PMID- 30754640 OWN - NLM STAT- MEDLINE DCOM- 20190529 LR - 20211204 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 20 IP - 3 DP - 2019 Feb 11 TI - mTOR Signaling in Cancer and mTOR Inhibitors in Solid Tumor Targeting Therapy. LID - 10.3390/ijms20030755 [doi] LID - 755 AB - The mammalian or mechanistic target of rapamycin (mTOR) pathway plays a crucial role in regulation of cell survival, metabolism, growth and protein synthesis in response to upstream signals in both normal physiological and pathological conditions, especially in cancer. Aberrant mTOR signaling resulting from genetic alterations from different levels of the signal cascade is commonly observed in various types of cancers. Upon hyperactivation, mTOR signaling promotes cell proliferation and metabolism that contribute to tumor initiation and progression. In addition, mTOR also negatively regulates autophagy via different ways. We discuss mTOR signaling and its key upstream and downstream factors, the specific genetic changes in the mTOR pathway and the inhibitors of mTOR applied as therapeutic strategies in eight solid tumors. Although monotherapy and combination therapy with mTOR inhibitors have been extensively applied in preclinical and clinical trials in various cancer types, innovative therapies with better efficacy and less drug resistance are still in great need, and new biomarkers and deep sequencing technologies will facilitate these mTOR targeting drugs benefit the cancer patients in personalized therapy. FAU - Tian, Tian AU - Tian T AD - College of Life Science and Bioengineering, Beijing Jiaotong University, Beijing 100044, China. ttian@bjtu.edu.cn. FAU - Li, Xiaoyi AU - Li X AD - College of Life Science and Bioengineering, Beijing Jiaotong University, Beijing 100044, China. 15271074@bjtu.edu.cn. FAU - Zhang, Jinhua AU - Zhang J AD - College of Life Science and Bioengineering, Beijing Jiaotong University, Beijing 100044, China. zhangjh@bjtu.edu.cn. LA - eng GR - 2015CB553705/Ministry of Science and Technology of the People's Republic of China/ GR - 31301022/National Natural Science Foundation of China/ GR - 81772497/National Natural Science Foundation of China/ GR - 7162116/Natural Science Foundation of Beijing Municipality/ PT - Journal Article PT - Review DEP - 20190211 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Biomarkers MH - Clinical Trials as Topic MH - Humans MH - *Molecular Targeted Therapy MH - Neoplasms/*drug therapy/*metabolism/pathology MH - Protein Kinase Inhibitors/pharmacology/*therapeutic use MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/*metabolism MH - Treatment Outcome PMC - PMC6387042 OTO - NOTNLM OT - PI3K OT - cancer OT - inhibitor OT - mTOR OT - therapy COIS- The authors declare no conflicts of interest. EDAT- 2019/02/14 06:00 MHDA- 2019/05/30 06:00 PMCR- 2019/02/01 CRDT- 2019/02/14 06:00 PHST- 2019/01/10 00:00 [received] PHST- 2019/01/28 00:00 [revised] PHST- 2019/02/01 00:00 [accepted] PHST- 2019/02/14 06:00 [entrez] PHST- 2019/02/14 06:00 [pubmed] PHST- 2019/05/30 06:00 [medline] PHST- 2019/02/01 00:00 [pmc-release] AID - ijms20030755 [pii] AID - ijms-20-00755 [pii] AID - 10.3390/ijms20030755 [doi] PST - epublish SO - Int J Mol Sci. 2019 Feb 11;20(3):755. doi: 10.3390/ijms20030755.