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Published on: July 25, 2020
Targeted therapy in sarcomas: mammalian target of rapamycin inhibitors from bench to bedside
Bruno Vincenzi1, Andrea Napolitano, Loretta D'Onofrio
1University Campus Bio-Medico, Medical Oncology, via Alvaro del Portillo, 200, Rome, Italy.
Introduction:
Sarcomas are rare heterogeneous malignancies of mesenchymal origin relatively common during childhood. Disruption of the mammalian target of rapamycin (mTOR) pathway is a very common event during the tumorigenesis of several types of cancer. In particular, strong preclinical evidences suggest pivotal roles of this pathway during the sarcomagenesis. Therefore, the inhibition of mTOR via rapamycin, rapamycin analogs (rapalogs) and ATP-competitive inhibitors seems to be a promising path to follow for a fully tailored therapy.
Areas Covered:
The aim of the present review is to summarize the available data about the mechanisms of mTOR pathway, its biological implications and its possible role in the pathogenesis of soft tissue sarcoma. Moreover, preclinical and clinical evidences of different mTOR inhibitors in the treatment of sarcomas are reported.
Expert Opinion:
Early studies with mTOR inhibitors have demonstrated promising antitumor activity in patients with metastatic sarcoma who have failed standard treatments: that is why mTOR inhibitors represents today a promising chance to improve the prognosis of those patients affected by these rare disease, which is today still extremely poor.
Insights
Targeting the mammalian target of rapamycin (mTOR) pathway shows promise for treating rare sarcomas. mTOR inhibitors demonstrate antitumor activity in metastatic sarcoma patients, offering hope for improved outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Sarcomas are rare, heterogeneous cancers originating from mesenchymal tissues, frequently diagnosed in children.
- The mammalian target of rapamycin (mTOR) pathway is frequently disrupted during tumorigenesis and plays a critical role in sarcoma development.
- Targeting the mTOR pathway is a promising strategy for developing tailored sarcoma therapies.
Purpose of the Study:
- To review the mechanisms and biological implications of the mTOR pathway.
- To explore the role of the mTOR pathway in soft tissue sarcoma pathogenesis.
- To summarize preclinical and clinical evidence of mTOR inhibitors in sarcoma treatment.
Main Methods:
- Literature review of mTOR pathway mechanisms and sarcoma pathogenesis.
- Analysis of preclinical data on mTOR inhibitors in sarcoma models.
- Compilation of clinical trial results for mTOR inhibitors in sarcoma patients.
Main Results:
- mTOR pathway dysregulation is implicated in sarcoma development.
- Preclinical studies show mTOR inhibitors have potential antitumor effects.
- Clinical investigations indicate mTOR inhibitors exhibit promising activity in metastatic sarcomas.
Conclusions:
- mTOR inhibitors have demonstrated significant antitumor activity in patients with metastatic sarcoma who have exhausted standard treatments.
- These inhibitors represent a promising therapeutic avenue to improve the prognosis for patients with rare sarcomas.
- Further research and clinical trials are warranted to optimize mTOR-targeted therapies for sarcoma.
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