The companion paper to Harrington 2004, published two months later. In cultured mammalian cells, constitutive Rheb/mTOR/S6K activity depletes IRS1 and IRS2, producing cellular insulin resistance and impaired survival signalling. Together the two papers establish the S6K1 -> IRS negative feedback arm.
Tier D because it is mechanistic or in-vitro work (model: Mammalian cells), not a whole-organism health-outcome study; tier describes study design, not quality -- this is often exactly where causal biology gets established.
| Evidence tier | D Mechanistic / in vitro / review |
| Study type | 5 - Mechanistic / In Vitro |
| Model system | Mammalian cells |
| Journal | Current Biology |
| Year | 2004 |
| Peer reviewed | Yes |
| Record last updated | 2026-07-29 |
| Source | DOI 10.1016/j.cub.2004.08.026 · PMID 15380067 |
| Target | TSC/Rheb/mTOR/S6K -> IRS1/2 |
| Model | Mammalian cells |
| Effect | Constitutive mTOR/S6K signalling depletes IRS1/2 and causes cellular insulin resistance |
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Barton, O. (2026). Inappropriate activation of the TSC/Rheb/mTOR/S6K cassette induces IRS1/2 depletion, insulin resistance, and cell survival deficiencies — evidence-graded record SHA2004. In Oliver's mTOR Atlas. https://mtor-atlas.org/study/SHA2004/ · Dataset DOI 10.5281/zenodo.22059963
@misc{atlas_SHA2004,
author = {Barton, Oliver},
title = {{Inappropriate activation of the TSC/Rheb/mTOR/S6K cassette induces IRS1/2 depletion, insulin resistance, and cell survival deficiencies} --- evidence-graded record SHA2004},
howpublished = {Oliver's mTOR Atlas},
year = {2026},
url = {https://mtor-atlas.org/study/SHA2004/},
note = {Dataset DOI: 10.5281/zenodo.22059963}
}