PMID- 20395440 OWN - NLM STAT- MEDLINE DCOM- 20101004 LR - 20211203 IS - 1525-2191 (Electronic) IS - 0002-9440 (Print) IS - 0002-9440 (Linking) VI - 176 IP - 6 DP - 2010 Jun TI - Mammalian target of rapamycin (mTOR) regulates cellular proliferation and tumor growth in urothelial carcinoma. PG - 3062-72 LID - 10.2353/ajpath.2010.090872 [doi] AB - Mammalian target of rapamycin (mTOR) signaling has been associated with aggressive tumor growth in many cancer models, although its role in urothelial carcinoma (UCC) has not been extensively explored. Expression of phosphorylated mTOR (P-mTOR) and a downstream target, ribosomal S6 protein (P-S6), was identified in 74% (90/121) and 55% (66/121) of muscle-invasive UCCs, respectively. P-mTOR intensity and %positive cells were associated with reduced disease-specific survival (P = 0.04, P = 0.08, respectively). Moreover, P-mTOR intensity corresponded to increased pathological stage (P < 0.01), and mTOR activity was associated with cell migration in vitro. In addition, mTOR inhibition via rapamycin administration reduced cell proliferation in UCC cell lines RT4, T24, J82, and UMUC3 in a dose-dependent manner to 6% of control levels and was significant at 1 nmol/L in J82, T24, and RT4 cells (P < 0.01, P < 0.01, P = 0.03, respectively) and at 10 nmol/L in UMUC3 cells (P = 0.03). Reduced proliferation corresponded with reduced P-S6 levels by Western blot, and effects were ablated by pretreatment of cells with mTOR-specific siRNA. No effects of rapamycin on apoptosis were identified by TUNEL labeling or PARP cleavage. Administration of rapamycin to T24-xenografted mice resulted in a 55% reduction in tumor volume (P = 0.03) and a 40% reduction in proliferation (P < 0.01) compared with vehicle-injected mice. These findings indicate that mTOR pathway activation frequently occurs in UCC and that mTOR inhibition may be a potential means to reduce UCC growth. FAU - Hansel, Donna E AU - Hansel DE AD - Department of Anatomic Pathology, Cleveland Clinic, Cleveland, Ohio, USA. hanseld@ccf.org FAU - Platt, Eric AU - Platt E FAU - Orloff, Mohammed AU - Orloff M FAU - Harwalker, Jyoti AU - Harwalker J FAU - Sethu, Swathi AU - Sethu S FAU - Hicks, Jessica L AU - Hicks JL FAU - De Marzo, Angelo AU - De Marzo A FAU - Steinle, Roxanne E AU - Steinle RE FAU - Hsi, Eric D AU - Hsi ED FAU - Theodorescu, Dan AU - Theodorescu D FAU - Ching, Christina B AU - Ching CB FAU - Eng, Charis AU - Eng C LA - eng GR - KL2 TR000440/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100415 PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Intracellular Signaling Peptides and Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) 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 - Adult MH - Aged MH - Aged, 80 and over MH - Animals MH - *Carcinoma, Transitional Cell/metabolism/pathology MH - Cell Line, Tumor/drug effects MH - *Cell Proliferation MH - Female MH - Humans MH - Intracellular Signaling Peptides and Proteins/genetics/*metabolism MH - Male MH - Mice MH - Mice, Nude MH - Middle Aged MH - Neoplasm Transplantation MH - Protein Serine-Threonine Kinases/genetics/*metabolism MH - Ribosomal Protein S6 Kinases, 70-kDa/genetics/metabolism MH - Signal Transduction/physiology MH - Sirolimus/pharmacology MH - Survival Rate MH - TOR Serine-Threonine Kinases MH - Transplantation, Heterologous MH - *Urinary Bladder Neoplasms/metabolism/pathology PMC - PMC2877865 EDAT- 2010/04/17 06:00 MHDA- 2010/10/05 06:00 PMCR- 2011/06/01 CRDT- 2010/04/17 06:00 PHST- 2010/04/17 06:00 [entrez] PHST- 2010/04/17 06:00 [pubmed] PHST- 2010/10/05 06:00 [medline] PHST- 2011/06/01 00:00 [pmc-release] AID - S0002-9440(10)60825-5 [pii] AID - 10.2353/ajpath.2010.090872 [doi] PST - ppublish SO - Am J Pathol. 2010 Jun;176(6):3062-72. doi: 10.2353/ajpath.2010.090872. Epub 2010 Apr 15.