Jhanwar-Uniyal Meena, Amin Anubhav G, Cooper Jared B, Das Kaushik, Schmidt Meic H, Murali Raj
Department of Neurosurgery, New York Medical College, Member of the Touro College and University System, Valhalla, NY 10595, United States.
Department of Neurosurgery, New York Medical College, Member of the Touro College and University System, Valhalla, NY 10595, United States.
Adv Biol Regul. 2017 May;64:39-48. doi: 10.1016/j.jbior.2016.12.001. Epub 2017 Jan 4.
Activation of PI3K/Akt/mTOR (mechanistic target of rapamycin) signaling cascade has been shown in tumorigenesis of numerous malignancies including glioblastoma (GB). This signaling cascade is frequently upregulated due to loss of the tumor suppressor PTEN, a phosphatase that functions antagonistically to PI3K. mTOR regulates cell growth, motility, and metabolism by forming two multiprotein complexes, mTORC1 and mTORC2, which are composed of special binding partners. These complexes are sensitive to distinct stimuli. mTORC1 is sensitive to nutrients and mTORC2 is regulated via PI3K and growth factor signaling. mTORC1 regulates protein synthesis and cell growth through downstream molecules: 4E-BP1 (also called EIF4E-BP1) and S6K. Also, mTORC2 is responsive to growth factor signaling by phosphorylating the C-terminal hydrophobic motif of some AGC kinases like Akt and SGK. mTORC2 plays a crucial role in maintenance of normal and cancer cells through its association with ribosomes, and is involved in cellular metabolic regulation. Both complexes control each other as Akt regulates PRAS40 phosphorylation, which disinhibits mTORC1 activity, while S6K regulates Sin1 to modulate mTORC2 activity. Another significant component of mTORC2 is Sin1, which is crucial for mTORC2 complex formation and function. Allosteric inhibitors of mTOR, rapamycin and rapalogs, have essentially been ineffective in clinical trials of patients with GB due to their incomplete inhibition of mTORC1 or unexpected activation of mTOR via the loss of negative feedback loops. Novel ATP binding inhibitors of mTORC1 and mTORC2 suppress mTORC1 activity completely by total dephosphorylation of its downstream substrate pS6K, while effectively suppressing mTORC2 activity, as demonstrated by complete dephosphorylation of pAKT. Furthermore, proliferation and self-renewal of GB cancer stem cells are effectively targetable by these novel mTORC1 and mTORC2 inhibitors. Therefore, the effectiveness of inhibitors of mTOR complexes can be estimated by their ability to suppress both mTORC1 and 2 and their ability to impede both cell proliferation and migration.
PI3K/Akt/mTOR(雷帕霉素作用靶点)信号级联的激活已在包括胶质母细胞瘤(GB)在内的多种恶性肿瘤的发生过程中被证实。由于肿瘤抑制因子PTEN(一种与PI3K起拮抗作用的磷酸酶)缺失,该信号级联常常上调。mTOR通过形成由特殊结合伙伴组成的两种多蛋白复合物mTORC1和mTORC2来调节细胞生长、运动和代谢。这些复合物对不同刺激敏感。mTORC1对营养物质敏感,mTORC2通过PI3K和生长因子信号进行调节。mTORC1通过下游分子4E-BP1(也称为EIF4E-BP1)和S6K调节蛋白质合成和细胞生长。此外,mTORC2通过磷酸化一些AGC激酶(如Akt和SGK)的C端疏水基序对生长因子信号作出反应。mTORC2通过与核糖体结合在维持正常细胞和癌细胞方面发挥关键作用,并参与细胞代谢调节。这两种复合物相互控制,因为Akt调节PRAS40磷酸化,从而解除对mTORC1活性的抑制,而S6K调节Sin1以调节mTORC2活性。mTORC2的另一个重要成分是Sin1,它对mTORC2复合物的形成和功能至关重要。mTOR的变构抑制剂雷帕霉素及其衍生物在GB患者的临床试验中基本上无效,因为它们对mTORC1的抑制不完全,或因负反馈回路缺失意外激活了mTOR。新型mTORC1和mTORC2的ATP结合抑制剂通过完全去磷酸化其下游底物pS6K来完全抑制mTORC1活性,同时通过pAKT的完全去磷酸化有效抑制mTORC2活性。此外,这些新型mTORC1和mTORC2抑制剂可有效靶向GB癌症干细胞的增殖和自我更新。因此,mTOR复合物抑制剂的有效性可以通过它们抑制mTORC1和2的能力以及它们阻碍细胞增殖和迁移的能力来评估。