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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | McCampbell, Adrienne S. Harris, Heather A. Crabtree, Judy S. Winneker, Richard C. Walker, Cheryl L. Broaddus, Russell R. |
| Description | Country affiliation: United States Author Affiliation: McCampbell AS ( Department of Pathology, Science Park Research Division, The University of Texas M.D. Anderson Cancer Center, 1808 Park Road 1C, Smithville, TX 78957, USA.) |
| Abstract | IGF-I receptor signaling contributes to the development of endometrial hyperplasia, the precursor to endometrioid-type endometrial carcinoma, in humans and in rodent models. This pathway is under both positive and negative regulation, including S6K phosphorylation of IRS-1 at serine (636/639), which occurs downstream of mTOR activation to inhibit this adapter protein. We observed activation of mTOR with a high frequency in human endometrial hyperplasia and carcinoma, but an absence of IRS-1 phosphorylation, despite high levels of activated S6K. To explore when during disease progression mTOR activation and loss of negative feedback to IRS-1 occurred, we utilized the Eker rat $(Tsc2^{Ek/+})$ model, where endometrial hyperplasia develops as a result of loss of Tsc2, a “gatekeeper” for mTOR. We observed mTOR activation early in progression in hyperplasias and in some histologically normal epithelial cells, suggesting that event(s) in addition to loss of Tsc2 were required for progression to hyperplasia. In contrast, while IRS-1 S636/639 phosphorylation was observed in normal epithelium, it was absent from all hyperplasias, indicating loss of IRS-1 inhibition by S6K occurred during progression to hyperplasia. Treatment with an mTOR inhibitor (WAY-129327) significantly decreased hyperplasia incidence and proliferative indices. Since progression from normal epithelium to carcinoma proceeds via endometrial hyperplasia, these data suggest a progression sequence where activation of mTOR is followed by loss of negative feedback to IRS-1 during the initial stages of development of this disease. |
| File Format | HTM / HTML |
| ISSN | 19406207 |
| e-ISSN | 19406215 |
| DOI | 10.1158/1940-6207.CAPR-09-0199 |
| Journal | Cancer Prevention Research |
| Issue Number | 3 |
| Volume Number | 3 |
| Language | English |
| Publisher | American Association for Cancer Research |
| Publisher Date | 2010-03-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Oncology Endometrial Hyperplasia Metabolism Endometrial Neoplasms Endometrium Insulin Receptor Substrate Proteins Intracellular Signaling Peptides And Proteins Protein-serine-threonine Kinases Animals Blotting, Western Pathology Immunoenzyme Techniques Phosphorylation Rats, Mutant Strains Signal Transduction Tor Serine-threonine Kinases Tumor Suppressor Proteins Physiology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cancer Research Oncology |
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