2018
DOI: 10.1002/ana.25149
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Mechanistic target of rapamycin complex 1 and 2 in human temporal lobe epilepsy

Abstract: Our data demonstrate that mTOR signaling is significantly dysregulated in human TLE, offering new targets for pharmacological interventions. Specifically, clinically available drugs that suppress mTORC1 without compromising mTOR2 signaling, such as rapamycin and its analogs, may represent a new group of antiepileptogenic agents in TLE patients. Ann Neurol 2018;83:311-327.

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Cited by 66 publications
(47 citation statements)
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References 95 publications
(359 reference statements)
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“…The mTORC1 and mTORC2 complexes are also upregulated in tissue from patients with MTLE 59 . Therefore, our findings strengthen the relevance of the mTOR pathway in the mechanisms underlying MTLE 60 .…”
Section: Discussionsupporting
confidence: 82%
“…The mTORC1 and mTORC2 complexes are also upregulated in tissue from patients with MTLE 59 . Therefore, our findings strengthen the relevance of the mTOR pathway in the mechanisms underlying MTLE 60 .…”
Section: Discussionsupporting
confidence: 82%
“…11,21,[33][34][35][36][37][38][39][40][41][42] Consistent with previous reports, we found low levels of baseline P-S6 immunoreactivity in control brain sections within scattered cortical neurons across all layers in the subpial region of layer I (Fig 4). 43,44 A similarly low level of baseline P-S6 labeling was observed in the SLC35A2-associated cases (see Fig 4), suggesting that SLC35A2 haploinsufficiency does not result in activation of mTOR signaling.…”
Section: Clinical Neuroimaging and Neuropathological Features Of Thmentioning
confidence: 62%
“…The presence of MRI appearance or pathological evidence of FCD in Cases 2 to 5 prompted assessment of increased mTOR activation, because classically FCDs have been associated with mTOR‐related genetic abnormalities . Consistent with previous reports, we found low levels of baseline P‐S6 immunoreactivity in control brain sections within scattered cortical neurons across all layers in the subpial region of layer I (Fig ) . A similarly low level of baseline P‐S6 labeling was observed in the SLC35A2 ‐associated cases (see Fig ), suggesting that SLC35A2 haploinsufficiency does not result in activation of mTOR signaling.…”
Section: Resultsmentioning
confidence: 99%
“…However, detailed analysis of the EEG data did not reveal a difference in total number of seizures in the 2 h after drug injection compared to any of the other 2‐h windows within 24 h following injection. A second explanation could be that mTORC2 activation is neuroprotective instead and hence, a decrease in mTORC2 reduces the effectiveness of inhibiting mTORC1. The second specific drug that we tested, PF4708671, is a cell‐permeable inhibitor of p70 ribosomal S6 kinase (S6K1 isoform).…”
Section: Discussionmentioning
confidence: 99%