PCL486H1 Lecture Notes - Lecture 7: Irs1, P70-S6 Kinase 1, Sirolimus

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S6K-IRS1 feedback
When activated by mTORC1 S6K1 directly phosphorylates the insulin receptor substrate-1 (IRS1)
o Promotes IRS1 degradation stops signal downstream of receptor tyrosine kinase (RTK).
Feeds back and phosphorylates IRS, another feedback telling the cell to stop growth from PI3K.
Blocking mTOR with rapalogs was found to activates PI3K signaling and AKT
o Decrease S6K-1 no inhibitory phosphorylate on of IRS-1 PI3K binding
PIP3PHPDK1
PI3K activity is activated activates AKT activates mTOR even more.
o AKT has has hundreds of substrates disaster stops therapies.
In tumor, high levels of p-AKT addition of Rapamycin which blocks cell growth
o An increase of ATK occurs.
o There is also a second feedback in the ERK pathway.
FKBP also doesn’t bind to mTORC2… therefore not effective for mTORC2
Rapalogs are not effective against mTORC2
mTOR inhibitors in clinical development
Rationale for kinase inhibition:
o Inhibition of both mTORC1/2 would have a greater impact on cancer cells,
o Several groups have developed small molecules that directly inhibit mTOR kinase.
o So why don’t we block the kinase function, and then block mTOR1/2.
Kinase inhibitors: kinase inhibitors of mTOR which are ATP competitors
o kinase inhibitors block that catalytic function of mTOR in both mTORC1/2:
Directly blocks kinase domain blocks both mTORC1/2
Kinase inhibitors block both mTORC1/2 - AZD
Because mTORC2 Causes activation of AKT VIA Ser473 phosphorylation
o KI inhibitors block the feed back that happens during Rapamycin treatment (alone).
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Document Summary

Pip3 ph pdk1: pi3k activity is activated activates akt activates mtor even more, akt has has hundreds of substrates disaster stops therapies. Rapalogs are not effective against mtorc2: mtor inhibitors in clinical development, rationale for kinase inhibition: Dual mtor-pi3k inhibition: limitations: lack of biomarkers, better understanding of mechanism still required, stratification of patients and selection of drug combination therapies, more effective and personalized cancer therapy. Mapk pathways: start: binding of ligand to transmembrane protein; an rtk, there are 4 families, erk (classicals) most mutated oncogenes, c-jun- n-terminal kinase (jnk/sapk) p38 kinase pathway, erk5. In the off state (gdp), it is bound to the nucleotide guanosine diphosphate: activation and deactivation is controlled by cycling between gtp and gdp. Ras activation: gefs and gaps: exchanging nucleotide exchange factors (gefs): sos- gefs facilities the activation of ras, gtpase activating proteins (gaps): ras-gap: accelerate ras inactivation.

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