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Systemic effects of treatment with mTOR inhibitors in tuberous sclerosis complex: a comprehensive review
K Sadowski1, K Kotulska1, R A Schwartz2,3
1Department of Neurology and Epileptology, The Children's Memorial Health Institute, Warsaw, Poland.
Abstract:
Tuberous sclerosis complex (TSC) is a genetic multisystem disorder associated with constitutive overactivation of the mammalian target of rapamycin (mTOR) pathway and characterized by development of benign tumours in various organs. mTOR inhibitors have proven to be effective in the targeted therapy of certain TSC-associated pathologies such as subependymal giant cell astrocytomas (SEGAs) and renal angiomyolipomas (AMLs). Accumulating experimental and clinical data suggest that mTOR inhibitors might have a systemic, disease-modifying influence on affected individuals. This systematic review provides an analysis of available clinical data concerning systemic effect of mTOR inhibitors and the influence of mTOR inhibition on different manifestations of TSC in individual patients.
Insights
mTOR inhibitors show promise for treating tuberous sclerosis complex (TSC) by targeting the overactive mTOR pathway. This review analyzes their systemic effects across various TSC manifestations.
Area of Science:
- Genetics
- Oncology
- Pharmacology
Background:
- Tuberous sclerosis complex (TSC) is a genetic disorder causing benign tumors due to mammalian target of rapamycin (mTOR) pathway overactivation.
- mTOR inhibitors are effective for specific TSC-related tumors like subependymal giant cell astrocytomas (SEGAs) and renal angiomyolipomas (AMLs).
Purpose of the Study:
- To systematically review clinical data on the systemic effects of mTOR inhibitors in TSC patients.
- To evaluate the influence of mTOR inhibition on diverse TSC manifestations.
Main Methods:
- Systematic literature review of clinical studies.
- Analysis of data on mTOR inhibitor efficacy and systemic impact in TSC.
Main Results:
- mTOR inhibitors demonstrate targeted efficacy against specific TSC pathologies (SEGAs, AMLs).
- Emerging evidence suggests potential systemic, disease-modifying effects of mTOR inhibitors in TSC.
Conclusions:
- mTOR inhibitors offer targeted treatment for certain TSC tumors.
- Further research is warranted to confirm the systemic and disease-modifying potential of mTOR inhibitors in TSC.
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