Modulation of mTOR signaling as a strategy for the treatment of Pompe disease

Abstract Mechanistic target of rapamycin (mTOR) coordinates biosynthetic and catabolic processes in response to multiple extracellular and intracellular signals including growth factors and nutrients. This serine/threonine kinase has long been known as a critical regulator of muscle mass. The recent...

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Main Authors: Jeong‐A Lim, Lishu Li, Orian S Shirihai, Kyle M Trudeau, Rosa Puertollano, Nina Raben
Format: Article
Language:English
Published: Springer Nature 2017-01-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201606547
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author Jeong‐A Lim
Lishu Li
Orian S Shirihai
Kyle M Trudeau
Rosa Puertollano
Nina Raben
author_facet Jeong‐A Lim
Lishu Li
Orian S Shirihai
Kyle M Trudeau
Rosa Puertollano
Nina Raben
author_sort Jeong‐A Lim
collection DOAJ
description Abstract Mechanistic target of rapamycin (mTOR) coordinates biosynthetic and catabolic processes in response to multiple extracellular and intracellular signals including growth factors and nutrients. This serine/threonine kinase has long been known as a critical regulator of muscle mass. The recent finding that the decision regarding its activation/inactivation takes place at the lysosome undeniably brings mTOR into the field of lysosomal storage diseases. In this study, we have examined the involvement of the mTOR pathway in the pathophysiology of a severe muscle wasting condition, Pompe disease, caused by excessive accumulation of lysosomal glycogen. Here, we report the dysregulation of mTOR signaling in the diseased muscle cells, and we focus on potential sites for therapeutic intervention. Reactivation of mTOR in the whole muscle of Pompe mice by TSC knockdown resulted in the reversal of atrophy and a striking removal of autophagic buildup. Of particular interest, we found that the aberrant mTOR signaling can be reversed by arginine. This finding can be translated into the clinic and may become a paradigm for targeted therapy in lysosomal, metabolic, and neuromuscular diseases.
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spelling doaj-art-2a77204e7b804f809d25558a01eea95f2025-08-20T03:46:11ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842017-01-019335337010.15252/emmm.201606547Modulation of mTOR signaling as a strategy for the treatment of Pompe diseaseJeong‐A Lim0Lishu Li1Orian S Shirihai2Kyle M Trudeau3Rosa Puertollano4Nina Raben5Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of HealthLaboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of HealthDepartment of Medicine, Obesity and Nutrition Section, Evans Biomedical Research Center, Boston University School of MedicineDepartment of Medicine, Obesity and Nutrition Section, Evans Biomedical Research Center, Boston University School of MedicineCell Biology and Physiology Center, National Heart, Lung, and Blood Institute, National Institutes of HealthLaboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of HealthAbstract Mechanistic target of rapamycin (mTOR) coordinates biosynthetic and catabolic processes in response to multiple extracellular and intracellular signals including growth factors and nutrients. This serine/threonine kinase has long been known as a critical regulator of muscle mass. The recent finding that the decision regarding its activation/inactivation takes place at the lysosome undeniably brings mTOR into the field of lysosomal storage diseases. In this study, we have examined the involvement of the mTOR pathway in the pathophysiology of a severe muscle wasting condition, Pompe disease, caused by excessive accumulation of lysosomal glycogen. Here, we report the dysregulation of mTOR signaling in the diseased muscle cells, and we focus on potential sites for therapeutic intervention. Reactivation of mTOR in the whole muscle of Pompe mice by TSC knockdown resulted in the reversal of atrophy and a striking removal of autophagic buildup. Of particular interest, we found that the aberrant mTOR signaling can be reversed by arginine. This finding can be translated into the clinic and may become a paradigm for targeted therapy in lysosomal, metabolic, and neuromuscular diseases.https://doi.org/10.15252/emmm.201606547autophagylysosomal storage disordersmTORmyopathyPompe disease
spellingShingle Jeong‐A Lim
Lishu Li
Orian S Shirihai
Kyle M Trudeau
Rosa Puertollano
Nina Raben
Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
EMBO Molecular Medicine
autophagy
lysosomal storage disorders
mTOR
myopathy
Pompe disease
title Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
title_full Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
title_fullStr Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
title_full_unstemmed Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
title_short Modulation of mTOR signaling as a strategy for the treatment of Pompe disease
title_sort modulation of mtor signaling as a strategy for the treatment of pompe disease
topic autophagy
lysosomal storage disorders
mTOR
myopathy
Pompe disease
url https://doi.org/10.15252/emmm.201606547
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