasis, and promote apoptosis.
- These agents possess antiangiogenic properties by suppressing vascular endothelial growth factor (VEGF) signaling.
- Preclinical and preliminary clinical data suggest an acceptable safety profile and therapeutic potential.
Conclusions:
- mTOR inhibitors are a promising class of drugs for cancer treatment, with demonstrated antitumoral and antiangiogenic effects.
- Ongoing clinical trials are evaluating mTOR inhibitors across various cancer types and treatment schedules.
- mTOR inhibitors hold potential for managing post-transplantation malignancies, particularly in liver transplant recipients.
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