PMID- 33572326 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20211204 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 4 DP - 2021 Feb 9 TI - The Role of mTOR Signaling as a Therapeutic Target in Cancer. LID - 10.3390/ijms22041743 [doi] LID - 1743 AB - The aim of this review was to summarize current available information about the role of phosphatidylinositol-3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) signaling in cancer as a potential target for new therapy options. The mTOR and PI3K/AKT/mTORC1 (mTOR complex 1) signaling are critical for the regulation of many fundamental cell processes including protein synthesis, cell growth, metabolism, survival, catabolism, and autophagy, and deregulated mTOR signaling is implicated in cancer, metabolic dysregulation, and the aging process. In this review, we summarize the information about the structure and function of the mTOR pathway and discuss the mechanisms of its deregulation in human cancers including genetic alterations of PI3K/AKT/mTOR pathway components. We also present recent data regarding the PI3K/AKT/mTOR inhibitors in clinical studies and the treatment of cancer, as well the attendant problems of resistance and adverse effects. FAU - Popova, Nadezhda V AU - Popova NV AD - Laboratory of Receptor Cell Biology, Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences, Miklukho-Maklaya Str., 16/10, 117997 Moscow, Russia. FAU - Jucker, Manfred AU - Jucker M AUID- ORCID: 0000-0003-2176-6526 AD - Institute of Biochemistry and Signal Transduction, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. LA - eng PT - Journal Article PT - Review DEP - 20210209 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Autophagy/drug effects/genetics MH - Cell Proliferation/drug effects/genetics MH - Clinical Trials as Topic MH - Drug Resistance, Neoplasm/genetics MH - Humans MH - Mechanistic Target of Rapamycin Complex 1/*metabolism MH - Molecular Targeted Therapy/methods MH - Neoplasms/*drug therapy/genetics/pathology MH - Phosphatidylinositol 3-Kinase/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Protein Kinase Inhibitors/*pharmacology/therapeutic use MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/genetics/metabolism MH - Signal Transduction/drug effects/genetics MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/genetics/*metabolism MH - Treatment Outcome PMC - PMC7916160 OTO - NOTNLM OT - AKT OT - PI3K OT - cancer OT - mTOR OT - mutation OT - therapy COIS- The authors declare no conflict of interest. EDAT- 2021/02/13 06:00 MHDA- 2021/09/07 06:00 PMCR- 2021/02/09 CRDT- 2021/02/12 01:01 PHST- 2021/01/10 00:00 [received] PHST- 2021/01/30 00:00 [revised] PHST- 2021/02/03 00:00 [accepted] PHST- 2021/02/12 01:01 [entrez] PHST- 2021/02/13 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2021/02/09 00:00 [pmc-release] AID - ijms22041743 [pii] AID - ijms-22-01743 [pii] AID - 10.3390/ijms22041743 [doi] PST - epublish SO - Int J Mol Sci. 2021 Feb 9;22(4):1743. doi: 10.3390/ijms22041743.