mTOR inhibition reprograms cellular lipid homeostasis by inducing alternative lipid uptake and promoting cholesterol

Sejeong Shin1, Min-Joon Han2, Ishika Patel3

  • 1Department of Physiology and Biophysics, University of Illinois College of Medicine, Chicago, IL 60612, USA.

Molecular Cell
|September 19, 2025
PubMed

Insights

Mechanistic target of rapamycin (mTOR) inhibition reprograms cancer cell lipid metabolism. This involves increased low-density lipoprotein receptor-related protein 6 (LRP6) and Niemann-Pick C1 (NPC1) activity, offering new therapeutic targets for cancer treatment.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Oncology

Background:

  • The mechanistic target of rapamycin (mTOR) pathway critically regulates cellular lipid homeostasis.
  • Dysregulation of mTOR and lipid metabolism is implicated in various diseases, notably cancers.
  • Understanding mTOR's role in reprogramming lipid metabolism is vital for therapeutic development.

Purpose of the Study:

  • To elucidate the mechanisms by which mTOR inhibition alters lipid homeostasis in cancer cells.
  • To identify key molecular players involved in mTOR-mediated lipid reprogramming.
  • To evaluate the therapeutic potential of targeting these pathways in cancer models.

Main Methods:

  • Utilized human cancer cell lines to study mTOR inhibition effects on lipid metabolism.
  • Investigated the roles of eukaryotic initiation factor 3D (eIF3D), low-density lipoprotein receptor-related protein 6 (LRP6), liver X receptor β (LXRβ), and Niemann-Pick disease type C (NPC) intracellular cholesterol transporter 1 (NPC1).
  • Employed mouse xenograft models to assess therapeutic efficacy of combined mTOR inhibition with LRP6 or NPC1 targeting.

Main Results:

  • mTOR inhibition in cancer cells upregulates LRP6 via eIF3D, enhancing lipid uptake.
  • Activated LXRβ promotes cholesterol transport from lysosomes to the plasma membrane, facilitated by NPC1.
  • Combined mTOR inhibition with LRP6 knockdown or NPC1 targeting significantly suppressed tumor growth in vivo.

Conclusions:

  • mTOR signaling plays a crucial feedback role in reprogramming lipid homeostasis during cancer progression.
  • Targeting the identified lipid metabolism pathways (LRP6, NPC1) alongside mTOR inhibition presents a promising therapeutic strategy.
  • These findings offer potential treatments for diseases characterized by aberrant mTOR signaling and lipid dysregulation.

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