PMID- 26094583 OWN - NLM STAT- MEDLINE DCOM- 20160505 LR - 20211203 IS - 1399-0012 (Electronic) IS - 0902-0063 (Linking) VI - 29 IP - 7 DP - 2015 Jul TI - Mammalian target of rapamycin inhibition after solid organ transplantation: can it, and does it, reduce cancer risk? PG - 654-63 LID - 10.1111/ctr.12559 [doi] AB - The mammalian target of rapamycin (mTOR) inhibitors sirolimus and everolimus has been increasingly used as immunosuppressants for recipients of solid organ transplants. Over the years, potential advantages unique to this class of immunosuppressants have been recognized, including chemoprevention by virtue of their antiproliferative effects. Prevention of malignancy after transplant through mTOR inhibitor-based immunosuppression may have a specific practical application in transplant recipients with preexisting malignancy including hepatocellular carcinoma or cholangiocarcinoma. This review will reveal how the biochemistry of the mTOR pathway, as it pertains to chemoprevention, can support a clinical role for mTOR inhibitors in the prevention of malignancies, recurrent or de novo, after solid organ transplantation in selected patients. CI - (c) 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Bhat, Mamatha AU - Bhat M AD - Division of Gastroenterology and Hepatology, McGill University Health Centre, Montreal, QC, Canada. FAU - Watt, Kymberly D AU - Watt KD AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150610 PL - Denmark TA - Clin Transplant JT - Clinical transplantation JID - 8710240 RN - 0 (Immunosuppressive Agents) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Graft Rejection/etiology/*prevention & control MH - Graft Survival MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - Neoplasms/etiology/*prevention & control MH - *Organ Transplantation MH - *Postoperative Complications MH - Prognosis MH - Risk Factors MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors OTO - NOTNLM OT - everolimus OT - immunosuppression OT - malignancy OT - mammalian target of rapamycin inhibitor OT - sirolimus OT - transplant EDAT- 2015/06/23 06:00 MHDA- 2016/05/06 06:00 CRDT- 2015/06/23 06:00 PHST- 2015/04/30 00:00 [accepted] PHST- 2015/06/23 06:00 [entrez] PHST- 2015/06/23 06:00 [pubmed] PHST- 2016/05/06 06:00 [medline] AID - 10.1111/ctr.12559 [doi] PST - ppublish SO - Clin Transplant. 2015 Jul;29(7):654-63. doi: 10.1111/ctr.12559. Epub 2015 Jun 10.