PMID- 24002888 OWN - NLM STAT- MEDLINE DCOM- 20151201 LR - 20220311 IS - 1868-6982 (Electronic) IS - 1868-6974 (Linking) VI - 21 IP - 4 DP - 2014 Apr TI - Mammalian target of rapamycin signaling activation patterns in pancreatic neuroendocrine tumors. PG - 288-95 LID - 10.1002/jhbp.26 [doi] AB - BACKGROUND: Phosphatidylinositol 3-kinase/Akt/mammalian target of rapamycin (mTOR) pathway dysregulation has been implicated in the development of various human cancers. However, expression of mTOR cascade components in pancreatic neuroendocrine tumors (PNETs) has not been fully explored. The aim of this study was to assess the expression of mTOR pathway in PNETs using immunohistochemistry. METHODS: From December 1984 to April 2012, we surgically treated 42 patients with PNETs. We used immunohistochemistry to evaluate expression of mTOR, phosphorylated mTOR (p-mTOR), p70S6 kinase (S6K), phosphorylated S6 ribosomal protein (p-S6rp), eukaryotic initiation factor 4E-binding protein 1 (4E-BP1), and phosphorylated 4E-BP1 (p-4E-BP1) in the resected specimens. The relation between the expression of these molecules and clinicopathological characteristics was investigated. RESULTS: We identified the expression of mTOR (28.6%), p-mTOR (52.4%), S6K (52.4%), p-S6rp (40.5%), 4E-BP1 (81.0%), and p-4E-BP1 (26.2%) in PNETs. The expression of mTOR, p-mTOR, S6K, and p-S6rp was significantly associated with tumor invasion, proliferation, and an advanced-stage. Particularly, the expression of p-mTOR was related to clinically relevant factors such as tumor size, vascular invasion, extrapancreatic invasion, lymph node and/or distant metastasis, mitotic count, and European Neuroendocrine Tumor Society TNM staging as well as the 2004 and 2010 World Health Organization (WHO) classification. In addition, p-S6rp expression was related to vascular invasion, extrapancreatic invasion, lymph node and distant metastasis, mitotic count, and the 2010 WHO classification. In contrast, no significant relation between 4E-BP1 activation and clinicopathological factors was observed. The expression of p-mTOR was strongly correlated with that of p-S6rp (r = 0.474, P = 0.002). CONCLUSIONS: Our results suggest that activation of the mTOR/S6K signaling pathway plays a significant role in tumorigenesis and progression of PNET. CI - (c) 2013 Japanese Society of Hepato-Biliary-Pancreatic Surgery. FAU - Komori, Yoko AU - Komori Y AD - Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan. komorin@oita-u.ac.jp. FAU - Yada, Kazuhiro AU - Yada K FAU - Ohta, Masayuki AU - Ohta M FAU - Uchida, Hiroki AU - Uchida H FAU - Iwashita, Yukio AU - Iwashita Y FAU - Fukuzawa, Kengo AU - Fukuzawa K FAU - Kashima, Kenji AU - Kashima K FAU - Yokoyama, Shigeo AU - Yokoyama S FAU - Inomata, Masafumi AU - Inomata M FAU - Kitano, Seigo AU - Kitano S LA - eng PT - Journal Article PT - Multicenter Study DEP - 20130903 PL - Japan TA - J Hepatobiliary Pancreat Sci JT - Journal of hepato-biliary-pancreatic sciences JID - 101528587 RN - 0 (DNA, Neoplasm) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - DNA, Neoplasm/*genetics MH - Disease Progression MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neuroendocrine Tumors/diagnosis/*genetics/metabolism MH - Pancreatic Neoplasms/diagnosis/*genetics/metabolism MH - Prognosis MH - Retrospective Studies MH - Signal Transduction MH - TOR Serine-Threonine Kinases/biosynthesis/*genetics MH - Tomography, X-Ray Computed MH - Young Adult OTO - NOTNLM OT - Immunohistochemistry OT - Mammalian target of rapamycin inhibitor OT - Mammalian target of rapamycin signaling pathway OT - Pancreatic neuroendocrine tumors EDAT- 2013/09/05 06:00 MHDA- 2015/12/15 06:00 CRDT- 2013/09/05 06:00 PHST- 2013/09/05 06:00 [entrez] PHST- 2013/09/05 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1002/jhbp.26 [doi] PST - ppublish SO - J Hepatobiliary Pancreat Sci. 2014 Apr;21(4):288-95. doi: 10.1002/jhbp.26. Epub 2013 Sep 3.