PMID- 19073969 OWN - NLM STAT- MEDLINE DCOM- 20090106 LR - 20230610 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 24 DP - 2008 Dec 15 TI - Inhibition of Mammalian target of rapamycin by rapamycin causes the regression of carcinogen-induced skin tumor lesions. PG - 8094-101 LID - 10.1158/1078-0432.CCR-08-0703 [doi] AB - PURPOSE: The activation of Akt/mammalian target of rapamycin (mTOR) pathway represents a frequent event in squamous cell carcinoma (SCC) progression, thus raising the possibility of using specific mTOR inhibitors for the treatment of SCC patients. In this regard, blockade of mTOR with rapamycin prevents the growth of human head and neck SCC cells when xenotransplanted into immunodeficient mice. However, therapeutic responses in xenograft tumors are not always predictive of clinical anticancer activity. EXPERIMENTAL DESIGN: As genetically defined and chemically induced animal cancer models often reflect better the complexity of the clinical setting, we used here a two-step chemical carcinogenesis model to explore the effectiveness of rapamycin for the treatment of skin SCC. RESULTS: Rapamycin exerted a remarkable anticancer activity in this chemically induced cancer model, decreasing the tumor burden of mice harboring early and advanced tumor lesions, and even recurrent skin SCCs. Immunohistochemical studies on tumor biopsies and clustering analysis revealed that rapamycin causes the rapid decrease in the phosphorylation status of mTOR targets followed by the apoptotic death of cancer cells and the reduction in the growth and metabolic activity of the surviving ones, concomitant with a decrease in the population of cancer cells expressing mutant p53. This approach enabled investigating the relationship among molecular changes caused by mTOR inhibition, thus helping identify relevant biomarkers for monitoring the effectiveness of mTOR inhibition in the clinical setting. CONCLUSIONS: Together, these findings provide a strong rationale for the early evaluation of mTOR inhibitors as a molecular targeted approach to treat SCC. FAU - Amornphimoltham, Panomwat AU - Amornphimoltham P AD - Oral and Pharyngeal Cancer Branch, National Institute of Craniofacial and Dental Research, NIH, Bethesda, Maryland 20892-4330, USA. FAU - Leelahavanichkul, Kantima AU - Leelahavanichkul K FAU - Molinolo, Alfredo AU - Molinolo A FAU - Patel, Vyomesh AU - Patel V FAU - Gutkind, J Silvio AU - Gutkind JS LA - eng GR - ZIA DE000558/ImNIH/Intramural NIH HHS/United States GR - ZIA DE000558-19/ImNIH/Intramural NIH HHS/United States PT - Journal Article DEP - 20081210 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 (Antineoplastic Agents) RN - 0 (Carrier Proteins) RN - 57-97-6 (9,10-Dimethyl-1,2-benzanthracene) RN - EC 2.7.1.- (Phosphotransferases (Alcohol Group Acceptor)) 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) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - 9,10-Dimethyl-1,2-benzanthracene MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Carrier Proteins/*antagonists & inhibitors MH - Female MH - Mice MH - Phosphotransferases (Alcohol Group Acceptor)/*antagonists & inhibitors MH - Sirolimus/*pharmacology MH - Skin Neoplasms/chemically induced/*drug therapy/pathology MH - TOR Serine-Threonine Kinases PMC - PMC3407681 MID - NIHMS236750 EDAT- 2008/12/17 09:00 MHDA- 2009/01/07 09:00 PMCR- 2012/07/29 CRDT- 2008/12/18 09:00 PHST- 2008/12/18 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/01/07 09:00 [medline] PHST- 2012/07/29 00:00 [pmc-release] AID - 1078-0432.CCR-08-0703 [pii] AID - 10.1158/1078-0432.CCR-08-0703 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Dec 15;14(24):8094-101. doi: 10.1158/1078-0432.CCR-08-0703. Epub 2008 Dec 10.