PMID- 23756767 OWN - NLM STAT- MEDLINE DCOM- 20140408 LR - 20211203 IS - 1432-1440 (Electronic) IS - 0946-2716 (Linking) VI - 91 IP - 10 DP - 2013 Oct TI - mTOR and regulation of energy homeostasis in humans. PG - 1167-75 LID - 10.1007/s00109-013-1057-6 [doi] AB - Patients treated with the mammalian or mechanistic target of rapamycin (mTOR) inhibitor everolimus in order to slow progression of autosomal-dominant polycystic kidney disease (ADPKD) showed a significant reduction of body weight. Although the detailed mechanism of how mTOR inhibition interferes with body weight regulation is rather unclear, present data suggest that this effect is mediated by both central and peripheral mechanisms. These findings in ADPKD patients are in contrast to well-documented effects of hypothalamic mTOR on regulation of energy homeostasis and eating behavior in rodents. In a number of rodent models, the mTOR inhibitor rapamycin induces increased food intake, which is accompanied by increased body weight. However, animal data are inconsistent. This review highlights some of the regulatory signals and key mechanisms that are important for balancing energy intake and energy expenditure with a special focus on adipose tissue-derived adipokines and their interaction with mTOR regarding local regulation of tissue perfusion and metabolism and overall systemic energy homeostasis. Specifically, clinical aspects of an impaired mTOR signaling pathway regarding the development of obesity and type-2 diabetes mellitus will be discussed. FAU - Mannaa, Marwan AU - Mannaa M AD - Campus Virchow Klinikum, Medical Department, Division of Nephrology and Medical Intensive Care Medicine, Charite-Universitatsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany, marwan.mannaa@charite.de. FAU - Kramer, Stephanie AU - Kramer S FAU - Boschmann, Michael AU - Boschmann M FAU - Gollasch, Maik AU - Gollasch M LA - eng PT - Journal Article PT - Review DEP - 20130612 PL - Germany TA - J Mol Med (Berl) JT - Journal of molecular medicine (Berlin, Germany) JID - 9504370 RN - 0 (Carrier Proteins) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Carrier Proteins/metabolism MH - Energy Metabolism/*physiology MH - *Homeostasis MH - Humans MH - Protein Binding MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism EDAT- 2013/06/13 06:00 MHDA- 2014/04/09 06:00 CRDT- 2013/06/13 06:00 PHST- 2012/12/10 00:00 [received] PHST- 2013/05/16 00:00 [accepted] PHST- 2013/05/09 00:00 [revised] PHST- 2013/06/13 06:00 [entrez] PHST- 2013/06/13 06:00 [pubmed] PHST- 2014/04/09 06:00 [medline] AID - 10.1007/s00109-013-1057-6 [doi] PST - ppublish SO - J Mol Med (Berl). 2013 Oct;91(10):1167-75. doi: 10.1007/s00109-013-1057-6. Epub 2013 Jun 12.