PMID- 20929525 OWN - NLM STAT- MEDLINE DCOM- 20110321 LR - 20220309 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 10 DP - 2010 Oct 7 TI - Activated mammalian target of rapamycin is a potential therapeutic target in gastric cancer. PG - 536 LID - 10.1186/1471-2407-10-536 [doi] AB - BACKGROUND: The mammalian target of rapamycin (mTOR) plays a key role in cellular growth and homeostasis. The purpose of our present study is to investigate the expression of activated mTOR (p-mTOR) in gastric cancer patients, their prognostic significance and the inhibition effect of RAD001 on tumor growth and to determine whether targeted inhibition of mTOR could be a potential therapeutic strategy for gastric cancer. METHODS: The expression of p-mTOR was detected in specimens of 181 gastric cancers who underwent radical resection (R0) by immunohistochemistry. The correlation of p-mTOR expression to clinicopathologic features and survival of gastric cancer was studied. We also determined the inhibition effect of RAD001 on tumor growth using BGC823 and AGS human gastric cancer cell lines. RESULTS: Immunostaining for p-mTOR was positive in 93 of 181 (51.4%) gastric cancers, closely correlated with lymph node status and pTNM stage. Patients with p-mTOR positive showed significantly shorter disease-free survival (DFS) and overall survival (OS) rates than those with p-mTOR-negative tumors in univariable analyses, and there was a trend toward a correlation between p-mTOR expression and survival in multivariable analyses. RAD001 markedly inhibited dose-dependently proliferation of human gastric carcinoma cells by down-regulating expression of p70s6k, p-p70s6k, C-myc, CyclinD1 and Bcl-2, up-regulating expression of P53. CONCLUSIONS: In gastric cancer, p-mTOR is a potential therapeutic target and RAD001 was a promising treatment agent with inducing cell cycle arrest and apoptosis by down-regulating expression of C-myc, CyclinD1 and Bcl-2, up-regulating expression of P53. FAU - Xu, Da-zhi AU - Xu DZ AD - State Key Laboratory of Oncology in South China, Guangzhou 510060, China. FAU - Geng, Qi-rong AU - Geng QR FAU - Tian, Ying AU - Tian Y FAU - Cai, Mu-yan AU - Cai MY FAU - Fang, Xin-juan AU - Fang XJ FAU - Zhan, You-qing AU - Zhan YQ FAU - Zhou, Zhi-wei AU - Zhou ZW FAU - Li, Wei AU - Li W FAU - Chen, Ying-bo AU - Chen YB FAU - Sun, Xiao-wei AU - Sun XW FAU - Guan, Yuan-xiang AU - Guan YX FAU - Li, Yuan-fang AU - Li YF FAU - Lin, Tong-yu AU - Lin TY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101007 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Antineoplastic Agents) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) 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 - Antineoplastic Agents/pharmacology MH - Apoptosis MH - Cell Line, Tumor MH - Cell Proliferation MH - Disease-Free Survival MH - Everolimus MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry/methods MH - Male MH - Middle Aged MH - Retrospective Studies MH - Sirolimus/analogs & derivatives/pharmacology MH - Stomach Neoplasms/*metabolism/*surgery MH - TOR Serine-Threonine Kinases/*metabolism MH - Treatment Outcome PMC - PMC2958947 EDAT- 2010/10/12 06:00 MHDA- 2011/03/22 06:00 PMCR- 2010/10/07 CRDT- 2010/10/09 06:00 PHST- 2009/09/20 00:00 [received] PHST- 2010/10/07 00:00 [accepted] PHST- 2010/10/09 06:00 [entrez] PHST- 2010/10/12 06:00 [pubmed] PHST- 2011/03/22 06:00 [medline] PHST- 2010/10/07 00:00 [pmc-release] AID - 1471-2407-10-536 [pii] AID - 10.1186/1471-2407-10-536 [doi] PST - epublish SO - BMC Cancer. 2010 Oct 7;10:536. doi: 10.1186/1471-2407-10-536.