PMID- 25105207 OWN - NLM STAT- MEDLINE DCOM- 20150713 LR - 20220316 IS - 1365-2060 (Electronic) IS - 0785-3890 (Print) IS - 0785-3890 (Linking) VI - 46 IP - 8 DP - 2014 Dec TI - Taking aim at Alzheimer's disease through the mammalian target of rapamycin. PG - 587-96 LID - 10.3109/07853890.2014.941921 [doi] AB - A significant portion of the world's population suffers from sporadic Alzheimer's disease (AD) with available present therapies limited to symptomatic care that does not alter disease progression. Over the next decade, advancing age of the global population will dramatically increase the incidence of AD and severely impact health care resources, necessitating novel, safe, and efficacious strategies for AD. The mammalian target of rapamycin (mTOR) and its protein complexes mTOR Complex 1 (mTORC1) and mTOR Complex 2 (mTORC2) offer exciting and unique avenues of intervention for AD through the oversight of programmed cell death pathways of apoptosis, autophagy, and necroptosis. mTOR modulates multi-faceted signal transduction pathways that involve phosphoinositide 3-kinase (PI 3-K), protein kinase B (Akt), hamartin (tuberous sclerosis 1)/ tuberin (tuberous sclerosis 2) (TSC1/TSC2) complex, proline-rich Akt substrate 40 kDa (PRAS40), and p70 ribosomal S6 kinase (p70S6K) and can interface with the neuroprotective pathways of growth factors, sirtuins, wingless, forkhead transcription factors, and glycogen synthase kinase-3beta. With the ability of mTOR to broadly impact cellular function, clinical strategies for AD that implement mTOR must achieve parallel objectives of protecting neuronal, vascular, and immune cell survival in conjunction with preserving networks that determine memory and cognitive function. FAU - Maiese, Kenneth AU - Maiese K AD - Cellular and Molecular Signaling , Newark, New Jersey 07101 , USA. LA - eng GR - R01 NS053946/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140808 PL - England TA - Ann Med JT - Annals of medicine JID - 8906388 RN - 0 (Multiprotein Complexes) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Alzheimer Disease/*metabolism MH - Apoptosis MH - Humans MH - Mechanistic Target of Rapamycin Complex 1 MH - Mechanistic Target of Rapamycin Complex 2 MH - Memory/physiology MH - Multiprotein Complexes/metabolism MH - Oxidative Stress MH - *Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism PMC - PMC4250432 MID - NIHMS620826 OTO - NOTNLM OT - Alzheimer's disease OT - amyloid OT - apoptosis OT - autophagy OT - mTORC1 OT - mTORC2 OT - mammalian target of rapamycin (mTOR) OT - necroptosis OT - oxidative stress OT - rapamycin COIS- Declaration of interest: The authors declare no conflicts of interest. EDAT- 2014/08/12 06:00 MHDA- 2015/07/15 06:00 PMCR- 2015/12/01 CRDT- 2014/08/09 06:00 PHST- 2014/08/09 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] PHST- 2015/12/01 00:00 [pmc-release] AID - 10.3109/07853890.2014.941921 [doi] PST - ppublish SO - Ann Med. 2014 Dec;46(8):587-96. doi: 10.3109/07853890.2014.941921. Epub 2014 Aug 8.