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An overview of the mTOR pathway as a target in cancer therapy
Ryan D Gentzler1, Jessica K Altman, Leonidas C Platanias
1Northwestern University, Feinberg School of Medicine, Robert H. Lurie Comprehensive Cancer Center , 303 East Superior Street, Lurie 3-107, Chicago, IL 60611 , USA +1 312 5034267 ; +1 312 9081372 ; l-platanias@northwestern.edu.
Introduction:
The mammalian target of rapamycin (mTOR) signaling cascade is a key regulatory pathway controlling initiation of mRNA translation in mammalian cells. The mTOR inhibitor rapamycin and its derivatives have shown potent antineoplastic activities in many preclinical models and clinical trials. First-generation mTOR inhibitors are now FDA-approved for the treatment of renal cell carcinoma.
Areas Covered:
This article reviews the components of the mTOR pathway and their normal functions, highlighting the most common alterations in the pathway, seen in various human malignancies. It also discusses elements and effectors of this signaling cascade and reviews the therapeutic relevance of pharmacological inhibitors of the pathway in several malignancies, including lymphomas, leukemias, sarcomas, renal cell carcinoma, and breast cancer.
Expert Opinion:
mTOR targeting is a highly promising therapeutic approach. First-generation mTOR inhibitors have already shown substantial activity in the treatment of certain tumors, while the emergence of second-generation catalytic mTOR inhibitors provides a better approach to target the pathway in malignant cells and has raised the potential for better clinical outcomes in the future.
Insights
Targeting the mammalian target of rapamycin (mTOR) pathway shows promise for cancer treatment. mTOR inhibitors are effective against certain tumors, with newer generations offering improved outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The mammalian target of rapamycin (mTOR) pathway regulates mRNA translation initiation.
- mTOR inhibitors like rapamycin demonstrate significant antineoplastic activity.
- First-generation mTOR inhibitors are approved for renal cell carcinoma treatment.
Purpose of the Study:
- Review mTOR pathway components and functions.
- Highlight common alterations in human malignancies.
- Discuss therapeutic relevance of mTOR inhibitors in various cancers.
Main Methods:
- Literature review of mTOR pathway.
- Analysis of mTOR pathway alterations in cancer.
- Evaluation of therapeutic strategies using mTOR inhibitors.
Main Results:
- mTOR pathway is frequently altered in human cancers.
- Pharmacological inhibition of mTOR shows efficacy in preclinical and clinical studies.
- Specific malignancies discussed include lymphomas, leukemias, sarcomas, renal cell carcinoma, and breast cancer.
Conclusions:
- Targeting the mTOR pathway is a promising therapeutic strategy.
- First-generation mTOR inhibitors have demonstrated clinical activity.
- Second-generation catalytic mTOR inhibitors offer enhanced targeting and potential for improved outcomes.
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