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The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
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Murine Model of Leukemia Relapse to Induction Chemotherapy for Acute Lymphoblastic Leukemia
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Targeting mTOR in Acute Lymphoblastic Leukemia.

Carolina Simioni1, Alberto M Martelli2, Giorgio Zauli3

  • 1Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy. carolina.simioni@unife.it.

Cells
|February 24, 2019
PubMed
Summary

Targeting the mTOR pathway shows promise for treating Acute Lymphoblastic Leukemia (ALL). Research reviews mTOR signaling and anti-mTOR compounds, highlighting their efficacy and failures in ALL treatment.

Keywords:
Acute Lymphoblastic leukemiacell signallingmTORmetabolismtargeted therapy

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Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Acute Lymphoblastic Leukemia (ALL) is a significant hematologic malignancy, particularly in children and adolescents.
  • While pediatric ALL survival is high, adult ALL prognosis remains poorer despite intensive chemotherapy.
  • The PI3K/Akt/mTOR pathway is frequently activated in ALL, correlating with poor prognosis and chemoresistance.

Purpose of the Study:

  • To review current knowledge of mammalian target of rapamycin (mTOR) signaling in ALL.
  • To document the development of anti-mTOR compounds for ALL treatment.
  • To analyze preclinical and clinical study results on mTOR inhibitors in ALL.

Main Methods:

  • Literature review of mTOR signaling pathways.
  • Analysis of preclinical and clinical studies on anti-mTOR agents.
  • Synthesis of data on the efficacy and limitations of mTOR inhibitors in ALL.

Main Results:

  • mTOR signaling is implicated in ALL cell proliferation, metastasis, and angiogenesis.
  • Dysregulation of mTOR is linked to chemoresistance in ALL.
  • Preclinical and clinical studies show varied efficacy of anti-mTOR compounds in ALL.

Conclusions:

  • Targeting the mTOR pathway presents a potential therapeutic strategy for ALL.
  • Further research is needed to optimize anti-mTOR therapies for improved ALL treatment outcomes.
  • Understanding mTOR complex roles is crucial for developing effective ALL inhibitors.