PMID- 25685786 OWN - NLM STAT- MEDLINE DCOM- 20151110 LR - 20220331 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2015 DP - 2015 TI - mTOR kinase: a possible pharmacological target in the management of chronic pain. PG - 394257 LID - 10.1155/2015/394257 [doi] LID - 394257 AB - Chronic pain represents a major public health problem worldwide. Current pharmacological treatments for chronic pain syndromes, including neuropathic pain, are only partially effective, with significant pain relief achieved in 40-60% of patients. Recent studies suggest that the mammalian target of rapamycin (mTOR) kinase and downstream effectors may be implicated in the development of chronic inflammatory, neuropathic, and cancer pain. The expression and activity of mTOR have been detected in peripheral and central regions involved in pain transmission. mTOR immunoreactivity was found in primary sensory axons, in dorsal root ganglia (DRG), and in dorsal horn neurons. This kinase is a master regulator of protein synthesis, and it is critically involved in the regulation of several neuronal functions, including the synaptic plasticity that is a major mechanism leading to the development of chronic pain. Enhanced activation of this pathway is present in different experimental models of chronic pain. Consistently, pharmacological inhibition of the kinase activity turned out to have significant antinociceptive effects in several experimental models of inflammatory and neuropathic pain. We will review the main evidence from animal and human studies supporting the hypothesis that mTOR may be a novel pharmacological target for the management of chronic pain. FAU - Lisi, Lucia AU - Lisi L AUID- ORCID: 0000-0003-1397-2426 AD - Institute of Pharmacology, Catholic University Medical School, Largo F. Vito 1, 00168 Rome, Italy. FAU - Aceto, Paola AU - Aceto P AD - Department of Anesthesiology and Intensive Care, A. Gemelli Hospital, Catholic University Medical School, 00168 Rome, Italy. FAU - Navarra, Pierluigi AU - Navarra P AD - Institute of Pharmacology, Catholic University Medical School, Largo F. Vito 1, 00168 Rome, Italy. FAU - Dello Russo, Cinzia AU - Dello Russo C AUID- ORCID: 0000-0002-2538-3832 AD - Institute of Pharmacology, Catholic University Medical School, Largo F. Vito 1, 00168 Rome, Italy. LA - eng PT - Journal Article PT - Review DEP - 20150101 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - *Chronic Pain/drug therapy/enzymology MH - Ganglia, Spinal/*enzymology MH - Humans MH - *Neuralgia/drug therapy/enzymology MH - *Pain Management MH - Sensory Receptor Cells/*enzymology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/*metabolism PMC - PMC4313067 EDAT- 2015/02/17 06:00 MHDA- 2015/11/11 06:00 PMCR- 2015/01/01 CRDT- 2015/02/17 06:00 PHST- 2014/05/16 00:00 [received] PHST- 2014/09/12 00:00 [accepted] PHST- 2015/02/17 06:00 [entrez] PHST- 2015/02/17 06:00 [pubmed] PHST- 2015/11/11 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.1155/2015/394257 [doi] PST - ppublish SO - Biomed Res Int. 2015;2015:394257. doi: 10.1155/2015/394257. Epub 2015 Jan 1.