PMID- 22010859 OWN - NLM STAT- MEDLINE DCOM- 20120828 LR - 20211203 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 20 IP - 12 DP - 2011 Dec TI - Targeted therapy in sarcomas: mammalian target of rapamycin inhibitors from bench to bedside. PG - 1685-705 LID - 10.1517/13543784.2011.628984 [doi] AB - INTRODUCTION: Sarcomas are rare heterogeneous malignancies of mesenchymal origin relatively common during childhood. Disruption of the mammalian target of rapamycin (mTOR) pathway is a very common event during the tumorigenesis of several types of cancer. In particular, strong preclinical evidences suggest pivotal roles of this pathway during the sarcomagenesis. Therefore, the inhibition of mTOR via rapamycin, rapamycin analogs (rapalogs) and ATP-competitive inhibitors seems to be a promising path to follow for a fully tailored therapy. AREAS COVERED: The aim of the present review is to summarize the available data about the mechanisms of mTOR pathway, its biological implications and its possible role in the pathogenesis of soft tissue sarcoma. Moreover, preclinical and clinical evidences of different mTOR inhibitors in the treatment of sarcomas are reported. EXPERT OPINION: Early studies with mTOR inhibitors have demonstrated promising antitumor activity in patients with metastatic sarcoma who have failed standard treatments: that is why mTOR inhibitors represents today a promising chance to improve the prognosis of those patients affected by these rare disease, which is today still extremely poor. FAU - Vincenzi, Bruno AU - Vincenzi B AD - University Campus Bio-Medico, Medical Oncology, via Alvaro del Portillo, 200, Rome, Italy. FAU - Napolitano, Andrea AU - Napolitano A FAU - D'Onofrio, Loretta AU - D'Onofrio L FAU - Frezza, Anna Maria AU - Frezza AM FAU - Silletta, Marianna AU - Silletta M FAU - Venditti, Olga AU - Venditti O FAU - Santini, Daniele AU - Santini D FAU - Tonini, Giuseppe AU - Tonini G LA - eng PT - Journal Article PT - Review DEP - 20111020 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Protein Kinase Inhibitors) 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 - Antibiotics, Antineoplastic/*pharmacology/therapeutic use MH - Humans MH - *Molecular Targeted Therapy MH - Protein Kinase Inhibitors/*pharmacology/therapeutic use MH - Sarcoma/*drug therapy/physiopathology MH - Signal Transduction/drug effects MH - Sirolimus/*pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Translational Research, Biomedical EDAT- 2011/10/21 06:00 MHDA- 2012/08/29 06:00 CRDT- 2011/10/21 06:00 PHST- 2011/10/21 06:00 [entrez] PHST- 2011/10/21 06:00 [pubmed] PHST- 2012/08/29 06:00 [medline] AID - 10.1517/13543784.2011.628984 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2011 Dec;20(12):1685-705. doi: 10.1517/13543784.2011.628984. Epub 2011 Oct 20.