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Updated: May 10, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
mTOR kinase inhibitors as potential cancer therapeutic drugs
1Department of Hematology and Medical Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, GA, USA.
Abstract:
The mammalian target of rapamycin (mTOR) plays a critical role in the positive regulation of cell growth and survival primarily through direct interaction with raptor (forming mTORC complex 1; mTORC1) or rictor (forming mTOR complex 2; mTORC2). The mTOR axis is often activated in many types of cancer and thus has become an attractive cancer therapeutic target. The modest clinical anticancer activity of conventional mTOR allosteric inhibitors, rapamycin and its analogs (rapalogs), which preferentially inhibit mTORC1, in most types of cancer, has encouraged great efforts to develop mTOR kinase inhibitors (TORKinibs) that inhibit both mTORC1 and mTORC2, in the hope of developing a novel generation of mTOR inhibitors with better therapeutic efficacy than rapalogs. Several TORKinibs have been developed and actively studied pre-clinically and clinically. This review will highlight recent advances in the development and research of TORKinibs and discuss some potential issues or challenges in this area.
Insights
New mTOR kinase inhibitors (TORKinibs) show promise for improved cancer therapy by targeting both mTORC1 and mTORC2. This review explores their development and clinical potential beyond older rapalog drugs.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The mammalian target of rapamycin (mTOR) pathway regulates cell growth and survival.
- mTOR signaling is frequently dysregulated in various cancers, making it a key therapeutic target.
- Current mTOR inhibitors (rapalogs) primarily target mTORC1 with limited efficacy.
Purpose of the Study:
- To review recent advancements in the development of mTOR kinase inhibitors (TORKinibs).
- To discuss the potential of TORKinibs to overcome limitations of existing rapalogs.
- To identify challenges and future directions in TORKinib research and clinical application.
Main Methods:
- Literature review of pre-clinical and clinical studies on TORKinibs.
- Analysis of the mechanisms of action for TORKinibs targeting both mTORC1 and mTORC2.
- Discussion of therapeutic efficacy and challenges associated with TORKinib development.
Main Results:
- TORKinibs represent a novel class of mTOR inhibitors designed to target both mTORC1 and mTORC2.
- Pre-clinical and clinical investigations are ongoing for several TORKinib candidates.
- TORKinibs offer a potential strategy for enhanced anti-cancer activity compared to rapalogs.
Conclusions:
- TORKinibs hold significant promise as a next-generation cancer therapy by comprehensively inhibiting the mTOR pathway.
- Further research is needed to address challenges and optimize the clinical use of TORKinibs.
- The development of TORKinibs signifies a crucial step forward in targeted cancer treatment strategies.
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