2012
DOI: 10.1161/atvbaha.112.245381
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Everolimus Triggers Cytokine Release by Macrophages

Abstract: Objective-Stent-based delivery of the mammalian target of rapamycin (mTOR) inhibitor everolimus is a promising strategy for the treatment of coronary artery disease. We studied potential adverse effects associated with mTOR inhibition. Methods and Results-Macrophages in culture were either treated with everolimus or starved to inhibit mTOR. Everolimus led to inhibition of protein translation, activation of p38 MAPK, and the release of proinflammatory cytokines (eg, IL-6, TNFa) and chemokines (eg, MCP1, Rantes)… Show more

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Cited by 26 publications
(15 citation statements)
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“…This results show that Tyr705 phosphorylation can be regulated indirectly by mTOR. It is known that a mTOR inhibitor cause compensatory activation of MAPKs signal [35,36]. And, It is also known that MAPKs regulate STAT3 activity, therefore, we considered that the inhibition of phosphorylation of STAT3 by everolimus mediate MAPKs pathway.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This results show that Tyr705 phosphorylation can be regulated indirectly by mTOR. It is known that a mTOR inhibitor cause compensatory activation of MAPKs signal [35,36]. And, It is also known that MAPKs regulate STAT3 activity, therefore, we considered that the inhibition of phosphorylation of STAT3 by everolimus mediate MAPKs pathway.…”
Section: Discussionmentioning
confidence: 99%
“…The phosphorylation of p38 MAPK was increased by exposure to everolimus, and inhibition of phosphorylation of STAT3 Tyr705 by everolimus rescued by pretreatment of SB203580. mTOR inhibition by everolimus results in inhibition of de novo protein synthesis, and results in p38 MAPK activation due to sense cellular stress, moreover they may result in STAT3 inhibition [35]. We considered that p38 MAPK may be largely involved in the everolimus-induced inhibition of STAT3 activity in keratinocytes.…”
Section: Discussionmentioning
confidence: 99%
“…However, stimulation of the autophagic pathway may also be detrimental. Induction of autophagy with toll-like receptor 7 ligands such as imiquimod or treatment with everolimus results in autophagy-independent increases in cytokine production, which could lead to induction of adhesion molecules, infiltration of inflammatory cells, and plaque enlargement [180, 181]. It appears that therapies for atherosclerosis targeting autophagy in macrophages are promising, but that the degree of autophagic activation would need to be tightly modulated to achieve a therapeutic window that reduces macrophage content in lesions.…”
Section: Autophagy In Vsmcsmentioning
confidence: 99%
“…Interestingly, inhibition of TOR activates MAPK to promote cell cycle progression in unicellular yeast [36] and mammalian cancer cell lines overcome TOR inhibition by activating ERK1/2 signaling [37], [38]. TOR inhibition also activates p38 signaling in megakaryocytes [39] and in glioblastoma cells [40]. The Mitogen and Stress Induced Kinase (MSK) has been identified as a common downstream effector of both ERK and p38 survival pathways [41].…”
Section: Introductionmentioning
confidence: 99%