PMID- 27739368 OWN - NLM STAT- MEDLINE DCOM- 20170208 LR - 20211204 IS - 1875-533X (Electronic) IS - 0929-8673 (Linking) VI - 23 IP - 37 DP - 2016 TI - Current Use of mTOR Inhibitors for the Treatment of Subependymal Giant Cell Astrocytomas and Epilepsy in Patients with TSC. PG - 4260-4269 AB - The serine/threonine kinase mechanistic target of rapamycin (mTOR) is an important sensor of the cellular energy condition which, at the same time, represents a kind of master switch between anabolic and catabolic cellular processes. Tuberous sclerosis complex (TSC) is a genetic disease which is considered to be a prototype of a dysregulated mTOR signaling pathway. The dysregulated mTOR pathway in TSC leads to characteristic structural and physiologic abnormalities in multiple organs. In this review we focus on the pharmacological properties of mTOR inhibitors and clinical investigations of mTOR inhibitors for two important neurological TSC manifestations: subependymal giant cell astrocytomas (SEGAs) and epilepsy. Moreover, we present a safety profile of those agents and their current role in clinical practice. FAU - Jancic, Jasna AU - Jancic J FAU - Duric, Vesna AU - Duric V FAU - Ivancevic, Nikola AU - Ivancevic N FAU - Nikolic, Blazo AU - Nikolic B FAU - van den Anker, John N AU - van den Anker JN FAU - Samardzic, Janko AU - Samardzic J AD - Institute of Pharmacology, Clinical Pharmacology and Toxicology, Medical Faculty, University of Belgrade, Dr Subotica 1, 11129 Belgrade, Serbia. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Med Chem JT - Current medicinal chemistry JID - 9440157 RN - 0 (Immunosuppressive Agents) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Astrocytoma/complications/*drug therapy MH - Clinical Trials as Topic MH - Epilepsy/complications/*drug therapy MH - Everolimus/therapeutic use MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/*metabolism MH - Tuberous Sclerosis/complications/genetics/*pathology EDAT- 2016/10/16 06:00 MHDA- 2017/02/09 06:00 CRDT- 2016/10/15 06:00 PHST- 2016/03/25 00:00 [received] PHST- 2016/05/27 00:00 [revised] PHST- 2016/10/06 00:00 [accepted] PHST- 2016/10/16 06:00 [pubmed] PHST- 2017/02/09 06:00 [medline] PHST- 2016/10/15 06:00 [entrez] AID - CMC-EPUB-78885 [pii] AID - 10.2174/0929867323666161013091144 [doi] PST - ppublish SO - Curr Med Chem. 2016;23(37):4260-4269. doi: 10.2174/0929867323666161013091144.