PMID- 24931608 OWN - NLM STAT- MEDLINE DCOM- 20150416 LR - 20211203 IS - 2211-1247 (Electronic) VI - 7 IP - 6 DP - 2014 Jun 26 TI - Rapamycin prevents the development and progression of mutant epidermal growth factor receptor lung tumors with the acquired resistance mutation T790M. PG - 1824-32 LID - S2211-1247(14)00433-1 [pii] LID - 10.1016/j.celrep.2014.05.039 [doi] AB - Lung cancer in never-smokers is an important disease often characterized by mutations in epidermal growth factor receptor (EGFR), yet risk reduction measures and effective chemopreventive strategies have not been established. We identify mammalian target of rapamycin (mTOR) as potentially valuable target for EGFR mutant lung cancer. mTOR is activated in human lung cancers with EGFR mutations, and this increases with acquisition of T790M mutation. In a mouse model of EGFR mutant lung cancer, mTOR activation is an early event. As a single agent, the mTOR inhibitor rapamycin prevents tumor development, prolongs overall survival, and improves outcomes after treatment with an irreversible EGFR tyrosine kinase inhibitor (TKI). These studies support clinical testing of mTOR inhibitors in order to prevent the development and progression of EGFR mutant lung cancers. CI - Copyright (c) 2014 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Kawabata, Shigeru AU - Kawabata S AD - Department of Oncology, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. FAU - Mercado-Matos, Jose R AU - Mercado-Matos JR AD - Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Hollander, M Christine AU - Hollander MC AD - Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Donahue, Danielle AU - Donahue D AD - Mouse Imaging Facility, National Institute of Neurological Disorders and Stroke, National Institutes of Health (NIH), Bethesda, MD 20892, USA. FAU - Wilson, Willie 3rd AU - Wilson W 3rd AD - Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Regales, Lucia AU - Regales L AD - Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA. FAU - Butaney, Mohit AU - Butaney M AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Pao, William AU - Pao W AD - Division of Hematology-Oncology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA. FAU - Wong, Kwok-Kin AU - Wong KK AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Janne, Pasi A AU - Janne PA AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Dennis, Phillip A AU - Dennis PA AD - Department of Oncology, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. Electronic address: pdennis@jhmi.edu. LA - eng GR - P30 CA006973/CA/NCI NIH HHS/United States GR - P01 CA154303/CA/NCI NIH HHS/United States GR - R01 CA121210/CA/NCI NIH HHS/United States GR - R01 CA140594/CA/NCI NIH HHS/United States GR - R01 CA135257/CA/NCI NIH HHS/United States GR - ZIA SC010292-14/Intramural NIH HHS/United States GR - R01 CA166480/CA/NCI NIH HHS/United States GR - R01CA135257/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20140612 PL - United States TA - Cell Rep JT - Cell reports JID - 101573691 RN - 0 (Antibiotics, Antineoplastic) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antibiotics, Antineoplastic/*pharmacology MH - Disease Progression MH - Drug Resistance, Neoplasm MH - ErbB Receptors/*genetics/metabolism MH - Humans MH - Lung Neoplasms/enzymology/genetics/*prevention & control MH - Mice MH - Molecular Sequence Data MH - Mutation MH - Random Allocation MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC4110638 MID - NIHMS601044 EDAT- 2014/06/17 06:00 MHDA- 2015/04/17 06:00 PMCR- 2015/06/26 CRDT- 2014/06/17 06:00 PHST- 2014/01/27 00:00 [received] PHST- 2014/04/17 00:00 [revised] PHST- 2014/05/18 00:00 [accepted] PHST- 2014/06/17 06:00 [entrez] PHST- 2014/06/17 06:00 [pubmed] PHST- 2015/04/17 06:00 [medline] PHST- 2015/06/26 00:00 [pmc-release] AID - S2211-1247(14)00433-1 [pii] AID - 10.1016/j.celrep.2014.05.039 [doi] PST - ppublish SO - Cell Rep. 2014 Jun 26;7(6):1824-32. doi: 10.1016/j.celrep.2014.05.039. Epub 2014 Jun 12.