Increased mast cell burden is observed in the inflamed tissues and affected organs and tissues of patients with mast cell proliferative disorders. However, normal mast cells participate in host defense, so approaches to preferentially target clonally expanding mast cells are needed. We found that mammalian target of rapamycin complex 1 (mTORC1) and 2 (mTORC2) are up-regulated in neoplastic and developing immature mast cells compared with their terminally differentiated counterparts. Elevated mTOR mRNA was also observed in bone marrow mononuclear cells of patients exhibiting mast-cell hyperplasia. Selective inhibition of mTORC1 and mTORC2 through genetic and pharmacologic manipulation revealed that, whereas mTORC1 may contribute to mast-cell survival, mTORC2 was only critical for homeostasis of neoplastic and dividing immature mast cells. The cytostatic effect of mTORC2 down-regulation in proliferating mast cells was determined to be via inhibition of cell-cycle progression. Because mTORC2 was observed to play little role in the homeostasis of differentiated, nonproliferating, mature mast cells, these data provide a rationale for adopting a targeted approaching selectively inhibiting mTORC2 to effectively reduce the proliferation of mast cells associated with inflammation and disorders of mast cell proliferation while leaving normal differentiated mast cells largely unaffected.
IntroductionMast cells (MCs) are considered to be critical components of both the innate and acquired immune defense systems. 1 Central to these functions is the ability of MCs to release a plethora of inflammatory mediators after activation through cell-surface receptors, primarily the high-affinity receptors for IgE (Fc⑀RI). 2 Although these reactions are considered to have evolved to protect host organisms against invading parasites and other microorganisms, 3 inappropriate or exaggerated activation of MCs manifests the reactions associated with allergic diseases.MCs develop from bone marrow (BM) CD13 ϩ /CD34 ϩ /CD117 (KIT) ϩ progenitor cells that enter into circulation and mature during migration to and residency in their target tissues. 4 MC numbers within tissues appear to be tightly regulated, with a several-fold increase in numbers occurring in inflammatory conditions and even higher numbers in association with parasitic inflammation. Clonal MC disorders may result in 10-fold or greater numbers of MCs in tissues such as the BM, liver, and spleen. [5][6] Similarly, a dysregulated increase in MC numbers is also observed in certain types of cancer, and in that context may contribute to cancer progression. [7][8][9] We observed previously that the mammalian target of rapamycin (mTOR) is overexpressed and constitutively phosphorylated in neoplastic MCs regardless of whether activating mutations in the MC growth factor receptor KIT are present. 10 MTOR is a serine/ threonine kinase that regulates divergent signaling pathways depending on its interactions with 2 regulatory proteins: raptor, a major component of mTOR complex 1 (mTORC1), a...