PMID- 32341756 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200501 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 11 IP - 15 DP - 2020 Apr 14 TI - Superior cancer preventive efficacy of low versus high dose of mTOR inhibitor in a mouse model of prostate cancer. PG - 1373-1387 LID - 10.18632/oncotarget.27550 [doi] AB - The mechanistic target of rapamycin (mTOR) is a PI3K-related kinase that regulates cell growth, proliferation and survival in response to the availability of energy sources and growth factors. Cancer development and progression is often associated with constitutive activation of the mTOR pathway, thus justifying mTOR inhibition as a promising approach to cancer treatment and prevention. However, development of previous rapamycin analogues has been complicated by their induction of adverse side effects and variable efficacy. Since mTOR pathway regulation involves multiple feedback mechanisms that may be differentially activated depending on the degree of mTOR inhibition, we investigated whether rapamycin dosing could be adjusted to achieve chemopreventive efficacy without side effects. Thus, we tested the efficacy of two doses of a novel, highly bioavailable nanoformulation of rapamycin, Rapatar, in a mouse prostate cancer model (male mice with prostate epithelium-specific Pten-knockout). We found that the highest efficacy was achieved by the lowest dose of Rapatar used in the study. While both doses tested were equally effective in suppressing proliferation of prostate epithelial cells, higher dose resulted in activation of feedback circuits that reduced the drug's tumor preventive efficacy. These results demonstrate that low doses of highly bioavailable mTOR inhibitor, Rapatar, may provide safe and effective cancer prevention. FAU - Antoch, Marina P AU - Antoch MP AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Wrobel, Michelle AU - Wrobel M AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Gillard, Bryan AU - Gillard B AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Kuropatwinski, Karen K AU - Kuropatwinski KK AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Toshkov, Ilia AU - Toshkov I AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Gleiberman, Anatoli S AU - Gleiberman AS AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Karasik, Ellen AU - Karasik E AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Moser, Michael T AU - Moser MT AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Foster, Barbara A AU - Foster BA AD - Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. FAU - Andrianova, Ekaterina L AU - Andrianova EL AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Chernova, Olga V AU - Chernova OV AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Gudkov, Andrei V AU - Gudkov AV AD - Cell Stress Biology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. LA - eng GR - P30 CA016056/CA/NCI NIH HHS/United States GR - R01 GM095874/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20200414 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC7170500 OTO - NOTNLM OT - PTEN OT - mTOR OT - prevention OT - prostate cancer OT - rapamycin COIS- CONFLICTS OF INTEREST M.P.A. and A.V.G. served as consultants for Everon Biosciences, Inc.; O.V.C. and A.V.G. are co-founders and shareholders of Everon Biosciences, Inc. EDAT- 2020/04/29 06:00 MHDA- 2020/04/29 06:01 PMCR- 2020/04/14 CRDT- 2020/04/29 06:00 PHST- 2020/02/21 00:00 [received] PHST- 2020/03/14 00:00 [accepted] PHST- 2020/04/29 06:00 [entrez] PHST- 2020/04/29 06:00 [pubmed] PHST- 2020/04/29 06:01 [medline] PHST- 2020/04/14 00:00 [pmc-release] AID - 27550 [pii] AID - 10.18632/oncotarget.27550 [doi] PST - epublish SO - Oncotarget. 2020 Apr 14;11(15):1373-1387. doi: 10.18632/oncotarget.27550. eCollection 2020 Apr 14.