Review: Mechanistic target of rapamycin (mTOR) pathway, focal cortical dysplasia and epilepsy

E Marsan1, S Baulac1

  • 1Department of Genetics and Cytogenetics, AP-HP, Institut du Cerveau et de la Moelle Epinière (ICM) - Hôpital Pitié-Salpêtrière, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127, Inserm U1127, CNRS UMR 7225, Paris, France.

Insights

Hyperactivation of the mechanistic target of rapamycin (mTOR) pathway is linked to brain malformations like focal cortical dysplasia (FCD). Activating mutations in the MTOR gene are the most common cause identified in FCD brain samples.

Area of Science:

  • Neuroscience
  • Genetics
  • Developmental Biology

Background:

  • The mechanistic target of rapamycin (mTOR) pathway is crucial for cellular functions including growth, proliferation, and metabolism.
  • Hyperactivation of the mTOR pathway is increasingly recognized as a key feature in malformations of cortical development (MCD), such as focal cortical dysplasia (FCD) and hemimegalencephaly.

Purpose of the Study:

  • To review recent genetic advances in understanding the molecular basis of FCD.
  • To elucidate the genetic etiology behind mTOR hyperactivation in FCD.

Main Methods:

  • Review of current literature on genetic mutations in FCD.
  • Analysis of molecular genetic data from FCD brain specimens.

Main Results:

  • Activating somatic mutations in the MTOR gene are the most frequent genetic findings in FCD brain specimens.
  • These mutations provide a direct link between genetic alterations and mTOR pathway hyperactivation in FCD.

Conclusions:

  • Genetic mutations, particularly in the MTOR gene, are a primary driver of mTOR hyperactivation in FCD.
  • Understanding these genetic underpinnings is essential for future research and potential therapeutic strategies for FCD.

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