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Updated: Jun 8, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Activated mammalian target of rapamycin is a potential therapeutic target in gastric cancer
Da-zhi Xu1, Qi-rong Geng, Ying Tian
1State Key Laboratory of Oncology in South China, Guangzhou 510060, China.
Background:
The mammalian target of rapamycin (mTOR) plays a key role in cellular growth and homeostasis. The purpose of our present study is to investigate the expression of activated mTOR (p-mTOR) in gastric cancer patients, their prognostic significance and the inhibition effect of RAD001 on tumor growth and to determine whether targeted inhibition of mTOR could be a potential therapeutic strategy for gastric cancer.
Methods:
The expression of p-mTOR was detected in specimens of 181 gastric cancers who underwent radical resection (R0) by immunohistochemistry. The correlation of p-mTOR expression to clinicopathologic features and survival of gastric cancer was studied. We also determined the inhibition effect of RAD001 on tumor growth using BGC823 and AGS human gastric cancer cell lines.
Results:
Immunostaining for p-mTOR was positive in 93 of 181 (51.4%) gastric cancers, closely correlated with lymph node status and pTNM stage. Patients with p-mTOR positive showed significantly shorter disease-free survival (DFS) and overall survival (OS) rates than those with p-mTOR-negative tumors in univariable analyses, and there was a trend toward a correlation between p-mTOR expression and survival in multivariable analyses. RAD001 markedly inhibited dose-dependently proliferation of human gastric carcinoma cells by down-regulating expression of p70s6k, p-p70s6k, C-myc, CyclinD1 and Bcl-2, up-regulating expression of P53.
Conclusions:
In gastric cancer, p-mTOR is a potential therapeutic target and RAD001 was a promising treatment agent with inducing cell cycle arrest and apoptosis by down-regulating expression of C-myc, CyclinD1 and Bcl-2, up-regulating expression of P53.
Insights
Activated mTOR (p-mTOR) is prevalent in gastric cancer and linked to poorer survival. RAD001 effectively inhibits tumor cell growth by targeting the mTOR pathway, suggesting its therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The mammalian target of rapamycin (mTOR) pathway is crucial for cellular growth and homeostasis.
- Dysregulation of mTOR signaling is implicated in various cancers, including gastric cancer.
Purpose of the Study:
- To investigate the expression and prognostic significance of activated mTOR (p-mTOR) in gastric cancer.
- To evaluate the therapeutic potential of RAD001, an mTOR inhibitor, in gastric cancer models.
Main Methods:
- Immunohistochemistry was used to assess p-mTOR expression in 181 gastric cancer specimens.
- Correlation analysis was performed between p-mTOR expression and clinicopathological features/survival.
- The effect of RAD001 on gastric cancer cell lines (BGC823, AGS) was determined in vitro.
Main Results:
- p-mTOR expression was detected in 51.4% of gastric cancers and correlated with lymph node status and pTNM stage.
- Positive p-mTOR expression was associated with significantly shorter disease-free survival (DFS) and overall survival (OS).
- RAD001 dose-dependently inhibited gastric cancer cell proliferation, down-regulating key proteins (p70s6k, p-p70s6k, C-myc, CyclinD1, Bcl-2) and up-regulating P53.
Conclusions:
- Activated mTOR (p-mTOR) is a potential therapeutic target in gastric cancer.
- RAD001 demonstrates promise as a treatment agent by inducing cell cycle arrest and apoptosis.
- Targeted inhibition of mTOR may represent a viable therapeutic strategy for gastric cancer.
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