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Kinase-independent role of mTOR and on-/off-target effects of an mTOR kinase inhibitor.

Cuiqing FanMark WunderlichXiongwei CaiZijun YanFeng ZhangAshley Kuenzi DavisLingli XuFukun GuoQing Richard LuMohammad AzamWeidong TianYi Zheng
Published in: Leukemia (2023)
mTOR, as a serine/threonine kinase, is a widely pursued anticancer target. Multiple clinical trials of mTOR kinase inhibitors are ongoing, but their specificity and safety features remain lacking. Here, we have employed an inducible kinase-inactive D2338A mTOR knock-in mouse model (mTOR -/KI ) together with a mTOR conditional knockout model (mTOR -/- ) to assess the kinase-dependent/-independent function of mTOR in hematopoiesis and the on-/off-target effects of mTOR kinase inhibitor AZD2014. Despite exhibiting many similar phenotypes to mTOR -/- mice in hematopoiesis, the mTOR -/KI mice survived longer and showed differences in hematopoietic progenitor cells compared to mTOR -/- mice, suggesting a kinase-independent function of mTOR in hematopoiesis. Gene expression signatures in hematopoietic stem cells (HSCs) further revealed both kinase-dependent and independent effects of mTOR. AZD2014, a lead mTOR kinase inhibitor, appeared to work mostly on-target in suppressing mTOR kinase activity, mimicking that of mTOR -/KI HSCs in transcriptome analysis, but it also induced a small set of off-target responses in mTOR -/KI HSCs. In murine and human myeloid leukemia, besides kinase-inhibitory on-target effects, AZD2014 displayed similar off-target and growth-inhibitory cytostatic effects. These studies provide new insights into kinase-dependent/-independent effects of mTOR in hematopoiesis and present a genetic means for precisely assessing the specificity of mTOR kinase inhibitors.
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