PMID- 32854851 OWN - NLM STAT- MEDLINE DCOM- 20211011 LR - 20211204 IS - 2162-5514 (Electronic) IS - 0074-7742 (Print) IS - 0074-7742 (Linking) VI - 155 DP - 2020 TI - Dysregulation of metabolic flexibility: The impact of mTOR on autophagy in neurodegenerative disease. PG - 1-35 LID - S0074-7742(20)30009-X [pii] LID - 10.1016/bs.irn.2020.01.009 [doi] AB - Non-communicable diseases (NCDs) that involve neurodegenerative disorders and metabolic disease impact over 400 million individuals globally. Interestingly, metabolic disorders, such as diabetes mellitus, are significant risk factors for the development of neurodegenerative diseases. Given that current therapies for these NCDs address symptomatic care, new avenues of discovery are required to offer treatments that affect disease progression. Innovative strategies that fill this void involve the mechanistic target of rapamycin (mTOR) and its associated pathways of mTOR complex 1 (mTORC1), mTOR complex 2 (mTORC2), AMP activated protein kinase (AMPK), trophic factors that include erythropoietin (EPO), and the programmed cell death pathways of autophagy and apoptosis. These pathways are intriguing in their potential to provide effective care for metabolic and neurodegenerative disorders. Yet, future work is necessary to fully comprehend the entire breadth of the mTOR pathways that can effectively and safely translate treatments to clinical medicine without the development of unexpected clinical disabilities. CI - (c) 2020 Elsevier Inc. All rights reserved. FAU - Maiese, Kenneth AU - Maiese K AD - Cellular and Molecular Signaling, New York, NY, United States. Electronic address: wntin75@yahoo.com. LA - eng GR - R01 NS053946/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200811 PL - United States TA - Int Rev Neurobiol JT - International review of neurobiology JID - 0374740 RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Apoptosis/genetics MH - Autophagy/*genetics MH - Humans MH - Middle Aged MH - Neurodegenerative Diseases/*genetics/*metabolism MH - Noncommunicable Diseases/epidemiology MH - TOR Serine-Threonine Kinases/*genetics/*metabolism PMC - PMC7457955 MID - NIHMS1590143 OTO - NOTNLM OT - AMPK OT - Alzheimer's disease OT - Apoptosis OT - Autophagy OT - Dementia OT - Diabetes mellitus OT - Erythropoietin OT - mTOR OT - mTORC1 OT - mTORC2 EDAT- 2020/08/29 06:00 MHDA- 2021/10/12 06:00 PMCR- 2020/08/31 CRDT- 2020/08/29 06:00 PHST- 2020/08/29 06:00 [entrez] PHST- 2020/08/29 06:00 [pubmed] PHST- 2021/10/12 06:00 [medline] PHST- 2020/08/31 00:00 [pmc-release] AID - S0074-7742(20)30009-X [pii] AID - 10.1016/bs.irn.2020.01.009 [doi] PST - ppublish SO - Int Rev Neurobiol. 2020;155:1-35. doi: 10.1016/bs.irn.2020.01.009. Epub 2020 Aug 11.