PMID- 21436840 OWN - NLM STAT- MEDLINE DCOM- 20110916 LR - 20211203 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 25 IP - 7 DP - 2011 Jul TI - Targeting the translational apparatus to improve leukemia therapy: roles of the PI3K/PTEN/Akt/mTOR pathway. PG - 1064-79 LID - 10.1038/leu.2011.46 [doi] AB - It has become apparent that regulation of protein translation is an important determinant in controlling cell growth and leukemic transformation. The phosphoinositide 3-kinase (PI3K)/phosphatase and tensin homologue deleted on chromosome ten (PTEN)/Akt/mammalian target of rapamycin (mTOR) pathway is often implicated in sensitivity and resistance to therapy. Dysregulated signaling through the PI3K/PTEN/Akt/mTOR pathway is often the result of genetic alterations in critical components in this pathway as well as mutations at upstream growth factor receptors. Furthermore, this pathway is activated by autocrine transformation mechanisms. PTEN is a critical tumor suppressor gene and its dysregulation results in the activation of Akt. PTEN is often mutated, silenced and is often haploinsufficient. The mTOR complex1 (mTORC1) regulates the assembly of the eukaryotic initiation factor4F complex, which is critical for the translation of mRNAs that are important for cell growth, prevention of apoptosis and transformation. These mRNAs have long 5'-untranslated regions that are G+C rich, rendering them difficult to translate. Elevated mTORC1 activity promotes the translation of these mRNAs via the phosphorylation of 4E-BP1. mTORC1 is a target of rapamycin and novel active-site inhibitors that directly target the TOR kinase activity. Although rapamycin and novel rapalogs are usually cytostatic and not cytotoxic for leukemic cells, novel inhibitors that target the kinase activities of PI3K and mTOR may prove more effective for leukemia therapy. FAU - Martelli, A M AU - Martelli AM AD - Dipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universita di Bologna, Bologna, Italy. FAU - Evangelisti, C AU - Evangelisti C FAU - Chappell, W AU - Chappell W FAU - Abrams, S L AU - Abrams SL FAU - Basecke, J AU - Basecke J FAU - Stivala, F AU - Stivala F FAU - Donia, M AU - Donia M FAU - Fagone, P AU - Fagone P FAU - Nicoletti, F AU - Nicoletti F FAU - Libra, M AU - Libra M FAU - Ruvolo, V AU - Ruvolo V FAU - Ruvolo, P AU - Ruvolo P FAU - Kempf, C R AU - Kempf CR FAU - Steelman, L S AU - Steelman LS FAU - McCubrey, J A AU - McCubrey JA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110325 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antineoplastic Agents) RN - 0 (CRTC2 protein, human) RN - 0 (MicroRNAs) RN - 0 (Multiprotein Complexes) RN - 0 (Neoplasm Proteins) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proteins) RN - 0 (RNA, Messenger) RN - 0 (RNA, Neoplasm) RN - 0 (Transcription Factors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Antineoplastic Agents/*pharmacology/therapeutic use MH - Apoptosis/drug effects/genetics MH - Drug Design MH - Drug Resistance, Neoplasm/drug effects/genetics MH - Gene Expression Regulation, Leukemic/*drug effects/genetics MH - Humans MH - Leukemia/*drug therapy/genetics MH - Mechanistic Target of Rapamycin Complex 1 MH - MicroRNAs/genetics MH - *Molecular Targeted Therapy MH - Multiprotein Complexes/antagonists & inhibitors/drug effects/physiology MH - Neoplasm Proteins/antagonists & inhibitors/genetics/*physiology MH - Neoplastic Stem Cells/drug effects MH - PTEN Phosphohydrolase/antagonists & inhibitors/genetics/*physiology MH - Phosphatidylinositol 3-Kinases/genetics/*physiology MH - Phosphoinositide-3 Kinase Inhibitors MH - Phosphorylation/drug effects MH - Protein Biosynthesis/*drug effects MH - Protein Processing, Post-Translational/drug effects MH - Proteins/antagonists & inhibitors/drug effects/physiology MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/genetics/*physiology MH - Pseudogenes MH - RNA, Messenger/genetics MH - RNA, Neoplasm/genetics MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/genetics/*physiology MH - Transcription Factors/antagonists & inhibitors/drug effects/physiology EDAT- 2011/03/26 06:00 MHDA- 2011/09/17 06:00 CRDT- 2011/03/26 06:00 PHST- 2011/03/26 06:00 [entrez] PHST- 2011/03/26 06:00 [pubmed] PHST- 2011/09/17 06:00 [medline] AID - leu201146 [pii] AID - 10.1038/leu.2011.46 [doi] PST - ppublish SO - Leukemia. 2011 Jul;25(7):1064-79. doi: 10.1038/leu.2011.46. Epub 2011 Mar 25.