Effects of molecularly targeted therapies on murine thymus: highly selective mTOR inhibitors induce reversible thymic

Suleiman Al-Hammadi1, Saeeda Almarzooqi2, Alia Albawardi2

  • 1Department of Pediatrics, UAE University, Al-Ain, P.O. Box 17666, Abu Dhabi, United Arab Emirates.

Abstract

Insights

Highly selective molecular target of rapamycin (mTOR) inhibitors suppress cellular respiration and induce thymic apoptosis. These effects were transient, with thymic function and structure recovering after treatment cessation.

Area of Science:

  • Immunology
  • Cellular Biology
  • Pharmacology

Background:

  • Blocking the molecular target of rapamycin (mTOR) pathway with sirolimus is known to impair cellular respiration.
  • The precise impact of this impaired cellular bioenergetics on the mechanism of action of mTOR inhibitors requires further elucidation.

Purpose of the Study:

  • To investigate the in vitro effects of various molecularly-targeted therapies on oxygen consumption in mouse thymic tissue.
  • To determine the impact of sirolimus on thymic structure, cellularity, and function over time.

Main Methods:

  • In vitro assessment of O2 consumption in thymic fragments from C57BL/6 mice exposed to targeted therapies.
  • In vivo administration of sirolimus, followed by histological and biochemical analysis of thymic tissue at specific time points.
  • Evaluation of thymocyte respiration, apoptosis markers (cytochrome c, caspase-3), and glutathione levels.

Main Results:

  • Sirolimus and everolimus significantly reduced thymocyte respiration.
  • Dual PI3K/mTOR inhibitors (BEZ235, GDC0980, GSK2126458), a PI3K-p110-δ inhibitor (idelalisib), and tacrolimus did not affect thymocyte respiration.
  • Sirolimus treatment induced thymic cortex involution and apoptosis, which resolved by Day 14, with residual thymic medulla showing normal respiration and reduced caspase activity.

Conclusions:

  • Highly selective mTOR inhibitors exert specific effects on the thymus, including suppressed cellular respiration and induced apoptosis.
  • These observed thymic alterations are transient and reversible upon cessation of mTOR inhibitor treatment.