Evidence map›Paper›PMID 37626877›Full record

ArticleCells2023

Metabolic Disruption Induced by mTOR Signaling Pathway Inhibition in Regulatory T-Cell Expansion for Clinical Application.

Roberto Gedaly, Gabriel Orozco, Alexandre P Ancheta, Mackenzie Donoho, Siddharth N Desai, Fanny Chapelin, Aman Khurana, Lillie J Lewis, Cuiping Zhang, Francesc Marti

Open access · goldAbstract read
In one paragraph

Article in Cells, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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  7. Article
  8. Receptor-Mediated SPION Labeling of CD4Nanomaterials (Basel, Switzerland) · 2025
    Article
  9. The roles of arginases and arginine in immunity.Nature reviews. Immunology · 2025
    Review
  10. Effect of mitochondrial oxidative stress on regulatory T cell manufacturing for clinical application in transplantation: Results from a pilot study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Roberto GedalyTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Gabriel OrozcoTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Alexandre P AnchetaTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Mackenzie DonohoTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Siddharth N DesaiTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Fanny ChapelinLucillle Parker Markey Cancer Center, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Aman KhuranaLucillle Parker Markey Cancer Center, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Lillie J LewisTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Cuiping ZhangFlow Cytometry & Immune Monitoring Core Facility, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Francesc MartiTransplant Division, Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.ORCID 0000-0002-2066-6884
University of Kentucky · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
NCI NIH HHS P30 CA177558
6 · The paper itself

Abstract

backgroundRegulatory T cell (Treg) therapy is considered an alternative approach to induce tolerance in transplantation. If successful, this therapy may have implications on immunosuppression minimization/withdrawal to reduce drug-induced toxicity in patients. The aim of this study was to assess the efficacy of the mTORC1/C2 inhibitor, AZD8055, in the manufacturing of clinically competent Treg cells and compare the effects with those induced by rapamycin (RAPA), another mTOR inhibitor commonly used in Treg expansion protocols.

methodsPrimary human Treg cells were isolated from leukapheresis product. Cell viability, expansion rates, suppressive function, autophagy, mitochondrial unfolded protein response (mitoUPR), and cell metabolic profile were assessed.

resultsWe observed a stronger inhibition of the mTORC2 signaling pathway and downstream events triggered by Interleukin 2 (IL2)-receptor in AZD8055-treated cells compared with those treated with RAPA. AZD8055 induced progressive metabolic changes in mitochondrial respiration and glycolytic pathways that disrupted the long-term expansion and suppressive function of Tregs. Unlike RAPA, AZD8055 treatment impaired autophagy and enhanced the mitoUPR cell stress response pathway.

conclusionsA distinct pattern of mTOR inhibition by AZD, compared with RAPA, induced mitochondrial stress response and dysfunction, impaired autophagy, and disrupted cellular bioenergetics, resulting in the loss of proliferative potential and suppressive function of Treg cells.

Indexed as

Signal TransductionT-Lymphocytes, RegulatoryCell ProliferationHumansMTOR InhibitorsTOR Serine-Threonine KinasesMTOR InhibitorsTOR Serine-Threonine Kinasescellular therapymTOR signalingregulatory T-cellstransplantation

Identifiers

PMID37626877
PMCPMC10453008
OpenAlexW4385835291

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.