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Published on: September 6, 2024
Discrete Mechanistic Target of Rapamycin Signaling Pathways, Stem Cells, and Therapeutic Targets
Meena Jhanwar-Uniyal1, Sabrina L Zeller1, Eris Spirollari1
1Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA.
Abstract:
The mechanistic target of rapamycin (mTOR) is a serine/threonine kinase that functions via its discrete binding partners to form two multiprotein complexes, mTOR complex 1 and 2 (mTORC1 and mTORC2). Rapamycin-sensitive mTORC1, which regulates protein synthesis and cell growth, is tightly controlled by PI3K/Akt and is nutrient-/growth factor-sensitive. In the brain, mTORC1 is also sensitive to neurotransmitter signaling. mTORC2, which is modulated by growth factor signaling, is associated with ribosomes and is insensitive to rapamycin. mTOR regulates stem cell and cancer stem cell characteristics. Aberrant Akt/mTOR activation is involved in multistep tumorigenesis in a variety of cancers, thereby suggesting that the inhibition of mTOR may have therapeutic potential. Rapamycin and its analogues, known as rapalogues, suppress mTOR activity through an allosteric mechanism that only suppresses mTORC1, albeit incompletely. ATP-catalytic binding site inhibitors are designed to inhibit both complexes. This review describes the regulation of mTOR and the targeting of its complexes in the treatment of cancers, such as glioblastoma, and their stem cells.
Insights
The mechanistic target of rapamycin (mTOR) pathway regulates cell growth and is implicated in cancer. Targeting mTOR complexes with inhibitors shows therapeutic potential for cancers like glioblastoma.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- The mechanistic target of rapamycin (mTOR) is a kinase forming two complexes: mTORC1 and mTORC2.
- mTORC1 regulates protein synthesis and cell growth, influenced by nutrients, growth factors, and neurotransmitters.
- mTORC2 is modulated by growth factors and affects cell signaling pathways.
Purpose of the Study:
- To review the regulation of mTOR signaling.
- To discuss the therapeutic targeting of mTOR complexes in cancer treatment.
- To explore the role of mTOR in cancer stem cells, including glioblastoma.
Main Methods:
- Literature review of mTOR regulation and function.
- Analysis of mTOR complex inhibition strategies.
- Examination of mTOR's role in tumorigenesis and cancer stem cells.
Main Results:
- Aberrant mTOR activation contributes to cancer development.
- Rapamycin and rapalogues partially inhibit mTORC1 via allosteric mechanisms.
- ATP-catalytic inhibitors target both mTORC1 and mTORC2.
Conclusions:
- mTOR pathway dysregulation is a key factor in various cancers.
- Targeting mTOR complexes offers a promising therapeutic strategy for cancers, including glioblastoma.
- Inhibiting mTOR may be effective against cancer stem cells.
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