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Updated: Jun 15, 2026

Development and Application of Rapamycin-regulated Tyrosine Phosphatases
Published on: September 6, 2024
Rictor-dependent AKT activation and inhibition of urothelial carcinoma by rapamycin
Ming-Ju Wu1, Chi-Hao Chang, Yung-Tsung Chiu
1Division of Nephrology, Taichung Veterans General Hospital, Taichung, Taiwan. wmj530@gmail.com
Objective:
We previously reported a very high cumulative incidence of urothelial carcinoma in Taiwanese kidney transplant recipients. Rapamycin, the inhibitor of mTOR Complex 1, provides alternative immunosuppressive therapy after kidney transplantation with less neoplastic potential. We examined the in vivo and in vitro effects of rapamycin on urothelial carcinoma.
Materials And Methods:
The rat model of urothelial carcinoma was induced by 0.05% N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN) in Fischer F344 rats. The anti-tumor effect of rapamycin was assessed grossly, microscopically, and by Western blot analysis. The mechanism of rapamycin's attenuation of urothelial carcinoma was also evaluated by T24 cells.
Results:
Rapamycin significantly reduced urinary bladder tumor growth in the rat model of 0.05% BBN-induced urothelial carcinoma (P < 0.001). The blood trough levels of rapamycin were correlated with the occurrence of urothelial carcinoma. In vitro, rapamycin also inhibited the cell proliferation, migration, and invasion, as well as the protein expression of vascular endothelial growth factor-A of T24 urothelial carcinoma cells, whereas rapamycin did not induce significant apoptosis in T24 cells. Rapamycin decreased the expression of phospho-mTOR, phospho-S6K, cyclin D1, and VEGF-A. Rapamycin also activated AKT in T24 cells in the rat model of urothelial carcinoma. The rapamycin-associated activation of AKT was inhibited by rictor siRNA, but not raptor siRNA.
Conclusions:
This study provides in vitro and in vivo evidence that rapamycin may inhibit the development of urothelial carcinoma. The present findings also suggest rictor-dependent AKT activation as a consequence of mTORC1 inhibition.
Insights
Rapamycin effectively inhibits urothelial carcinoma development in rats by reducing tumor growth and cell migration. This mTORC1 inhibitor shows promise for preventing cancer in kidney transplant patients.
Area of Science:
- Oncology
- Transplantation Immunology
- Pharmacology
Background:
- Kidney transplant recipients have a high incidence of urothelial carcinoma.
- Rapamycin, an mTOR Complex 1 inhibitor, is an alternative immunosuppressant with lower neoplastic potential.
- The study investigates rapamycin's effects on urothelial carcinoma.
Purpose of the Study:
- To evaluate the in vivo and in vitro effects of rapamycin on urothelial carcinoma.
- To determine the anti-tumor mechanisms of rapamycin in urothelial carcinoma.
Main Methods:
- A rat model of urothelial carcinoma was induced using N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN).
- Rapamycin's anti-tumor effects were assessed via gross, microscopic, and Western blot analyses.
- In vitro studies utilized T24 cells to evaluate rapamycin's mechanism of action.
Main Results:
- Rapamycin significantly reduced tumor growth in the BBN-induced rat model (P < 0.001).
- In vitro, rapamycin inhibited T24 cell proliferation, migration, and invasion, and decreased VEGF-A expression.
- Rapamycin decreased phospho-mTOR, phospho-S6K, cyclin D1, and VEGF-A, while activating AKT in a rictor-dependent manner.
Conclusions:
- Rapamycin demonstrates in vitro and in vivo potential to inhibit urothelial carcinoma development.
- Rictor-dependent AKT activation is implicated as a downstream effect of mTORC1 inhibition by rapamycin.
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