Abstract. The mammalian target of rapamycin (mTOR) plays a key role in the regulation of cellular metabolism, growth and proliferation. It forms two multi-protein complexes known as complex 1 (mTORC1) and 2 (mTORC2). Raptor and Rictor are the core proteins for mTORC1 and mTORC2, respectively. This study examines the relationship between mTORC1, Rictor and Raptor mRNA expression and human breast cancer. Furthermore, the correlation between mTORC1 and hTERT was investigated. Breast cancer tissues (n=150) and normal tissues (n=31) were analysed using reverse transcription and quantitative PCR. Transcript levels were correlated with clinicopathological data. Higher mTOR expression was noted in breast cancer tissue (P=0.0018), higher grade tumours (grade 2 vs. 3, P=0.047), in ductal tumours (P=0.0014), and was associated with worse overall survival (P=0.01). Rictor expression was significantly higher in background breast tissues compared with tumours and was inversely related to the Nottingham Prognostic Index (NPI1 vs. 2, P=0.03) and tumour grade (grade 1 vs. 3, P=0.01) and was associated with better overall (P=0.037) and disease-free survival (P=0.048). The mRNA expression of Raptor was higher in tumours compared with normal tissues. Furthermore, the expression of Raptor was associated with a higher tumour grade (grade 1 vs. 3, P=0.027). A highly significant positive correlation between mTOR and hTERT (P<0.00001) was observed. These observations are consistent with the role of mTORC1 in the anti-apoptosis pathway and suggest that selective inhibitors of mTORC1 may be more efficacious in human breast cancer. Our findings support the hypothesis that mTORC1 is an important upregulator of telomerase in breast cancer.
IntroductionThe mammalian target of rapamycin (mTOR) plays a key role in the regulation of cellular metabolism, growth and prolifer ation. It was found to mediate the anti-proliferative activities of rapamycin and its analogues (rapalogues). It forms two multi-protein complexes known as complex 1 (mTORC1) and 2 (mTORC2). Raptor and Rictor are the core proteins for mTORC1 and mTORC2, respectively, known to be essential for the integrity of their respective complexes (1,2). Rheb (Ras homologue enriched in brain) is a key activator of mTORC1. There is a growing body of evidence that mTORC1 is upregulated in many types of cancers and plays a role in carcinogenesis (3).Rapalogues have been clinically proven in the case of renal cell carcinoma (4,5). However, this success is yet to be replicated in the case of other cancers. A greater understanding of the role of mTOR in various types of cancers is needed to determine therapeutic strategies. To this end, studies have been carried out to identify potential markers of rapamycin sensitivity, as well as additional therapeutic agents (6,7).The aim of the study was to investigate the mRNA expression of mTORC1, Rictor, Raptor and Rheb in human breast cancer and examine the relationship between their expression and clinicopathological parameters. Furthermore, the correl...