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描述 | mTOR is a serine-threonine kinase that interacts with several proteins to form two distinct complexes, mTORC1 and mTORC2, which show different sensitivities to rapamycin[3]. Temsirolimus (CCI-779, NSC 683864) is a specific mTOR inhibitor with IC50 of 1.76 μM in a cell-free assay. Temsirolimus treatment at nanomolar concentrations (10 nM to <5 μM) displays a modest and selective antiproliferative activity via FKBP12-dependent mechanism but can completely inhibit the proliferation of a broad panel of tumor cells at low micromolar concentrations (5-15 μM), involving FKBP12-independent suppression of mTOR signaling. Temsirolimus treatment at micromolar but not nanomolar concentrations (20 μM) causes a marked decline in global protein synthesis and disassembly of polyribosomes, accompanied by rapid increase in the phosphorylation of translation elongation factor eEF2 and the translation initiation factor eIF2A[7]. Temsirolimus inhibits the phosphorylation of ribosomal protein S6, more potently in PTEN-positive DU145 cells than in PTEN-negative PC-3 cells, and inhibits cell growth and clonogenic survival of both cells in a concentration-dependent manner[2]. Administration of Temsirolimus (20 mg/kg i.p. 5 days/week) significantly delays the growth of DAOY xenografts by 160% after 1 week and 240% after 2 weeks, compared with controls. Single high-dose of Temsirolimus (100 mg/kg i.p) treatment induces 37% regression of tumor volume within 1 week. Temsirolimus treatment for 2 weeks also delays the growth of rapamycin-resistant U251 xenografts by 148%[5]. In a phase 2 study, 25 mg temsirolimus was intravenously (IV) conducted once per week and the VEGF-A monoclonal antibody bevacizumab 10 mg/kg IV once every 2 weeks in 58 patients with differentiated PNETs and progressive disease by RECIST, results showed response rate (RR) was 41% (23 of 56 patients). PFS at 6 months was 79% (44 of 56). Median PFS was 13.2 months (95%CI,11.2to16.6).Median overall survival was 34 months (95% CI, 27.1 to not reached). For evaluable patients, the most common grade 3 to 4 adverse events attributed to therapy were hypertension (21%), fatigue (16%), lymphopenia (14%), and hyperglycemia (14%), suggesting substantial activity and reasonable tolerability of this drug[6]. |
细胞研究 | |||||
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细胞系 | 浓度 | 检测类型 | 检测时间 | 活动说明 | 数据源 |
human 697 cell | Growth inhibition assay | Inhibition of human 697 cell growth in a cell viability assay, IC50=1.7 nM | SANGER | ||
human A2780 cell | Growth inhibition assay | Inhibition of human A2780 cell growth in a cell viability assay, IC50=5.88 nM | SANGER | ||
human A3-KAW cell | Growth inhibition assay | Inhibition of human A3-KAW cell growth in a cell viability assay, IC50=10.43 nM | SANGER |
临床研究 | |||||
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NCT号 | 适应症或疾病 | 临床期 | 招募状态 | 预计完成时间 | 地点 |
NCT03629847 | Neuroendocrine Tumors | Phase 1 Phase 2 | Recruiting | December 2018 | Saudi Arabia ... 展开 >> Oncology Centre, King Faisal Specialist Hospital & Research Center Recruiting Riyadh, Saudi Arabia, 11211 Contact: Ali Aljubran, MD 966-1-4647272 ext 32084 ajubran@kfshrc.edu.sa Contact: Lani Cabangon, RN 966-1-4647272 ext 32089 lcabangon06@kfshrc.edu.sa Sub-Investigator: Hussein Raef Sub-Investigator: Nora Alkahtani, MD Sub-Investigator: Shouki Bazarbashi, MD Sub-Investigator: Ahmed Alzahrani, MD Sub-Investigator: Mohamed Alsubayel, MD Sub-Investigator: Monther Kabbani, MD Sub-Investigator: Hamad Albahli, MD Sub-Investigator: Hadeel Almana, MD 收起 << |
NCT01184326 | Solid Tumor K... 展开 >>idney Cancer 收起 << | Phase 1 | Completed | - | United States, Massachusetts ... 展开 >> Beth Israel Deaconess Medical Center Boston, Massachusetts, United States, 02115 Dana-Farber Cancer Institute Boston, Massachusetts, United States, 02115 收起 << |
NCT01184326 | - | Completed | - | - |
实验方案 | |||
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1mg | 5mg | 10mg | |
1 mM 5 mM 10 mM |
0.97mL 0.19mL 0.10mL |
4.85mL 0.97mL 0.49mL |
9.71mL 1.94mL 0.97mL |
参考文献 |
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[1]2018:5896786. doi: 10.1155/2018/5896786. [4]33(14):1551-6. doi: 10.1200/JCO.2014.56.2082. Epub 2014 Dec 8. |