Everolimus in pituitary tumor: a review of preclinical and clinical evidence

Although pituitary tumors (PTs) are mostly benign, some PTs are characterized by low surgical resection rates, high recurrence rates, and poor response to conventional treatments and profoundly affect patients’ quality of life. Everolimus (EVE) is the only FDA-approved mTOR inhibitor, which can be u...

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Main Authors: Zihong Yao, Hui Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1456922/full
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author Zihong Yao
Zihong Yao
Hui Chen
author_facet Zihong Yao
Zihong Yao
Hui Chen
author_sort Zihong Yao
collection DOAJ
description Although pituitary tumors (PTs) are mostly benign, some PTs are characterized by low surgical resection rates, high recurrence rates, and poor response to conventional treatments and profoundly affect patients’ quality of life. Everolimus (EVE) is the only FDA-approved mTOR inhibitor, which can be used for oral treatment. It effectively inhibits tumor cell proliferation and angiogenesis. It has been administered for various neuroendocrine tumors of the digestive tract, lungs, and pancreas. EVE not only suppresses the growth and proliferation of APT cells but also enhances their sensitivity to radiotherapy and chemotherapy. This review introduces the role of the PI3K/AKT/mTOR pathway in the development of APTs, comprehensively explores the current status of preclinical and clinical research of EVE in APTs, and discusses the blood-brain barrier permeability and safety of EVE.
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spelling doaj-art-959083a10b1b474c8a3bdfb5ab7e37b42025-08-20T01:56:44ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-12-011510.3389/fendo.2024.14569221456922Everolimus in pituitary tumor: a review of preclinical and clinical evidenceZihong Yao0Zihong Yao1Hui Chen2The Second Clinical Medical College of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Endocrinology and Metabolism, Lanzhou University Second Hospital, Lanzhou, Gansu, ChinaDepartment of Endocrinology and Metabolism, Lanzhou University Second Hospital, Lanzhou, Gansu, ChinaAlthough pituitary tumors (PTs) are mostly benign, some PTs are characterized by low surgical resection rates, high recurrence rates, and poor response to conventional treatments and profoundly affect patients’ quality of life. Everolimus (EVE) is the only FDA-approved mTOR inhibitor, which can be used for oral treatment. It effectively inhibits tumor cell proliferation and angiogenesis. It has been administered for various neuroendocrine tumors of the digestive tract, lungs, and pancreas. EVE not only suppresses the growth and proliferation of APT cells but also enhances their sensitivity to radiotherapy and chemotherapy. This review introduces the role of the PI3K/AKT/mTOR pathway in the development of APTs, comprehensively explores the current status of preclinical and clinical research of EVE in APTs, and discusses the blood-brain barrier permeability and safety of EVE.https://www.frontiersin.org/articles/10.3389/fendo.2024.1456922/fullEverolimuspituitary tumorPI3K/AKT/mTORblood-brain barriersafety
spellingShingle Zihong Yao
Zihong Yao
Hui Chen
Everolimus in pituitary tumor: a review of preclinical and clinical evidence
Frontiers in Endocrinology
Everolimus
pituitary tumor
PI3K/AKT/mTOR
blood-brain barrier
safety
title Everolimus in pituitary tumor: a review of preclinical and clinical evidence
title_full Everolimus in pituitary tumor: a review of preclinical and clinical evidence
title_fullStr Everolimus in pituitary tumor: a review of preclinical and clinical evidence
title_full_unstemmed Everolimus in pituitary tumor: a review of preclinical and clinical evidence
title_short Everolimus in pituitary tumor: a review of preclinical and clinical evidence
title_sort everolimus in pituitary tumor a review of preclinical and clinical evidence
topic Everolimus
pituitary tumor
PI3K/AKT/mTOR
blood-brain barrier
safety
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1456922/full
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