IntroductionMammalian target of rapamycin (mTOR) kinase exists in at least 2 multiple protein complexes, TORC1 and TORC2. TORC1 is composed of the mTOR catalytic subunit and 3 associated proteins, Raptor, PRAS40, and mLST8/GL, whereas TORC2 also contains mTOR and mLST8/GL, but instead of Raptor and PRAS40, contains the proteins Rictor, mSin1, and Protor. TORC1 is activated by growth factor stimulation via the canonical PI3K/Akt/ mTOR pathway and is partially sensitive to rapamycin. 1 TORC1 also connects nutrient, stress, and hormone signaling via TSC and AMPK signaling components. [2][3][4] Multiple myeloma (MM) is the second most prevalent hematologic malignancy and remains incurable, with a median survival of 3-5 years. Although no mutations are present in PI3K/AKT genes, this pathway is activated in the majority of patients with MM through either external signaling from insulin growth factor 1 (IGF-1), receptor tyrosine kinases (RTKs), or other dysregulations, including genetic mutations in other pathways or epigenetics that lead to activation of this pathway. [5][6][7][8][9][10][11][12][13] MM is frequently associated with dysregulation and/or mutations of signaling genes such as RAS, PTEN, FGF, These pathways often signal via TORC1/2 to regulate protein translation and cytoskeletal dynamics that are collectively required for cell division, growth, motility, and survival. [6][7][8][9][10][11][12][13] Recent reports have shown that Deptor is an mTORinteracting protein that is highly overexpressed in MM with cyclin D1/D3 (t:11;14 and t:6;14) or c-MAF/MAFB translocations (t:14; 16), which are present in 30% of MM patients. 12 In these cells, high DEPTOR expression is necessary to maintain PI3K and Akt activation by relieving feedback inhibition from TORC1, and a reduction in DEPTOR levels leads to apoptosis. 12 The fact that TORC1 is one of the rate-limiting signal nodes in cellular protein translational controls makes it a prime target to address one of the cell-intrinsic molecular hallmarks of MM, and, therefore, it has been extensively studied in this context. However, the dynamic interaction between tumor cells and the BM microenvironment is crucial in myeloma pathogenesis, resistance to treatment leading to relapse of patients, and in this interaction TORC2 plays an essential role. 5,14 Rapamycin analogs such as RAD001 and CCI-779 are TORC1 inhibitors and even at high concentrations do not completely inhibit TORC2 in most cells. 5,[15][16][17][18][19] Therefore, MM cells treated with rapamycin or its analogs usually display incomplete inhibition of the signaling cascades downstream of both TORC1/2 complexes. This eventually leads to increased phosphorylation of Akt due to loss of the feedback inhibitory circuit mediated by S6K, which can lead to enhanced survival and chemoresistance. [15][16][17][18][19][20][21][22] In the present study, we investigated the baseline activity of members of the PI3K/Akt/mTOR pathway in MM cell lines with different baseline genetic abnormalities that reflect the genetic su...