PMID- 16305491 OWN - NLM STAT- MEDLINE DCOM- 20060201 LR - 20211203 IS - 1566-5240 (Print) IS - 1566-5240 (Linking) VI - 5 IP - 7 DP - 2005 Nov TI - Mammalian target of rapamycin as a therapeutic target in leukemia. PG - 653-61 AB - Reflecting its critical role in integrating cell growth and division with the cellular nutritional environment, the mammalian target of rapamycin *(mTOR) is a highly conserved downstream effector of the phosphatidylinositol 3-kinase (PI3K)/Akt (protein kinase B) signaling pathway. mTOR activates both the 40S ribosomal protein S6 kinase (p70s6k) and the eukaryotic initiation factor 4E-binding protein-1. As a consequence of inhibiting its downstream messengers, mTOR inhibitors 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 GI phase arrest. Constitutive activation of the PI3K/Akt kinases occur in human leukemias. FLT3, VEGF, and BCR-ABL mediate their activities via mTOR. New rapamycin analogs including CCI-779, RAD001, and AP23573, are entering clinical studies for patients with hematologic malignancies. FAU - Giles, Francis J AU - Giles FJ AD - Department of Leukemia, The University of Texas, M.D. Anderson Cancer Center, Houston, TX 77030, USA. fgiles@mdanderson.org FAU - Albitar, Maher AU - Albitar M LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Curr Mol Med JT - Current molecular medicine JID - 101093076 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 - W36ZG6FT64 (Sirolimus) SB - IM MH - Everolimus MH - Hematologic Neoplasms/metabolism MH - Humans MH - Leukemia/*drug therapy/*metabolism MH - Protein Kinases/chemistry/genetics/*metabolism MH - Sirolimus/analogs & derivatives/pharmacology/therapeutic use MH - Substrate Specificity MH - TOR Serine-Threonine Kinases RF - 151 EDAT- 2005/11/25 09:00 MHDA- 2006/02/02 09:00 CRDT- 2005/11/25 09:00 PHST- 2005/11/25 09:00 [pubmed] PHST- 2006/02/02 09:00 [medline] PHST- 2005/11/25 09:00 [entrez] AID - 10.2174/156652405774641034 [doi] PST - ppublish SO - Curr Mol Med. 2005 Nov;5(7):653-61. doi: 10.2174/156652405774641034.