Annotation Detail

Information
Associated Genes
MTOR
Associated Variants
MTOR p.Ala2034Val (p.A2034V) ( ENST00000361445.9, ENST00000703140.1 )
MTOR p.Ala2034Val (p.A2034V) ( ENST00000361445.9, ENST00000703140.1 )
Associated Disease
breast cancer
Source Database
CIViC Evidence
Description
MCF-7 breast cancer cell line was exposed to mTOR inhibitor rapamycin until resistance developed. Deep sequencing revealed an MTOR A2034V mutation in the resistant clone (RR1). Downstream signalling was independent of inhibitor presence in these clones and expression of the mutation in MDA-MB-468 cells led to resistance to rapamycin but maintained sensistivity to AZD8055. A novel mTOR inhibitor RapaLink-1 was designed and showed efficacy in A2034V mTOR mutant cell lines in-vivo and in-vitro. AZD8055 also retained efficacy in these clones in xenograft.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1548
Gene URL
https://civic.genome.wustl.edu/links/genes/2073
Variant URL
https://civic.genome.wustl.edu/links/variants/610
Rating
4
Evidence Type
Predictive
Disease
Breast Cancer
Evidence Direction
Does Not Support
Drug
MTOR Kinase Inhibitor AZD8055,RapaLink-1
Evidence Level
D
Clinical Significance
Resistance
Pubmed
27279227
Drugs
Drug NameSensitivitySupported
MTOR Kinase Inhibitor AZD8055Resitance or Non-Reponsefalse
RapaLink-1Resitance or Non-Reponsefalse