The mechanistic/mammalian target of rapamycin (mTOR), also known as the mechanistic target of rapamycin, regulates many normal cell processes such as transcription, cell growth, and autophagy. Overstimulation of mTOR by its ligands, amino acids, sugars, and/or growth factors leads to physiological disorders, including cancer and neurodegenerative diseases. In this study, we reviewed the recent advances regarding the mechanism that involves mTOR in cancer, aging, and neurodegenerative diseases. The chemical and biological properties of recently reported small molecules that function as mTOR kinase inhibitors, including adenosine triphosphate-competitive inhibitors and dual mTOR/PI3K inhibitors, have also been reviewed. We Med Res Rev. 2019;39:631-664.wileyonlinelibrary.com/journal/med activated protein kinase; MEK-ERK, MAPK/ERK kinase; Met, methionine; mLST8, mammalian lethal with SEC13 protein 8; mRNA, messenger RNA; mSin1, mammalian stress-activated protein kinase-interacting protein; mTOR, mechanistic/mammalian target of rapamycin; mTORC1, mechanistic/mammalian target of rapamycin complex 1; mTORC2, mechanistic/mammalian target of rapamycin complex 2