PMID- 25307040 OWN - NLM STAT- MEDLINE DCOM- 20150615 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Print) IS - 1600-6135 (Linking) VI - 14 IP - 9 DP - 2014 Sep TI - Adenosine triphosphate-competitive mTOR inhibitors: a new class of immunosuppressive agents that inhibit allograft rejection. PG - 2173-80 LID - 10.1111/ajt.12799 [doi] AB - The mechanistic/mammalian target of rapamycin (mTOR) is inhibited clinically to suppress T cell function and prevent allograft rejection. mTOR is the kinase subunit of two mTOR-containing complexes, mTOR complex (mTORC) 1 and 2. Although mTORC1 is inhibited by the macrolide immunosuppressant rapamycin (RAPA), its efficacy may be limited by its inability to block mTORC1 completely and its limited effect on mTORC2. Adenosine triphosphate (ATP)-competitive mTOR inhibitors are an emerging class of mTOR inhibitors that compete with ATP at the mTOR active site and inhibit any mTOR-containing complex. Since this class of compounds has not been investigated for their immunosuppressive potential, our goal was to determine the influence of a prototypic ATP-competitive mTOR inhibitor on allograft survival. AZD8055 proved to be a potent suppressor of T cell proliferation. Moreover, a short, 10-day course of the agent successfully prolonged murine MHC-mismatched, vascularized heart transplant survival. This therapeutic effect was associated with increased graft-infiltrating regulatory T cells and reduced CD4(+) and CD8(+) T cell interferon-gamma production. These studies establish for the first time, that ATP-competitive mTOR inhibition can prolong organ allograft survival and warrant further investigation of this next generation mTOR inhibitors. CI - (c) Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Rosborough, B R AU - Rosborough BR AD - Department of Surgery, School of Medicine, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA. FAU - Raich-Regue, D AU - Raich-Regue D FAU - Liu, Q AU - Liu Q FAU - Venkataramanan, R AU - Venkataramanan R FAU - Turnquist, H R AU - Turnquist HR FAU - Thomson, A W AU - Thomson AW LA - eng GR - UL1 TR000005/TR/NCATS NIH HHS/United States GR - T32 AI074490/AI/NIAID NIH HHS/United States GR - R00 HL097155/HL/NHLBI NIH HHS/United States GR - T32AI07449/AI/NIAID NIH HHS/United States GR - R00HL097155/HL/NHLBI NIH HHS/United States GR - R01AI67541/AI/NIAID NIH HHS/United States GR - R01 AI067541/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140804 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (DNA Primers) RN - 0 (Immunosuppressive Agents) RN - 0 (Morpholines) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 970JJ37FPW ((5-(2,4-bis((3S)-3-methylmorpholin-4-yl)pyrido(2,3-d)pyrimidin-7-yl)-2-methoxyphenyl)methanol) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenosine Triphosphate/*metabolism MH - Animals MH - Base Sequence MH - Binding, Competitive MH - CD4-Positive T-Lymphocytes/cytology/drug effects MH - CD8-Positive T-Lymphocytes/cytology/drug effects MH - Cell Proliferation/drug effects MH - DNA Primers MH - Graft Rejection/*prevention & control MH - Graft Survival MH - Immunosuppressive Agents/*pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Morpholines/pharmacokinetics/*pharmacology MH - Polymerase Chain Reaction MH - Sirolimus/pharmacokinetics/pharmacology MH - TOR Serine-Threonine Kinases/*metabolism PMC - PMC4196715 MID - NIHMS590574 OTO - NOTNLM OT - Basic (laboratory) research OT - T cell OT - biology OT - immune modulation OT - immunosuppressant OT - immunosuppression OT - mechanistic target of rapamycin (mTOR) OT - science COIS- Disclosure The authors of this manuscript have no conflicts of interest to disclose as described by the American Journal of Transplantation. EDAT- 2014/10/14 06:00 MHDA- 2015/06/16 06:00 PMCR- 2015/09/01 CRDT- 2014/10/14 06:00 PHST- 2013/10/08 00:00 [received] PHST- 2014/04/01 00:00 [revised] PHST- 2014/04/24 00:00 [accepted] PHST- 2014/10/14 06:00 [entrez] PHST- 2014/10/14 06:00 [pubmed] PHST- 2015/06/16 06:00 [medline] PHST- 2015/09/01 00:00 [pmc-release] AID - S1600-6135(22)25606-8 [pii] AID - 10.1111/ajt.12799 [doi] PST - ppublish SO - Am J Transplant. 2014 Sep;14(9):2173-80. doi: 10.1111/ajt.12799. Epub 2014 Aug 4.