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mTOR is a potent protein kinase that integrates growth factor signals and environmental cues to regulate cell growth, metabolism, and survival. A central regulator of mTOR complex 1 (mTORC1), which includes mTOR, Raptor, mLST8, and PRAS40, is the small GTPase Ras homolog enriched in brain (Rheb). mTORC1 functions in a well-characterized pathway that integrates multiple upstream signals, including growth factors, nutrients, and energy levels, and controls cell growth through regulation of translation and autophagy. mTORC1 activation has been implicated in cancer cell proliferation and tumor cell invasion, and has a significant impact on cancer cell survival and treatment resistance. mTORC1 is activated by growth factors, nutrients, and energy levels, and is inhibited by rapamycin and its analogs. mTORC1 is a key target in the treatment of cancer and other diseases in which cell growth and proliferation are involved (e.g., obesity, diabetes) [74, 75]. mTORC1 is also a key enzyme for IL-1 maturation.
Role of IL-1 in cancer initiation and progression has been investigated by many researchers over the last two decades. IL-1 has been shown to promote tumor cell proliferation, angiogenesis, invasion, migration, and metastasis [76, 77]. Recently, IL-1 appears to be the major factor in the development of cachexia [78, 79]. In many cancer types, high expression of IL-1 has been reported. For example, it has been reported that IL-1 may promote tumor cell proliferation of estrogen receptor-negative breast cancer cells; IL-1 promotes tumor progression and metastasis of mammary tumor cells; and IL-1 promotes tumor cell growth of lung cancer cells [77, 80-82]. In addition, IL-1 may induce an angiogenic switch in breast cancer cells by upregulating the expression of fibroblast growth factor-2, VEGF, and IL-8 [81, 83]. High expression of IL-1 is also associated with poor disease prognosis and a higher risk of mortality in patients with invasive epithelial cancers [84, 85]. Thus, IL-1 is a potential candidate for the treatment of cancers. For example, IL-1 receptor antagonist (IL-1Ra), which blocks IL-1 activity, has been shown to inhibit the growth of several human cancer cell lines.
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