PMID- 33512477 OWN - NLM STAT- MEDLINE DCOM- 20220301 LR - 20220322 IS - 1755-3245 (Electronic) IS - 0008-6363 (Print) IS - 0008-6363 (Linking) VI - 118 IP - 2 DP - 2022 Jan 29 TI - The complex network of mTOR signalling in the heart. PG - 424-439 LID - 10.1093/cvr/cvab033 [doi] AB - The mechanistic target of rapamycin (mTOR) integrates several intracellular and extracellular signals involved in the regulation of anabolic and catabolic processes. mTOR assembles into two macromolecular complexes, named mTORC1 and mTORC2, which have different regulators, substrates and functions. Studies of gain- and loss-of-function animal models of mTOR signalling revealed that mTORC1/2 elicits both adaptive and maladaptive functions in the cardiovascular system. Both mTORC1 and mTORC2 are indispensable for driving cardiac development and cardiac adaption to stress, such as pressure overload. However, persistent and deregulated mTORC1 activation in the heart is detrimental during stress and contributes to the development and progression of cardiac remodelling and genetic and metabolic cardiomyopathies. In this review, we discuss the latest findings regarding the role of mTOR in the cardiovascular system, both under basal conditions and during stress, such as pressure overload, ischemia, and metabolic stress. Current data suggest that mTOR modulation may represent a potential therapeutic strategy for the treatment of cardiac diseases. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author(s) 2021. For permissions, please email: journals.permissions@oup.com. FAU - Sciarretta, Sebastiano AU - Sciarretta S AD - Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy. AD - IRCCS Neuromed Pozzilli, Via Atinense, 18, 86077 Pozzilli Italy. FAU - Forte, Maurizio AU - Forte M AD - IRCCS Neuromed Pozzilli, Via Atinense, 18, 86077 Pozzilli Italy. FAU - Frati, Giacomo AU - Frati G AD - Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy. AD - IRCCS Neuromed Pozzilli, Via Atinense, 18, 86077 Pozzilli Italy. FAU - Sadoshima, Junichi AU - Sadoshima J AUID- ORCID: 0000-0003-3724-4132 AD - Department of Cell Biology and Molecular Medicine, Rutgers New Jersey Medical School, Cardiovascular Research Institute, 185 South Orange Avenue, G-609, Newark, NJ 07103, USA. LA - eng GR - R01 HL067724/HL/NHLBI NIH HHS/United States GR - R01 HL091469/HL/NHLBI NIH HHS/United States GR - R01 HL138720/HL/NHLBI NIH HHS/United States GR - R01 HL112330/HL/NHLBI NIH HHS/United States GR - R01 HL144626/HL/NHLBI NIH HHS/United States GR - R01 HL150881/HL/NHLBI NIH HHS/United States GR - R01 AG023039/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (MTOR Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Heart Diseases/diagnosis/drug therapy/*enzymology/physiopathology MH - Humans MH - MTOR Inhibitors/therapeutic use MH - Mechanistic Target of Rapamycin Complex 1/*metabolism MH - Mechanistic Target of Rapamycin Complex 2/*metabolism MH - Myocytes, Cardiac/drug effects/*enzymology/pathology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/*metabolism MH - Translational Research, Biomedical PMC - PMC8932297 OTO - NOTNLM OT - Heart disease OT - Rapamycin OT - mTOR OT - mTORC1 OT - mTORC2 EDAT- 2021/01/30 06:00 MHDA- 2022/03/03 06:00 PMCR- 2021/01/29 CRDT- 2021/01/29 12:13 PHST- 2020/09/04 00:00 [received] PHST- 2020/12/13 00:00 [revised] PHST- 2021/01/26 00:00 [accepted] PHST- 2021/01/30 06:00 [pubmed] PHST- 2022/03/03 06:00 [medline] PHST- 2021/01/29 12:13 [entrez] PHST- 2021/01/29 00:00 [pmc-release] AID - 6123788 [pii] AID - cvab033 [pii] AID - 10.1093/cvr/cvab033 [doi] PST - ppublish SO - Cardiovasc Res. 2022 Jan 29;118(2):424-439. doi: 10.1093/cvr/cvab033.