PMID- 21331075 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20211203 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 25 IP - 5 DP - 2011 May TI - Targeted inhibition of mTORC1 and mTORC2 by active-site mTOR inhibitors has cytotoxic effects in T-cell acute lymphoblastic leukemia. PG - 781-91 LID - 10.1038/leu.2011.20 [doi] AB - The mammalian Target Of Rapamycin (mTOR) serine/threonine kinase belongs to two multi-protein complexes, referred to as mTORC1 and mTORC2. mTOR-generated signals have critical roles in leukemic cell biology by controlling mRNA translation of genes that promote proliferation and survival. However, allosteric inhibition of mTORC1 by rapamycin has only modest effects in T-cell acute lymphoblastic leukemia (T-ALL). Recently, ATP-competitive inhibitors specific for the mTOR kinase active site have been developed. In this study, we have explored the therapeutic potential of active-site mTOR inhibitors against both T-ALL cell lines and primary samples from T-ALL patients displaying activation of mTORC1 and mTORC2. The inhibitors affected T-ALL cell viability by inducing cell-cycle arrest in G(0)/G(1) phase, apoptosis and autophagy. Western blot analysis demonstrated a Ser 473 Akt dephosphorylation (indicative of mTORC2 inhibition) and a dephosphorylation of mTORC1 downstream targets. Unlike rapamycin, we found a marked inhibition of mRNA translation in T-ALL cell lines treated with active-site mTOR inhibitors. The inhibitors strongly synergized with both vincristine and the Bcl-2 inhibitor, ABT-263. Remarkably, the drugs targeted a putative leukemia-initiating cell sub-population (CD34(+)/CD7(-)/CD4(-)) in patient samples. In conclusion, the inhibitors displayed remarkable anti-leukemic activity, which emphasizes their future development as clinical candidates for therapy in T-ALL. FAU - Evangelisti, C AU - Evangelisti C AD - Department of Human Anatomy, University of Bologna, Bologna, Italy. FAU - Ricci, F AU - Ricci F FAU - Tazzari, P AU - Tazzari P FAU - Tabellini, G AU - Tabellini G FAU - Battistelli, M AU - Battistelli M FAU - Falcieri, E AU - Falcieri E FAU - Chiarini, F AU - Chiarini F FAU - Bortul, R AU - Bortul R FAU - Melchionda, F AU - Melchionda F FAU - Pagliaro, P AU - Pagliaro P FAU - Pession, A AU - Pession A FAU - McCubrey, J A AU - McCubrey JA FAU - Martelli, A M AU - Martelli AM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110218 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (CRTC2 protein, human) RN - 0 (Immunosuppressive Agents) RN - 0 (Multiprotein Complexes) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proteins) RN - 0 (RNA, Messenger) RN - 0 (Transcription Factors) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Apoptosis/*drug effects MH - Autophagy/*drug effects MH - Blotting, Western MH - Catalytic Domain MH - Cell Cycle/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Flow Cytometry MH - Humans MH - Immunosuppressive Agents/pharmacology MH - Mechanistic Target of Rapamycin Complex 1 MH - Mice MH - Multiprotein Complexes MH - Phosphorylation/drug effects MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy/metabolism/*pathology MH - Protein Kinase Inhibitors/*pharmacology MH - Proteins/*antagonists & inhibitors/metabolism MH - RNA, Messenger/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases MH - Transcription Factors/*antagonists & inhibitors/metabolism EDAT- 2011/02/19 06:00 MHDA- 2011/08/10 06:00 CRDT- 2011/02/19 06:00 PHST- 2011/02/19 06:00 [entrez] PHST- 2011/02/19 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - leu201120 [pii] AID - 10.1038/leu.2011.20 [doi] PST - ppublish SO - Leukemia. 2011 May;25(5):781-91. doi: 10.1038/leu.2011.20. Epub 2011 Feb 18.