mTOR Signalling in Head and Neck Cancer: Heads Up
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Updated: Jan 26, 2026

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
Fiona H Tan1, Yuchen Bai2, Pierre Saintigny3,4
1Division of Cancer Research, Peter MacCallum Cancer Centre, Grattan Street, Melbourne, Victoria 3000, Australia. fiona.tan@petermac.org.
Abstract:
The mammalian target of rapamycin (mTOR) signalling pathway is a central regulator of metabolism in all cells. It senses intracellular and extracellular signals and nutrient levels, and coordinates the metabolic requirements for cell growth, survival, and proliferation. Genetic alterations that deregulate mTOR signalling lead to metabolic reprogramming, resulting in the development of several cancers including those of the head and neck. Gain-of-function mutations in EGFR, PIK3CA, and HRAS, or loss-of-function in p53 and PTEN are often associated with mTOR hyperactivation, whereas mutations identified from The Cancer Genome Atlas (TCGA) dataset that potentially lead to aberrant mTOR signalling are found in the EIF4G1, PLD1, RAC1, and SZT2 genes. In this review, we discuss how these mutant genes could affect mTOR signalling and highlight their impact on metabolic processes, as well as suggest potential targets for therapeutic intervention, primarily in head and neck cancer.
Insights
The mammalian target of rapamycin (mTOR) pathway regulates cell metabolism. Aberrant mTOR signaling due to genetic mutations drives head and neck cancers, offering potential therapeutic targets.
Area of Science:
- Cellular metabolism
- Cancer biology
- Molecular signaling
Background:
- The mammalian target of rapamycin (mTOR) pathway is a crucial regulator of cellular metabolism, sensing nutrient availability and coordinating cellular growth, survival, and proliferation.
- Dysregulation of mTOR signaling is implicated in metabolic reprogramming and the development of various cancers, particularly head and neck cancers.
Purpose of the Study:
- To review how genetic alterations in specific genes impact mTOR signaling.
- To highlight the effects of these mutations on cellular metabolic processes.
- To identify potential therapeutic targets for head and neck cancer based on mTOR pathway dysregulation.
Main Methods:
- Literature review of genetic alterations affecting mTOR signaling.
- Analysis of The Cancer Genome Atlas (TCGA) dataset for relevant gene mutations.
- Discussion of the functional impact of identified mutations on mTOR pathway and metabolism.
Main Results:
- Gain-of-function mutations in EGFR, PIK3CA, and HRAS, and loss-of-function mutations in p53 and PTEN are associated with mTOR hyperactivation.
- Mutations in EIF4G1, PLD1, RAC1, and SZT2 potentially lead to aberrant mTOR signaling.
- These genetic alterations drive metabolic reprogramming crucial for cancer development.
Conclusions:
- Aberrant mTOR signaling, driven by specific genetic mutations, plays a significant role in head and neck cancer pathogenesis.
- Understanding these molecular mechanisms provides a basis for developing targeted therapies.
- Further research into these mutant genes and their impact on metabolism is warranted for effective cancer treatment.
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