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Updated: Jan 31, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
Identification of mTOR inhibitor-resistant genes in cutaneous squamous cell carcinoma
Seong-Lan Yu1, Dong Chul Lee2, Seung Woo Baek3
1Myunggok Medical Research Institute, College of Medicine, Konyang University, Daejeon, Republic of Korea, jaeku@konyang.ac.kr.
Purpose:
The PI3K/AKT/mTOR pathway is frequently activated in various squamous cell carcinomas (SCCs). Although mTOR inhibitors are suggested as effective treatments in immunosuppressed patients with metastatic SCC, they are still not proven to be favorable in treating skin SCC patients not undergoing immunosuppressive therapy. Moreover, the exact mechanism of the mTOR signaling pathway in SCC has not yet been identified. In this study, we aimed to determine the genes associated with mTOR inhibitors in skin SCC.
Materials And Methods:
The identification of cell viability according to concentration of everolimus and Western blot was done. To analyze the global gene expression profiles, A431 and HSC-1 cells were treated with dimethyl sulfoxide (DMSO) or 100 nM of everolimus for 72 hours. Furthermore, differentially expressed genes (DEGs) were identified using Affymetrix analysis. To identify the gene network associated with everolimus resistance in SCC cells, pathway analysis was performed using the Ingenuity Pathway Analysis (IPA) tool.
Results:
The effects of cell death with respect to the mTOR inhibitor concentration were observed in the HSC-1 cell line; however, the mTOR inhibitor did not show effective cytotoxic activity in the A431 cell line. p-mTOR concentration also diminished with respect to everolimus concentrations in the HSC-1 cell line. Moreover, the microarray results showed that the MYC/CCND1/TP73/NUPR1/SBD/ERBB2/CDKN2B genes were related to mTOR inhibitor resistance. However, CCND1 gene overexpression was most closely related to mTOR inhibitor resistance.
Conclusion:
We identified mTOR inhibitor resistance genes, and our findings may help select therapeutic targets in skin SCC.
Insights
This study investigated genes linked to mTOR inhibitor resistance in skin squamous cell carcinoma (SCC). CCND1 gene overexpression was identified as a key factor, potentially guiding future therapeutic strategies for SCC.
Area of Science:
- Oncology
- Molecular Biology
- Dermatology
Background:
- The PI3K/AKT/mTOR pathway is often activated in squamous cell carcinomas (SCCs).
- mTOR inhibitors show promise for metastatic SCC in immunosuppressed patients, but their efficacy in non-immunosuppressed skin SCC is unproven.
- The precise role of mTOR signaling in SCC remains unclear.
Purpose of the Study:
- To identify genes associated with resistance to mTOR inhibitors in skin SCC.
- To elucidate the mechanism of mTOR signaling in SCC.
- To explore potential therapeutic targets for skin SCC.
Main Methods:
- Cell viability assays and Western blotting were performed.
- Global gene expression profiling using Affymetrix analysis on A431 and HSC-1 cells treated with everolimus.
- Pathway analysis using Ingenuity Pathway Analysis (IPA) to identify gene networks related to everolimus resistance.
Main Results:
- Everolimus demonstrated cytotoxic effects in HSC-1 cells but not A431 cells.
- Phosphorylated mTOR (p-mTOR) levels decreased with increasing everolimus concentrations in HSC-1 cells.
- Microarray analysis revealed genes including MYC, CCND1, TP73, NUPR1, SBD, ERBB2, and CDKN2B were linked to mTOR inhibitor resistance, with CCND1 overexpression being most significant.
Conclusions:
- Key genes conferring resistance to mTOR inhibitors in skin SCC were identified.
- These findings may aid in selecting appropriate therapeutic targets for skin SCC treatment.
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