PMID- 22136849 OWN - NLM STAT- MEDLINE DCOM- 20120206 LR - 20211203 IS - 1532-7361 (Electronic) IS - 0039-6060 (Linking) VI - 150 IP - 6 DP - 2011 Dec TI - Activation of mTOR signaling in medullary and aggressive papillary thyroid carcinomas. PG - 1258-65 LID - 10.1016/j.surg.2011.09.022 [doi] AB - BACKGROUND: Because mammalian target of rapamycin (mTOR) may be involved in thyroid carcinogenesis, we investigated the expression and activation patterns of mTOR signaling proteins in thyroid carcinoma cells and tumors and their association with tumor histology and aggressiveness. METHODS: Tissue specimens from 50 patients with thyroid cancer were analyzed for eIF4E, a critical downstream target of the mTOR pathway, using immunohistochemistry. In addition, fresh-frozen samples from patients, and primary tumor cell cultures were analyzed for expression and activation of mTOR signaling proteins by Western blot. Moreover, pharmacologic studies with rapamycin were performed. RESULTS: High expression of eIF4E was observed in medullary thyroid carcinomas (MTC) and in aggressive variants of papillary thyroid carcinomas (PTC) as compared with conventional PTC and follicular thyroid carcinomas (P < .0001). The level of eIF4E expression also correlated with tumor stage (P = .002). Using Western blot analysis, p-rpS6, p-4EBP1, 4EBP1, and eIF4E were detected at higher levels in aggressive PTC and MTC cells. Treatment of MTC cells with increasing concentrations of rapamycin resulted in significant cell death and in decreased cell growth associated with deactivation of the mTOR pathway. CONCLUSION: mTOR signaling, which controls protein synthesis through regulation of translation initiation, is activated in aggressive PTC and MTC and represents a promising target for investigational therapies in these patients. CI - Copyright (c) 2011 Mosby, Inc. All rights reserved. FAU - Kouvaraki, Maria A AU - Kouvaraki MA AD - Department of Surgery, University of Thessaly, University Hospital of Larissa, Larissa, Greece. FAU - Liakou, Chrysoula AU - Liakou C FAU - Paraschi, Adriani AU - Paraschi A FAU - Dimas, Konstantinos AU - Dimas K FAU - Patsouris, Efstratios AU - Patsouris E FAU - Tseleni-Balafouta, Sofia AU - Tseleni-Balafouta S FAU - Rassidakis, George Z AU - Rassidakis GZ FAU - Moraitis, Dimitrios AU - Moraitis D LA - eng PT - Journal Article PL - United States TA - Surgery JT - Surgery JID - 0417347 RN - 0 (Eukaryotic Initiation Factor-4E) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) RN - Thyroid cancer, medullary SB - IM MH - Adult MH - Blotting, Western MH - Carcinoma MH - Carcinoma, Neuroendocrine MH - Carcinoma, Papillary MH - Cell Death/drug effects MH - Cell Line, Tumor MH - Eukaryotic Initiation Factor-4E/metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Signal Transduction/drug effects MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/*metabolism MH - Thyroid Cancer, Papillary MH - Thyroid Neoplasms/*metabolism/pathology MH - Tumor Cells, Cultured EDAT- 2011/12/06 06:00 MHDA- 2012/02/07 06:00 CRDT- 2011/12/06 06:00 PHST- 2011/03/02 00:00 [received] PHST- 2011/09/15 00:00 [accepted] PHST- 2011/12/06 06:00 [entrez] PHST- 2011/12/06 06:00 [pubmed] PHST- 2012/02/07 06:00 [medline] AID - S0039-6060(11)00536-8 [pii] AID - 10.1016/j.surg.2011.09.022 [doi] PST - ppublish SO - Surgery. 2011 Dec;150(6):1258-65. doi: 10.1016/j.surg.2011.09.022.