PMID- 21299441 OWN - NLM STAT- MEDLINE DCOM- 20110614 LR - 20211203 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 20 IP - 3 DP - 2011 Mar TI - Current and future directions in mammalian target of rapamycin inhibitors development. PG - 381-94 LID - 10.1517/13543784.2011.541154 [doi] AB - INTRODUCTION: The mammalian target of the rapamycin (mTOR) signalling pathway has a central role in the regulation of cell growth, survival and angiogenesis and the frequent dysregulation of this pathway in tumor cells makes it a crucial target in the treatment of cancer. Temsirolimus and everolimus are approved for use in metastatic renal cell carcinoma and temsirolimus is also approved for mantle cell lymphoma. All three rapalogs, temsirolimus, everolimus and deforolimus, are currently being evaluated in Phase III studies in several tumors. AREAS COVERED: This paper provides a review of the published literature on the mTOR pathway and related pathway signaling, analogs and novel mTOR inhibitors. The most recent and important data on the mTOR pathway, the role of mTOR inhibitors in cancer treatment and the current status of development of second-generation highly potent and selective mTOR inhibitors are overviewed. EXPERT OPINION: The published data on new mTOR inhibitors are still limited, but the available preclinical results indicate that they have a potent antiproliferative activity against a broad panel of tumor cell lines, have a favorable safety profile, can obtain disease stabilization or even tumor regression and, in some cases, enhance the efficacy of other targeted or standard-of-care anticancer drugs when used in vivo in preclinical studies. FAU - Fasolo, Angelica AU - Fasolo A AD - Istituto Nazionale dei Tumori, via Venezian 1, Milan, Italy. FAU - Sessa, Cristiana AU - Sessa C LA - eng PT - Journal Article PT - Review DEP - 20110208 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology/therapeutic use MH - Clinical Trials, Phase III as Topic MH - Humans MH - Neoplasms/*drug therapy/enzymology MH - Protein Kinase Inhibitors/*pharmacology/therapeutic use MH - Signal Transduction/drug effects MH - Sirolimus/*analogs & derivatives/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism EDAT- 2011/02/09 06:00 MHDA- 2011/06/15 06:00 CRDT- 2011/02/09 06:00 PHST- 2011/02/09 06:00 [entrez] PHST- 2011/02/09 06:00 [pubmed] PHST- 2011/06/15 06:00 [medline] AID - 10.1517/13543784.2011.541154 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2011 Mar;20(3):381-94. doi: 10.1517/13543784.2011.541154. Epub 2011 Feb 8.