PMID- 26469771 OWN - NLM STAT- MEDLINE DCOM- 20171229 LR - 20211204 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 82 IP - 5 DP - 2016 Nov TI - Targeting molecules to medicine with mTOR, autophagy and neurodegenerative disorders. PG - 1245-1266 LID - 10.1111/bcp.12804 [doi] AB - Neurodegenerative disorders are significantly increasing in incidence as the age of the global population continues to climb with improved life expectancy. At present, more than 30 million individuals throughout the world are impacted by acute and chronic neurodegenerative disorders with limited treatment strategies. The mechanistic target of rapamycin (mTOR), also known as the mammalian target of rapamycin, is a 289 kDa serine/threonine protein kinase that offers exciting possibilities for novel treatment strategies for a host of neurodegenerative diseases that include Alzheimer's disease, Parkinson's disease, Huntington's disease, epilepsy, stroke and trauma. mTOR governs the programmed cell death pathways of apoptosis and autophagy that can determine neuronal stem cell development, precursor cell differentiation, cell senescence, cell survival and ultimate cell fate. Coupled to the cellular biology of mTOR are a number of considerations for the development of novel treatments involving the fine control of mTOR signalling, tumourigenesis, complexity of the apoptosis and autophagy relationship, functional outcome in the nervous system, and the intimately linked pathways of growth factors, phosphoinositide 3-kinase (PI 3-K), protein kinase B (Akt), AMP activated protein kinase (AMPK), silent mating type information regulation two homologue one (Saccharomyces cerevisiae) (SIRT1) and others. Effective clinical translation of the cellular signalling mechanisms of mTOR offers provocative avenues for new drug development in the nervous system tempered only by the need to elucidate further the intricacies of the mTOR pathway. CI - (c) 2015 The British Pharmacological Society. FAU - Maiese, Kenneth AU - Maiese K AD - Cellular and Molecular Signaling, Newark, New Jersey, 07101, USA. wntin75@yahoo.com. LA - eng GR - RA/ARRA NIH HHS/United States PT - Journal Article PT - Review DEP - 20151226 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis/*drug effects/*physiology MH - Autophagy/*drug effects/physiology MH - Humans MH - Molecular Targeted Therapy/*methods MH - Neurodegenerative Diseases/*drug therapy MH - Protein Kinase Inhibitors/pharmacology/therapeutic use MH - Signal Transduction/*drug effects/physiology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/physiology PMC - PMC5061806 OTO - NOTNLM OT - Alzheimer's disease OT - Huntington's disease OT - Parkinson's disease OT - erythropoietin OT - stem cells OT - stroke EDAT- 2015/10/16 06:00 MHDA- 2017/12/30 06:00 PMCR- 2017/11/01 CRDT- 2015/10/16 06:00 PHST- 2015/09/27 00:00 [received] PHST- 2015/10/11 00:00 [revised] PHST- 2015/10/13 00:00 [accepted] PHST- 2015/10/16 06:00 [pubmed] PHST- 2017/12/30 06:00 [medline] PHST- 2015/10/16 06:00 [entrez] PHST- 2017/11/01 00:00 [pmc-release] AID - BCP12804 [pii] AID - 10.1111/bcp.12804 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2016 Nov;82(5):1245-1266. doi: 10.1111/bcp.12804. Epub 2015 Dec 26.