PMID- 22944293 OWN - NLM STAT- MEDLINE DCOM- 20130329 LR - 20211203 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 44 IP - 2 DP - 2013 Feb TI - Clinicopathologic significance and function of mammalian target of rapamycin activation in esophageal squamous cell carcinoma. PG - 226-36 LID - S0046-8177(12)00186-4 [pii] LID - 10.1016/j.humpath.2012.05.011 [doi] AB - Mammalian target of rapamycin (mTOR) has emerged as a key regulator of cell metabolism, growth, and proliferation. Despite the increasing significance of mTOR signaling in cancer cell cycle and proliferation, the clinical significance of activated mTOR in esophageal squamous cell carcinoma and its role in esophageal cancer cell proliferation and invasion remain unclear. Here, we show that both high levels of phosphorylated-mTOR and an increased ratio of phosphorylated-mTOR/mTOR (ratio >/=0.2) were significantly associated with shortened disease-specific survival in 165 patients with esophageal squamous cell carcinoma in univariate analysis (P = .047 for phosphorylated-mTOR, P = .021 for phosphorylated-mTOR/mTOR); phosphorylated-mTOR and phosphorylated-mTOR/mTOR remained independent prognostic factors after adjusting for age, TNM stage, chemotherapy, and radiation therapy in multivariate analysis (hazard ratio, 1.67, P = .025 for phosphorylated-mTOR; hazard ratio, 1.95, P = .006 for phosphorylated-mTOR/mTOR). Moreover, down-regulation of mTOR or mTOR complex components led to attenuation of proliferation, migration, and invasion of esophageal squamous cell carcinoma cell lines through suppression of cyclin D1 expression. Collectively, our findings suggest that phosphorylated-mTOR and the ratio of phosphorylated-mTOR/mTOR are closely linked to tumor progression and represent independent prognostic factors in esophageal squamous cell carcinoma, thereby providing a potential therapeutic target for this malignancy. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Kim, Seok-Hyung AU - Kim SH AD - Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea. FAU - Chau, Gia Cac AU - Chau GC FAU - Jang, Young Hoon AU - Jang YH FAU - Lee, Seung Im AU - Lee SI FAU - Pyo, Suhkneung AU - Pyo S FAU - Um, Sung Hee AU - Um SH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120831 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Biomarkers, Tumor) RN - 136601-57-5 (Cyclin D1) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/*metabolism MH - Carcinoma, Squamous Cell/*metabolism/pathology/therapy MH - Cell Cycle MH - Cell Line, Tumor MH - Cell Proliferation MH - Child MH - Child, Preschool MH - Cyclin D1/metabolism MH - Disease Progression MH - Down-Regulation MH - Esophageal Neoplasms/*metabolism/pathology/therapy MH - Esophageal Squamous Cell Carcinoma MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Neoplasm Staging MH - Phosphorylation MH - Prognosis MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism MH - Young Adult EDAT- 2012/09/05 06:00 MHDA- 2013/03/30 06:00 CRDT- 2012/09/05 06:00 PHST- 2012/02/08 00:00 [received] PHST- 2012/05/13 00:00 [revised] PHST- 2012/05/16 00:00 [accepted] PHST- 2012/09/05 06:00 [entrez] PHST- 2012/09/05 06:00 [pubmed] PHST- 2013/03/30 06:00 [medline] AID - S0046-8177(12)00186-4 [pii] AID - 10.1016/j.humpath.2012.05.011 [doi] PST - ppublish SO - Hum Pathol. 2013 Feb;44(2):226-36. doi: 10.1016/j.humpath.2012.05.011. Epub 2012 Aug 31.