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Mechanistic target of rapamycin (mTOR): a potential new therapeutic target for rheumatoid arthritis

Fen Zhang, Ting Cheng, Sheng‐Xiao Zhang

2023Arthritis Research & Therapy49 citationsDOIOpen Access PDF

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease characterized by systemic synovitis and bone destruction. Proinflammatory cytokines activate pathways of immune-mediated inflammation, which aggravates RA. The mechanistic target of rapamycin (mTOR) signaling pathway associated with RA connects immune and metabolic signals, which regulates immune cell proliferation and differentiation, macrophage polarization and migration, antigen presentation, and synovial cell activation. Therefore, therapy strategies targeting mTOR have become an important direction of current RA treatment research. In the current review, we summarize the biological functions of mTOR, its regulatory effects on inflammation, and the curative effects of mTOR inhibitors in RA, thus providing references for the development of RA therapeutic targets and new drugs.

Topics & Concepts

PI3K/AKT/mTOR pathwayMedicineRheumatoid arthritisProinflammatory cytokineSynovitisInflammationImmune systemImmunologyMacrophage polarizationArthritisCancer researchMechanistic target of rapamycinSignal transductionMacrophageBiologyCell biologyBiochemistryIn vitroPI3K/AKT/mTOR signaling in cancerMast cells and histamineQuinazolinone synthesis and applications