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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.
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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