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自噬在响应mTOR抑制剂时的细胞保护和细胞毒性功能

The Cytoprotective and Cytotoxic Functions of Autophagy in Response to mTOR Inhibitors.

作者信息

Elshazly Ahmed M, Elzahed Aya A, Gewirtz David A

机构信息

Department of Pharmacology and Toxicology, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23298, USA.

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Kafrelsheikh University, 33516 Kafrelsheikh, Egypt.

出版信息

Front Biosci (Landmark Ed). 2024 Jun 24;29(6):231. doi: 10.31083/j.fbl2906231.

Abstract

The inhibitors of mammalian target of rapapmycin (mTOR), everolimus, temsirolimus and rapamycin, have a wide range of clinical utility; however, as is inevitably the case with other chemotherapeutic agents, resistance development constrains their effectiveness. One putative mechanism of resistance is the promotion of autophagy, which is a direct consequence of the inhibition of the mTOR signaling pathway. Autophagy is primarily considered to be a cytoprotective survival mechanism, whereby cytoplasmic components are recycled to generate energy and metabolic intermediates. The autophagy induced by everolimus and temsirolimus appears to play a largely protective function, whereas a cytotoxic function appears to predominate in the case of rapamycin. In this review we provide an overview of the autophagy induced in response to mTOR inhibitors in different tumor models in an effort to determine whether autophagy targeting could be of clinical utility as adjuvant therapy in association with mTOR inhibition.

摘要

雷帕霉素哺乳动物靶点(mTOR)抑制剂依维莫司、替西罗莫司和雷帕霉素具有广泛的临床应用;然而,与其他化疗药物一样,耐药性的产生限制了它们的疗效。一种假定的耐药机制是自噬的促进,这是mTOR信号通路抑制的直接后果。自噬主要被认为是一种细胞保护生存机制,通过这种机制,细胞质成分被循环利用以产生能量和代谢中间体。依维莫司和替西罗莫司诱导的自噬似乎主要发挥保护作用,而在雷帕霉素的情况下,细胞毒性作用似乎占主导。在本综述中,我们概述了在不同肿瘤模型中对mTOR抑制剂产生反应时诱导的自噬,以确定靶向自噬作为与mTOR抑制联合的辅助治疗是否具有临床应用价值。

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