PMID- 18834443 OWN - NLM STAT- MEDLINE DCOM- 20081209 LR - 20211203 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 10 Suppl 4 DP - 2008 Nov TI - The role of mTOR in the adaptation and failure of beta-cells in type 2 diabetes. PG - 157-69 LID - 10.1111/j.1463-1326.2008.00952.x [doi] AB - Mammalian target of rapamycin (mTOR) is an important nutrient sensor that plays a critical role in cellular metabolism, growth, proliferation and apoptosis and in the cellular response to oxidative stress. In addition, mTOR-raptor complex, also called mammalian target of rapamycin complex 1 (mTORC1), generates an inhibitory feedback loop on insulin receptor substrate proteins. It was suggested that nutrient overload leads to insulin/insulin-like growth factor 1 resistance in peripheral insulin-responsive tissues and in the beta-cells through sustained activation of mTORC1. In this review, we summarize the literature on the regulation and function of mTOR, its role in the organism's response to nutrients and its potential impact on lifespan, insulin resistance and the metabolic adaptation to hyperglycaemia in type 2 diabetes. We also propose a hypothesis based on data in the literature as well as data generated in our laboratory, which assigns a central positive role to mTOR in the maintenance of beta-cell function and mass in the diabetic environment. FAU - Leibowitz, G AU - Leibowitz G AD - Endocrinology and Metabolism Service, Department of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. gleib@hadassah.org.il FAU - Cerasi, E AU - Cerasi E FAU - Ketzinel-Gilad, M AU - Ketzinel-Gilad M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 67763-96-6 (Insulin-Like Growth Factor I) 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 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis/physiology MH - Diabetes Mellitus, Type 2/*metabolism/physiopathology MH - Female MH - Humans MH - Hyperglycemia/*physiopathology MH - Insulin-Like Growth Factor I/metabolism MH - Insulin-Secreting Cells/metabolism MH - Male MH - Mice MH - Obesity/*metabolism/physiopathology MH - Oxidative Stress MH - Protein Kinases/*physiology MH - Signal Transduction/*physiology MH - TOR Serine-Threonine Kinases RF - 99 EDAT- 2008/10/18 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/10/18 09:00 PHST- 2008/10/18 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/10/18 09:00 [entrez] AID - DOM952 [pii] AID - 10.1111/j.1463-1326.2008.00952.x [doi] PST - ppublish SO - Diabetes Obes Metab. 2008 Nov;10 Suppl 4:157-69. doi: 10.1111/j.1463-1326.2008.00952.x.