PMID- 28434143 OWN - NLM STAT- MEDLINE DCOM- 20170913 LR - 20211204 IS - 1539-0829 (Electronic) IS - 1534-4827 (Print) IS - 1534-4827 (Linking) VI - 17 IP - 6 DP - 2017 Jun TI - The mTOR Signaling Pathway in Myocardial Dysfunction in Type 2 Diabetes Mellitus. PG - 38 LID - 10.1007/s11892-017-0865-4 [doi] AB - PURPOSE OF REVIEW: T2DM (type 2 diabetes mellitus) is a risk factor for heart failure. The mTOR (mechanistic target of rapamycin) is a key mediator of the insulin signaling pathway. We will discuss the role of mTOR in myocardial dysfunction in T2DM. RECENT FINDINGS: In T2DM, chronically activated mTOR induces multiple pathological events, including a negative feedback loop that suppresses IRS (insulin receptor substrate)-1. While short-term treatment with rapamycin, an mTOR inhibitor, is a promising strategy for cardiac diseases such as acute myocardial infarction and cardiac hypertrophy in T2DM, there are many concerns about chronic usage of rapamycin. Two mTOR complexes, mTORC1 and mTORC2, affect many molecules and processes via distinct signaling pathways that regulate cardiomyocyte function and survival. Understanding mechanisms underlying mTOR-mediated pathophysiological features in the heart is essential for developing effective therapies for cardiac diseases in the context of T2DM. FAU - Suhara, Tomohiro AU - Suhara T AD - Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St., BSB no. 110, Honolulu, HI, 96813, USA. AD - Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan. FAU - Baba, Yuichi AU - Baba Y AD - Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St., BSB no. 110, Honolulu, HI, 96813, USA. AD - Department of Cardiology and Geriatrics, Kochi Medical School, Kochi University, Kochi, Japan. FAU - Shimada, Briana K AU - Shimada BK AD - Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St., BSB no. 110, Honolulu, HI, 96813, USA. FAU - Higa, Jason K AU - Higa JK AD - Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St., BSB no. 110, Honolulu, HI, 96813, USA. FAU - Matsui, Takashi AU - Matsui T AD - Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St., BSB no. 110, Honolulu, HI, 96813, USA. tmatsui@hawaii.edu. LA - eng GR - T32 HL115505/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Diabetes Mellitus, Type 2/*complications/metabolism MH - Heart Diseases/etiology/*metabolism MH - Humans MH - Myocardium/metabolism MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism PMC - PMC8219468 MID - NIHMS1712616 OTO - NOTNLM OT - Cardiovascular disease OT - Cell signaling OT - Diabetes mellitus OT - Heart failure OT - Rapamycin OT - mTOR COIS- Conflict of Interest Tomohiro Suhara, Yuichi Baba, Briana K. Shimada, Jason K. Higa, and Takashi Matsui declare that they have no conflict of interest. EDAT- 2017/04/24 06:00 MHDA- 2017/09/14 06:00 PMCR- 2021/06/22 CRDT- 2017/04/24 06:00 PHST- 2017/04/24 06:00 [entrez] PHST- 2017/04/24 06:00 [pubmed] PHST- 2017/09/14 06:00 [medline] PHST- 2021/06/22 00:00 [pmc-release] AID - 10.1007/s11892-017-0865-4 [pii] AID - 10.1007/s11892-017-0865-4 [doi] PST - ppublish SO - Curr Diab Rep. 2017 Jun;17(6):38. doi: 10.1007/s11892-017-0865-4.