Summary: mTOR inhibition with the ATP-competitive kinase inhibitor AZD8055 induces receptor tyrosine kinasedependent feedback activation of AKT. Cancer Discovery; 1(3); 203-4. ©2011 AACR.
IN THE SPOTLIGHTand deforolimus-employ an allosteric mechanism to block mTORC1 output ( 6 ). In contrast, second generation mTOR inhibitors such as AZD8055, Torin1, PP242, and PP30 competitively target the ATP binding site to impede kinase activity of both TORC1 and TORC2 ( 6 ). In addition to these drugs, dual ATP-binding kinase inhibitors of mTOR and phosphoinositide 3-kinase (PI3K; NVP-BEZ253 and PI-103) may prove more efficacious by inhibiting oncogenic signaling events to a greater extent ( 6 ). In this issue of Cancer Discovery , Rodrik-Outmezguine and colleagues ( 1 ) show a side-by-side comparison of mTORC inhibition with rapamycin and AZD8055, which revealed surprising changes in mTOR signaling. Rapamycin treatment led to an almost complete loss in the mTORC1 phosphorylation of p70S6K (Thr389) with essentially no impact on the phosphorylation of 4EBP1 (Thr65 and Thr70), whereas phospho AKT (Ser473) was increased. In contrast, AZD8055 treatment led to strong reductions in phospho 70S6K (Thr389), phospho 4EBP1 (Thr37/40, Thr65, and Thr70) and phospho AKT (Ser473; ref. 1). On the basis of these findings, AZD8055 is a better inhibitor of mTORC1 in comparison to rapamycin, consistent with another recent AZD8055 study by Chresta et al. ( 7 ). In vivo studies indicate that AZD8055 can inhibit tumor growth and can even lead to tumor regression when combined with lapatinib. Therefore, AZD8055 shows promise as a therapeutic agent, but harnessing the full potential will require a greater understanding of the web of feedback loops that intertwine PI3K, mTOR, and RTKs.An astonishing result from Rodrik-Outmezguine and colleagues ( 1 ) is the rebound in AKT activity in the absence of mTORC2. Scores of studies use levels of phopho AKT (Ser473) as a barometer of AKT activity. Yet, in this study AKT output is high after 8 hours of AZD8055 treatment, even though phospho AKT (Ser473) is low. The logic follows that AKT output and phospho AKT (Ser 473) may be discordant in other instances. Conceivably, phospho AKT (Thr308), which is modified on a key T-loop residue, is a more reliable indicator of AKT activity. AKT phosphorylation on Thr308 is essentially required for kinase activity ( 8 ). Phosphorylation on Thr308 increases AKT kinase activity by at least 100-fold, whereas phosphorylation on Ser473 mediates stabilization of the active conformation of the kinase, increasing activity by roughly another 10-fold ( 9 ). The gain in AKT output in the absence of Ser473 phosphorylation suggests that the active conformation of AKT may be stabilized in another manner, perhaps by interacting with the hydrophobic motif of another protein.In this issue of Cancer Discovery , Rodrik-Outmezguine and colleagues ( 1 ) discover a surprising biphasic regulation of AKT after inhibition of mTOR kinase complexes TORC1 and TORC2. This novel feedback mechanism wa...