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Mechanistic target of rapamycin kinase messenger RNA (MTOR mRNA) serves as the essential template for the synthesis of the mTOR protein, a central hub in the PI3K/AKT/mTOR signaling pathway that regulates cell growth, proliferation, and survival [UniProt: P42345]. As a therapeutic target, MTOR mRNA is primarily addressed through the use of antisense oligonucleotides (ASOs) or RNA interference (RNAi) technologies designed to reduce the total cellular pool of mTOR protein [PubMed: 29109230]. This approach is intended to provide more comprehensive inhibition of the pathway compared to traditional ATP-competitive or allosteric kinase inhibitors, which often fail to suppress both mTORC1 and mTORC2 complexes or trigger compensatory feedback loops [Nature Communications: 10.1038/s41467-017-01604-x]. Dysregulation of the mTOR pathway is a critical driver in various malignancies and genetic syndromes such as tuberous sclerosis complex (TSC) and lymphangioleiomyomatosis (LAM) [NIH: NBK1116]. Experimental drugs like AZD4785 have demonstrated the feasibility of depleting MTOR mRNA to achieve potent anti-tumor effects in preclinical models [AstraZeneca]. However, the clinical application of MTOR mRNA targeting faces challenges related to systemic metabolic side effects, including hyperglycemia and hyperlipidemia, as well as potential immune-related toxicities [StatPearls: NBK537193]. Additionally, the delivery of these large molecules to target tissues remains a significant hurdle in clinical development.
Antisense-mediated RNase H-dependent degradation of mRNA
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