PMID- 22890326 OWN - NLM STAT- MEDLINE DCOM- 20130906 LR - 20220129 IS - 1476-5594 (Electronic) IS - 0950-9232 (Linking) VI - 32 IP - 27 DP - 2013 Jul 4 TI - The mTOR inhibitor rapamycin opposes carcinogenic changes to epidermal Akt1/PKBalpha isoform signaling. PG - 3254-62 LID - 10.1038/onc.2012.338 [doi] AB - Epidermal squamous cell carcinoma (SCC) is the most aggressive non-melanoma skin cancer and is dramatically increased in patients undergoing immunosuppression following solid organ transplantation, contributing substantially to morbidity and mortality. Recent clinical studies show that use of the mammalian target of rapamycin (mTOR) inhibitor rapamycin as a post-transplantation immunosuppressive significantly reduces SCC occurrence compared with other immunosuppressives, though the mechanism is not fully understood. We show that rapamycin selectively upregulates epidermal Akt1, while failing to upregulate epidermal Akt2. Rapamycin increases epidermal Akt1 phosphorylation via inhibition of the mTOR complex 1-dependent regulation of insulin receptor substrate-1. Epidermal Akt1 is commonly downregulated in SCC while Akt2 is upregulated. We now demonstrate similar Akt1 downregulation and Akt2 upregulation by ultraviolet (UV) radiation, the most important skin carcinogen. Hence, rapamycin's upregulation of Akt1 signaling could potentially oppose the effects of UV radiation and/or tumor-associated changes on Akt1 signaling. We show in skin culture that rapamycin does enhance restoration of Akt1 phosphorylation in skin recovering from UV radiation, suggesting a mechanism for rapamycin's antitumor activity in epidermis in spite of its efficient immunosuppressive properties. FAU - Sully, K AU - Sully K AD - Centre for Cutaneous Research, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK. FAU - Akinduro, O AU - Akinduro O FAU - Philpott, M P AU - Philpott MP FAU - Naeem, A S AU - Naeem AS FAU - Harwood, C A AU - Harwood CA FAU - Reeve, V E AU - Reeve VE FAU - O'Shaughnessy, R F AU - O'Shaughnessy RF FAU - Byrne, C AU - Byrne C LA - eng GR - 13044/CRUK_/Cancer Research UK/United Kingdom GR - MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120813 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (Immunosuppressive Agents) RN - 0 (Isoenzymes) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.2 (Agammaglobulinaemia Tyrosine Kinase) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Agammaglobulinaemia Tyrosine Kinase MH - Animals MH - Blotting, Western MH - Cell Line MH - Cell Transformation, Neoplastic/*drug effects MH - Epidermis/*drug effects/metabolism MH - Humans MH - Immunohistochemistry MH - Immunoprecipitation MH - Immunosuppressive Agents/*pharmacology MH - Isoenzymes/metabolism MH - Keratinocytes/drug effects/metabolism MH - Mice MH - Phosphorylation MH - Protein-Tyrosine Kinases/*metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Signal Transduction/*drug effects/physiology MH - Sirolimus/*pharmacology MH - Skin MH - TOR Serine-Threonine Kinases/antagonists & inhibitors MH - Ultraviolet Rays EDAT- 2012/08/15 06:00 MHDA- 2013/09/07 06:00 CRDT- 2012/08/15 06:00 PHST- 2011/10/18 00:00 [received] PHST- 2012/05/17 00:00 [revised] PHST- 2012/06/24 00:00 [accepted] PHST- 2012/08/15 06:00 [entrez] PHST- 2012/08/15 06:00 [pubmed] PHST- 2013/09/07 06:00 [medline] AID - onc2012338 [pii] AID - 10.1038/onc.2012.338 [doi] PST - ppublish SO - Oncogene. 2013 Jul 4;32(27):3254-62. doi: 10.1038/onc.2012.338. Epub 2012 Aug 13.