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FK506-binding protein 1A–mechanistic target of rapamycin complex 1 (FKBP12–mTORC1) (FKBP12–mTORC1)

Target
FKBP12–mTORC1
Molecular classification
Serine/threonine-protein kinase complex [2], Protein complex [1, 2], Enzyme [2]
01

Overview

The FK506-binding protein 1A–mechanistic target of rapamycin complex 1 (FKBP12–mTORC1) is a critical signaling node formed when the immunophilin FKBP12 (encoded by the FKBP1A gene) binds to the mTORC1 complex in the presence of rapamycin or its analogs (rapalogs) [1, 2, 4]. mTORC1 is a multi-protein serine/threonine kinase complex—comprising mTOR, Raptor, mLST8, PRAS40, and DEPTOR—that integrates signals from nutrients, growth factors, and energy status to regulate cell growth, protein synthesis, and autophagy [3]. The binding of the FKBP12-rapalog complex to the FKBP12-rapamycin binding (FRB) domain of mTOR induces an allosteric inhibition of the kinase, primarily affecting the phosphorylation of downstream targets like S6K1 and 4E-BP1 [3, 4]. This complex plays a pivotal role in various pathologies, including cancer, where mTORC1 is often hyperactivated, and in the immune response, where its inhibition leads to immunosuppression [3, 5]. Clinically, targeting this complex with rapalogs is a standard therapy for preventing organ transplant rejection and treating specific malignancies such as renal cell carcinoma and tuberous sclerosis complex-associated tumors [4, 5]. Sources: [1] UniProt P62942; [2] UniProt P42345; [3] Saxton and Sabatini, Cell 2017; [4] Benjamin et al., Nat Rev Drug Discov 2011; [5] DrugBank DB00877.

Other names
FKBP12–mTORC1 complexFKBP1A–mTOR complex 1Rapamycin–FKBP12–mTORC1 complexFKBP12–mTORC1
02

Mechanism of action

Allosteric inhibition of mTORC1 kinase activity through the formation of a ternary complex between the drug (rapalog), FKBP12, and the FRB domain of mTOR, which physically blocks substrate access to the active site [3, 4].

03

Biological functions

Cell growth regulation [3]Protein synthesis [3]Autophagy inhibition [3]Nutrient sensing [3]Metabolic regulation [3]Cell proliferation [3]
04

Disease associations

Cancer (e.g., Renal cell carcinoma, Breast cancer) [3, 4]Tuberous sclerosis complex (TSC) [4]Lymphangioleiomyomatosis (LAM) [5]Organ transplant rejection [5]Neurodegenerative disease [3]
05

Safety considerations

Immunosuppression and increased risk of infection [5]Hyperlipidemia and hypertriglyceridemia [5]Hyperglycemia and new-onset diabetes [3, 5]Stomatitis and mucosal inflammation [4]Impaired wound healing [5]Non-infectious pneumonitis [4]
06

Interacting drugs

Sirolimus (Rapamycin) [5]

3 more in the full profile.

07

Biomarkers

Phospho-S6 kinase 1 (pS6K1) levels [3]Phospho-S6 ribosomal protein (pS6) levels [3, 4]Phospho-4E-BP1 levels [3]

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