PMID- 19389013 OWN - NLM STAT- MEDLINE DCOM- 20101014 LR - 20211203 IS - 1464-410X (Electronic) IS - 1464-4096 (Linking) VI - 104 IP - 7 DP - 2009 Oct TI - Activation of the mammalian target of rapamycin signalling pathway in prostate cancer and its association with patient clinicopathological characteristics. PG - 1009-16 LID - 10.1111/j.1464-410X.2009.08538.x [doi] AB - OBJECTIVE: To evaluate the activation level of the mammalian target of rapamycin (mTOR) signalling pathway in Chinese patients with prostate cancer, as this pathway is over-activated in many human cancers and is an attractive target for cancer therapy. PATIENTS AND METHODS: We used immunohistochemistry to investigate the activation level of five important markers of the mTOR pathway, including PTEN, p-Akt, p-mTOR, p-p70S6K and p-4E-BP1, in tissues from 182 patients with prostate cancer, 20 with benign prostatic hyperplasia (BPH) and 10 with high-grade prostatic intraepithelial neoplasia (HGPIN). The expression levels of these five markers were associated with patient clinical and pathological characteristics. RESULTS: Expression levels of p-Akt, p-mTOR, p-4E-BP1 and p-p70S6K were significantly higher in prostate cancer tissues than in BPH and HGPIN tissues. In 182 patients with prostate cancer the p-mTOR expression level significantly and positively correlated with its upstream p-Akt and downstream p-4E-BP1 and p-p70S6K expression levels. The cancer Gleason score was significantly correlated with p-Akt and p-mTOR expression level but not with p-4E-BP1 and p-p70S6K expression level. However, the p-4E-BP1 and p-p70S6K expression levels in primary cancer lesions were statistically significantly correlated with patient T stage and distant metastases. CONCLUSIONS: Most patients with prostate cancer have at least one component of the mTOR signalling pathway activated. The activation of the mTOR pathway might be involved in prostate cancer development and progression. The association between activation of mTOR pathway and patient clinicopathological variables suggested that not all patients are equally amenable to treatment strategies targeting the mTOR pathway. FAU - Dai, Bo AU - Dai B AD - Department of Urology, Cancer Hospital, Fudan University, Shanghai, China. FAU - Kong, Yun Yi AU - Kong YY FAU - Ye, Ding Wei AU - Ye DW FAU - Ma, Chun Guang AU - Ma CG FAU - Zhou, XiaoYan AU - Zhou X FAU - Yao, Xu Dong AU - Yao XD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090415 PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - 0 (Biomarkers, Tumor) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*metabolism MH - Disease Progression MH - Humans MH - Immunohistochemistry MH - Intracellular Signaling Peptides and Proteins/antagonists & inhibitors/*metabolism MH - Male MH - Middle Aged MH - Phosphorylation MH - Prostatic Hyperplasia/metabolism MH - Prostatic Intraepithelial Neoplasia/*metabolism/therapy MH - Prostatic Neoplasms/*metabolism/therapy MH - Protein Serine-Threonine Kinases/antagonists & inhibitors/*metabolism MH - Signal Transduction/*physiology MH - Sirolimus MH - TOR Serine-Threonine Kinases EDAT- 2009/04/25 09:00 MHDA- 2010/10/15 06:00 CRDT- 2009/04/25 09:00 PHST- 2009/04/25 09:00 [entrez] PHST- 2009/04/25 09:00 [pubmed] PHST- 2010/10/15 06:00 [medline] AID - BJU8538 [pii] AID - 10.1111/j.1464-410X.2009.08538.x [doi] PST - ppublish SO - BJU Int. 2009 Oct;104(7):1009-16. doi: 10.1111/j.1464-410X.2009.08538.x. Epub 2009 Apr 15.