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Myxoid liposarcoma and the mammalian target of rapamycin pathway
Roberta Sanfilippo1, Angelo P Dei Tos, Paolo G Casali
1Adult Mesenchymal Tumor Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy. roberta.sanfilippo@istitutotumori.mi.it
Purpose Of Review:
Myxoid/round cell liposarcoma (MRCL) represents about 10% of all soft-tissue sarcomas. Therapeutic options for this subgroup of tumours are limited, essentially doxorubicin-based regimens and trabectedin. Recently, the mammalian target of rapamycin (mTOR) pathway has been identified as a therapeutic target in several sarcomas. MRCLs should be included among these, as various molecular aberrations of the mTOR pathway have been recently reported.
Recent Findings:
PI3KCA mutations were identified in 10-20% of MRCLs. Other molecular aberrations include loss of PTEN, Akt activation and overexpression of IGF1R. Recently, two minor responses to mTOR inhibitors were reported.
Summary:
The relatively high frequency of mTOR signalling pathway alterations in MRCL provides a preclinical rationale for considering mTOR inhibition as a potential novel therapeutic strategy warranting further investigation.
Insights
Alterations in the mammalian target of rapamycin (mTOR) pathway are common in myxoid/round cell liposarcoma (MRCL). mTOR inhibitors show potential as a novel therapeutic strategy for MRCL treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Myxoid/round cell liposarcoma (MRCL) is a soft-tissue sarcoma with limited therapeutic options.
- The mammalian target of rapamycin (mTOR) pathway is a recognized therapeutic target in various sarcomas.
Purpose of the Study:
- To investigate the role of the mTOR pathway in MRCL.
- To explore the potential of mTOR inhibitors as a novel therapeutic strategy for MRCL.
Main Methods:
- Analysis of molecular aberrations in the mTOR pathway in MRCL.
- Review of recent clinical responses to mTOR inhibitors in MRCL.
Main Results:
- PI3KCA mutations found in 10-20% of MRCL cases.
- Other aberrations include PTEN loss, Akt activation, and IGF1R overexpression.
- Two minor responses to mTOR inhibitors were observed in MRCL patients.
Conclusions:
- Frequent alterations in the mTOR pathway in MRCL suggest its clinical relevance.
- mTOR inhibition represents a promising therapeutic avenue for MRCL that requires further investigation.
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