PMID- 15448035 OWN - NLM STAT- MEDLINE DCOM- 20041201 LR - 20211203 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 10 IP - 18 Pt 2 DP - 2004 Sep 15 TI - Mammalian target of rapamycin inhibition. PG - 6382S-7S AB - The mammalian target of rapamycin (mTOR) is a serine/threonine kinase that has been increasingly recognized as key to the regulation of cell growth and proliferation. mTOR either directly or indirectly regulates translation initiation, actin organization, tRNA synthesis, ribosome biogenesis, and many other key cell maintenance functions, including protein degradation and transcription functions. Inhibition of mTOR blocks traverse of the cell cycle from the G1 to S phase. Preclinical data show inhibition of tumor growth in a number of cell lines and xenograft models. Clinical trials are ongoing. In metastatic renal cell cancer, both tumor regression and prolonged stabilization have been noted. mTOR inhibition appears to be a key pathway that may be useful in antitumor therapy. Renal cell cancer may be particularly susceptible through both the translation inhibition pathway and pathways that enhance HIF-1alpha gene expression, a factor believed to stimulate growth in metastatic renal cell cancer. Additional clinical trials that use agents that inhibit mTOR are ongoing. FAU - Dutcher, Janice P AU - Dutcher JP AD - Comprehensive Cancer Center, Our Lady of Mercy Medical Center, Bronx, New York 10466, USA. jpd4401@aol.com LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Enzyme Inhibitors) 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) SB - IM MH - Carcinoma, Renal Cell/*drug therapy MH - Clinical Trials, Phase I as Topic MH - Clinical Trials, Phase II as Topic MH - Enzyme Inhibitors/*therapeutic use MH - Humans MH - Kidney Neoplasms/*drug therapy MH - *Protein Kinases MH - TOR Serine-Threonine Kinases MH - Treatment Outcome RF - 56 EDAT- 2004/09/28 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/09/28 05:00 PHST- 2004/09/28 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/09/28 05:00 [entrez] AID - 10/18/6382S [pii] AID - 10.1158/1078-0432.CCR-050008 [doi] PST - ppublish SO - Clin Cancer Res. 2004 Sep 15;10(18 Pt 2):6382S-7S. doi: 10.1158/1078-0432.CCR-050008.