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Roles of Rictor alterations in gastrointestinal tumors (Review)
Ruizhen Cao1, Shuilong Guo1, Li Min1
1Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Disease, Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Disease, Beijing 100050, P.R. China.
Abstract:
Gastrointestinal tumors account for five of the top 10 causes of mortality from all cancers (colorectal, liver, stomach, esophageal and pancreatic cancer). Mammalian target of rapamycin (mTOR) signaling is commonly dysregulated in various human cancers. As a core component of the mTOR complex 2 (mTORC2), Rictor is a key effector molecule of the PI3K/Akt pathway. A high alteration rate of Rictor has been observed in gastrointestinal tumors, and such Rictor alterations are often associated with resistance to chemotherapy and related adverse clinical outcomes. However, the exact roles of Rictor in gastrointestinal tumors remain elusive. The aim of the present study was to critically discuss the following: i) Mutation and biological characteristics of Rictor in tumors with a detailed overview of Rictor in cell proliferation, angiogenesis, apoptosis, autophagy and drug resistance; ii) the role of Rictor in tumors of the digestive system, particularly colorectal, hepatobiliary, gastric, esophageal and pancreatic cancer and cholangiocarcinoma; and iii) the current status and prospects of targeted therapy for Rictor by inhibiting Akt activation. Despite the growing realization of the importance of Rictor/mTORC2 in cancer, the underlying mechanistic details remain poorly understood; this needs to change in order for the development of efficient targeted therapies and re‑sensitization of therapy‑resistant cancers to be made possible.
Insights
Rictor, a key part of mTORC2 signaling, is frequently altered in gastrointestinal cancers and linked to poor outcomes. Understanding Rictor
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Gastrointestinal tumors are a leading cause of cancer mortality.
- Mammalian target of rapamycin (mTOR) signaling is often dysregulated in cancers.
- Rictor, a component of mTOR complex 2 (mTORC2), plays a role in the PI3K/Akt pathway and is frequently altered in gastrointestinal tumors, correlating with chemotherapy resistance and adverse outcomes.
Purpose of the Study:
- To review Rictor's mutation and biological functions (cell proliferation, angiogenesis, apoptosis, autophagy, drug resistance) in tumors.
- To discuss Rictor's specific roles in colorectal, hepatobiliary, gastric, esophageal, pancreatic cancers, and cholangiocarcinoma.
- To examine current and future prospects for Rictor-targeted therapies, focusing on inhibiting Akt activation.
Main Methods:
- Literature review and critical discussion of existing research on Rictor in gastrointestinal cancers.
- Analysis of Rictor's involvement in key cancer hallmarks.
- Evaluation of therapeutic strategies targeting Rictor/mTORC2 signaling.
Main Results:
- Rictor alterations are common in gastrointestinal tumors and associated with poor prognosis.
- Rictor influences critical cancer processes including proliferation, angiogenesis, apoptosis, autophagy, and drug resistance.
- Targeting Rictor, particularly via Akt inhibition, presents a potential therapeutic avenue, though mechanistic details require further elucidation.
Conclusions:
- Rictor is a significant factor in gastrointestinal cancer development and progression.
- Further research into Rictor's precise mechanisms is crucial for developing effective targeted therapies.
- Understanding Rictor is key to overcoming therapy resistance in gastrointestinal cancers.
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