PMID- 21427170 OWN - NLM STAT- MEDLINE DCOM- 20110818 LR - 20211203 IS - 1479-6821 (Electronic) IS - 1351-0088 (Linking) VI - 18 IP - 3 DP - 2011 Jun TI - mTOR inhibition, a potential novel approach for bronchial carcinoids. PG - C15-8 LID - 10.1530/ERC-10-0290 [doi] AB - Although targeted therapy, including inhibitors of mammalian target of rapamycin (mTOR) and vascular endothelial growth factor, being developed for carcinoids arised from the gastrointestinal tract, treatment for locally advanced or metastatic bronchial carcinoids (BCs) remains lacking. Traditional cytotoxic chemotherapy offers essentially minimal benefit to this largely under-characterized tumor. In the September issue of Endocrine-Related Cancer, Zatelli et al. reported an anti-proliferative effect of mTOR inhibitor, everolimus, in cultured primary BC tumor cells by attenuation of IGF signaling pathway. This effect is more significant in aggressive tumors that carry higher levels of mTOR, and is consistent with the therapeutic benefit of everolimus for patients with BC observed in our phase II and III clinical trials. Although adding somatostatin analog to mTOR inhibitor did not provide a synergistic anti-tumor effect, development of rational combinations is highly warranted to further improve the outcome for patients with neuroendocrine tumors. FAU - Dong, Mei AU - Dong M AD - Department of Gastrointestinal Medical Oncology, Unit 426, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030, USA. FAU - Yao, James C AU - Yao JC LA - eng PT - Journal Article DEP - 20110428 PL - England TA - Endocr Relat Cancer JT - Endocrine-related cancer JID - 9436481 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 - Antineoplastic Agents/pharmacology/therapeutic use MH - Bronchial Neoplasms/*drug therapy MH - Carcinoid Tumor/*drug therapy MH - Disease-Free Survival MH - Everolimus MH - Humans MH - Molecular Targeted Therapy MH - Sirolimus/*analogs & derivatives/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors EDAT- 2011/03/24 06:00 MHDA- 2011/08/19 06:00 CRDT- 2011/03/24 06:00 PHST- 2011/03/24 06:00 [entrez] PHST- 2011/03/24 06:00 [pubmed] PHST- 2011/08/19 06:00 [medline] AID - ERC-10-0290 [pii] AID - 10.1530/ERC-10-0290 [doi] PST - epublish SO - Endocr Relat Cancer. 2011 Apr 28;18(3):C15-8. doi: 10.1530/ERC-10-0290. Print 2011 Jun.