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Implication of mTOR Signaling in NSCLC: Mechanisms and Therapeutic Perspectives
Antonios N Gargalionis1, Kostas A Papavassiliou2, Athanasios G Papavassiliou3
1Department of Biopathology, 'Eginition' Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Abstract:
Mechanistic target of the rapamycin (mTOR) signaling pathway represents a central cellular kinase that controls cell survival and metabolism. Increased mTOR activation, along with upregulation of respective upstream and downstream signaling components, have been established as oncogenic features in cancer cells in various tumor types. Nevertheless, mTOR pathway therapeutic targeting has been proven to be quite challenging in various clinical settings. Non-small cell lung cancer (NSCLC) is a frequent type of solid tumor in both genders, where aberrant regulation of the mTOR pathway contributes to the development of oncogenesis, apoptosis resistance, angiogenesis, cancer progression, and metastasis. In this context, the outcome of mTOR pathway targeting in clinical trials still demonstrates unsatisfactory results. Herewith, we discuss recent findings regarding the mechanisms and therapeutic targeting of mTOR signaling networks in NSCLC, as well as future perspectives for the efficient application of treatments against mTOR and related protein molecules.
Insights
Targeting the mechanistic target of the rapamycin (mTOR) pathway in non-small cell lung cancer (NSCLC) is challenging. This review explores mTOR signaling mechanisms and therapeutic strategies for NSCLC, aiming for improved treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- The mechanistic target of the rapamycin (mTOR) pathway is a key regulator of cell survival and metabolism.
- Aberrant mTOR activation is implicated in various cancers, including non-small cell lung cancer (NSCLC).
- Current therapeutic strategies targeting the mTOR pathway in NSCLC have yielded unsatisfactory clinical results.
Purpose of the Study:
- To review recent findings on mTOR signaling mechanisms in NSCLC.
- To discuss the challenges and potential of therapeutic targeting of mTOR networks in NSCLC.
- To explore future perspectives for effective mTOR-targeted treatments in NSCLC.
Main Methods:
- Literature review of recent studies on mTOR signaling in NSCLC.
- Analysis of oncogenic roles of mTOR pathway components in NSCLC development.
- Evaluation of clinical trial outcomes for mTOR-targeted therapies in NSCLC.
Main Results:
- Increased mTOR pathway activation is a common oncogenic feature in NSCLC.
- mTOR dysregulation contributes to NSCLC's hallmarks: oncogenesis, apoptosis resistance, angiogenesis, and metastasis.
- Clinical efficacy of current mTOR inhibitors in NSCLC remains limited.
Conclusions:
- Understanding mTOR network intricacies is crucial for NSCLC treatment.
- Novel therapeutic strategies are needed to overcome challenges in targeting mTOR for NSCLC.
- Future research should focus on optimizing mTOR-related therapies for improved patient outcomes.
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