PMID- 15578919 OWN - NLM STAT- MEDLINE DCOM- 20050210 LR - 20211203 IS - 1568-0096 (Print) IS - 1568-0096 (Linking) VI - 4 IP - 8 DP - 2004 Dec TI - Mammalian target of rapamycin (mTOR) inhibitors as anti-cancer agents. PG - 621-35 AB - Highly specific signal transduction inhibitors are being developed as anti-cancer agents against an array of molecular targets, with the promise of increased selectivity and lower toxicity than classic cytotoxic chemotherapy agents. Rapamycin and its analogues are a promising class of novel therapeutics that specifically inhibit signaling from the serine-threonine kinase, mammalian target of rapamycin (mTOR). mTOR is a key intermediary in multiple mitogenic signaling pathways and plays a central role in modulating proliferation and angiogenesis in normal tissues and neoplastic processes. Rapamycin potently inhibits T-cell proliferation, and is approved for clinical use as an immuno-suppressant following kidney transplantation. Hyperactivation of mTOR signaling has been implicated in tumorigenesis, and promising pre-clinical studies in several tumor types suggest that the anti-proliferative and anti-angiogenic properties of rapamycin may be useful in cancer therapy. These studies have led to several clinical trials evaluating the safety and efficacy of rapamycin analogs in cancer therapy. The goal of this article is to review the mechanism of action of rapamycin as an anti-cancer agent, and to review the clinical experience with rapamycin and rapamycin analogs as immunosuppressive and anti-neoplastic therapeutic agents. FAU - Rao, Ravi D AU - Rao RD AD - Department of Oncology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55905, USA. FAU - Buckner, Jan C AU - Buckner JC FAU - Sarkaria, Jann N AU - Sarkaria JN LA - eng GR - K08-CA80829/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - Netherlands TA - Curr Cancer Drug Targets JT - Current cancer drug targets JID - 101094211 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase 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) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/*therapeutic use MH - Humans MH - Neoplasms/*drug therapy/metabolism/pathology MH - Protein Kinase Inhibitors/therapeutic use MH - Protein Kinases/*metabolism MH - Sirolimus/analogs & derivatives/*therapeutic use MH - TOR Serine-Threonine Kinases RF - 89 EDAT- 2004/12/08 09:00 MHDA- 2005/02/11 09:00 CRDT- 2004/12/08 09:00 PHST- 2004/12/08 09:00 [pubmed] PHST- 2005/02/11 09:00 [medline] PHST- 2004/12/08 09:00 [entrez] AID - 10.2174/1568009043332718 [doi] PST - ppublish SO - Curr Cancer Drug Targets. 2004 Dec;4(8):621-35. doi: 10.2174/1568009043332718.