Targeting the PI3K-AKT-mTOR pathway: progress, pitfalls, and promises

Timothy A Yap1, Michelle D Garrett, Mike I Walton

  • 1Cancer Research UK Centre for Cancer Therapeutics, The Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey, UK.

Insights

Targeting the phosphatidylinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway offers a promising strategy for novel cancer therapeutics. This review highlights progress in developing PI3K-AKT-mTOR pathway inhibitors for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The 'drugging the cancer kinome' strategy has yielded successful molecular targeted agents.
  • The phosphatidylinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway is a critical target in oncogenesis.
  • Understanding this pathway is crucial for developing new cancer therapies.

Purpose of the Study:

  • To review the role of the PI3K-AKT-mTOR pathway in cancer.
  • To detail the development of novel therapies targeting this pathway.
  • To discuss strategies, challenges, and future directions for PI3K-AKT-mTOR pathway inhibitors.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of therapeutic strategies targeting the PI3K-AKT-mTOR pathway.
  • Discussion of biomarker utility in patient selection and target modulation.

Main Results:

  • Several novel molecular targeted agents have been developed.
  • Emphasis on agents that have entered clinical development for cancer treatment.
  • Exploration of horizontal and vertical blockade strategies for pathway inhibition.

Conclusions:

  • Targeting the PI3K-AKT-mTOR pathway is a key focus for novel cancer therapeutics.
  • Biomarkers are essential for patient selection and confirming target modulation.
  • Further research is needed to overcome limitations and optimize these anticancer agents.

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