PMID- 22475451 OWN - NLM STAT- MEDLINE DCOM- 20120906 LR - 20211203 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 18 IP - 19 DP - 2012 TI - Targeting mTOR pathways in human malignancies. PG - 2766-77 AB - BACKGROUND: The mammalian target of rapamycin (mTOR) is a protein kinase involved in the phosphatidylinositol 3-Kinase (PI3K)/AKT signalling pathway with a central role in the control of cell growth, survival and angiogenesis. Multiple and frequent dysregulations of this pathway in human tumors make it a central target in the development of new anticancer treatments. OBJECTIVE: To review the most significant data on mTOR pathway, role of mTOR inhibitors in cancer treatment, preclinical and clinical data of the three first generation mTOR inhibitors (temsirolimus, everolimus and deferolimus), rationales, preclinical and clinical data of second generation mTOR inhibitors. METHODS: Review of published literature on mTOR and related pathways, rapalogs and novel mTOR inhibitors. RESULTS/CONCLUSIONS: Temsirolimus and everolimus have been approved for the treatment of metastatic Renal Cell Carcinoma (RCC), temsirolimus also for Mantle Cell Lymphoma (MCL) and everolimus will be approved for pancreatic neuroendocrine tumors; all three rapalogs are currently evaluated in phase III studies in several tumors. Only limited published data are available on new mTOR inhibitors; however, in vitro and in vivo in preclinical studies they have shown a significant antiproliferative activity against a broad panel of tumors and a favourable safety profile, with disease stabilization or even tumor regression, either as single agent or in combination. FAU - Fasolo, Angelica AU - Fasolo A AD - Unit of New Drugs & Innovative Therapies, Department of Medical Oncology Fondazione Centro San Raffaele del Monte Tabor, Via Olgettina n degrees 60, 20132, Milano, Italy. fasolo.angelica@hsr.it FAU - Sessa, Cristiana AU - Sessa C LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 624KN6GM2T (temsirolimus) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Everolimus MH - Humans MH - Neoplasms/drug therapy/*physiopathology MH - Signal Transduction MH - Sirolimus/analogs & derivatives/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism/*physiology EDAT- 2012/04/06 06:00 MHDA- 2012/09/07 06:00 CRDT- 2012/04/06 06:00 PHST- 2011/11/22 00:00 [received] PHST- 2012/02/22 00:00 [accepted] PHST- 2012/04/06 06:00 [entrez] PHST- 2012/04/06 06:00 [pubmed] PHST- 2012/09/07 06:00 [medline] AID - CPD-EPUB-20120405-003 [pii] AID - 10.2174/138161212800626210 [doi] PST - ppublish SO - Curr Pharm Des. 2012;18(19):2766-77. doi: 10.2174/138161212800626210.