PMID- 17230506 OWN - NLM STAT- MEDLINE DCOM- 20070417 LR - 20211203 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 120 IP - 8 DP - 2007 Apr 15 TI - Mammalian target of rapamycin is activated in human gastric cancer and serves as a target for therapy in an experimental model. PG - 1803-10 AB - The mammalian target of rapamycin (mTOR) has become an interesting target for cancer therapy through its influence on oncogenic signals, which involve phosphatidylinositol-3-kinase and hypoxia-inducible factor-1alpha (HIF-1alpha). Since mTOR is an upstream regulator of HIF-1alpha, a key mediator of gastric cancer growth and angiogenesis, we investigated mTOR activation in human gastric adenocarcinoma specimens and determined whether rapamycin could inhibit gastric cancer growth in mice. Expression of phospho-mTOR was assessed by immunohistochemical analyses of human tissues. For in vitro studies, human gastric cancer cell lines were used to determine S6K1, 4E-BP-1 and HIF-1alpha activation and cancer cell motility upon rapamycin treatment. Effects of rapamycin on tumor growth and angiogenesis in vivo were assessed in both a subcutaneous tumor model and in an experimental model with orthotopically grown tumors. Mice received either rapamycin (0.5 mg/kg/day or 1.5 mg/kg/day) or diluent per intra-peritoneal injections. In addition, antiangiogenic effects were monitored in vivo using a dorsal-skin-fold chamber model. Immunohistochemical analyses showed strong expression of phospho-mTOR in 60% of intestinal- and 64% of diffuse-type human gastric adenocarcinomas. In vitro, rapamycin-treatment effectively blocked S6K1, 4E-BP-1 and HIF-1alpha activation, and significantly impaired tumor cell migration. In vivo, rapamycin-treatment led to significant inhibition of subcutaneous tumor growth, decreased CD31-positive vessel area and reduced tumor cell proliferation. Similar significant results were obtained in an orthotopic model of gastric cancer. In the dorsal-skin-fold chamber model, rapamycin-treatment significantly inhibited tumor vascularization in vivo. In conclusion, mTOR is frequently activated in human gastric cancer and represents a promising new molecular target for therapy. CI - (c) 2007 Wiley-Liss, Inc. FAU - Lang, Sven A AU - Lang SA AD - Department of Surgery, University of Regensburg, Medical Center, Regensburg, Germany. FAU - Gaumann, Andreas AU - Gaumann A FAU - Koehl, Gudrun E AU - Koehl GE FAU - Seidel, Ulrike AU - Seidel U FAU - Bataille, Frauke AU - Bataille F FAU - Klein, Dagmar AU - Klein D FAU - Ellis, Lee M AU - Ellis LM FAU - Bolder, Ulrich AU - Bolder U FAU - Hofstaedter, Ferdinand AU - Hofstaedter F FAU - Schlitt, Hans-Jurgen AU - Schlitt HJ FAU - Geissler, Edward K AU - Geissler EK FAU - Stoeltzing, Oliver AU - Stoeltzing O LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 70-kDa) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenocarcinoma/drug therapy/metabolism/pathology MH - Animals MH - Antibiotics, Antineoplastic/*therapeutic use MH - Cell Hypoxia MH - Cell Line, Tumor MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - *Disease Models, Animal MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism MH - Intestinal Neoplasms/drug therapy/metabolism/pathology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Neovascularization, Pathologic/*prevention & control MH - Phosphatidylinositol 3-Kinases/metabolism MH - Phosphorylation/drug effects MH - Protein Kinases/*metabolism MH - Ribosomal Protein S6 Kinases, 70-kDa/metabolism MH - Signal Transduction MH - Sirolimus/*therapeutic use MH - Stomach Neoplasms/*drug therapy/metabolism/pathology MH - Survival Rate MH - TOR Serine-Threonine Kinases MH - Vascular Endothelial Growth Factor A/metabolism EDAT- 2007/01/19 09:00 MHDA- 2007/04/18 09:00 CRDT- 2007/01/19 09:00 PHST- 2007/01/19 09:00 [pubmed] PHST- 2007/04/18 09:00 [medline] PHST- 2007/01/19 09:00 [entrez] AID - 10.1002/ijc.22442 [doi] PST - ppublish SO - Int J Cancer. 2007 Apr 15;120(8):1803-10. doi: 10.1002/ijc.22442.