PMID- 14770419 OWN - NLM STAT- MEDLINE DCOM- 20040309 LR - 20211203 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 100 IP - 4 DP - 2004 Feb 15 TI - Mammalian target of rapamycin inhibition as therapy for hematologic malignancies. PG - 657-66 AB - The mammalian target of rapamycin (mTOR) is a downstream effector of the phosphatidylinositol 3-kinase (PI3K)/Akt (protein kinase B) signaling pathway, which mediates cell survival and proliferation. mTOR regulates essential signal-transduction pathways, is involved in the coupling of growth stimuli with cell cycle progression, and initiates mRNA translation in response to favorable nutrient environments. mTOR is involved in regulating many aspects of cell growth, including membrane traffic, protein degradation, protein kinase C signaling, ribosome biogenesis, and transcription. Because mTOR activates both the 40S ribosomal protein S6 kinase (p70s6k) and the eukaryotic initiation factor 4E-binding protein 1, its inhibitors cause G1-phase cell cycle arrest. Inhibitors of mTOR also prevent cyclin dependent kinase (CDK) activation, inhibit retinoblastoma protein phosphorylation, and accelerate the turnover of cyclin D1, leading to a deficiency of active CDK4/cyclin D1 complexes, all of which may help cause G1-phase arrest. It is known that the phosphatase and tensin homologue tumor suppressor gene (PTEN) plays a major role in embryonic development, cell migration, and apoptosis. Malignancies with PTEN mutations, which are associated with constitutive activation of the PI3K/Akt pathway, are relatively resistant to apoptosis and may be particularly sensitive to mTOR inhibitors. Rapamycin analogs with relatively favorable pharmaceutical properties, including CCI-779, RAD001, and AP23573, are under investigation in patients with hematologic malignancies. CI - Copyright 2004 American Cancer Society. FAU - Panwalkar, Amit AU - Panwalkar A AD - Section of Developmental Therapeutics, Department of Leukemia, University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. FAU - Verstovsek, Srdan AU - Verstovsek S FAU - Giles, Francis J AU - Giles FJ LA - eng PT - Journal Article PT - Review PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Immunosuppressive Agents) RN - 0 (Tumor Suppressor Proteins) RN - 624KN6GM2T (temsirolimus) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.22 (Cyclin-Dependent Kinases) RN - EC 3.1.3.2 (Phosphoric Monoester Hydrolases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) RN - W36ZG6FT64 (Sirolimus) SB - IM CIN - Cancer. 2004 Sep 15;101(6):1478; author reply 1478. PMID: 15368336 MH - Apoptosis MH - Cell Division MH - Cell Survival MH - Cyclin-Dependent Kinases/pharmacology MH - Enzyme Activation/drug effects MH - Everolimus MH - Gene Expression Regulation, Neoplastic/*drug effects MH - Genes, Tumor Suppressor MH - Germ-Line Mutation MH - Hematologic Neoplasms/*drug therapy MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - PTEN Phosphohydrolase MH - Phosphoric Monoester Hydrolases/biosynthesis/pharmacology MH - Protein Kinases/pharmacology/*therapeutic use MH - Signal Transduction MH - Sirolimus/*analogs & derivatives/therapeutic use MH - TOR Serine-Threonine Kinases MH - Tumor Suppressor Proteins/biosynthesis/pharmacology RF - 116 EDAT- 2004/02/11 05:00 MHDA- 2004/03/10 05:00 CRDT- 2004/02/11 05:00 PHST- 2004/02/11 05:00 [pubmed] PHST- 2004/03/10 05:00 [medline] PHST- 2004/02/11 05:00 [entrez] AID - 10.1002/cncr.20026 [doi] PST - ppublish SO - Cancer. 2004 Feb 15;100(4):657-66. doi: 10.1002/cncr.20026.