From mTOR to cognition: molecular and cellular mechanisms of cognitive impairments in tuberous sclerosis
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Background Tuberous sclerosis (TSC) is a multi‐system disorder caused by heterozygous mutations in the TSC1 or TSC2 gene and is often associated with neuropsychiatric symptoms, including intellectual disability, specific neuropsychological deficits, autism, other behavioural disorders and epilepsy. Method Here, we review evidence from animal models of TSC for the role of specific molecular and cellular processes in the pathogenesis of cognitive, developmental and epilepsy‐related manifestations seen in the disorder. Results Recent evidence shows that, in animal models, disinhibited mTOR (mammalian target of rapamycin) signalling substantially contributes to neuropsychiatric phenotypes, including cognitive deficits and seizures. We discuss potential pathogenetic mechanisms involved in the cognitive phenotypes of TSC and present implications regarding mTOR inhibitor‐based treatments for TSC‐related neuropsychiatric features. Conclusions Results suggest that reversing the underlying molecular deficits of TSC with rapamycin or other mTOR inhibitors could result in clinically significant improvements of cognitive function and neurological symptoms, even if treatments are started in adulthood.
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TSC arises from heterozygous mutations in TSC1 or TSC2 and is frequently associated with long-term and working memory deficits, intellectual disability, ASD, and epilepsy.
“Frequently associated with deficits in long-term and working memory, along with intellectual disability, ASD, and epilepsy, TSC arises from heterozygous mutations in the TSC1 or TSC2 genes (Ehninger et al., 2009; Ehninger et al., 2008; Kong et al., 2014; Tsai et al., 2012).”
From Unifying Views of Autism Spectrum Disorders: A Consideration of Autoregulatory Feedback Loops (2016) · cites this paper as Ehninger et al., 2009
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López‐Aranda, M. F., Boxx, G. M., Phan, M., Bach, K., Mandanas, R., Herrera, I., Taloma, S. E., Thadani, C., Lu, O., Bui, R., et al. (2022) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2022.03.015 · Cited by 5 · see citing works
Self-citationChu, X., Ge, Y., Geng, C., Cao, P., Wei, P., Fu, B., Deng, Z., Li, Y., & Zhao, G. (2025) · Journal of Inflammation Research · doi:10.2147/jir.s498738 · Cited by 5 · see citing works
Smile, S., & Anagnostou, E. A. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0326-3 · Cited by 5 · see citing works
Insights into Tuberous Sclerosis Complex : From Genes to Clinics
Kim, S. Y. (2025) · Journal of Korean Neurosurgical Society · doi:10.3340/jkns.2025.0035 · Cited by 4 · see citing works
Sweet-Taste Receptor Signaling Network and Low-Calorie Sweeteners
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Reduced effect of stimulation of AMPA receptors on cerebral O2 consumption in a rat model of autism
Weiss, H. R., Liu, X., Grewal, P., & CHI, O. Z. (2012) · Neuropharmacology · doi:10.1016/j.neuropharm.2012.06.014 · Cited by 5 · see citing works
Intellectual disabilities and genetic disorders can lead the way in translational research
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López‐Aranda, M. F., Bach, K., Bui, R., Phan, M., Lu, O., Thadani, C., Luchetti, A., Mandanas, R., Herrera, I., López-Ávalos, M. D., et al. (2024) · Biomedicines · doi:10.3390/biomedicines12010203 · Cited by 3 · see citing works
Self-citationmTOR Signaling in Cortical Network Development
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Tuberous sclerosis: from gene to targeted therapy
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Phenotypic Variability and mTOR Pathway Gene Aberrations in Familial Tuberous Sclerosis
Sekar, S., Nasser, S., Adkins, J. R., Cuyugan, L., Enriquez, D., Rangasamy, S., Narayanan, V., & Liang, W. S. (2017) · Journal of Pediatric Neurology · doi:10.1055/s-0037-1603349 · Cited by 1 · see citing works
van Eeghen, A. M., Thiele, E. A., Amin, S., Samanta, D., Jansen, A., Stevens, J., Moore-Ramdin, L., & de Vries, P. J. (2025) · PLoS ONE · doi:10.1371/journal.pone.0324648 · Cited by 1 · see citing works
- Authors
- Ehninger, D., De Vries, P. J., & Silva, A. J.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Ehninger, D.
- Venue
- Journal of Intellectual Disability Research
- Publisher
- Wiley
- Published
- 2009-09-25
- Volume
- 53
- Issue
- 10
- Pages
- 838-851
- ISSN
- 0964-2633 (ISSN-L)
- 1365-2788
- PMC
- PMC2844770
- OpenAlex
- W1981844658
- Cited by
- 120
- References
- 108
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2022: 5 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 6 · 2016: 8 · 2015: 8 · 2014: 9 · 2013: 9 · 2012: 24
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Intellectual Disability Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS038480)
- Topics
- Health Sciences › Medicine › Physiology › Tuberous Sclerosis Complex Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- tuberous sclerosis complex, mTOR signaling, cognitive impairment, intellectual disability, epilepsy, neuropsychiatric symptoms, TSC1, TSC2, rapamycin, mTOR inhibitors, animal models, autism spectrum disorder, developmental disorders
- MeSH terms
- Animals, Behavior, Animal, Carrier Proteins, Cognition, Cognition Disorders, Cell Biology, Disease Models, Animal, Epilepsy, Humans, Molecular Biology, Risk Factors, Tuberous Sclerosis, Phosphotransferases (Alcohol Group Acceptor), Mice, Rats, TOR Serine-Threonine Kinases
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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