Targeting mTOR to reduce Alzheimer-related cognitive decline: from current hits to future therapies.
Abstract
Introduction The mTOR pathway is involved in the regulation of a wide repertoire of cellular functions in the brain and its dysregulation is emerging as a leitmotif in a large number of neurological disorders. In AD, altered mTOR signaling contributes to the inhibition of autophagy deposition of Aβ and tau aggregates and to the alteration of several neuronal metabolic pathways. Areas covered: In this review, we report all the current findings on the use of mTOR inhibitors (rapamycin, rapalogues) in the treatment of AD. These results support the role of mTOR inhibitors as potential therapeutic agents able to reduce AD hallmarks and recover cognitive performances. Expert commentary: Despite mTOR inhibitors appearing to be ideal compounds to counteract AD, further studies are needed in order to gain knowledge on the involvement of aberrant mTOR in AD, and to standardize a valuable therapeutic approach that can be translated to humans.
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Activation of mTOR is a proposed driver of tau pathology given the involvement of tau-related kinases both upstream and downstream of mTOR signaling and the contribution of mTOR-mediated autophagy dysfunction to tau hyperphosphorylation.
“Activation of mTOR is also a proposed driver of tau pathology given the involvement of tau-related kinases both upstream and downstream of mTOR signaling (Figure 2) and the contribution of mTOR-mediated autophagy dysfunction to tau hyperphosphorylation (Tramutola et al., 2017; Mueed et al., 2018).”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as Tramutola et al., 2017
mTOR functions as a negative regulator of autophagy.
“mTOR also functions as a negative regulator of autophagy (Tramutola et al., 2017).”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as Tramutola et al., 2017
Rapamycin treatment inhibits both tau hyperphosphorylation and the development of status epilepticus and chronic epilepsy in models of pharmacological seizure induction, temporal lobe epilepsy, and post-traumatic epilepsy.
“Rapamycin treatment inhibits both tau hyperphosphorylation (Liu et al., 2013; Ozcelik et al., 2013; Tramutola et al., 2017) and the development of status epilepticus and chronic epilepsy in models of pharmacological seizure induction (Zeng et al., 2008; Huang et al., 2010), TLE (Drion et al., 2016), and PTE (Guo et al., 2013; Butler et al., 2015).”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as Tramutola et al., 2017
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- Authors
- Tramutola, A., Lanzillotta, C., & Di Domenico, F.
- Affiliations
- Sapienza University of Rome (IT)
- Department of Biochemical Sciences, Sapienza University of Rome, Rome, Italy
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2016-10-14
- Volume
- 17
- Issue
- 1
- Pages
- 33-45
- ISSN
- 1473-7175 (ISSN-L)
- 1744-8360
- OpenAlex
- W2528803532
- Cited by
- 69
- References
- 145
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 10 · 2018: 12 · 2017: 4 · 2016: 1
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Review of Neurotherapeutics (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Funders
- Ministero dell’Istruzione, dell’Università e della Ricerca (SIR 2014 RBSI144MTL)
- Sapienza Università di Roma (Fondi di Ateneo 2015)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- mTOR signaling, Alzheimer's disease, mTOR inhibitors, rapamycin, autophagy, amyloid-beta, tau aggregates, cognitive decline, neurodegeneration, therapeutic target
- MeSH terms
- Alzheimer Disease, Humans, TOR Serine-Threonine Kinases, Molecular Targeted Therapy, Cognitive Dysfunction
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