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Overview of Research into mTOR Inhibitors
Beibei Mao1, Qi Zhang1, Li Ma2
1College of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.
Abstract:
The mammalian target of rapamycin (mTOR) is a serine/threonine kinase that belongs to the phosphoinositide 3-kinase (PI3K)-related kinase (PIKK) family. The kinase exists in the forms of two complexes, mTORC1 and mTORC2, and it participates in cell growth, proliferation, metabolism, and survival. The kinase activity is closely related to the occurrence and development of multiple human diseases. Inhibitors of mTOR block critical pathways to produce antiviral, anti-inflammatory, antiproliferative and other effects, and they have been applied to research in cancer, inflammation, central nervous system diseases and viral infections. Existing mTOR inhibitors are commonly divided into mTOR allosteric inhibitors, ATP-competitive inhibitors and dual binding site inhibitors, according to their sites of action. In addition, there exist several dual-target mTOR inhibitors that target PI3K, histone deacetylases (HDAC) or ataxia telangiectasia mutated and Rad-3 related (ATR) kinases. This review focuses on the structure of mTOR protein and related signaling pathways as well as the structure and characteristics of various mTOR inhibitors. Non-rapalog allosteric inhibitors will open new directions for the development of new therapeutics specifically targeting mTORC1. The applications of ATP-competitive inhibitors in central nervous system diseases, viral infections and inflammation have laid the foundation for expanding the indications of mTOR inhibitors. Both dual-binding site inhibitors and dual-target inhibitors are beneficial in overcoming mTOR inhibitor resistance.
Insights
Mammalian target of rapamycin (mTOR) inhibitors offer therapeutic potential for various diseases. This review details mTOR structure, pathways, and inhibitors, highlighting new directions for targeted therapies and overcoming resistance.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- The mammalian target of rapamycin (mTOR) is a key kinase in the phosphoinositide 3-kinase (PI3K)-related kinase (PIKK) family, regulating cell growth, proliferation, metabolism, and survival.
- Dysregulated mTOR kinase activity is implicated in numerous human diseases, including cancer, inflammation, and neurological disorders.
- mTOR inhibitors have demonstrated antiviral, anti-inflammatory, and antiproliferative effects, making them valuable research tools and therapeutic agents.
Purpose of the Study:
- To review the structure of mTOR protein and its associated signaling pathways.
- To analyze the structure and characteristics of various existing mTOR inhibitors.
- To explore the therapeutic potential and future directions for mTOR-targeted therapies.
Main Methods:
- Comprehensive literature review of mTOR structure, signaling, and inhibitor mechanisms.
- Classification of mTOR inhibitors based on their binding sites (allosteric, ATP-competitive, dual-binding).
- Analysis of dual-target inhibitors that engage mTOR alongside other kinases (PI3K, HDAC, ATR).
Main Results:
- Existing mTOR inhibitors are categorized into allosteric, ATP-competitive, and dual-binding site types.
- Dual-target inhibitors offer strategies to overcome resistance by inhibiting multiple pathways.
- Non-rapalog allosteric inhibitors represent a promising avenue for developing novel mTORC1-specific therapeutics.
Conclusions:
- Non-rapalog allosteric inhibitors offer new therapeutic strategies targeting mTORC1.
- ATP-competitive inhibitors show promise for expanded indications in CNS diseases, viral infections, and inflammation.
- Dual-binding site and dual-target inhibitors are crucial for overcoming resistance to mTOR-based therapies.
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