PMID- 27815691 OWN - NLM STAT- MEDLINE DCOM- 20170807 LR - 20211204 IS - 1534-6293 (Electronic) IS - 1528-4042 (Linking) VI - 16 IP - 12 DP - 2016 Dec TI - mTOR Inhibitors in Children: Current Indications and Future Directions in Neurology. PG - 102 AB - The mammalian/mechanistic target of rapamycin (mTOR) pathway is a key signaling pathway that has been implicated in genetic epilepsy syndromes, neurodegenerative diseases, and conditions associated with autism spectrum disorder and cognitive impairment. The mTOR pathway has become an exciting treatment target for these various disorders, with mTOR inhibitors such as rapamycin being studied for their potential therapeutic applications. In particular, tuberous sclerosis complex (TSC) is a genetic disorder resulting from overactivation of the mTOR pathway, and pharmacologic therapy with mTOR inhibitors has emerged as a viable treatment option for the systemic manifestations of the disease. In this review, we discuss the approved indications for mTOR inhibitors in TSC, the potential future applications of mTOR inhibitors in TSC and other neurological conditions, and the safety considerations applicable to mTOR therapy in the pediatric population. FAU - Jeong, Anna AU - Jeong A AD - Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, 660 South Euclid Avenue, Box 8111, St. Louis, MO, 63110, USA. FAU - Wong, Michael AU - Wong M AD - Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, 660 South Euclid Avenue, Box 8111, St. Louis, MO, 63110, USA. wong_m@wustl.edu. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Neurol Neurosci Rep JT - Current neurology and neuroscience reports JID - 100931790 RN - 0 (Enzyme Inhibitors) 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 - Autism Spectrum Disorder/drug therapy/metabolism MH - Child MH - Enzyme Inhibitors/pharmacology/*therapeutic use MH - Epilepsy/*drug therapy MH - Humans MH - Signal Transduction/drug effects MH - Sirolimus/pharmacology/*therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Tuberous Sclerosis/*drug therapy/metabolism OTO - NOTNLM OT - Everolimus OT - Rapamycin OT - Sirolimus OT - Tuberous sclerosis OT - mTOR EDAT- 2016/11/07 06:00 MHDA- 2017/08/08 06:00 CRDT- 2016/11/06 06:00 PHST- 2016/11/06 06:00 [entrez] PHST- 2016/11/07 06:00 [pubmed] PHST- 2017/08/08 06:00 [medline] AID - 10.1007/s11910-016-0708-8 [pii] AID - 10.1007/s11910-016-0708-8 [doi] PST - ppublish SO - Curr Neurol Neurosci Rep. 2016 Dec;16(12):102. doi: 10.1007/s11910-016-0708-8.